EFTA00139069¶
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:¶
With Corrective¶
OU:¶
| Distance Vision: | OD: |¶
| :--- | :--- |¶
OU:¶
Near Vision: OD:¶
Present Glasses - Distance¶
OU:¶
Refraction - Distance¶
| Sphere | Cylinder | Axis | Add |¶
| :--- | :--- | :--- | :--- |¶
| Sphere | Cylinder | Axis | Add |¶
| :--- | :--- | :--- | :--- |¶
L:¶
Color Test:¶
Tonometry: R: L:¶
Comments: Needs evaluation with optometrist.¶
| Orig Entered: | 07/09/2019 12:54 EST |¶
| :--- | :--- |¶
MLP¶
Generated 05/11/2020 09:57 by Allen, Tamara OGC¶
SDNY_00017433 Page 1 of 1¶
Bureau of Prisons - DAN¶