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PLACE THIS AMSLER GRID WHERE YOU CAN CHECK IT REGULARLY.

THE HORIZONTAL AND VERTICAL LINES ON THIS


GRID SHOULD APPEAR STRAIGHT.

When using this grid, you should keep the following in mind:
Wear your glasses or Look directly at the dot in
contacts if applicable the center of the grid
Keep the grid about half Be sure you have
an arms length away from adequate lighting
your face Do not stare at the grid for
Test each eye separately by long periods of time
covering 1 eye at a time

If the lines appear wavy or blurry, please contact me at:

2014 ThromboGenics, Inc. All rights reserved. ThromboGenics, Inc., 101 Wood Avenue
South, Suite 610, Iselin, NJ 08830 USA. THROMBOGENICS and the THROMBOGENICS logo
are trademarks or registered trademarks of ThromboGenics NV.
06/14 OCRVMA0208

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