Nicholas (M/39) came for eye examination, with complaint of sometimes slight blurry near vision with existing glasses.
Vision without glasses
R: 6/6
L: 6/12-
Vision with existing glasses
R: +0.75/-0.25×90 (6/6)
L: +1.50/-0.75×90 (6/9- 6/7.5-)
Examination shows:
R: +0.50/-0.25×90 (6/6) (+1.00 blur lens test: 6/6-) (R: right dominant eye)
L: +1.50/-0.50×80 (6/9- 6/7.5-) (PHNI)
Add: +1.00 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 3 – 5 EP
Near: 1 – 3 EP
+1.00 Near: 0 – 2 XP
-1.00 Near: 3 EP
NRA
+1.75
PRA
-0.50
NPC (RAF rule)
10/12cm, 10/12cm, 10/12cm, 10/12cm, 10/12cm, 10/12cm
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.75
L: +1.00
Fusional Reserves (Prism Bar)
Near, NFV: x/12/10
Near, PFV: x/18/16
Distance, NFV: x/8/4
Distance, PFV: x/20/18
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 6 cpm (slow BO)
Distance: 7 cpm (slow BO)
Lid & Adnexa
R: meibomian gland capping
L: meibomian gland capping
Slit Lamp Examination
R: very3 mild yellowish on lens
L: very3 mild yellowish on lens
Fluorescein staining
R: -ve staining
L: -ve staining
