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GLASSES 1 Rx OD
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GLASSES 1 RX OS
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GLASSES 2 Rx OD
|
GLASSES 2 Rx OS
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CL Rx OD
|
CL Rx OS
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SC Visual Acuity OD
|
SC Visual Acuity OS
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PINHOLE OD
|
PINHOLE OS
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CC Visual Acuity OD
|
CC Visual Acuity OS
|
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STEREO ACUITY
• • •
|
COLOR VISION ISHIHARA
• • •
|
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Afferent Pupillary Defect OD
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Afferent Pupillary Defect OS
|
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IOP OD
|
IOP OS
|
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CVF FTFC
|
CVF FTFC
|
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Confrontation Visual Field OD
• • •
|
Confrontation Visual Field OS
• • •
|
|
EOMs
|
EOMs
|
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Anterior Segment OD
• • •
|
Anterior Segment OS
• • •
|
|
Posterior Segment OD
• • •
|
Posterior Segment OS
• • •
|
|
Lid OD WNL
|
Lid OS WNL
|
|
Lid OD
• • •
|
Lid OS
• • •
|
|
Conjunctiva/Sclera OD WNL?
|
Conjunctiva/Sclera OS WNL?
|
|
Conjunctiva/Sclera OD
• • •
|
Conjunctiva/Sclera OS
• • •
|
|
Cornea OD WNL?
|
Cornea OS WNL?
|
|
Cornea OD
• • •
|
Cornea OS
• • •
|
|
Anterior Chamber
• • •
|
Anterior Chamber
• • •
|
|
Iris OD WNL?
|
Iris OS WNL?
|
|
Iris OD
• • •
|
Iris OS
• • •
|
|
Lens OD Clear?
|
Lens OS Clear?
|
|
Lens OD
• • •
|
Lens OS
• • •
|
|
Anterior Segment OD
|
Anterior Segment OS
|
|
Dilated OD
|
Dilated OS
|
|
DILATION DROPS
• • •
|
DILATION DROPS
• • •
|
|
Vitreous OD WNL?
|
Vitreous OS WNL?
|
|
Vitreous OD
• • •
|
Vitreous OS
• • •
|
|
Cup to Disc Ratio OD
|
Cup to Disc Ratio OS
|
|
Optic Nerve OD WNL?
|
Optic Nerve OS WNL?
|
|
Optic Nerve OD
• • •
|
Optic Nerve OS
• • •
|
|
Macula OD WNL?
|
Macula OS WNL?
|
|
Macula OD
• • •
|
Macula OS
• • •
|
|
Vessels OD WNL?
|
Vessels OS WNL?
|
|
Vessels OD
• • •
|
Vessels OS
• • •
|
|
Periphery OD WNL?
|
Periphery OS WNL?
|
|
Periphery OD
• • •
|
Periphery OS
• • •
|
|
Retina OD
|
Retina OS
|
|
Pachymetry OD
|
Pachymetry OS
|
|
Gonio OD
|
Gonio OS
|
|
|
|
|
|
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New Field
|
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