3/4/2022
YBin (M/9) came for follow up after 2 years, has been staying home due to the pandemic. He has just returned to school, and when asked, he reported that he is able to see & copy from the whiteboard. Father has high short-sightedness.
Vision without glasses
R: 6/21
L: 6/12-
Vision with existing glasses of 2 years
R: PL/-1.50×175 (6/21)
L: -0.25/-1.00×175 (6/12)
Examination shows:
R: -1.75/-1.25×175 (6/6) [+1.00 blur lens test: 6/12-] (R: right dominant eye)
L: -1.00/-0.75×175 (6/6) [+1.00 blur lens test: 6/9-]
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 6 – 8 XP –> 4 – 6 XP
+1.00 Near: 4 – 6 XP –> 2 – 4 XP
NRA
+2.50
PRA
-3.25
Accommodation Facility (Flipper +/-2.00) chart held at <30cm
BE: 10 cpm, no difficulty reported
R: 15 cpm, no difficulty reported
L: 15 cpm, no difficulty reported
Fusional Reserves (Prism Bar)
Near, PFV: 18/25/10
Near, NFV: x/4/2
Distance, NFV: 6/8/4
Distance, PFV: x/16/14
Fusional Reserves (Prism Bar)
Near, PFV: x/8/6 (test was repeated again)
Vergence Facility (Prism Flipper of 12Base Out & 3Base In)
Near: 2 cpm (double BO.. sometimes double BI too)
Distance: 2 cpm (double BO)
AA (RAF rule)
R: 8 YO, 8 YO, 8 YO
L: <6 YO, 6 YO, 6 YO
NPC (RAF rule)
8/10cm, 6/8cm, 10/12cm, 10/12cm, 6/8cm, 8/10cm
3D Vision (Random Dot 3S)
32″
12.5″ (with Add +0.75)
We refer for cycloplegic refraction.
*UpdatedA
YBin came back with eye prescription.
Prescription
R: -1.75/-1.75×175 (6/6)
L: -1.00/-0.75×175 (6/6)
*UpdatedA (25/9/2022)
YBin came for follow up. Vision with new glasses is fine seeing far & near.
Existing new glasses
R: -1.75/-1.75×175 (6/6)
L: -1.00/-0.75×175 (6/6)
Add: +1.50
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 0 – 1 EP
Near: 10 XP
+1.00 Near: 12 XP
-1.00 Near: 0
+2.00 Near: 14 XP
-2.00 Near: 3 EP
NRA
+1.50
PRA
-3.50
NPC (RAF rule)
6/8cm, 6/8cm, 6/8cm, 6/8cm, 6/8cm, 6/8cm
AA (looking through top part of lens)
R: 11.5D, 11.5D, 11.5D
L: 8.5D, 8.5D, 8.5D
AA (looking through bottom part of lens)
R: 15.5D, 15.5D, 15.5D
L: 15.5D, 15.5D, 15.5D
Accommodation Facility (Flipper +/- 2.00)
BE: 8cpm, difficult plus lens
R: 13cpm, difficult minus lens
L: 12cpm, difficult minus lens
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: x/20/14 (above break point 12, double then single)
Near, NFV: x/16/14
Distance, NFV: x/10/8
Distance, PFV: x/25/16
Vergence Facility (Prism Flipper of 12Base Out & 3Base In)
Near: 8 cpm (slow BO)
Distance: 10 cpm
Interpupillary distance, IPD = 5.6cm
YBin also mentioned about suddenly seeing whitish briefly about 2-3times when he was at class. We asked him to inform his parents & if the incident is frequent, he is to come back for follow up.
*UpdatedB (2/1/2022)
YBin came for follow up. Vision with new glasses is fine seeing far & near.
Existing glasses
R: -1.75/-1.75×175 (6/6-) N5
L: -1.00/-0.75×175 (6/6) N5
Add: +1.50
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 0
Near: 2 – 4 XP
bottom of lens Near: 6 – 8 XP
NRA
+2.50
PRA
-2.50
NPC (RAF rule)
6/10cm, 6/10cm, 6/10cm, 6/10cm, 6/10cm, 6/10cm (OD deviates @6/8cm)
AA (looking through top part of lens)
R: 11.5D, 11.5D, 11.5D
L: 8.5D, 8.5D, 8.5D
AA (looking through bottom part of lens)
R: 15.5D, 15.5D, 15.5D
L: 15.5D, 15.5D, 15.5D
Accommodation Facility (Flipper +/- 2.00)
BE: 18cpm, no difficulty
R: 16cpm, no difficulty
L: 18cpm, no difficulty
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: x/30/20
Near, NFV: x/18/16
Distance, NFV: x/8/6
Distance, PFV: x/25/14
Vergence Facility (Prism Flipper of 12Base Out & 3Base In)
Near: 10 cpm (slow BO)
Distance: 12 cpm
