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Ocular Health
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Pertinent Ocular Health Assessment
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Pertinent ocular health assessment
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Full ocular health
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Motility
• • •
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OD motility comments
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OS motility comments
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Pupil OD
• • •
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Pupil OD comments
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Pupil OS
• • •
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Pupil OS comment
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Lids and lashes OD
• • •
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Lids and lashes OS
• • •
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OD lids/lashes comments
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OS lids/lashes comments
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Conjunctiva OD
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Conjunctiva OS
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OD conjunctiva comments
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OS conjunctiva comments
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Cornea OD
• • •
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Cornea OS
• • •
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OD cornea comments
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OS cornea comments
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Iris OD
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Iris OS
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OD iris comments
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OS iris comments
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Anterior chamber OD
• • •
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Anterior chamber OS
• • •
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OD anterior chamber comments
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OS anterior chamber comments
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Lens OD
• • •
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Lens OS
• • •
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OD lens comments
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OS lens comments
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Optic nerve OD
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Optic nerve OS
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OD optic nerve comments
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OS optic nerve comments
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OD C/D ratio
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OS C/D ratio
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OD C/D ratio comments
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OS C/D ratio comments
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Fundus OD
• • •
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Fundus OS
• • •
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OD fundus comments
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OS fundus comments
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Further management statement
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Device testing
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Distance devices tested
• • •
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Distance devices comments
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Other distance devices tested
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Comments
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Near devices tested
• • •
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Near devices tested comments
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Other near devices tested
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Comments
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Tint evaluation
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Tint comments
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LuxIQ2 Tint assessment
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Filter
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Tint
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Current color of sunglasses/Transitions
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Recommended tints per LuxIQ2
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Final tint color chosen
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Tints will be worn as
• • •
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Client happy with current sunglasses
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