Muhina (F/19) came for eye examination, vision with existing glasses is fine seeing far & near. She tends to have tired eyes upon prolonged near work.
Vision without glasses
R: 6/9-
L: 6/9- double
Vision with existing glasses of 3years
R: PL/-0.50×10 (6/6)
L: PL/-0.75×170 (6/6-)
Examination shows:
R: +0.25/-0.75×10 (6/6) (+1.00 blur lens test 6/9+) [R: right dominant eye] R>L
L: +0.25/-1.25×170 (6/6) (+1.00 blur lens test 6/9-)
Near: L>R
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
NMD @ Distance
NMD @ Near
(normal value: orthophoria/NMD-No Movement Detected or small XP, fast recovery)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
Examination of Eye Alignment/Posture (Howell Card) by 6^ Base Down on Right eye
Distance: 0 – 1 EP (yellow part)
Near: 0 – 2 XP (blue part)
+1.00 Near: 2 – 4 –> 0 – 2 XP (blue part)
(normal value: 0-1 EP or 0-3 XP @Distance and 0-6 XP @Near)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
NRA (Accommodation analysis – ability to relax accommodation) by plus lens
+3.25
(normal value: +1.50 to +2.50)
PRA (Accommodation analysis – ability to stimulate accommodation) by minus lens
-2.50
(normal value: -1.37 to -3.37)
MEM (Accommodation lag – to measure accommodation response seeing near target)
R: +0.50
L: +0.50
(normal value: +0.25 to +0.75)
Muhina has longsightedness with some astigmatism. We prescribe 025 longsightedness to help support her near work since she has complaint of tired eyes. Sometimes, this little support is all our eyes need to brace for the storms.. in getting ready for the mountains of assignments. Otherwise, her eyes systems are all well. So happy!
We would expect her power to be more stabilised with good eye systems. We also worry lesser & of course lesser checking work for us too hehehe
Aunty has a date with you two 2years later❤️?