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Complete the comprehensive eye examination details below

Vision Assessment

Right Eye

Left Eye

Prescription

Intraocular Pressure

Right Eye(mmHg)

Left Eye(mmHg)

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R

Macular Degeneration

Status

L

Macular Degeneration

Status

R

Glaucoma

Diagnosed with Glaucoma

Stage

Status

L

Glaucoma

Diagnosed with Glaucoma

Stage

Status

Diagnosis

ARED52 vitamins

R
L

Normal health Eyes

R
L

Myopia (near sightedness)

R
L
L

Cataract

Status

Surgery

R

Cataract

Status

Surgery

L

Diabetic Retinopathy

Severity

Status

R

Diabetic Retinopathy

Severity

Status

Please enter in any other details you think are relevant