{
  output_text: '{  \n' +
    '  "reasoning": "1. Symptomatic history reveals moderate intermittent flashes and floaters in both eyes for 1 month, indicating risk of posterior pathology. 2. Anterior segment exam shows Demodex blepharitis bilaterally requiring lid hygiene. 3. Orbit exam demonstrates restrictive myopathy and proptosis consistent with thyroid eye disease needing specialist management. 4. Refraction shows significant hyperopia in RE (+2.75 D) and myopia in LE (–1.25 D) with anisometropia, warranting single-vision distance spectacles. 5. Lifestyle data indicate low outdoor time and moderate screen use, so myopia control measures can be reinforced. 6. Based on urgency of retinal evaluation, refer for vitreoretinal assessment within 24 hours. 7. Prescribe lid-wipe therapy for blepharitis and arrange follow-up in 1 month to monitor response and coordinate oculoplastic referral for thyroid eye disease.",\n' +
    '  "furtherTests": "Vitreo-Retinal Evaluation",\n' +
    '  "urgency": "Within 24 Hours",\n' +
    '  "medication": [\n' +
    '    {\n' +
    '      "name": "Tea Tree Oil Lid Wipes",\n' +
    '      "eye": "BE",\n' +
    '      "type": "lid-wipe",\n' +
    '      "dose": "2 x daily",\n' +
    '      "duration": "4 weeks",\n' +
    '      "medicationRemarks": "Perform gentle lid hygiene for Demodex blepharitis"\n' +
    '    }\n' +
    '  ],\n' +
    '  "spectacleRecommendation": "Single Vision Distance",\n' +
    '  "followUp": "1 month",\n' +
    '  "remarks": "Initiated lid hygiene for blepharitis, prescribed distance spectacles, urgent VR referral for flashes, and planned oculoplasty referral for thyroid eye disease.",\n' +
    '  "myopiaManagement": "Increase time spent outdoors",\n' +
    '  "suggestedAdvice": "Increase outdoor activity to at least 2 hours daily and limit continuous near screen use to reduce strain.",\n' +
    '  "confidence": 85\n' +
    '}'
}