Mr Hamizi (M/46) came for eye examination, with complaint of glaring during bright sunlight that causes headache sometimes.. and glaring during night driving. He removes glasses to see near.
Vision without glasses
R: 6/18- 6/15-
L: 6/18-
Vision with existing glasses of 3+years
R: -1.00/-0.50×30 (6/6-)
L: -0.75/-1.25×170 (6/6- with horizontal shadow)
Examination shows:
R: -1.00/-0.25×25 (6/6) (+1.00 blur lens test: 6/9-)
L: -1.00/-0.50×175 (6/6) (+1.00 blur lens test: 6/9 [L: left dominant eye] L>R
Add: +1.50 (N5@40cm) good rocv
Other assessments show:
Cover Test
Distance: NMD
Near: small – moderate XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 16 XP
no specs Near: 16 XP
+1.00 Near: 14 XP
-1.00 Near: 16 XP
NRA
+1.00 (occlusion monocularly: OD better, OS blur)
PRA
-0.25 (occlusion monocularly: OD blur, OS better)
NPC (RAF rule)
16/30cm, 16/30cm, 16/30cm, 16/30cm, 16/30cm, 16/30cm (OD deviates @16cm)
AA (RAF rule)
R: 45yo, 45yo, 45yo
L: 46yo, 46yo, 46yo
Accommodation Facility (Flipper +/- 0.50)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: very dim
L: very dim
Fusional Reserves (Prism Bar)
Near, PFV: x/12/8
Near, NFV: 12/14/12
Distance, NFV: x/12/8
Distance, PFV: x/8/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 0 cpm (double BO)
Distance: 0 cpm (double BO)
Fusional Reserves (Prism Bar) with 1BI OU
Near, PFV: x/12/8
Near, NFV: x/20/16
* All near tests are done with Add.
