EFTA00121357¶
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.¶
| Orig Entered: | 07/09/2019 12:54 EST | MLP |¶
| :--- | :--- | :--- |¶
Generated 07/24/2019 10:37 by¶
Page 1 of 1¶
FOIA¶
Bureau of Prisons - NYM¶