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Ophthalmology → Medical records

Ophthalmology case preparation

Prepare Eye Records for a German Hospital Review

A useful eye-treatment request is more than a diagnosis name. Send the recent measurements, original imaging and previous procedure history that let an ophthalmology team understand anatomy, urgency and what has already been tried.

Urgent symptoms should not wait for document preparation

Sudden vision loss, a new curtain or shadow, many new floaters with flashes, severe eye pain or a red painful eye can require urgent local assessment. Do not delay emergency ophthalmic care while preparing an international request.

Retinal detachment →

Core records for almost any ophthalmology review

Include the date of each test and identify which eye it belongs to. Recent original reports are usually more useful than an undated summary.

  • Current visual acuity and refraction
  • Working diagnosis and symptom timeline
  • Recent ophthalmology examination or slit-lamp report
  • Current eye drops and systemic medication
  • Previous eye laser or surgery reports
  • Relevant systemic conditions such as diabetes or anticoagulant use when applicable

Cornea / keratoconus / Fuchs / transplant

  • Corneal topography or tomography
  • Pachymetry / corneal thickness
  • Endothelial cell measurements when available
  • Slit-lamp findings and corneal scarring or edema description
  • Contact-lens history for keratoconus
  • Previous cross-linking, DMEK, DSAEK, DALK or keratoplasty reports

Glaucoma

  • Intraocular-pressure history with dates
  • Visual-field tests from more than one date when available
  • OCT optic nerve / RNFL / ganglion-cell analysis
  • Corneal-thickness measurement
  • Angle assessment or gonioscopy if already performed
  • Previous SLT, MIGS, trabeculectomy, drainage implant or other glaucoma procedure reports

Retina & macula

  • Macular or retinal OCT images and reports
  • Fundus photographs or wide-field imaging when available
  • Fluorescein angiography or OCT angiography if already performed
  • Ultrasound report when media opacity prevented a clear retinal view
  • History of injections, laser, vitrectomy or retinal-detachment surgery
  • If gas was used previously, the operative report and tamponade details when available

Cataract & lens surgery

  • Current visual acuity and refraction
  • Cataract / lens examination findings
  • Biometry or IOL calculation if already performed
  • Corneal astigmatism measurements
  • Macular OCT when available, especially if retinal disease is suspected
  • Previous refractive, cataract, corneal or retinal surgery reports

Send usable files, not only screenshots

If the hospital asks for imaging, provide the original exported files or full PDF reports when available. Keep test dates and eye laterality visible. Ask the hospital which secure upload channel it accepts before sending sensitive health information; avoid relying on informal messaging accounts for clinical records.

Official clinical sources

The checklist is an organizational aid, not a substitute for a hospital's own submission requirements. Individual departments may request additional tests or repeat older imaging.

Last source-reviewed 2026-09-14.

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