Images for Retinal Imaging Conference 12/4/2012

Please use this template to interpret the following images

 

ANGIOGRAM INTERPRETATION

NAME:

 

DATE:

 

PHOTO #:

 

SSN:

 

DR:

 

CLINICAL IMPRESSION:

 

FUNDUS DESCRIPTION:

OD   OS

OD

OS: 

OD

Red-Free

Pre-Injection

Arterial

A-V

Venous

Recirculation

Late

 

OS

Red-Free

Venous

Recirc

Late

 

Impression

 

Plan

PHYSICIAN:

 

DATE:

12/4/2012

STAFF:

 

           


 

Tags: