EFTA00059481

# Bureau of Prisons
## Health Services
## Vision Screens

**Reg #: 76318-054**
**Inmate Name:** EPSTEIN, JEFFREY EDWARD

Vision Screen on 07/09/2019 12:52

Blindness:

Distance Vision: OD: 20/100
OS: 20/70
OU:

Near Vision: OD:
OS:
OU:

With Corrective

Distance Vision: OD:
OS:
OU:

Near Vision: OD:
OS:
OU:

Present Glasses - Distance

Refraction - Distance

| Sphere | Cylinder | Axis | Add | Sphere | Cylinder | Axis | Add |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| R: | | | | R: | | | |
| L: | | | | L: | | | |

Color Test:

Tonometry: R: L:

Comments: Needs evaluation with optometrist.

Orlg Entered: 07/09/2019 12:54 EST MLP

Generated 08/10/2019 11:02 by

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Bureau of Prisons - NYM