28/12/2021
Sue jie (F/48) came for eye examination, with complaint sometimes blurry vision & dizziness on computer.. she seems to have this complaint since many2 years ago, even before she needs reading glasses. She will stop working on computer & see far, far away to relieve the dizziness. She lost her hearing in right ear 15years ago due to trauma & she was told of having mild stroke on right side after giving birth last time.
Vision without glasses
R: 6/6
L: 6/6
Existing reading glasses
R: +1.75
L: +1.75
Examination shows:
R: PL (6/6) (+1.00 blur lens test 6/9)
L: PL (6/6) (+1.00 blur lens test 6/9) [L: left dominant eye]
Add: +1.75 (N5@40cm)
Intermediate Add (computer @100cm): +0.75
Other assessments show:
Cover Test
Distance: NMD
Near: moderate XP, moderate recovery
Maddox Rod
Distance: 3 BI
Near: 16 BI
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 16 – 18 XP
Random Dot 3S
12.5″
We prescribe her pencil push up to do with her existing reading glasses.
*UpdatedA 19/4/2022
Sue jie has been doing pencil push up recently.
Our record
R: PL (6/6)
L: PL (6/6)
Add: +1.75 (N5@40cm)
Other assessments show:
Howell Card (6BD on OD)
Distance: 0
Near: 12 – 14 XP
-1.00 Near: 16 XP
Fusional Reserves (Prism Bar)
Distance, PFV: x/6/-1
Distance, NFV: x/14/12
Near, NFV: 6/8/4
Near, PFV: 4/6/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 0 cpm (double BO)
Distance: 0 cpm (double BO)
NRA
+1.25
PRA
-0.25
Modified
R: PL
L: PL
Add: +2.00
With Add +2.00 & 2BI OU
Fusional Reserves (Prism Bar)
Distance, PFV: x/6/4
Distance, NFV: x/12/8
Near, NFV: 6/8/4
Near, PFV: 4/6/4
With Add +2.25
Fusional Reserves (Prism Bar)
Distance, PFV: x/6/-1
Distance, NFV: x/16/12
Sue jie’s exophoric near posture has improved slightly. She will continue to do pencil push up.
*UpdatedAB 10/9/2022
Sue jie came for follow up. She has been doing pencil push up for a while. She does not take any medicine, just some vitamins.
Our record
R: PL (6/6)
L: PL (6/6)
Add: +1.75 (N5@40cm)
Other assessments show:
Howell Card
Distance: 0
Near: 16 XP (blink: 12 XP)
Fusional Reserves
Near, PFV: x/4/2
Near, NFV: x/12/10
Distance, NFV: x/6/4
Distance, PFV: x/8/6
Vergence Facility
Near: 0 cpm (double BO & BI)
Distance: 0 cpm (double BO)
CI
Sue jie is keen to do eye exercise. We prescribe her Dot Card eye exercise this time. We will see her in 2-3months.
*UpdatedABC 4/12/2022
Sue jie (F/49) came for follow up.
Vision without glasses
R: 6/6
L: 6/6
Our record
R: PL (6/6)
L: PL (6/6) [L: left dominant eye]
Add: +1.75
Other assessments show:
Cover Test
Distance: NMD
Near: moderate XP, moderate recovery
Howell Card (6BD on OD)
Distance: 0
Near: 10 – 12 XP
+1.00 Near: 12 – 14 XP
-1.00 Near: 10 – 12 XP
NRA
+1.75
PRA
-0.25
NPC (RAF rule)
16/20cm, 16/20cm, 16/20cm, 16/.20cm
AA (RAF rule)
R: 45yo, 45yo (blur @end of RAF rule, clear @40cm)
L: 44yo, 44yo (blur @end of RAF rule, clear @40cm)
NPC (RAF rule) with Add +2.25
15/20cm, 15/20cm, 15/20cm
Accommodation Facility (+/- 1.00)
BE: difficult minus lens
R: difficulty plus lens
L: difficult plus lens
MEM
R: PL
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/12/8
Near, NFV: x/16/14
Distance, NFV: 6/8/6
Distance, PFV: x/8/6
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 7 cpm (slow BO)
Distance: 0 cpm (double BO)
Sue jie seems to show improvement in her exophoria @near & PFV @near. She will continue with Dot card exercise.
