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Refractive Correction A. B. What is the child currently wearing or using Current prescription Distance Visual Acuity Without Glasses Acuity With Current Near Visual Acuity Without Glasses Right Eye OD Left Eye OS Both Eyes OU C. Surgeries i.e. contract strabismic other D. Medications Please list all ocular and systemic medication E. Age of onset of visual impairment II. History A. Primary cause of visual impairment B. List any systemic disease s contributing to the ocular condition C. Region...
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