Angella (F/24) came for eye examination, vision with existing glasses is blurry seeing far2 away. She reported having headache sometimes.
Vision without glasses
R: xguess 6/60
L: 6/60-
Vision with existing glasses of 1+yrs
R: -6.25 (6/6)
L: -5.25/-0.25×45 (6/6-)
Examination shows:
R: -6.00/-0.25×160 (6/6) (+1.00 blur lens test: 6/9) (R: dominant eye)
L: -5.25/-0.50×30 (6/6) (+1.00 blur lens test: 6/9-)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 4 XP
+1.00 Near: 6 XP
-1.00 Near: 2 XP
NRA
+3.00
PRA
-3.00
NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN
AA (RAF rule)
R: 12yo, 12yo, 12yo
L: 12yo, 12yo, 12yo
Accommodation Facility (Flipper +/- 2.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.25
L: +0.50
Fusional Reserves (Prism Bar)
Near, NFV: x/14/12
Near, PFV: x/25/20
Distance, NFV: x/10/8
Distance, PFV: x/30/20
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 7 cpm (slow BO)
Distance: 6 cpm (slow BO)
Slit Lamp Examination
R: clear
L: clear
Fluorescein staining
R: -ve staining
L: -ve staining
Prescribe Relax lens
R: -6.00/-0.25×160
L: -5.25/-0.50×30
Add: +0.75
Contact lens (Acuvue Oasys 8.4)
R: -5.50
L: -5.00