Jason L (M/19) vision with existing glasses is fine seeing far & near. He reported feeling dry eyes towards end of the day.
Vision without glasses
R: 6/15- 6/12-
L: 6/12- 6/9-
Existing glasses 3-4years
R: -1.50/-2.00×180 (6/6)
L: -1.25/-2.75×180 (6/6-)
Examination shows:
R: -1.50/-2.25×175 (6/6) [+1.00 blur test: 6/9-]
L: -1.25/-2.75×175 (6/6) [+1.00 blur test: 6/12+] [L: left dominant eye]
Lowering DS/DC is xfavoured @D seeing far2 away
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 – 3 EP
Near: 1 – 3 EP
+1.00 Near: 2 XP
-1.00 Near: 1 EP
+2.00 Near: 2 XP
-2.00 Near: 1 EP
NRA
+2.25
PRA
-2.00
NPC (RAF rule)
OD deviates @8cm x6
AA (RAF rule)
R: 13.5D, 13.5D, 13.5D
L: 13.5D, 13.5D, 13.5D
Accommodation Facility (+/- 2.00)
BE: 18 cpm, difficult plus lens
R: 19 cpm, difficulty minus lens
L: 20 cpm, difficult minus lens
MEM
R: +1.00
L: +1.00
Fusional Reserves (Prism Bar)
Near, NFV: x/20/18
Near, PFV: x/35/30
Distance, NFV: x/12/10
Distance, PFV: x/30/25
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 12 cpm (slow BI)
Distance: 10 cpm (slow BI)
Interpupillary distance, IPD = 6.1cm
Fluorescein
R: -ve staining
L: -ve staining
Modified
R: -1.50/-2.25×175
L: -1.25/-2.75×175
Add: +0.50
