Alice C (F/36) came with complaint of tired, dry eyes seeing computer/phone. Vision with existing glasses is fine seeing far & near. She sometimes has headache with near work once in 2weeks in which she will rest.
Vision without glasses
R: 6/15-
L: 6/45
Existing glasses 2years
R: -1.50/-1.25×25 (6/6)
L: -2.75/-1.50×170 (6/6)
Examination shows:
R: -1.50/-1.25×25 (6/6) [+1.00 blur test: 6/9-] [R: right dominant eye]
L: -2.75/-1.50×170 (6/6) [+1.00 blur test: 6/15-]
Lowering DS & DC is xfavoured seeing far
Other assessments show:
Cover Test
Distance: small XP, fast recovery
Near: small to moderate XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 10 – 12 XP
+1.00 Near: 14 – 16 XP
-1.00 Near: 8 XP
+2.00 Near: 16 XP
-2.00 Near: 2 – 4 XP
NRA
+2.00
PRA
-1.25 (mono occlusion: OD blurry, OS blurry)
NPC (RAF rule)
10/14cm, 10/14cm, 10/14cm, 10/14cm, 10/14cm, 10/14cm
AA (RAF rule)
R: 35yo, 35yo, 35yo
L: 35yo, 35yo, 35yo
NPC (RAF rule) with Add: +0.50
TTN, TTN, 8/12cm, 8/12cm, 10/14cm, 10/14cm, 10/14cm
Accommodation Facility (+/- 1.50)
BE: 14 cpm, difficult plus lens
R: 15 cpm, difficulty minus lens
L: 15 cpm, difficult plus lens
MEM
R: +0.50
L: PL/+0.25
Fusional Reserves (Prism Bar)
Near, PFV: x/25/20
Near, NFV: x/14/12
Distance, NFV: x/10/8
Distance, PFV: x/20/18
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 8 cpm (slow BO & BI)
Distance: 7 cpm (slow BO)
Interpupillary distance, IPD = 6.3cm
Fluorescein
R: -ve staining
L: -ve staining
We ask Alice if she sometimes sees blurry seeing near, she said her near vision is fine.. but she mentioned about her near vision being blurry after she has a drink.
