SSeng jie (F/61) came for eye examination, with complaint of blurry near vision with existing reading glasses and she said that she can see better without reading glasses now. She started experiencing the blurriness especially after she had dengue few weeks ago.
Vision without glasses
R: 6/12-
L: 6/12+
Examination shows:
R: +0.25 (6/12) PHNI
L: +0.25 (6/9-) PHNI
Add: +2.50
Double is reported monocularly during refraction
Other assessments show:
Colour Vision
R: normal
L: normal
(normal value: normal)
Amsler Chart (assess integrity of macula)
R: some gaps are bigger, some lines are seen double & overlapped
L: some crooked lines
(normal value: lines are straight with equal gaps in between lines & no brown/black patch/spot)
Pupil Reflex
R: PERRLA, -ve RAPD
L: PERRLA, -ve RAPD
(normal value: PERRLA, -ve RAPD)
Fluorescein
R: -ve staining
L: mild staining inferiorly
Slit Lamp Microscope
