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Ophthalmology

AI Medical Scribe for Ophthalmology

Precision documentation for eye care. Comprehensive ocular exams, retinal evaluations, cataract surgery reports, and glaucoma management.

14-day Pro trial with a card on file when you sign up on the web. Purchases made in the iOS app are billed and cancelled through Apple.

Documentation Challenges in Ophthalmology

High-volume clinics with dozens of exam data points per visit
Detailed slit-lamp and fundoscopic examination documentation
Surgical reports requiring precise intraocular lens and technique details
Tracking intraocular pressures and visual fields over time
Integrating OCT, visual field, and imaging data into clinical notes

Note Types for Ophthalmology

Purpose-built templates for every encounter type

01

Comprehensive Eye Exam

Full ocular examination with visual acuity, slit-lamp, and dilated fundus findings

02

Procedure Notes

Intravitreal injections, laser procedures, and in-office treatments

03

Surgical Notes

Cataract extraction, vitrectomy, glaucoma surgery, and corneal transplant reports

04

Low Vision Evaluation

Functional vision assessment with rehabilitation recommendations

Key Features for Ophthalmology

Built specifically for your workflow

Ocular Exam Capture

Structured documentation of slit-lamp, IOP, and fundus findings

Surgical Precision

IOL details, phaco parameters, and complication documentation

Diagnostic Integration

OCT, visual field, and topography data in clinical context

High-Volume Support

Per-encounter recording built for back-to-back retina and cataract clinics

Common Ophthalmology Conditions

🩺

Diabetic Retinopathy

ICD-10: E11.311

🩺

Multiple Sclerosis

ICD-10: G35

🩺

Type 1 Diabetes Mellitus

ICD-10: E10.9

🩺

Glaucoma

ICD-10: H40.10

🩺

Age-Related Macular Degeneration

ICD-10: H35.30

View all conditions

Calculators that can activate in Ophthalmology

Registry entries whose specialty scope includes Ophthalmology. Each page lists the inputs the note needs, the scoring criteria, the interpretation bands and the cited sources.

  • AREDS AMD ClassificationClassifies age-related macular degeneration severity to determine eligibility for AREDS supplementation and guide monitoring intervals
  • ASA Physical Status ClassificationClassifies patient physical status prior to anesthesia to stratify perioperative risk and guide anesthetic planning
  • ETDRS Diabetic Retinopathy Severity ScaleStandardizes diabetic retinopathy severity grading to guide ophthalmologic management and treatment timing
  • Ocular Surface Disease Index (OSDI)Quantifies dry eye disease severity and its impact on vision-related functioning to guide treatment escalation
  • Snellen Visual Acuity InterpretationInterprets Snellen visual acuity measurements and converts to LogMAR equivalents
  • Standard Patient Evaluation of Eye Dryness (SPEED)Rapid screening tool for dry eye symptom frequency and severity to support clinical decision-making
  • SUN Working Group Grading for Anterior UveitisStandardizes grading of anterior chamber inflammation (cells and flare) to guide uveitis treatment and monitoring
  • Van Herick Angle AssessmentEstimates anterior chamber angle width by slit-lamp comparison to screen for narrow or closed angles
Browse the full registry

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Neurology

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Ready to Transform Your Ophthalmology Documentation?

Built for ophthalmology physicians. Start free with a 14-day trial.

14-day Pro trial with a card on file when you sign up on the web. Purchases made in the iOS app are billed and cancelled through Apple.

AI Medical Scribe for Ophthalmology

Precision documentation for eye care. Comprehensive ocular exams, retinal evaluations, cataract surgery reports, and glaucoma management.

Documentation Challenges in Ophthalmology

  • High-volume clinics with dozens of exam data points per visit
  • Detailed slit-lamp and fundoscopic examination documentation
  • Surgical reports requiring precise intraocular lens and technique details
  • Tracking intraocular pressures and visual fields over time
  • Integrating OCT, visual field, and imaging data into clinical notes

Note Types for Ophthalmology

  • Comprehensive Eye Exam

    Full ocular examination with visual acuity, slit-lamp, and dilated fundus findings

  • Procedure Notes

    Intravitreal injections, laser procedures, and in-office treatments

  • Surgical Notes

    Cataract extraction, vitrectomy, glaucoma surgery, and corneal transplant reports

  • Low Vision Evaluation

    Functional vision assessment with rehabilitation recommendations

Key Features for Ophthalmology

  • Ocular Exam Capture

    Structured documentation of slit-lamp, IOP, and fundus findings

  • Surgical Precision

    IOL details, phaco parameters, and complication documentation

  • Diagnostic Integration

    OCT, visual field, and topography data in clinical context

  • High-Volume Support

    Per-encounter recording built for back-to-back retina and cataract clinics

Common Ophthalmology Conditions

  • AI documentation for Diabetic Retinopathy
  • AI documentation for Multiple Sclerosis
  • AI documentation for Type 1 Diabetes Mellitus
  • AI documentation for Glaucoma
  • AI documentation for Age-Related Macular Degeneration

Related Specialties

  • Optometry - AI Medical Scribe
  • Endocrinology - AI Medical Scribe
  • Neurology - AI Medical Scribe

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Blog & Resources

Insights on clinical documentation, AI in healthcare, burnout prevention, and productivity tips.

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Medical Conditions

ICD-10 documentation guides for hypertension, diabetes, COPD, and 100+ conditions.

🔗

EHR Integrations

Works with Epic, Cerner, athenahealth, and other major EHR systems.

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