Mr Chong (M/41) came for eye examination, with complaint sometimes blurry seeing near with his ready reader(he did not bring). He had LE AMD in end of 2021 in which he had 1 injection & it subsided. He noticed the difference in colour seen upon covering his eyes alternatingly as well as seeing as if he were immersed in water in LE.
Vision without glasses
R: 6/6
L: 6/6-
Examination shows:
R: -0.25 (6/6) (+1.00 blur lens test: 6/9-) (R: right dominant eye)
L: -0.25 (6/6) (+1.00 blur lens test: 6/9-)
Add: +1.00 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0
Near: 0 – 2 XP
+1.00 Near: 6 – 8 XP
-1.00 Near: 1 – 3 XP
NRA (unaided)
+2.00
PRA
-0.50 (unaided)
-1.00 (aided)
NPC (RAF rule)
8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm
AA (RAF rule)
R: 42yo, 42yo
L: 42yo, 42yo
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM (aided)
R: +0.25
L: +0.25
Fusional Reserves (Prism Bar) unaided
Near, NFV: 16/18/12
Near, PFV: x/16/14
Distance, NFV: x/8/6
Distance, PFV: x/20/14
Vergence Facility (Prism Flipper of 12BO & 3BI) unaided
Near: 9 cpm (slow BO)
Distance: 7 cpm [slow BO(>diff) & BI]
Slit Lamp Examination
R: clear on lens
L: clear on lens
Fluorescein staining
R: -ve staining
L: -ve staining
