Philycia (F/26) came for eye examination, with complaint of slight blurry far vision with existing glasses. She complains about eyestrain & headache(twice a week) after using computer since she was back at school.
Vision without glasses
R: 6/45+1
L: 6/30-
Vision with existing glasses 3-4yrs
R: -2.25 (6/9- 6/7.5- 6/6-)
L: -2.25 (6/6)
Examination shows:
R: -2.50 (6/6) (+1.00 blur lens test: 6/7.5-) (R: right dominant eye)
L: -2.25 (6/6) (+1.00 blur lens test: 6/9-)
Other assessments show:
Cover Test
Distance: NMD
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 0 – 1 EP
+1.00 Near: 4 XP
-1.00 Near: 3 – 5 EP
NPC (RAF rule)
TTN, TTN, 6/8cm, 6/8cm
NRA
+2.00
PRA
-1.75
AA (RAF rule)
R: 26yo, 27yo, 28yo
L: 26yo, 26yo, 26yo
Accommodation Facility (Flipper +/- 1.50)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.75
L: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: x/3/2
Near, PFV: x/20/18
Distance, NFV: x/6/4
Distance, PFV: x/16/14
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 1 cpm (double BO)
Distance: 0 cpm (double BO)
We try
R: -2.50
L: -2.25
Add: +0.75
Fusional Reserves (Prism Bar)
Near, NFV: x/14/12
To do slit lamp during collection