YWei (M/16) came with complaint of sometimes blurry far vision with existing specs.. near vision is fine. No headache reported.
Vision without glasses
R: 6/60
L: 6/45
Existing glasses
R: -6.00/-2.00×10 (6/6-)
L: -4.50/-2.50×170 (6/6)
Examination shows:
R: -6.00/-1.75×10 (6/6) [+1.00 blur test: 6/12+]
L: -4.50/-2.25×170 (6/6) [+1.00 blur test: 6/12] [L: left dominant eye]
Near: R>L
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 1 –> 3 –> 5 –> 7 –> 9 EP
+1.00 Near: 1 – 3 EP
-1.00 Near: 9 – 11 EP
NRA
+2.50
PRA
-3.00
NPC (RAF rule)
6/8cm, 6/8cm, 6/8cm, 6/8cm, 6/8cm, 6/8cm
AA (RAF rule)
R: 16D, 15.5D, 14.5D (blur @end of RAF rule, clear @30cm)
L: 16D, 16D, 16D (blur @end of RAF rule, clear @30cm, 26cm, 24cm)
MEM
R: +1.00
L: +1.00
Accommodation Facility
BE: 12 cpm, difficult minus lens (+/-1.50) xclear -2.00
R: 9 cpm, difficult plus lens (+/-1.00) xclear -2.00 & -1.50
L: 9 cpm, difficult plus lens (+/-1.00) xclear -2.00 & -1.50
Fusional Reserves (Prism Bar)
Near, NFV: x/16/10
Near, PFV: x/30/18
Distance, NFV: x/8/6
Distance, PFV: x/30/25
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 10 cpm (slow BO & BI)
Distance: 10 cpm (slow BO & BI)
Interpupillary distance, IPD = 6.6cm
We advise for added plus @near.. any other alternatives to go about it? VT or cyclo?
