Ismah (F/13) came with complaint of blurry far vision.. near vision is fine. She does not wear any glasses.
Vision without glasses
R: 6/18
L: 6/9-
Examination shows:
R: -0.75/-0.25×175 (6/6) [R: left dominant eye] R>L
L: PL/-0.50×10 (6/6)
Near: R=L
Other assessments show:
Cover Test
Distance: small XP, fast recovery
Near: moderate XP, moderate recovery (ACT: OD shows smaller XP movement, OS shows bigger XP movement)
Howell Card (6BD on OD)
Distance: 4 XP
Near: 16 XP
+1.00 Near: 20 XP
-1.00 Near: 10 XP
NRA
+2.00
PRA
-0.75
NPC (RAF rule)
OS deviates @9cm x6
AA (RAF rule)
R: 16D, 16D, 16D
L: 16D, 16D, 16D
Accommodation Facility (+/- 2.00)
BE: 14 cpm, no difficulty w/ plus & minus lens
R: 15 cpm, no difficulty w/ plus & minus lens
L: 15 cpm, no difficulty w/ plus & minus lens
(pt reported seeing blurry before becoming clear for plus & minus lens)
MEM
R: +0.25
L: +0.25
Fusional Reserves (Prism Bar)
Near, PFV: 10/x/x (above blur point 10, double then single)
Near, NFV: x/20/16
Distance, NFV: x/8/6
Distance, PFV: x/25/10
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 6 cpm (slow BO)
Distance: 2 cpm (slow BO)
Interpupillary distance, IPD = 6.5cm
+gradient AC/A = 4:1, -gradient AC/A = 6:1
