Mr Cham (M/47) came for eye examination, with complaints of slightly blurry far & near vision with existing glasses of 3years. He also has headache at the back of head on left side once a while, about 3 to 4x/month since recent years, and he said the headache gets worse with reading. His work requires him to see near on upgaze.. and he finds this difficult. No complaint of double vision reported.
Vision without glasses
R: 6/9-
L: 6/12-
Vision with existing multifocal glasses of 3years (worn higher than FH)
R: +0.25/-1.00×180 (6/7.5-)
L: +0.50/-1.50×180 (6/7.5-)
Add: +1.75
Examination shows:
R: +1.00/-1.00×180 (6/6) (+1.00 blur lens test 6/7.5-) [R: right dominant eye] R>L
L: +1.25/-1.75×180 (6/6) (+1.00 blur lens test 6/7.5-)
Add: +1.75 (N5@40cm)
Modified
R: +1.25/-1.00×180
L: +1.50/-1.75×180
Add: +1.50
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
NMD @ Distance
small XP, fast then moderate recovery @ Near
(normal value: orthophoria/NMD-No Movement Detected or small XP, fast recovery)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
Examination of Eye Alignment/Posture (Howell Card) by 6^ Base Down on Right eye
Distance: 0 (arrow paces between yellow & blue around 0)
Near: 14 – 16 – 18 XP (blue part)
Modified Near: 10 – 12 XP (blue part)
(normal value: 0-1 EP or 0-3 XP @Distance and 0-6 XP @Near)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
Amsler Chart (to check the integrity of macula)
R: normal
L: mild crooked lines seen on left side of chart
Colour Vision
R: normal
L: normal
Examination of Eye Muscles (Motility)
double furthest @dextro elevation & laevo elevation (no double on downgaze)
Mr Cham is one of our customer friends whom we got to know from eye screening. Wife Alice also came previously & we have checked her eyes too. Now is husband’s turn.. the last time we checked his eyes was 3years ago.. time flies. He asked if he can go without checking eyes, we would love to have a look at your eyes every year, if not once in 2years. We cannot emphasise enough the importance of annual eye examination. Schedule an eye examination with your eye care practitioner in your area now! Is good optimum vision a choice? Or a neccessity? You decide.
We update his eye prescription & we will monitor his eye alignment & headache.
Happy to see old customer friends coming back for an eye examination. We don’t mean the age of course.. we also same only. We want you to sayang your eyes the way we treasure your eyes too!
2022 is coming.. woohoo.. our eyes enable us to continue seeing & enjoying our lives.. put no limit to what our eyes can see….. by showering them with eye examination!