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Glaucoma / Trabeculectomy / Ophthalmology / Fluorouracil / Glaucoma valve / Trabectome / Medicine / Eye surgery / Blindness


Med Rec. No……………………………………………………… CONSENT FORM FOR TRABECULECTOMY
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Document Date: 2007-10-11 23:05:55

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File Size: 202,06 KB

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MedicalCondition

glaucoma / needlestick/sharps injury / HIV / bleb / disease / infection / high blood pressure / sympathetic ophthalmia / heart disease / diabetes / cataract / blindness / disorders / /

MedicalTreatment

Eye surgery / surgery / laser treatment / /

Person

CONSENT FORM FOR TRABECULECTOMY / /

Position

Date INTERPRETER / specialist surgeon / ophthalmic surgeon / surgeon / Interpreter / /

Technology

laser / /

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