Eugene Wong Yun En

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25/10/2022

Eugene (F/8) came for eye examination, with complaint of blurry seeing whiteboard at school as time goes by. She also complained about itchy eye in left eye.

Vision without glasses
R: 6/6
L: 6/6- slow

Examination shows:
R: +0.75/-0.50×180 (6/6) [+1.00 blur test: 6/6-]
L: +0.75/-0.75×10 (6/6) [+1.00 blur test: 6/7.5-] (L: left dominant eye)

Other assessments show:

Random Dot 3S
35″
16″ (with Add +0.75)

Cover Test
Distance: small EP, fast recovery (OD ET?)
Near: small EP, fast recovery

Howell Card
Distance: 7 – 9 EP
Near: 5 – 7 EP  
+1.00 Near: 0 – 1 EP
-1.00 Near: 9 EP
+2.00 Near: 1 EP
-2.00 Near: 19 EP

NRA
+0.75
(occlude monocularly: OD clearer, OS clearer)

PRA
-1.00
(occlude monocularly: OD blurrier, OS blurrier)

NPC
6/10cm, 6/10cm, 6/10cm, 6/10cm, 6/10cm

AA
R: 12.5D, 12.5D, 12.5D
L: 8.5D, 8.5D, 8.5D

MEM
R: +1.00
L: +1.50

Accommodation Facility +/-2.00
BE: 8 cpm, difficult minus lens
R: 8 cpm, difficult plus lens
L: 8 cpm, difficult plus lens

Interpupillary distance, IPD = 5.6cm

We refer for cycloplegic refraction.

Cyclo Rx (14/3/2023)
R: +1.00/-1.25×180 (6/6-3)
L: +1.50/-1.00×10 (6/6)

Unaided (after Cyclo)
R: 6/18-
L: 6/18-

Random Dot 3S
25″

Cover Test
Distance: small EP, fast recovery (OD ET?)
Near: small EP, fast recovery

Howell Card
Distance: 3 – 5 – 7 EP
Near: 3 – 5 EP

We try
R: +1.00/-1.25×180
L: +1.50/-1.00×10
Add: +0.50

MEM
R: PL/+0.25
L: +0.50