En. Mat (M/45) came with complaint of blurry near vision with existing glasses.. removing glasses to see far is better. He sometimes feels that his eyes are dry & gritty.
Vision without glasses
R: 6/6-
L: 6/6-
Existing glasses of 4-5years
R: -0.50/-0.25×180 (6/-)
L: -0.25/-0.25×155 (6/7.5-)
Add: +1.50
Examination shows:
R: +0.50/-0.50×180 (6/6) [+1.00 blur test: 6/9]
L: +0.50/-0.25×180 (6/6) [+1.00 blur test: 6/9] [L: left dominant eye]
Add: +1.50
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 4 XP
+1.00 Near: 4 XP
-1.00 Near: 4 XP
NRA
+1.25
PRA
-0.25
NPC (RAF rule)
TTN, TTN, 7/9cm, 7/9cm, 7/9cm, 7/9cm
AA (RAF rule)
R: 44yo, 44yo, 44yo
L: 43yo, 43yo, 43yo
MEM
R: +0.75
L: +0.75
Fusional Reserves (Prism Bar)
Near, PFV: x/30/18
Near, NFV: x/20/16
Distance, NFV: x/6/4
Distance, PFV: x/20/18
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 9 cpm (slow BO)
Distance: 1 cpm (slow BO)
Interpupillary distance, IPD = 6.6cm
Slit Lamp
R: mild cataract, pterygium
L: mild cataract, pterygium
Fluorescein
R: mild staining
L: mild staining
