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What is your primary reason for today’s visit?
When did these changes begin?
What therapy has been started or tried for this condition?
Is your pet currently taking any ocular medications (dose and frequency)?
Has your pet taken any ocular medications in the past (dose and frequency)?
How is your pet’s vision? (From 1 to 10 with 10 being excellent vision)
When did you first notice vision deficits?
How comfortable is your pet?
Does your pet keep one or both eyes shut frequently?
Does your pet have any systemic problems?
When were they diagnosed?
Are they currently on any other medications?
If Diabetic, what is the type of insulin and units administered?
Has your pet had any recent bloodwork performed?
Has your pet had a recent anesthetic event?
This field is for validation purposes and should be left unchanged.
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