12/4/2021
HRu (F/6) came for eye examination when she was 4+yo with slight blurry far vision. We monitored and she came in again recently.
Vision without glasses
R: 6/15
L: 6/18+
Examination shows:
R: +0.25/-1.50×175 (6/7.5-) N5@30cm
L: +0.50/-2.00×175 (6/7.5-) N5@30cm
Titmus Fly
20″
We will refer her for cycloplegic refraction.
*Updated 2/5/2021
Cycloplegic Refraction
R: +1.00/-2.00×170 (6/7.5-) PHNI N5@30cm
L: +1.50/-2.50X170 (6/7.5-) PHNI N5@30cm
__________________________________________
*UpdatedA 24/10/2021
Mother said Ru always likes to rest her frame on lower nose.. when prompted, she said that she feels more comfortable.
Vision with habitual glasses:
R: +1.00/-2.00×170 (6/6) N5@30cm
L: +1.50/-2.50X170 (6/6) N5@30cm
Other assessments show: (with habitual glasses)
Cover Test
Distance: NMD
Near: small XP, fast to moderate recovery
Howell Card (6BD on OD)
Distance: 2 XP
Near: 12 – 14 XP
NPC (RAF rule)
6/7cm, 6/7cm, 6/7cm
Jump Convergence: OD shows some lagging
AA (RAF rule)
R: 8cm, 6cm, 6cm
L: 6cm, 6cm, 6cm
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: 30/20
Near, NFV: 30/25
*UpdatedB
HRu (F/7) came for follow up, vision with existing glasses is fine seeing far & near. She is able to copy from whiteboard at school.
Vision without glasses
R: 6/9-
L: 6/15-
Vision with existing glasses
R: +1.00/-2.00×170 (6/6)
L: +1.50/-2.50×170 (6/6-)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 2 XP
Near: 10 – 12 XP
+1.00 Near: 10 XP
-1.00 Near: 4 XP
+2.00 Near: 12 XP
-2.00 Near: 6 – 8 XP
NRA
+2.75
PRA
-4.25
NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN, TTN, TTN
AA (RAF rule)
R: 16.5D, 16.5D, 16.5D
L: 16.5D, 16.5D, 16.5D
Accommodation Facility (+/- 2.00)
BE: 11 cpm, difficult plus lens
R: 12 cpm, difficult plus lens
L: 12 cpm, difficult plus lens
MEM
R: +0.25
L: +0.25
Fusional Reserves (Prism Bar)
Near, PFV: x/6/4
Near, NFV: x/14/10
Distance, PFV: x/12/10
Distance, NFV: x/8/4
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 11 cpm (slow BO)
Distance: 11 cpm (slow BO)
We repeated
Fusional Reserves (Prism Bar)
Near, PFV: x/6/4
Interpupillary distance, IPD = 5.8cm
