WYen (F/31) came for eye examination, vision with existing glasses is fine seeing far & near. She is fulltime contact lens wearer. She only wears specs when she is at home during weekends.
Vision without glasses
R: 6/60
L: 6/45+
Vision with existing glasses of 2+years
R: -5.00/-0.75×15 (6/6)
L: -4.00/-1.00×170 0.35BD (6/6)
Examination shows:
R: -5.25/-0.25×5 (6/6) (+1.00 blur lens test: 6/9-)
L: -4.25/-0.25×170 (6/6) (+1.00 blur lens test: 6/9) (L: left dominant eye)
Add: +0.75 (N5@40cm)
Other assessments show: (done without Add)
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 1 – 3 EP
+1.00 Near: 0 – 2 XP
-1.00 Near: 5 – 7 EP
NRA
+1.50
PRA
-0.75
NPC (RAF rule)
TTN, TTN, TTN, TTN
AA (RAF rule)
R: 25yo, 25yo
L: 27yo, 27yo
Accommodation Facility (Flipper +/- 2.00)
BE: difficult minus lens
R: clear minus lens
L: clear minus lens
MEM (pupil very2 small)
R: +1.00
L: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: x/10/8
Near, PFV: 25/35/30
Distance, NFV: x/10/8
Distance, PFV: x/30/25
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 12 cpm
Distance: 11 cpm
Slit Lamp Examination
R: limbal redness
L: limbal redness
Fluorescein
R: -ve staining
L: very3 mild staining inferiorly
Own Contact Lens (monthly)
R: -4.75/-0.75×20
L: -4.00/-0.75×170
Trial (biweekly 8.4)
R: -5.25
L: -4.25