Leela (F/43) came for eye examination, with complaint of blurry near vision for some time already. She sometimes feels dizzy with near work.
Vision without glasses
R: 6/6
L: 6/6
Examination shows:
R: PL (6/6) [+1.00 blur test: 6/9-] [R: right dominant eye] L>R
L: PL (6/6) [+1.00 blur test: 6/12]
Add: +1.25 R>L (adding +0.50 in OS: L>R)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 1 EP
Near: 4 – 6 XP
+1.00 Near: 8 – 10 XP
-1.00 Near: 2 – 4 XP
+2.00 Near: 2 – 4 XP
-2.00 Near: 1 EP
NRA
+0.50 (occlusion monocularly: OD better, OS better)
PRA
-1.00 (occlusion monocularly: OD better, OS better)
NPC (RAF rule)
LE deviates @12/14cm
AA (RAF rule)
R: 43yo, 43yo, 43yo
L: 43yo, 44yo, 45yo
NPC (RAF rule) with Add +1.75
LE deviates @12/14cm
Accommodation Facility (Flipper +/- 0.50)
BE: 17 cpm, difficult plus lens
R: 18 cpm, difficult plus lens
L: 18 cpm, difficult plus lens
MEM
R: PL
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: 14/18/12
Near, NFV: 2/6/4
Distance, NFV: x/8/6
Distance, PFV: x/16/12
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 0 cpm (double BO)
Distance: 0 cpm (double BO)
* All near tests are done with Add.
