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* Patient Survey *

EYE HEALTH CHECKLIST

Signs or Symptoms Suggesting the Need for Medical Eye Care

* Blurry vision uncorrectable by lenses
* Double vision
* Dimming of vision that comes and goes
* Sudden loss of vision
* Red eye
* Eye pain
* Loss of side vision
* Haloes (colored images around lights)
* Crossed, turned, or wandering eye
* Twitching or shaking eye
* Flashes or streaks of light
* New Floaters (spots, strings, shadows)
* Discharge, crusting, excessive tearing
* Swelling of any part of the eye
* Bulging of one or both eyes
* Difference in the size of the eyes
* Diabetes
* Cloudiness in vision
* Discomfort associated with contact lens wear
* Itching or irritation of the eyelids
* Have not had an eye examination in over 2 years

Please contact us if you have any of the above symptoms!