14/9/2022
Fanny (F/50) came for eye examination, with complaint of sometimes dim vision & about 5 to 6 times of brief curtain-like sheet blocking her vision in left eye since two weeks ago. She recently knocked her head on something hard about three weeks ago. No eye pain/reduced vision is reported. She has family history of glaucoma.
Vision without glasses
R: 6/7.5-
L: 6/6 (better)
Subjective Refraction
R: -0.25 (6/6) (+1.00 blur test: 6/12)
L: PL (6/6) (+1.00 blur test: 6/12)
Add: +1.75 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 1 EP
Near: 2 – 4 XP
-1.00 Near: 2 XP
NRA
+0.50
PRA
-0.25
NPC
RE deviates at 9cm
Fusional Reserves
Near, PFV: x/8/4
Near, NFV: x/4/2
Interpupillary distance, IPD = 6.0cm
Colour Vision
R: normal
L: normal
Amsler Grid
R: normal
L: some distorted lines
Worth 4 Dots
R: 4 dots
L: 4 dots
Pupil Reflex
R: -ve RAPD
L: -ve RAPD
Fluorescein
R: -ve staining
L: -ve staining
TBUT
R: 3s
L: 3s
Lid & Adnexa
R:
L: heavy, droopy-like upper eyelid
Slit Lamp
R: very mild cataract
L: very mild cataract
We refer her to see eye specialist doctor/ophthalmologist.
*UpdatedA
19/1/2023
Fanny (F/51) came for follow up.
Vision without glasses
R: 6/7.5-
L: 6/6
Examination shows:
R: -0.25/-0.25×15 (6/6) (+1.00 blur lens test: 6/12-) (R: right dominant eye)
L: PL/-0.25×160 (6/6) (+1.00 blur lens test: 6/12-)
Add: +1.75
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 1 EP
Near: 4 XP
+1.00 Near: 8 XP
-1.00 Near: 2 XP
NRA
+1.00
PRA
-0.75
NPC (RAF rule)
10/14cm, 10/14cm, 10/14cm, 10/14cm, 10/14cm, 10/14cm
Accommodation Facility (Flipper +/- 0.50)
BE: 15cpm, difficult minus lens
R: 15cpm, difficult minus lens
L: 15cpm, difficult minus lens
MEM
R: dim
L: dim
Fusional Reserves (Prism Bar)
Near, NFV: x/4/2
Near, PFV: 4/10/8
Distance, NFV: 4/6/4
Distance, PFV: 8/14/12
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 6 cpm [slow BO(more difficult) & BI]
Distance: 8 cpm (slow BO & BI)
