Inclusion Criteria:  Adult patients (≥ 18 years of age) who visit the Eye clinic either in the UMGCCC within the UMD Hospital or the UMD Faculty Physicians Ophthalmology Practice at the UMD Professional Building or satellite locations for initial visits or established visits. The patient must be able to understand and sign and date the informed consent form approved by the IRB.  Exclusion Criteria:  Vulnerable populations: neonates, children, prisoners, institutionalized individuals. Inability or refusal to provide informed consent. History of ocular surgery (except refractive surgery or cataract surgery)