24/10/2021
HMing (M/9) Ru’s brother came for 6months follow up, he does not wear glasses. Vision is fine seeing far & near.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: PL (6/6) (+1.00 blur lens test 6/9-) N5@33cm
L: PL (6/6) (+1.00 blur lens test 6/9-) N5@33cm
Other assessments show:
Random Dot 3S
12.5″
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 4 – 6 XP
NRA
+2.50
PRA
-3.25
*UpdatedA
HMing (M/10) came for follow up. He is able to copy from whiteboard.
Vision without glasses
R: 6/6
L: 6/6
Subjective Refraction
R: PL/-0.25×175 (6/6) (+1.00 blur lens test: 6/9-)
L: +0.25 (6/6) (+1.00 blur lens test: 6/9-) L>R
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 1 – 3 EP
Near: 6 – 8 XP
+1.00 Near: 6 XP
-1.00 Near: 0 – 1 EP
+2.00 Near: 4 XP
-2.00 Near: 3 EP
NRA
+1.50
PRA
-2.00
NPC (RAF rule)
8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm
AA (RAF rule)
R: 12D, 12D, 12D
L: 12D, 12D, 12D
Accommodation Facility (+/- 2.00)
BE: 13 cpm, difficult plus lens
R: 13 cpm, difficult minus lens
L: 13 cpm, difficult plus lens
MEM
R: +0.25
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: 12/20/18
Near, NFV: x/12/10
Distance, NFV: x/6/4
Distance, PFV: x/10/8
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 7 cpm (slow BO)
Distance: 4 cpm (slow BO & BI)
Interpupillary distance, IPD = 6.2cm
We ask mother whether or not she realises that HMing rubs/blinks his eyes after seeing near for some time.. she did not really notice it.
We reinforce proper visual hygiene.
