Grace (F/42) vision is fine seeing far & near. She sometimes sees near blurry after long hours of near work. She feels that her eyes are dry at times.. she did warm compression once in a while & reported feeling better & having it supplemented with omega oil as well. No headache reported.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: PL (6/6)
L: PL (6/6) [L: left dominant eye]
Add: +0.75 (longer range of ROCV as compared to Add +1.00)
Hyperopic Rx is xfavoured @far
Other assessments show:
Cover Test
Distance: NMD
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: 3 EP
Near: 0
+1.00 Near: 2 XP
-1.00 Near: 5 EP
+2.00 Near: 6 XP
-2.00 Near: 3 – 5 EP
NRA
+1.25
PRA
-0.25
NPC (RAF rule)
14/18cm, 14/18cm, 14/18cm, 14/18cm, 14/18cm, 14/18cm
AA (RAF rule)
R: 44yo, 44yo
L: 45yo, 45yo
NPC (RAF rule) with Add +1.25
8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm
MEM
R: +1.00
L: +1.00
Fusional Reserves (Prism Bar)
Near, NFV: x/10/6
Near, PFV: x/30/18
Distance, NFV: x/6/4
Distance, PFV: x/25/20
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 11 cpm (slow BI)
Distance: 5 cpm (slow BI)
Interpupillary distance, IPD = 6.4cm
All near tests are done with Add.
+gradient AC/A = 2:1, -gradient AC/A = 5:1
Fluorescein
R: -ve staining
L: vy mild staining
Slit Lamp
R: mild MB capping, TBUT 5s
L: mild MB capping, TBUT 5s
