Hema (F/39) came for eye examination, with complaint of glaring during daytime & night driving. She also has headache with near work.. and seeing black shadowy in surrounding upon covering either eye.
Vision without glasses
R: 6/6-
L: 6/6
Examination shows:
R: PL (6/6-) [+1.00 blur test: 6/12-]
L: PL (6/6) [+1.00 blur test: 6/9-] [L: left dominant eye] L>R
Other assessments show: (Unaided)
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 4 XP
+1.00 Near: 6 XP
-1.00 Near: 2 – 4 XP
+2.00 Near: 8 XP
-2.00 Near: 4 XP
NRA
+1.50 (occlusion monocularly: OD better, OS better)
PRA
-1.25 (occlusion monocularly: OD better, OS blurry)
NPC (RAF rule)
6/8cm, 6/8cm, 8/10cm, 8/10cm, 10/12cm, 10/12cm
AA (RAF rule)
R: 40yo, 42yo, 43yo
L: 40yo, 41yo, 43yo
Accommodation Facility (Flipper +/- 1.00)
BE: 18 cpm, difficult minus lens
R: 15 cpm, difficult minus lens
L: 13 cpm, difficult minus lens
MEM
R: PL
L: PL
Fusional Reserves (Prism Bar)
Near, NFV: x/14/12
Near, PFV: x/6/2
Distance, NFV: x/4/2
Distance, PFV: x/12/8
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 12 cpm
Distance: 13 cpm
We repeated
Fusional Reserves (Prism Bar)
Near, PFV: 10/16/14
Trial Framing
R: +0.25
L: +0.25
Fusional Reserves (Prism Bar) with +0.25 OU
Distance, NFV: x/6/4
Distance, PFV: x/12/10
Near, NFV: x/8/6
Near, PFV: x/18/14
NPC (RAF rule) with +0.25 OU
10/12cm, 10/12cm, 10/12cm, 10/12cm
Modified
R: +0.25
L: +0.25
Add: +0.50
