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5. HETEROPHORIA -- Record phorias in prism diopters with and without best lens correction in place. NSN 0052-00-667-3002 13. PRESENT PRESCRIPTION Sphere cylinder axis 14. TYPE OF LENSES Corneal scleral lenticular single-cut bifocal toric non-rotating special shape etc. 15. D. A. METHOD USED 12. VISUAL ACUITY Use Snellen Equivalents TEST METHOD UNCORRECTED A. DISTANT VISION O. If you wish to comment on the accuracy of the estimate or make suggestions for reducing this burden please direct your...
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How to fill out report of eye evaluation

01
Start by gathering all necessary information such as patient demographics, medical history, and any relevant test results.
02
Begin the report by stating the purpose of the evaluation and providing a brief overview of the patient's condition.
03
Include a detailed description of the examination process, including the specific tests performed and their results.
04
Document any abnormalities or significant findings observed during the evaluation.
05
Provide an assessment of the patient's visual acuity, refractive error, and ocular health.
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If applicable, include any recommendations for further testing or treatment.
07
Conclude the report by summarizing the overall evaluation and its implications for the patient's eye health.
08
Ensure that the report is accurate, organized, and easily understandable for other healthcare professionals.

Who needs report of eye evaluation?

01
Individuals who are experiencing vision problems or eye-related symptoms.
02
Patients with pre-existing eye conditions or diseases.
03
Individuals preparing for eye surgery or other medical procedures.
04
People who have experienced eye injuries or trauma.
05
Individuals involved in occupational health and safety evaluations.
06
Certain professions may require regular eye evaluations, such as pilots or professional drivers.
07
Patients undergoing routine eye examinations for general eye health monitoring.
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Report of eye evaluation is a document that includes the results of a comprehensive eye examination conducted by an optometrist or ophthalmologist.
Certain occupations, such as commercial drivers, pilots, and individuals working in safety-sensitive positions, are required to file a report of eye evaluation as part of their job requirements.
To fill out a report of eye evaluation, individuals should schedule an appointment with an eye care professional to undergo a comprehensive eye examination and obtain a copy of the report.
The purpose of the report of eye evaluation is to assess an individual's visual acuity, eye health, and overall ability to perform job-related tasks that require good vision.
The report of eye evaluation must include the individual's name, date of birth, examination date, visual acuity measurements, eye health findings, and any recommendations for corrective measures.
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