CXian (F/10) came with complaint of blurry seeing whiteboard at school & sometimes headache after school.. mother reported that she copies her homework wrongly at times.
Vision without glasses
R: 6/9
L: 6/7.5-
Examination shows:
R: +0.50 (6/6) [+1.00 blur test: 6/12-] [R: right dominant eye] R>L
L: +0.50 (6/6) [+1.00 blur test: 6/12-]
Near: R>L (adding +0.50 in OS: L>R)
Other assessments show:
Random Dot 3S
12.5″
Cover Test
Distance: NMD
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: 3 EP
Near: 3 – 5 EP
+1.00 Near: 2 XP
-1.00 Near: 11 – 13 EP
+2.00 Near: 6 XP
-2.00 Near: 15 – 17 EP
NRA
+2.25
PRA
-1.00 (mono occlusion: OD blurry, OS blurry)
NPC (RAF rule)
28/32cm, 28/32cm, 28/32cm, 28/32cm
AA (RAF rule)
R: 10D, 8.5D, 7D (blur @end of RAF rule, clear @30, 28, 26cm)
L: 10D, 8.5D, 8.5D (blur @end of RAF rule, clear @28, 26, 24cm)
NPC (RAF rule) with Add +0.50
34/38cm, 34/38cm, 34/38cm
Accommodation Facility (+/- 2.00)
(double with -2.00… so we did with Add +0.50)
BE: 14 cpm, difficult minus lens
R: 16 cpm, difficulty minus lens
L: 15 cpm, difficult minus lens
MEM
R: +0.75
L: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: x/4/1
Near, PFV: x/8/2
Distance, NFV: 4/6/4
Distance, PFV: x/6/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 4 cpm (slow BI)
Distance: 0 cpm (double BO)
We repeated
Fusional Reserves (Prism Bar) with Add +0.50
Near, NFV: x/6/2
Near, PFV: x/8/2
Modified
R: +0.50
L: +0.50
Add: +0.75
