22/2/2022
MWei (F/11) came for follow up, existing glasses made with us 11 months ago, with complaints of blurry far vision looking at whiteboard/projector screen at school. She wears her glasses to school only. When prompted whether or not she feels removing glasses to see near is more comfortable, her mother said that she has asked her to not wear her glasses always. Mother also reported that she will hold her phone very close to see.
Vision without glasses/Unaided Vision
R: 6/30
L: 6/30
She first presented to us with unaided vision 6/12 in right & left eye.
Vision with existing glasses
R: -0.75 (6/18)
L: -0.75 (6/18)
Examination shows: (Delay Fogging)
R: -1.50 (6/6) (+1.00 blur lens test 6/15)
L: -1.50 (6/6) (+1.00 blur lens test 6/15) [L: left dominant eye] L=R
Near: R>L (Near Add +0.75 is not favoured, Near Add +0.50 no difference having or without)
Other assessments show:
Cover Test
NMD @Distance
small EP, fast recovery @Near
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 1 – 3 EP
+1.00 Near: 2 – 4 XP
NRA
+1.75
PRA
-1.25
Accommodation Facility (+/- 1.50) xclear -2.00 binocularly
BE: 10 cycle per minit(cpm), difficult with minus lens
R: 13 cycle per minit(cpm), difficult with minus lens
L: 12 cycle per minit(cpm), difficult with minus lens
MEM
R: +0.25
L: +0.25 <-> -0.25 [with <-> against]
AA (RAF rule)
R: no blurry reported until the nose x3
L: no blurry reported until the nose x3
NPC (RAF rule)
TTN, TTN, TTN, TTN
Fusional Reserves (Prism Bar)
Near, NFV: 12/14/4
Near, PFV: 14/18/16
Distance, NFV: 10/12/6
Distance, PFV: x/12/10
Mother wanted to proceed with SV glasses.
*UpdatedA 21/12/2022
MWei (M/11) came for f/up w/c/o slightly blurry far vision with existing spec of 10months.
Vision without glasses
R: 6/30-
L: 6/30
Vision with existing power
R: -1.50 (6/9- 6/7.5-)
L: -1.50 (6/9- 6/7.5-)
Other assessments show:
Cover Test
Distance: NMD
Near: small EP, fast recovery
Howell Card
Distance: 1 EP
Near: 1 – 3 EP
+1.00 Near: 2 – 4 XP
-1.00 Near: 5 – 7 EP
+2.00 Near: 2 – 4 XP
-2.00 Near: 7 – 9 EP
NRA
+1.25 (mono occlusion: OD blur, OS clear)
PRA
-1.50 [mono occlusion: OD clear, OS blur(better after blink)]
NPC
TTN, TTN, TTN, TTN, TTN, TTN
AA
R: 8yo, 8yo, 8yo (blur @end of RAF rule, clear @36cm)
L: 8yo, 8yo, 8yo (blur @end of RAF rule, clear @26cm)
Accommodation Facility (+/- 2.00)
BE: 9 cpm, difficult minus lens
R: 15 cpm, difficult minus lens
L: 15 cpm, difficult minus lens
MEM
R: +0.25
L: +0.25
Fusional Reserves (Prism Bar)
Near, NFV: 4/12/10
Near, PFV: x/16/14
Distance, NFV: x/10/8
Distance, PFV: x/8/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 4 cpm (slow BO & BI)
Distance: 6 cpm (slow BO & BI)
