12/9/2022
Lydia T (F/11) came for follow up, vision with existing glasses made with us, is fine seeing far & near. She reported that she can still see fine without glasses previously but she will need to wear her glasses to see far better now. She also said that her eyes always tend to tear up at noon. She did patching when she was young.
Vision without glasses
R: 6/15
L: 6/18-
Existing glasses of 2 years
R: +1.00/-2.75×180 (6/7.5+) R>L
L: +0.75/-2.75×180 (6/7.5-)
Near: L>R
Other assessments show:
Random Dot 3S
12.5″ (slow)
Cover Test
Distance: NMD
Near: moderate XP, moderate recovery
Howell Card
Distance: 0 – 2 XP
Near: 14 XP (blink: 10 XP)
+1.00 Near: 18 XP
-1.00 Near: 14 XP
+2.00 Near: 18 XP
-2.00 Near: 12 XP
NRA
+1.50
(blurry mono & bino)
PRA
-1.50
(blurry mono & bino)
NPC (RAF rule)
RE deviates @10cm
AA (RAF rule)
R: 15D, 15D, 15D
L: 16D, 16D, 16D
Accommodation Facility (+/- 2.00)
BE: 7 cpm, difficult minus lens
R: 7 cpm, difficult minus lens
L: 11 cpm, difficult minus lens
MEM
R: +1.00 (dim)
L: +0.75
Fusional Reserves (Prism Bar)
Near, PFV: x/16/6
Near, NFV: x/20/18
Distance, NFV: x/10/8
Distance, NFV: x/14/12
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 1 cpm (double BO)
Distance: 13 cpm
Interpupillary distance, IPD = 6.2cm
*UpdatedA 13/10/2022
Lydia lost her glasses yesterday. She came to make a new pair of glasses.
Subjective Refraction
R: +1.00/-2.50×180 (6/6) R>L
L: +0.50/-2.50×180 (6/7.5-)
Near: R>L
Lower DC is favoured @N
Maddox Rod
Distance: 4 BI
Near: 14 BI
Worth 4 Dots
Distance: 4 lights
Near: 4 lights (with blink), 5 lights (no blink)
We ask Lydia whether or not her near vision will be blurry sometimes in which she needs to blink2 her eyes to see clear back again.. she said yes.
We prescribe Dot card eye exercise.
