14/2/2022
Sankari (F/37) came for eye examination, with complaints of migraine on left side & left eye pain since 2 weeks ago after being exposed to very bright spotlight. She has migraine every day now.. the migraine comes towards the end of the day. A MRI scan is clear & doctor has advised to go for an eye check.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: +0.50/-0.25×50 (6/6) (+1.00 blur lens test 6/9-)
L: +0.25 (6/6) (+1.00 blur lens test 6/6, +1.25 blur lens test 6/12-) [L: left dominant eye] R>L
Other assessments show:
Cover Test
NMD @Distance
NMD @Near
Howell Card (6BD on OD)
Distance: 1 EP
Near: 2 XP
+1.00 Near: 4 XP
NRA
+0.50
PRA
-0.50
MEM
R: +1.00
L: +1.00
AA (RAF rule)
R: 42yo, 43yo, 44yo, 45yo
L: 44yo, 45yo, 46yo, 47yo
NPC (RAF rule)
9/19cm, 9/19cm, 11/21cm, 12/24cm
Accommodation Facility (Flipper +/- 0.50)
BE: 13 cpm, difficult minus lens
R: 14 cpm, difficult minus lens
L: 14 cpm, difficult minus lens
* cannot clear -1.50 & -1.00 binocularly
Fusional Reserves (Prism Bar)
Near, PFV: 2-4/1 or lower
Near, NFV: 10/6
Distance, NFV: 4/2
Distance, PFV: 12/6
Modified
R: +0.50/-0.25×50
L: +0.25 (6/6)
Add: +0.50
NPC (RAF rule) with Add +0.50
14/18cm, 14/18cm, 14/18cm
AA (RAF rule) with Add +0.50
R: 42yo, 42yo, 42yo
L: 42yo, 42yo, 42yo
Interpupillary Distance = 6.8cm
We prescribe separate pair.. 1pair of distance & another for computer.
*UpdatedA (30/12/2022)
Sankari (F/37) came for follow up, she is using her glasses for computer regularly. She reported that her migraine is a lot lesser now. Her glasses for distance is slightly blurry.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: +0.25/-0.25×25 (6/6)
L: +0.25 (6/6) [L: left dominant eye] L>R
Near: L>R (adding +0.25 to +0.75 in OD: still L>R)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 2 XP
+1.00 Near: 4 XP
-1.00 Near: 0 – 2 XP
+2.00 Near: 4 XP
-2.00 Near: 0 XP
NRA
+1.75 (occlusion monocularly: OD blurry, OS blurry)
PRA
-1.50 (occlusion monocularly: OD better, OS better)
NPC (RAF rule)
10/14cm, 10/14cm, 12/16cm, 12/16cm, 14/18cm, 14/18cm
AA (RAF rule)
R: 42yo, 42yo, 42yo
L: 42yo, 43yo, 44yo
Accommodation Facility (Flipper +/- 1.50)
BE: 17 cpm, difficult minus lens
R: 13 cpm, difficult minus lens
L: 13 cpm, difficult minus lens
MEM
R: +0.75
L: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: 8/12/10
Near, PFV: 12/18/16
Distance, NFV: x/8/6
Distance, PFV: x/18/16
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 8 cpm (slow BO)
Distance: 7 cpm (slow BO & BI) more difficult BI
Fusional Reserves (Prism Bar) with Add +0.75
Near, NFV: 10/12/10
Near, PFV: 16/20/18
Modified
R: +0.25/-0.25×25
L: +0.25
Add: +0.75 (good rocv)
