June Xian (F/14) came with complaint of blurry far vision in right eye since many years ago & sometimes headache. Brother reported that she will hold her phone very near.
Vision without glasses
R: 6/24-
L: 6/7.5-
Examination shows:
R: +0.75/-3.00×175 (6/7.5 slow) (PHNI)
L: +0.50/-1.00×5 (6/6) (+1.00: 6/12-) (L: dominant eye)
Other assessments show:
Cover Test
Distance: small EP, fast recovery
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: 3 EP
Near: 3 EP
+1.00 Near: 0 – 1 EP
-1.00 Near: 3 – 5 EP
NRA
+2.50
PRA
-1.50 (alt monocular occlusion: OD blur, OS clear)
NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN
AA (RAF rule)
R: 23yo, 23yo, 25yo (blur @end of RAF rule, clear @36cm)
L: 23yo, 23yo, 23yo (blur @end of RAF rule, clear @36cm)
Accommodation Facility (Flipper +/- 1.50 & 1.00)
BE: difficult minus lens
R: difficult plus lens
L: difficult minus lens
MEM
R: +1.75
L: +1.50
Fusional Reserves (Prism Bar)
Near, NFV: 10/14/12
Near, PFV: x/25/20
Distance, NFV: x/10/6
Distance, PFV: x/16/14
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 4 cpm (slower BI, slow BO)
Distance: 0 cpm (double BO)
Slit Lamp Examination
R: vy mild conjunctival injection
L: vy mild conjunctival injection
Fluorescein staining
R: -ve staining
L: -ve staining
Prescribe Relax lens
R: +0.75/-3.00×175
L: +0.50/-1.00×5
Add: +1.00
We advise full-time glasses wear.
