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 arm’s 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.
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