Deborah (F/39) came for eye examination, with complaint of blurry near vision with existing glasses of 2years. She uses computer for long hours every day.
Vision without glasses
R: 6/60- [6/30- (w squinting)]
L: 6/60- (6/30- (w squinting)]
Existing glasses
R: -3.75/-0.50×5 (6/6)
L: -4.50/-0.25×150 (6/6)
Examination shows:
R: -3.75/-0.25×5 (6/6) [+1.00 blur test: 6/7.5]
L: -4.50/-0.25×160 (6/6) [+1.00 blur test: 6/7.5] [L: left dominant eye]
Add: +1.00 (N5@40cm)
Lowering short-sightedness @D is xfavoured seeing far2 away
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 1 EP
(w Add) Near: 0 – 2 XP -> 0 – 1 EP
+1.00 Near: 0 – 2 XP
-1.00 Near: 3 – 5 EP
NRA
+0.75
PRA
-0.75
NPC (RAF rule)
TTN, TTN, TTN, 6/8cm, 6/8cm, 6/8cm
AA (RAF rule)
R: 44yo, 44yo, 44yo
L: 44yo, 44yo, 44yo
Accommodation Facility (+/- 1.00)
BE: 16 cpm, difficult minus lens
R: 14 cpm, difficulty minus lens
L: 14 cpm, difficult minus lens
MEM
R: +1.00
L: +1.00
Fusional Reserves (Prism Bar)
Near, NFV: x/10/8
Near, PFV: x/35/30
Distance, NFV: x/8/6
Distance, PFV: x/30/25
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 10 cpm (slow BI)
Distance: 8 cpm (slow BO)
Interpupillary distance, IPD = 6.5cm
+gradient AC/A = 3:1, -gradient AC/A = 4:1
All near tests are done with Add.
