Elaine Chian

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Elaine C came for eye examination, with complaint of slight blurry near vision.

Vision without glasses
R: 6/6- (better)
L: 6/7.5- 6.6-

Existing glasses
R: +0.25 (6/6)
L: +0.25 (6/6)
Near: +1.25

Examination shows:
R: +0.50 (6/6) [R: right dominant eye] R>L
L: +0.50 (6/6)
Near: +1.75 (N5@40cm)

Other assessments show:

Cover Test
Distance: NMD
Near: small XP, fast recovery

Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 4 – 6 XP
+1.00 Near: 8 XP
-1.00 Near: 4 XP

NRA
+1.25 (occlusion monocularly: OD clear, OS blurry)

PRA
-0.25 (occlusion monocularly: OD blurry, OS blurry

NPC
16/24cm, 16/24cm, 16/24cm, 16/24cm, 16/24cm, 16/24cm

NPC (with Add: +2.25)
16/22cm, 16/22cm, 16/22cm

MEM
R: +0.75
L: +0.75

Fusional Reserves (Prism Bar)
Near, NFV: x/8/6
Near, PFV: x/16/14
Distance, NFV: x/8/6
Distance, PFV: x/12/10

Vergence Facility (Prism Flipper 12BO/3BI)
Near: 2 cpm (slow BI & later BO too)
Distance: 0 cpm (double BO)

Modified
R: +0.50
L: +0.50
Add: +1.75/+2.00