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¶
Page 1 of 1¶
Bureau of Prisons - NYM¶