Mr Lee YS (M/66) came with complaint of blurry near vision with existing reading glasses recently.. he is unable to read newspaper now. He wakes up at 2am to get ready for work (he sells mee) & he sleeps at 7pm.
Vision without glasses
R: 6/21-
L: 6/24-
Existing glasses of 2+years
R: +2.50/-1.50×90
L: +3.25/-1.25×90
Examination shows:
R: PL/-1.00×90 (6/12) [PH 6/12+] [R: right dominant eye]
L: +0.75/-0.50×90 (6/12) [PHNI]
Add: +2.50
Other assessments show:
Cover Test
Distance: NMD
Near: small – moderate XP, fast – moderate recovery
Howell Card (6BD on OD)
Distance: 1 EP
Near: 18 XP
NPC (RAF rule)
14/22cm, 14/22cm, 14/22cm, 14/22cm, 14/22cm, 14/22cm
Fusional Reserves (Prism Bar)
Near, PFV: x/20/18
Near, NFV: x/12/10
Distance, NFV: x/6/2
Distance, PFV: x/14/12
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 6 cpm (slow BO)
Distance: 0 cpm (double BO & BI)
Interpupillary distance, IPD = 7.0cm
Lid & Adnexa
MG capping
Slit Lamp
R: mild cataract
L: mild cataract
Fluorescein
R: mild staining
L: mild staining
Amsler
R: slight distorted lines
L: slight distorted lines
Mr Lee recently went to see eye doctor/ophthalmologist, was told that his cataract is still mild, no need for cataract surgery now.. ophthalmologist has asked him to go & make glasses first.
