Madam Ho YH (F/67) came after cataract surgery 3months ago, with complaint of glaring whenever she is outdoors.. in which she avoids going out.
Unaided Vision
R: 6/12
L: 6/15+
Existing reading glasses pre-cataract sx
R: +2.50
L: +2.50
Examination shows:
R: +0.50/-0.75×100 (6/7.5) [R: right dominant eye]
L: +0.50/-0.75×65 (6/7.5)
Add: +2.25 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 4 XP
+1.00 Near: 6 XP
-1.00 Near: 6 – 8 XP
Other assessments show:
NRA
+0.50
PRA
-1.00
NPC (RAF rule)
14/22cm, 16/24cm, 18/26cm, 20/28cm, 22/30cm
Accommodation Facility (+/-0.50)
BE: difficult minus lens
R: difficult minus lens
L: difficult plus lens
NPC (RAF rule) with Add: +2.75
18/24cm, 18/24cm, 18/24cm
MEM
R: +0.50
L: +0.25
Fusional Reserves (Prism Bar)
Near, PFV: x/x/x
Near, NFV: x/10/8
Distance, NFV: x/6/4
Distance, PFV: x/6/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 9 cpm (slow BO & BI)
Distance: 6 cpm (slow BO)
Fusional Reserves (Prism Bar) with 1BI OU
Near, PFV: x/30/25
Modified (Far)
R: +0.50/-0.75×100
L: +0.50/-0.75×65
Modified (Near/Phone only)
R: +2.75 1BI
L: +2.75 1BI
DC is xfavoured at near
