Jannah (F/29) came with complaint of sometimes blurry far vision.. she has a pair of glasses that she uses for driving only.
Vision without glasses
R: 6/7.5
L: 6/7.5
Existing glasses
R: -0.50/-0.25×20 (6/6)
L: -0.50/-0.25×5 (6/6)
Retinoscopy shows:
R: PL
L: PL (L: left dominant eye) (L>R)
Near: L>R (adding +0.25 in OD: R>L)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 3 EP
Near: 2 XP
+1.00 Near: 4 XP
-1.00 Near: 1 EP
+2.00 Near: 6 XP
-2.00 Near: 3 EP
NRA
+1.00 (mono occlusion: OD blurry, OS blurry)
PRA
-1.25
NPC (RAF rule)
OD deviates @8cm x6
AA (RAF rule)
R: 8.5D, 8.5D, 8.5D (blur @end of RAF rule, clear @26cm)
L: 8.5D, 8.5D, 8D (blur @end of RAF rule, clear @30cm)
MEM
R: +1.00
L: +1.00
Accommodation Facility (+/- 1.50)
BE: 8 cpm, difficult plus lens
R: 10 cpm, difficult plus lens
L: 11 cpm, difficult plus lens
Fusional Reserves (Prism Bar)
Near, NFV: x/10/6
Near, PFV: x/6/4
Distance, NFV: 4/8/2
Distance, PFV: 20/25/20
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 1 cpm (double BO)
Distance: 0 cpm (double BO & BI) [with BI – double goes further away with blink]
Interpupillary distance, IPD = 6.4cm
Jannah reported seeing double sometimes looking far.
