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Knowledge Center > Optometric Eye Screening

Optometric Eye Screening

Sample of Optometry Eye Screening Report

Optometry Eye Screening

Date :
Name :
IC :
Sex :
Age :


Right Eye Left Eye
Dominant Eye : Right
Eye Pressure (<21 mmhg) : 15 12
Glasses Prescription : -5.75/-0.50x170 6/9.6- -6.25/-0.50x18 6/7.5-
Uncorrected Visual Acuity : 6/120 6/120
Manual Refraction : -6.50/-1.00x165 6/6 -6.75/-0.50x20 6/6
Add: (Reading) : +1.50 +1.50
Additional Remarks : Needs progressive lenses


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