Mr Ricky (M/48) came for eye examination, with complaint of blurry near vision in which he removes glasses to see near & he is fine with it. He has watery eyes when his eyes are tired in which he will take a break from phone.
Vision without glasses
R: 6/45
L: 6/45
Vision with existing glasses
R: -5.50 (6/6-)
L: -5.25/-0.50×170 (6/6)
Examination shows:
R: -5.25 (6/6) [+1.00 blur test: 6/12] (R: right dominant eye)
L: -5.25/-0.50×170 (6/6) [+1.00 blur test: 6/7.5- 6/12]
Add: +1.25 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 0 – 2 XP
Near: 16 XP (no Add)
Near: 14 – 16 XP (with Add)
+1.00 Near: 18 XP (with Add)
Other assessments show:
NRA
+0.75
PRA
-0.75
NPC (RAF rule)
14/20cm, 14/20cm, 20/26cm, 20/26cm, 22/28cm, 22/28cm
AA (RAF rule)
R: 47yo, 47yo
L: 46yo, 46yo
MEM
R: +0.50
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/8/2
Near, NFV: 16/18/16
Distance, NFV: x/8/6
Distance, PFV: x/8/6
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 4 cpm (slow BO & sometimes slow BI)
Distance: 0 cpm (double BO)
We repeated
Fusional Reserves (with Add + 1BI OU)
Near, PFV: x/8/1
Interpupillary distance, IPD = 6.2cm
Slit Lamp
R: vy mild cataract
L: vy mild cataract
Fluorescein
R: -ve staining
L: -ve staining
