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Get CA DL 62 2007

PTIC NERVE R Diabetic Retinopathy Macular Degeneration Glaucoma Retinal Detachment Retinitis Pigmentosa Retinal Damage (CRVO, PRP etc.) L VISUAL FIELDS R L Decreased Peripheral Vision Hemianopia Quadrantanopia Decreased Peripheral Vision. Please identify the areas affected on the chart in Section 5 (see reverse). Other diagnosis/comments _______________________________________________________________________________________________ _________________________________________________________.

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