Shafiqah (M/24) came as her glasses were broken. Vision with existing glasses is fine seeing far & near. She needs to wear her glasses to see computer, otherwise she will feel painful eyes.
Vision without glasses
R: 6/12
L: 6/7.5-
Existing glasses
R: +0.50/-1.25×95
L: +0.50/-1.00×85
Examination shows:
R: +0.75/-0.50×95 (6/6) [+1.00 blur test: 6/7.5]
L: +0.75/-0.75×85 (6/6) [+1.00 blur test: 6/7.5] [L: left dominant eye]
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 2 XP
+1.00 Near: 4 XP
-1.00 Near: 1 EP
+2.00 Near: 6 XP
-2.00 Near: 5 – 7 EP
NRA
+1.00 (mono occlusion: OD blurry, OS blurry)
PRA
-1.25 (mono occlusion: OD blurry, OS blurry)
NPC (RAF rule)
TTN, TTN, 5/7cm, 5/7cm, 5/7cm, 5/7cm
AA (RAF rule)
R: 30yo, 30yo, 30yo (blur @end of RAF rule, clear @34cm)
L: 30yo, 30yo, 30yo (blur @end of RAF rule, clear @32cm)
Accommodation Facility (+/- 2.00)
BE: 10 cpm, difficult minus lens
R: 11 cpm, difficulty minus lens
L: 12 cpm, difficult minus lens
MEM
R: +0.75
L: +0.50
Fusional Reserves (Prism Bar)
Near, NFV: x/14/12
Near, PFV: x/18/16
Distance, NFV: x/10/8
Distance, PFV: 12/20/16
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 8 cpm (initially slow BO & BI, then no double at the end)
Distance: 6 cpm (initially slow BO & BI, then no double at the end)
Interpupillary distance, IPD = 6.0cm
Fluorescein
R: -ve staining
L: -ve staining
Modified
R: +0.75/-0.50×95
L: +0.75/-0.75×85
Add: +0.50
