Ellie (F/29) came for eye examination, vision with existing glasses is slightly blurry seeing far. Near vision is better with glasses than contact lenses. She wears contact lens of power R: -4.50 L: -4.25
Vision without glasses
R: xguess 6/60
L: 6/60-
Vision with existing glasses
R: -4.50/-1.00×40 (6/6-)
L: -4.25/-0.50×155 (6/7.5- 6/6-)
Examination shows:
R: -4.75/-0.25×40 (6/6) (+1.00 blur lens test: 6/9-)
L: -4.75 (6/6) (+1.00 blur lens test: 6/9-) (L: left dominant eye)
Other assessments show:
Cover Test
Distance: small XP, fast recovery
Near: small-mod XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 6 – 8 XP
+1.00 Near: 12 XP
-1.00 Near: 6 – 8 XP
NRA
+1.50 (OD blur, OS clear)
PRA
-1.50
NPC (RAF rule)
9/12cm, 9/12cm, 9/12cm, 9/12cm
AA (RAF rule)
R: 34yo, 35yo, 35yo
L: 35yo, 35yo, 35yo
Accommodation Facility (Flipper +/- 1.00)
BE: difficult plus lens
R: difficult minus lens
L: difficult minus lens
MEM (small pupil)
R: PL
L: +0.25
Fusional Reserves (Prism Bar)
Near, PFV: 14/x/x
Near, NFV: x/12/10
Distance, NFV: x/16/14
Distance, PFV: x/10/8
Vergence Facility (Prism Flipper of 12BO & 3BI on OD)
Near: no double reported (no eye movement seen)
Vergence Facility (Prism Flipper of 12BO & 3BI on OS)
Near: 0 cpm (double BO)
Distance: 0 cpm (double BO)
We repeated
Fusional Reserves (Prism Bar) 6BD on OS
Near, PFV: 10/20/16
W4D Slit Lamp Examination
R: 4 dots (bottom circle is green)
L: 3 dots?! sometimes 4dots
Fluorescein staining
R: -ve staining
L: -ve staining