Rames K. Kalaichelvan

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Rames (M/27) came for eye examination, with complaint of blurry far vision & glaring driving at night since many years ago. He wore glasses few years ago, he did not make a new pair after it was broken 5-6 years ago. Aiyo

Unaided Vision
R: 6/24-
L: 6/15-

Examination shows:
R: -1.50/-1.00×20 (6/7.5) (PH 6/7.5) [R: right dominant eye]
L: +0.25/-2.00×165 (6/6-) (+1.00 blur lens test: 6/15- 6/12-) [-2.25DC is not good seeing far away binocularly]

Other assessments show:

Cover Test
Distance: NMD
Near: small XP, fast recovery

Howell Card (6BD on OD)
Distance: 2 XP
Near: 2 – 4 XP 
+1.00 Near: 12 XP 
-1.00 Near: 8 – 10 XP 

NRA
+2.50

PRA
-0.25

MEM
R: +1.00
L: +1.00

Modified
R: -1.50/-1.00×20
L: +0.25/-2.00×165
Add: +0.75

Other assessments show: (done with Add)

NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN, TTN

AA (RAF rule)
R: 25yo, 25yo, 25yo (N6)
L: 20yo, 20yo, 20yo

Accommodation Facility (Flipper +/- 0.50)
BE: 18cpm, difficult minus lens
R: 17cpm, difficult minus lens
L: 17cpm, difficult minus lens

MEM
R: +0.50
L: +0.50

Fusional Reserves (Prism Bar)
Near, NFV: 16/25/18
Near, PFV: 12/20/16
Distance, NFV: x/10/6
Distance, PFV: 16/18/12

Vergence Facility (Prism Flipper of 12Base Out & 3Base In)
Near: 9 cpm (slow BO)
Distance: 10 cpm (slow BO)

Interpupillary distance, IPD = 6.4cm