Dear colleague,

Thank you for your referral.

On exam, our patient had no signs of diabetic eye disease (E11.9).  I explained to our patient the need for tight glucose control in helping prevent future diabetic ocular complications.  I will continue to follow them for their yearly diabetic exam.

Our patient was found to have visually significant cataracts that are affecting their activities of daily living.  After discussing with them the risks, benefits, and alternatives to cataract surgery, we decided together to proceed with surgery to remove the cataract.   
 
Thank you again for allowing me to participate in their care.

Sincerely,

Gintien Huang, M.D.
San Bernardino Eye Specialists
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E11.9 - No diabetic eye disease
H25.813 - Cataracts

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DM2 NEW - NO Retinopathy
1) NO Retinopathy
2) NO Retinopathy+GS
3) NO Retinopathy+Cataract (VS)
4) NO Retinopathy+Dry AMD
5) NO Retinoapathy+Wet AMD (Needs IVA)

DM2 NEW - NPDR, no CME
6) NPDR no CME
7) NPDR no CME + GS
8) NPDR no CME + Cataract (VS)
9) NPDR no CME  + Dry AMD
10) NPDR no CME  + Wet AMD (Needs IVA)

DM2 NEW - NPDR with CME
​11) NPDR with CME
12) NPDR with  CME + GS
13) NPDR with  CME + Cataract (VS)
14) NPDR with  CME  + Dry AMD
15) NPDR with CME  + Wet AMD (IVA)

DM2 NEW - PDR
16) PDR Needs injection+laser
17) PDR, Stable
18) PDR, Stable + Cataract
19) PDR, Stable + GS
20) PDR, Stable +Dry AMD
21) PDR, Stable, + Wet AMD (Needs IVA)

DM2 FOLLOW UP
22) No Retinopathy, Stable
23) NPDR, Stable
24) NPDR, Worsening, no treatment
25) NPDR, Worsening, now CME
26) NPDR, Worsening, now PDR
27) PDR, Stable
28) PDR, Worse, Needs injection/laser


OTHER
29) Cataracts, Needs surgery
30) Glaucoma Suspect
31) Glaucoma 
32) Dry AMD
​33) Wet AMD (Plan for IVA)