Post COVID-19 Vision Events Please enable JavaScript in your browser to complete this form.Date / TimeDateTimeRecord Date & Time of EventCheck All That ApplyHaze-CloudyProblem Focusing Near VisionProblem Focusing Far VisionWatery EyesDry EyesEye PainRed-Blood shot EyesEye hemorrhageMucoid dischargeIs the problem in:Right EyeLeft EyeBoth EyesLevel of Discomfort and Effect on Ability to FunctionRate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10On a scale of 1 to 10; 10 being Normal/Best how would you rate the effect of vision on ability to functionDoes Anything Help Correct or at Least Help the Problem?RestEye dropsCold CompressHot CompressSunglassesSleepSubmit