EFTA00134720

# 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:
- L: L:

#### Color Test:
- Tonometry: R: L:

#### Comments:
- Needs evaluation with optometrist.

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

Generated 08/10/2019 11:02 by

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Bureau of Prisons - NYM



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