Irene F. (F/37) came for eye examination, with complaint of slight blurry far vision seeing subtitles on TV. She was told to go see ophthalmologist 2years ago to have laser.
Vision without glasses
R: 6/45-
L: 6/45+
Vision with existing glasses 2+yrs
R: -2.25/-0.50×15 (6/7.5- 6/6-)
L: -3.25/-0.50×180 (6/6)
Subjective Refraction
R: -2.50/-0.25×10 (6/6 but blurry) (+1.00 blur lens test: 6/15+)
L: -3.25/-0.50×180 (6/6) (+1.00 blur lens test: 6/12) (L: left dominant eye)
Other assessments show:
Cover Test
Distance: NMD
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 0
+1.00 Near: 2 XP
-1.00 Near: 0
NPC (RAF rule)
TTN, TTN, 6/10cm, 6/12cm
AA (RAF rule)
R: 40yo, 40yo, 40yo
L: 37yo, 37yo, 37yo
NRA | PRA
+1.50 | -0.75
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: dim
L: +0.50
Fusional Reserves (Prism Bar)
Near, NFV: x/10/8
Near, PFV: x/x/x
Distance, NFV: x/8/6
Distance, PFV: x/25/20
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 4 cpm [slow BO(more diff) & BI]
Distance: 1 cpm (double BO)
Amsler Grid
R: lighter colour grid at lower half area around dextrodepression
L: normal
Colour Vision
R: normal
L: normal