An auto-refraction was performed by the Visionix VX120. The Manifest refraction was performed by a remote COMT certified technician on the 2020NOW’s Eyelogic X2 Refraction System. Her refraction information is as follows: Autorefraction: OD: -4.75 -8.25 x018 OS: -0.75 -3.25 x141, Manifest Refraction: OD: -4.75 -8.25 x020 20/100 PH 20/40 OS: -0.75 -2.75 x130 20/40 PH NI. There was an immediate concern due to the lack of correction in vision. Upon further investigation, auto-keratometry from the Visionix VX120 was OD: 46.75@018/51.75@108 and OS: 45.50@163/48.50@073. The issue was further emphasized by the additional data provided by Visionix VX120 including topography (below), pachymetry 429um OD and 480um OS, and KPI (keratoconus prediction index) 100% OU. The rest of the examination results were unremarkable including. Color vision was WNL OU. Stereopsis was reduced, which is explained by the overall reduced acuity. Pupil measurements performed by the VX120 are considered inaccurate due the corneal abnormalities and in office were determined to be PERRLA. The anterior segment is evaluated using Eyefficient Firefly S390L digital slit lamp revealed unremarkable lids and lashes OU, normal conjunctiva, steep and thin beam during corneal evaluation OU, a deep and quiet anterior chamber, and clear lenses OU. The IOP taken by the Visionix VX120 is 13 OD and 12 OS. A visual field test was administered on the OCULUS Easyfield C but was unreliable due to poor acuity. The posterior segment was not evaluated during this visit.