Samsl (M/11) came with c/o headache when playing football in the sun & it goes away with nap/sleep.. 3-4x/week since 1month ago. He has been going for football match recently. Mother was asked to bring him for eye check.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: +0.25 (6/6) [+1.00 blur test: 6/18] R: right dominant eye]
L: +0.25 (6/6) [+1.00 blur test: 6/9]
Other assessments show:
Cover Test
Distance: NMD (ACT: pt reported OD sees target going up, OS sees target going down)
Near: NMD (ACT: pt reported OD sees target going to his left, OS sees target going to his right)
Howell Card (6BD on OD)
Distance: 1 EP
Near: 4 – 6 XP
+1.00 Near: 6 XP
-1.00 Near: 2 XP
+2.00 Near: 10 XP
-2.00 Near: 2 XP
NRA
+1.50 (occlude monocularly: OD clearer, OS clearer)
PRA
-1.75 (occlude monocularly: OD blurrier, OS clearer)
NPC
TTN, TTN, TTN, TTN, 6/9cm, 6/9cm, 6/9cm
AA
R: 15D, 15D, 15D (sometimes clear, sometimes blur @end of RAF rule, clear @36cm)
L: 15D, 15D, 15D (sometimes clear, sometimes blur @end of RAF rule, clear @30cm)
Accommodation Facility (+/- 2.00) [single alphabet target 20/30]
BE: 16 cpm, difficult plus lens
R: 15 cpm, difficult plus lens
L: 15 cpm, difficult plus lens
MEM
R: PL
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/8/6 (above break pt 4, double then single)
Near, NFV: 8/14/10
Distance, NFV: x/10/4
Distance, PFV: 8/10/2
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 14 cpm
Distance: 2 cpm (double BO)
Interpupillary distance, IPD = 6.5cm
