diff --git a/src/components/360View/medicalRecord/index.vue b/src/components/360View/medicalRecord/index.vue
index 75ccb3c..0850bea 100644
--- a/src/components/360View/medicalRecord/index.vue
+++ b/src/components/360View/medicalRecord/index.vue
@@ -82,7 +82,17 @@
             @formDelete="formDelete"
           />
           <minor-operation
-            v-if="name==='门诊小手术同意书'"
+            v-if="name==='角膜异物同意书'"
+            ref="reportForm"
+            :only-read="onlyRead"
+            :is-platform="isPlatform"
+            :patient-detail="patientData"
+            :case-id="id"
+            @handleSaveTable="updateForm"
+            @formDelete="formDelete"
+          />
+          <lacrimal
+            v-if="name==='泪道冲洗'"
             ref="reportForm"
             :only-read="onlyRead"
             :is-platform="isPlatform"
@@ -106,8 +116,10 @@ import LaserSurgery from '@/page-subspecialty/views/modules/formList/laserSurger
 import ReportForm from '@/page-subspecialty/views/modules/formList/reportForm.vue'
 import MraOrder from '@/page-subspecialty/views/modules/formList/mraOrder.vue'
 import MinorOperation from '@/page-subspecialty/views/modules/formList/MinorOperation.vue'
+import Lacrimal from '@/page-subspecialty/views/modules/formList/Lacrimal.vue'
 export default {
   components: {
+    Lacrimal,
     MinorOperation,
     MraOrder,
     callMedical,
diff --git a/src/components/360View/medicalRecord/outPatientRecord/leftFormList.vue b/src/components/360View/medicalRecord/outPatientRecord/leftFormList.vue
index 27e3f1a..29f8341 100644
--- a/src/components/360View/medicalRecord/outPatientRecord/leftFormList.vue
+++ b/src/components/360View/medicalRecord/outPatientRecord/leftFormList.vue
@@ -59,11 +59,11 @@ export default {
         },
         {
           type: '同意书',
-          list: ['门诊小手术同意书']
+          list: ['角膜异物同意书']
         },
         {
           type: '其他',
-          list: ['睑板腺按摩']
+          list: ['睑板腺按摩', '泪道冲洗']
         }
       ]
     }
diff --git a/src/page-subspecialty/views/modules/formList/Lacrimal.vue b/src/page-subspecialty/views/modules/formList/Lacrimal.vue
new file mode 100644
index 0000000..cae3854
--- /dev/null
+++ b/src/page-subspecialty/views/modules/formList/Lacrimal.vue
@@ -0,0 +1,205 @@
+<template>
+  <div class="formListBox">
+    <div v-if="!onlyRead && isPlatform" class="btnBox_top">
+      <el-button v-print="print" size="small" @click="handleSaveTable">打印</el-button>
+      <el-button type="primary" size="small" @click="handleSaveTable">保存</el-button>
+      <el-button type="danger" size="small" @click="formDelete">删除</el-button>
+    </div>
+    <div id="lacrimal" style="width: 800px;padding-right: 8px">
+      <div class="formContent">
+        <!--患者信息-->
+        <div class="flex a-c top_form">
+          患者姓名：<el-input v-model="confirmData.patientName" style="width: 200px" />
+        </div>
+        <div class="flex left_eye">
+          <span class="text">左眼：</span>
+          <div style="margin-bottom: 20px">
+            <div class="flex" style="flex-wrap: wrap">
+              <el-input v-model="confirmData.odPunctum" style="width: 100px" /><span class="text">泪小点进针，</span>
+              <el-input v-model="confirmData.odReflux" style="width: 100px" /><span class="text">反流（自</span>
+              <el-input v-model="confirmData.odPunctumReflux" style="width: 100px" /><span class="text">泪小点反流），患者自诉咽部</span>
+              <el-input v-model="confirmData.odWet" style="width: 100px" /><span class="text">液体，</span>
+              <el-input v-model="confirmData.odSecretion" style="width: 100px" /><span class="text">分泌物。</span>
+            </div>
+            <div class="flex" style="flex-wrap: wrap;margin-top: 15px">
+              <el-input v-model="confirmData.odPunctum2" style="width: 100px" /><span class="text">泪小点进针，</span>
+              <el-input v-model="confirmData.odReflux2" style="width: 100px" /><span class="text">反流（自</span>
+              <el-input v-model="confirmData.odPunctumReflux2" style="width: 100px" /><span class="text">泪小点反流），患者自诉咽部</span>
+              <el-input v-model="confirmData.odWet2" style="width: 100px" /><span class="text">液体，</span>
+              <el-input v-model="confirmData.odSecretion2" style="width: 100px" /><span class="text">分泌物。</span>
+            </div>
+          </div>
+        </div>
+        <div class="flex right_eye">
+          <span class="text">右眼：</span>
+          <div style="margin-bottom: 20px">
+            <div class="flex" style="flex-wrap: wrap">
+              <el-input v-model="confirmData.osPunctum" style="width: 100px" /><span class="text">泪小点进针，</span>
+              <el-input v-model="confirmData.osReflux" style="width: 100px" /><span class="text">反流（自</span>
+              <el-input v-model="confirmData.osPunctumReflux" style="width: 100px" /><span class="text">泪小点反流），患者自诉咽部</span>
+              <el-input v-model="confirmData.osWet" style="width: 100px" /><span class="text">液体，</span>
+              <el-input v-model="confirmData.osSecretion" style="width: 100px" /><span class="text">分泌物。</span>
+            </div>
+            <div class="flex" style="flex-wrap: wrap;margin-top: 15px">
+              <el-input v-model="confirmData.osPunctum2" style="width: 100px" /><span class="text">泪小点进针，</span>
+              <el-input v-model="confirmData.osReflux2" style="width: 100px" /><span class="text">反流（自</span>
+              <el-input v-model="confirmData.osPunctumReflux2" style="width: 100px" /><span class="text">泪小点反流），患者自诉咽部</span>
+              <el-input v-model="confirmData.osWet2" style="width: 100px" /><span class="text">液体，</span>
+              <el-input v-model="confirmData.osSecretion2" style="width: 100px" /><span class="text">分泌物。</span>
+            </div>
+          </div>
+        </div>
+        <div class="flex">
+          <div class="flex a-c" style="margin-left: 15px">
+            日期：<el-date-picker
+              v-model="confirmData.operateDate"
+              style="flex: 1"
+              type="date"
+              value-format="yyyy-MM-dd"
+            />
+          </div>
+          <div class="flex a-c" style="margin-left: 10px">
+            <span style="word-break: keep-all">操作者：</span>
+            <img v-if="confirmData.operator" :src="confirmData.operator" alt="" style="width: 80px;height: 50px;border-style:none;flex: 1">
+          </div>
+        </div>
+      </div>
+    </div>
+  </div></template>
+
+<script>
+export default {
+  name: 'Lacrimal',
+  props: {
+    onlyRead: {
+      type: Boolean,
+      default: false
+    },
+    isPlatform: {
+      type: Boolean,
+      default: true
+    },
+    patientDetail: {
+      type: Object
+    },
+    caseId: {
+      type: String,
+      default: ''
+    }
+  },
+  data() {
+    return {
+      print: {
+        id: 'lacrimal'
+      },
+      confirmData: {
+        patientName: '',
+        operator: '',
+        operateDate: new Date(),
+        odPunctum: '',
+        odReflux: '',
+        odPunctumReflux: '',
+        odWet: '',
+        odSecretion: '',
+        odPunctum2: '',
+        odReflux2: '',
+        odPunctumReflux2: '',
+        odWet2: '',
+        odSecretion2: '',
+        osPunctum: '',
+        osReflux: '',
+        osPunctumReflux: '',
+        osWet: '',
+        osSecretion: '',
+        osPunctum2: '',
+        osReflux2: '',
+        osPunctumReflux2: '',
+        osWet2: '',
+        osSecretion2: ''
+      }
+    }
+  },
+  created() {
+    this.confirmData.patientName = this.patientDetail.patientName
+    const userData = JSON.parse(window.sessionStorage.getItem('qg-userData'))
+    this.confirmData.operator = userData.signImgBase
+  },
+  methods: {
+    // 保存
+    handleSaveTable() {
+      // this.confirmData.jzNumber = window.sessionStorage.getItem('jzNumber')
+      // this.$http.post('/mzbl/saveMzblJgshzl', {
+      //   caseId: this.caseId,
+      //   ...this.confirmData
+      // }).then(() => {
+      //   this.$emit('handleSaveTable')
+      // })
+    },
+    // 删除
+    formDelete() {
+      this.$confirmFun('确定删除吗？').then(() => {
+        this.$http.post('/mzbl/delMzblJgshzlInfo', {
+          id: this.caseId
+        }).then(() => {
+          this.$message.success('删除成功')
+          this.$emit('formDelete', 'del')
+        })
+      })
+    }
+  }
+}
+</script>
+
+<style lang="scss" scoped>
+.flex{
+  display: flex;
+}
+.a-c{
+  align-items: center;
+}
+.j-c{
+  justify-content: center;
+}
+.j-b{
+  justify-content: space-between;
+}
+.text{
+  word-break: keep-all;
+}
+.formListBox{
+  background: #fff;
+  padding: 10px 20px 50px 20px;
+  page-break-after:always;
+  height: 100%;
+  overflow: auto;
+}
+.btnBox_top{
+  position: fixed;
+  z-index: 999;
+  right: 90px;
+}
+.top_form{
+  padding: 10px;
+}
+.right_eye{
+  border-top: 1px solid #0C1016;
+  padding: 10px;
+}
+.left_eye{
+  padding: 10px;
+}
+.formContent{
+  border: 1px solid #0C1016;
+}
+::v-deep .el-input__inner{
+  border: none;
+  border-bottom: 1px solid #cccccc;
+  border-radius: 0;
+  font-size: 16px;
+  height: 26px;
+  text-align: center;
+}
+::v-deep .el-input__prefix{
+  display: none;
+}
+</style>
diff --git a/src/page-subspecialty/views/modules/formList/MinorOperation.vue b/src/page-subspecialty/views/modules/formList/MinorOperation.vue
index 133a9b6..aa78cc6 100644
--- a/src/page-subspecialty/views/modules/formList/MinorOperation.vue
+++ b/src/page-subspecialty/views/modules/formList/MinorOperation.vue
@@ -1,11 +1,11 @@
 <template>
   <div class="formListBox">
     <div v-if="!onlyRead && isPlatform" class="btnBox_top">
-      <el-button v-print="'#minorOperation'" size="small" @click="handlePrint">打印</el-button>
+      <el-button v-print="print" size="small" @click="handlePrint">打印</el-button>
       <el-button type="primary" size="small" @click="handleSaveTable">保存</el-button>
       <el-button type="danger" size="small" @click="formDelete">删除</el-button>
     </div>
-    <div id="minorOperation" style="width: 840px;padding-right: 8px">
+    <div id="minorOperation" style="width: 1000px;padding-right: 8px">
       <div class="flex j-c">
         <img width="450" src="@/assets/img/xianganlogo.png">
       </div>
@@ -48,18 +48,19 @@
             <img v-if="!minorPatientSign" :src="require('@/assets/img/signature.png')" alt="">
             <img v-else style="width: 80px;height: 40px;" :src="minorPatientSign">
           </div>
-          <el-input v-else style="width: 120px" />
+          <el-input v-else style="width: 80px" />
         </div>
-        <div class="flex a-c">
+        <div class="flex a-c" style="margin-left: 10px">
           或家属签名：
           <div v-if="printHidden" style="margin-left:10px" @click="signClick(18)">
             <img v-if="!minorKinSign" :src="require('@/assets/img/signature.png')" alt="">
             <img v-else style="width: 80px;height: 40px;" :src="minorKinSign">
           </div>
-          <el-input v-else style="width: 120px" />
+          <el-input v-else style="width: 80px" />
         </div>
-        <div class="flex a-c">
-          <span style="word-break: keep-all">操作者：</span><img v-if="confirmData.operator" :src="confirmData.operator" alt="" style="width: 80px;height: 50px;border-style:none;flex: 1">
+        <div class="flex a-c" style="margin-left: 10px">
+          <span style="word-break: keep-all">操作者：</span>
+          <img v-if="confirmData.operator" :src="confirmData.operator" alt="" style="width: 80px;height: 50px;border-style:none;flex: 1">
         </div>
         <div class="flex a-c" style="margin-left: 15px">
           日期：<el-date-picker
@@ -124,7 +125,7 @@ export default {
         }
       ],
       print: {
-        id: 'mraFunc',
+        id: 'minorOperation',
         closeCallback: () => {
           this.printHidden = true
         }
@@ -139,7 +140,7 @@ export default {
         patientSign: '',
         familySign: '',
         operator: '',
-        operateDate: ''
+        operateDate: new Date()
       }
     }
   },