Ocular Inflammatory Disease Review of Systems Questionnaire

This is a confidential survey. Please download and print the file below and respond to all questions by circling the proper answer. Also, please bring this survey with you to your appointment.

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Glossary

A glossary of terms

Patient Education

Arash Maleki, MD and C. Stephen Foster MD, FACS, FACR

April 1, 2026

AIDS and the Eye

The ocular manifestations of acquired immunodeficiency syndrome (AIDS) revolve primarily around infectious and malignant diseases.

Physician Education

Amniotic membrane graft as a biological contact lens in treatment of corneal epithelial defects and stromal ulcers.

Prolonged inflammation of the ocular surface causes destruction of corneal stem cells that can result in corneal epithelial defect and/or sterile corneal ulcer.

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Ocular Inflammatory Disease Review of Systems Questionnaire

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