Atiqah (F/43) came with complaint of slight blurry far & near vision.. she has a pair of reading glasses.
Vision without glasses
R: 6/6- slow
L: 6/6- slow
Existing reading glasses
R: +1.50
L: +1.50/-0.25×40
Examination shows:
R: +0.25 (6/6)
L: +0.25 (6/6) (L: left dominant eye) L>R
Add: +1.50 (N5@40cm) R>L
Other assessments show:
Cover Test
Distance: NMD (ACT: pt reported RE sees target being bigger, LE sees target being smaller)
Near: NMD (ACT: pt reported RE sees target being bigger, LE sees target being smaller)
Howell Card (6BD on OD)
Distance: 1 – 3 EP
Near: 2 XP
+1.00 Near: 4 XP
-1.00 Near: 0
+2.00 Near: 6 XP
-2.00 Near: 3 EP
NRA
+1.50
PRA
-0.25
Modified
R: +0.25
L: +0.25
Add: +1.75
NPC (RAF rule)
12/16cm, 12/16cm, 12/16cm, 12/16cm, 12/16cm, 12/16cm
AA (RAF rule)
R: 46yo, 46yo (adding +0.25 in OD is favoured to see N5 better)
L: 47yo, 47yo (adding +0.25 in OS is xfavoured to see N5)
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: x/10/8
Near, NFV: x/4/2
Distance, NFV: x/4/2
Distance, PFV: x/12/10
Fusional Reserves (Prism Bar) Unaided
Distance, NFV: x/6/4
Distance, PFV: x/2/1
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 4 cpm (slow BO & BI)
Distance: 1 cpm (double BI, slow BO)
Interpupillary distance, IPD = 6.0cm
All near tests are done with Add.
