Mary (F/46) came for eye examination, with complaint of intense tired eyes especially after seeing near but no headache reported.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: PL/-0.25×180 (6/6) (+1.00 blur lens test: 6/9-) (R: right dominant eye)
L: PL/-0.25×180 (6/6) (+1.00 blur lens test: 6/7.5-)
Add: +1.50 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 11 – 13 – 15 – 17 – 21 EP & beyond
+1.00 Near: 7 – 9 EP
-1.00 Near: beyond 21 EP
(No glasses) Near: beyond 21 EP
NRA
+0.75
PRA
-0.50
NPC (RAF rule)
6/8cm, 6/8cm, 6/8cm
AA (RAF rule)
R: 46yo, 46yo
L: 46yo, 46yo
Accommodation Facility (Flipper +/- 0.50)
BE: difficult plus lens
R: difficult minus lens
L: difficult minus lens
MEM (small pupil)
R: +0.25
L: +0.25/PL
Fusional Reserves (Prism Bar)
Near, NFV: 8/16/14
Near, PFV: x/25/20
Distance, NFV: x/6/4
Distance, PFV: x/4/2
Vergence Facility (Prism Flipper of 12BO & 3BI) unaided
Near: 5 cpm (slow BO & BI)
Distance: 5 cpm [slow BO(>diff) & BI]
Slit Lamp Examination
R: clear on lens
L: clear on lens
Fluorescein staining
R: -ve staining
L: -ve staining
After eye examination, Mary shared that she sometimes sees double/shadow at far.