SChin (F/53) came for eye examination, vision with existing glasses is getting blurry seeing near & computer these days. She has history of eye stroke in left eye in 2019.
Unaided Vision
R: 6/7.5-
L: 6/21 slow
Vision with existing glasses of 1+ years
R: +1.25/-0.75×110 (6/6-)
L: +1.50/-0.75×95 (6/18-)
Add: +2.00/+2.50
Examination shows:
R: +0.75 (6/6) (+1.00 blur lens test: 6/9+)
L: +1.25 (6/7.5 slow) (PH 6/12+)
Add: +2.00/+2.50
Other assessments show:
Cover Test
Distance: L Hypotropia
Near: L Exotropia & L Hypotropia
Random Dot 3S
900″
Maddox Rod
Distance: 6 BI, L 2 BU
Near: 10 BI, L 2 BU
Worth 4 Dots
Distance: 4 dots
Near: 2 dots
NPC (RAF rule)
16/26cm, 16/26cm, 16/26cm, 16/26cm (OS deviates @16cm)
MEM
R: +0.25
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/4/1
Near, NFV: 35/x/x
Distance, PFV: 35/x/x
Distance, NFV: x/x/x
Vertical Fusional Reserves (Prism Bar)
Near, BD: 2/1
Near, BU: x/x
SChin jie came at night, we advised her to come again earlier tomorrow.
The next day
Fusional Reserves (Prism Bar)
Near, PFV: x/6/4
Near, NFV: x/18/14
Distance, PFV: x/x/x
Distance, NFV: 4/18/14
Vertical Fusional Reserves (Prism Bar)
Near, BD: 10/5?
Near, BU: 10/8?
Amsler Grid
R: a few distorted lines
L: a lot distorted lines
Worth 4 Dots
Distance: 4 dots
Near: 5 dots
Colour Vision
R: normal
L: defect
We repeated
Vertical Fusional Reserves (Prism Bar) with 2BU on LE
Near, BD: 1/x
Near, BU: 3/2
Interpupillary distance, IPD = 6.6cm
26/2/2023
Chin jie came for follow up.
Unaided Vision
R: 6/7.5- 6/6-
L: 6/21- slow 6/18- slow 6/15- slow
Examination shows:
R: +0.75/-0.25×100 (6/6) (+1.00 blur lens test: 6/9+)
L: +1.00/-0.25×100 (6/9- slow) PHNI
Add: +2.25/+2.50
Other assessments show:
Cover Test
Distance: L Exotropia
Near: L Exotropia
Random Dot 3S
900″
Worth 4 Dots
Distance: 4 dots
Near: 2 dots
Maddox Rod
Distance: 8 BI, L 3 BU
Near: nil
Vertical Fusional Reserves (Prism Bar) with L 1BU
Distance, BD: 8/3
Distance, BU: 6/4
We repeated
Vertical Fusional Reserves (Prism Bar) without any prism
Distance, BD: 6/5
Distance, BU: 2/-3
Amsler Grid
R: a few distorted lines
L: a lot distorted lines
Colour Vision
R: normal
L: defect