Mr Tan YH (M/59) came with complaint of blurry near vision with existing reading glasses recently.. his dad has glaucoma.
Vision without glasses
R: 6/6
L: 6/6
Existing reading glasses of 2+years
R: +1.75/-0.50×180
L: +1.50/-0.75×180
Examination shows:
R: PL (6/6) [+1.00 blur test: 6/12+]
L: PL (6/6) [+1.00 blur test: 6/12-] [L: left dominant eye]
Add: +2.00
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 0 – 2 XP
+1.00 Near: 0 – 2 XP
NRA
+0.75
PRA
-0.75
NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN, TTN
AA (RAF rule)
R: 46yo, 47yo, 48yo
L: 46yo, 46yo, 46yo
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: x/25/14
Near, NFV: 10/12/8
Distance, NFV: x/10/6
Distance, PFV: x/8/6
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 9 cpm (slow BO)
Distance: 0 cpm (double BO & BI)
Interpupillary distance, IPD = 6.5cm
Slit Lamp
R: vy mild cataract
L: vy mild cataract
Fluorescein
R: -ve staining
L: -ve staining
Amsler
R: vy mild distorted lines
L: vy mild distorted lines
We refer him to see ophthalmologist for eye examination.
