Mr Ng KY (M/39) came for eye examination, with complaint of blurry near vision.. he will remove to see phone sometimes.
Vision without glasses
R: 6/15-
L: 6/30-
Existing glasses 2years
R: -1.25/-1.75×170 (6/6)
L: -1.50/-2.25×10 (6/6)
Examination shows:
R: -1.00/-1.25×170 (6/6) [+1.00 blur test: 6/9] [R: right dominant eye]
L: -1.50/-1.75×10 (6/6) [+1.00 blur test: 6/18]
Other assessments show:
Cover Test
Distance: NMD (ACT: pt reported RE sees target going down, LE sees target going up)
Near: NMD (ACT: pt reported RE sees target going down, LE sees target going up)
Howell Card (8BD on OD)
Distance: 0
Near: 4 XP
+1.00 Near: 6 XP
-1.00 Near: 2 XP
+2.00 Near: 12 XP
-2.00 Near: 0
NRA
+1.50 (mono occlusion: OD blurry, OS blurry)
PRA
-0.50 (mono occlusion: OD blurry, OS blurry)
NPC (RAF rule)
8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm, 8/10cm
AA (RAF rule)
R: 35yo, 38yo, 40yo (blur @end of RAF rule, clear @40cm)
L: 40yo, 42yo, 45yo (blur @end of RAF rule, clear @36cm)
Accommodation Facility (+/- 1.50)
BE: 13 cpm, difficult minus lens
R: 15 cpm, difficulty minus lens
L: 14 cpm, difficult minus lens
MEM
R: +1.00
L: +1.00
Fusional Reserves (Prism Bar)
Near, NFV: x/20/18
Near, PFV: 12/16/12
Distance, NFV: x/6/4
Distance, PFV: x/14/10
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 7 cpm (slow BO)
Distance: 0 cpm (double BO)
Interpupillary distance, IPD = 6.6cm
Fluorescein
R: mild staining
L: mild staining
Modified
R: -1.00/-1.25×170
L: -1.50/-1.75×10
Add: +0.75
