Mr Chen KF (M/57) came as his glasses were broken.. vision with existing glasses is fine seeing far & near. He has been prescribed non-preserved artificial tears previously.. and he is still using it occasionally when his eyes are dry.
Vision without glasses
R: 6/24
L: 6/21-
Existing glasses 2+years
R: +1.75/-0.50×155 (6/6)
L: +1.00 (6/6- slow)
Add: +2.50
Examination shows:
R: +1.50 (6/6 slow) [+1.00 blur test: 9-]
L: +1.50 (6/6) [+1.00 blur test: 6/9-] L: left dominant eye]
Add: +2.25
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 2 – 4 XP
-1.00 Near: 0 – 2 XP
NRA
+0.50
PRA
-1.25
Modified
R: +1.50
L: +1.50
Add: +2.00
NPC (RAF rule)
8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: 25/20
Near, NFV: x/14/12
Distance, NFV: x/8/6
Distance, PFV: x/12/10
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 12 cpm
Distance: 8 cpm (double BO at the end)
Interpupillary distance, IPD = 6.3cm
All near tests are done with Add.
Lid & Adnexa
R: MG capping
L: MG capping
Fluorescein
R: -ve staining (TBUT 3s)
L: -ve staining (TBUT 3s)
Slit Lamp
R: mild cataract
L: mild cataract
Trial framing
R: +1.50
L: +1.50
Add: +2.25
Far vision is better, but near vision with habitual is better
Modified
R: +1.75/-0.50×155
L: +1.50
Add: +2.25
