CKit (M/26) came with c/o slight blurry far vision with existing glasses of 2years made with us. He does welding work looking upgaze.
Vision without glasses
R: 6/45-2
L: 6/60
Existing glasses for work (scratches)
R: -2.25/-1.00×175 (6/9)
L: -2.50/-1.00×175 (6/7.5-)
Examination shows:
R: -2.50/-0.75×175 (6/6-) [+1.00 blur test: 6/15-]
L: -2.75/-0.75×175 (6/6-) [+1.00 blur test: 6/9-] [L: left dominant eye]
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 4 XP
+1.00 Near: 6 XP
-1.00 Near: 2 – 4 XP
+2.00 Near: 8 – 10 XP
-2.00 Near: 0 – 2 XP
NRA
+1.50 (occlude monocularly: OD clearer, OS blurrier)
PRA
-1.00 (occlude monocularly: OD blurrier, OS blurrier)
NPC
5/8cm, 5/8cm, 5/8cm, 5/8cm, 5/8cm, 5/8cm
AA
R: 11.5D, 11.5D, 11.5D
L: 11.5D, 11.5D, 11.5D (blur @end of RAF rule, clear @26cm)
Accommodation Facility (+/- 1.50) xclear -2.00
BE: 9 cpm, difficult minus lens
R: 9 cpm, difficult minus lens
L: 8 cpm, difficult minus lens
MEM
R: +0.50
L: +0.25
Fusional Reserves (Prism Bar)
Near, PFV: x/18/14
Near, NFV: 8/20/16
Distance, NFV: x/10/8
Distance, PFV: 12/14/12
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 7 cpm (slow BO)
Distance: 0 cpm (double BO)
Interpupillary distance, IPD = 6.5cm
During trial framing seeing far2 away (at night), pt was unable to read car plate no @the opposite road. He usually drives at night.
Prescribe
R: -2.50/-0.75×175
L: -2.75/-1.00×175
Add: +0.50
Fluorescein
R: +ve staining superiorly
L: +ve staining superiorly
