Alcohol: Never
Smoke: Never
None
Diabetes
No
Request to doctors: サンプル回答
Symptom: Hard to see
Which eye has the symptoms?: Right eye
When did your symptom start?: From ### time today
How did your symptom start?: Suddenly
Is your symptom getting better or worse?: Getting better
Do you use glasses or contact lenses?: No
Please select your gender.: Male
Past eye diseases: No
Have you ever had eye surgery?: No