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Eye Exam Performed Today?
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Visual Acuity OD
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Visual Acuity OS
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Pinhole OD
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Pinhole OS
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Afferent Pupillary Defect OD
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Afferent Pupillary Defect OS
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Dilated OD
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Dilated OS
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IOP OD
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IOP OS
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CVF OD
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CVF OS
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Lid OD WNL
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Lid OD
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Lid OS WNL
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Lid OS
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Conjunctiva/Sclera OD WNL?
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Conjunctiva/Sclera OD
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Conjunctiva/Sclera OS WNL?
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Conjunctiva/Sclera OS
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Cornea OD WNL?
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Cornea OD
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Cornea OS WNL?
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Cornea OS
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Iris OD WNL?
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Iris OD
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Iris OS WNL?
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Iris OS
• • •
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Lens OD Clear?
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Lens OD
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Lens OS Clear?
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Lens OS
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Vitreous OD WNL?
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Vitreous OD
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Vitreous OS WNL?
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Vitreous OS
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Cup to Disc Ratio OD
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Cup to Disc Ratio OS
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Optic Nerve OD WNL?
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Optic Nerve OD
• • •
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Optic Nerve OS WNL?
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Optic Nerve OS
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Macula OD WNL?
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Macula OD
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Macula OS WNL?
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Macula OS
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Vessels OD WNL?
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Vessels OD
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Vessels OS WNL?
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Vessels OS
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Periphery OD WNL?
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Periphery OD
• • •
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Periphery OS WNL?
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Periphery OS
• • •
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