Andrew Y (M/36) came with complaint of slight blurry near vision after long hours of computer & sometimes headache with existing glasses recently. He first started wearing glasses 6-7years ago.
Unaided Vision
R: 6/9- 6/7.5- 6/6-
L: 6/9- 6/7.5- 6/6-
Existing glasses of 2years
R: PL/-1.00×80 (6/6)
L: PL/-1.00×90 (6/6)
Examination shows:
R: PL/-1.00×80 (6/6) (+1.00 blur lens test 6/9-) [R: right dominant eye]
L: PL/-1.00×90 (6/6) (+1.00 blur lens test 6/9-)
Other assessments show:
Cover Test, CT
Distance: NMD
Near: small – moderate XP, fast recovery
Howell Card (6BD on OD)
Distance: 0– 2 XP
Near: 10 – 12 XP
+1.00 Near: 12 – 14 XP
-1.00 Near: 10 XP
+2.00 Near: 14 XP
-2.00 Near: 8 XP
NRA
+1.50 (mono occlusion: OD blur, OS better)
PRA
-1.00 (mono occlusion: OD worst, OS blur)
NPC (RAF rule)
8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm
AA (RAF rule)
R: 36 YO, 38 YO, 41 YO (blur @end of RAF rule, clear @34cm)
L: 39 YO, 41 YO, 41 YO
Accommodation Facility (Flipper +/-1.00) [target 20/40 words]
BE: 17 cpm, difficult plus lens
R: 18 cpm, difficult minus lens
L: 18 cpm, difficult minus lens
MEM
R: +0.25
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/12/10
Near, NFV: 10/12/10
Distance, NFV: x/6/4
Distance, PFV: 8/18/16 (above 8 blur pt, double then single)
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 0 cpm (double BO)
Distance: 2 cpm (slow BO & BI)
We asked Andrew whether or not he has done any eye exercise when he was younger.. he did Dot Card eye exercise since young until he was 13yo.. without any glasses.
We prescribe Dot Card.
TCA 2/12
