Kak Saroja (F/60) came with complaint of dizziness wearing existing glasses upon moving her head. She did not really wear her glasses due to comfort issue.
Vision without glasses
R: 6/21-
L: 6/21-
Existing glasses of 3years
R: +1.00/-1.00×90 (6/12-)
L: +1.75/-0.50×80 (6/15-)
Add: +2.25
Examination shows:
R: +1.50/-0.50×90 (6/7.5+) PHNI
L: +1.75/-0.25×80 (6/7.5+) PHNI [L: left dominant eye]
Add: +2.25
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 8 XP
-1.00 Near: 8 XP
NRA
+0.50
PRA
-0.75
NPC (RAF rule)
10/12cm, 10/12cm, 10/12cm, 10/12cm
Fusional Reserves (Prism Bar)
Near, PFV: x/18/16
Near, NFV: 10/16/12 (above blur point 10, double then single)
Distance, NFV: x/8/6
Distance, PFV: 4/12/10 (above blur point 4, double then single)
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 2 cpm (slow BO)
Distance: 0 cpm (double BO) [double went further apart with blink]
Interpupillary distance, IPD = 6.3cm
Slit Lamp
R: mild cataract
L: mild cataract
Fluorescein
R: -ve staining
L: -ve staining
