Kumutha (F/43) came for eye examination, with complaint of headache after seeing near. Headache goes away after rest. She does not wear glasses.
Vision without glasses
R: 6/6
L: 6/6-
Examination shows:
R: PL/-0.25×160 (6/6) (+1.00 blur lens test: 6/12-) (R: right dominant eye)
L: PL/-0.75×160 (6/6) (+1.00 blur lens test: 6/12+)
Add: +1.25 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 2 XP
+1.00 Near: 10 XP
-1.00 Near: 2 EP
NRA
+1.50
PRA
-0.50
NPC (RAF rule)
8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm, 8/12cm
AA (RAF rule)
R: 45yo, 45yo, 45yo
L: 46yo, 46yo, 46yo
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.50
L: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: x/14/10
Near, PFV: x/6/4
Distance, NFV: x/10/8
Distance, PFV: x/18/16
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 2 cpm (double BI)
Distance: 2 cpm (double BO)
Slit Lamp Examination
R: clear on lens
L: clear on lens
Fluorescein staining
R: -ve staining
L: -ve staining