Darshen (M/9) came with complaint of sometimes blurry seeing whiteboard at school.. mother reported that he complains about having headache after school.
Vision without glasses
R: 6/12
L: 6/12
Examination shows:
R: +0.50/-0.25×15 (6/6) [+1.00 blur test: 6/18]
L: +0.25/-0.50×170 (6/6) [+1.00 blur test: 6/18] [L: left dominant eye]
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 10 – 12 XP
+1.00 Near: 14 XP
-1.00 Near: 8 – 10 XP
+2.00 Near: 16 – 18 XP
-2.00 Near: 8 XP
NPC (RAF rule)
18/28cm, 18/28cm, 18/28cm, 18/28cm, 18/28cm, 18/28cm
AA (RAF rule)
R: 11.5D, 10.5D, 10.5D (blur @end of RAF rule, clear @26cm)
L: 10.5D, 10.5D, 10.5D (blur @end of RAF rule, clear @26cm)
NPC (RAF rule) with Add: +0.50
24/34cm, 24/34cm, 24/34cm
Accommodation Facility (+/- 2.00)
BE: 11 cpm, difficult minus lens
R: 13 cpm, difficulty plus lens
L: 13 cpm, difficult minus lens
MEM
R: +0.50
L: +0.75
Fusional Reserves (Prism Bar)
Near, PFV: x/4/-4
Near, NFV: x/20/14
Distance, NFV: x/6/4
Distance, PFV: x/10/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 5 cpm (slow BO)
Distance: 0 cpm (double BO)
Fusional Reserves (Prism Bar) with Add +0.50
Near, PFV: x/2/-1
Near, NFV: 8/20/18
Interpupillary distance, IPD = 6.1cm
Modified
R: +0.50/-0.25×15
L: +0.25/-0.50×170
Add: +0.50
We prescribe Brock string.
