Patient presents with a history of cataract surgery in the (right eye, left eye, or both eyes).  The date of the original cataract surgery is (date) and was performed by (physician name) at (facility name).  The type of intraocular lens implanted was (IOL type, e.g., monofocal, multifocal, toric, accommodating) with a power of (diopters).  The patient reports (visual acuity with correction and without correction in each eye).  Post-operative complications, if any, included (list complications, e.g., posterior capsular opacification, cystoid macular edema, retinal detachment, elevated intraocular pressure, endophthalmitis).  Current symptoms related to the prior cataract surgery, if any, include (list symptoms, e.g., blurred vision, glare, halos, floaters, decreased visual acuity, pain, redness).  Current medications related to ocular health include (list medications, e.g., eye drops for glaucoma, dry eye, or inflammation).  Examination reveals (describe findings, e.g., clear cornea, well-centered IOL, posterior capsule (intact or with PCO), healthy retina, normal intraocular pressure).  Assessment: History of cataract extraction with (current status, e.g., good visual outcome, residual refractive error, stable IOL).  Plan: (outline plan, e.g.,  observation,  yag capsulotomy if PCO is significant,  refraction for new eyeglasses,  referral to ophthalmologist for further evaluation if needed).  The patient was educated on (relevant topics, e.g.,  proper eye drop instillation technique, signs and symptoms of complications, importance of follow-up care).  Return for follow-up in (time frame).