Regine (F/42) came for eye examination, vision with existing glasses is fine seeing far & she removes glasses to see near. She complains about tired eyes & lag in focusing after removing glasses to see near.
Vision without glasses
R: 6/7.5- 6/6-
L: 6/45
Vision with existing glasses
R: PL/-0.50×75 (6/6)
L: -3.25 (6/6)
Examination shows:
R: PL/-0.25×65 (6/6) (+1.00 blur lens test: 6/7.5-)
L: -3.00 (6/6) (+1.00 blur lens test: 6/12-) (L: left dominant eye)
Add: +1.00
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 8 – 10 XP
+1.00 Near: 16 – 18 XP
-1.00 Near: 0 – 1 EP
NRA
+1.25
PRA
-1.00
NPC (RAF rule)
TTN, TTN, RE deviates @6cm
AA (RAF rule)
R: 42yo, 43yo, 44yo
L: 43yo, 43yo, 43yo
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.50
L: -0.25
Fusional Reserves (Prism Bar)
Near, PFV: 16/25/20
Near, NFV: x/10/4
Distance, NFV: x/10/8
Distance, PFV: x/18/12
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 4 cpm (slow BI)
Distance: 5 cpm (eventually no double reported)
Slit Lamp Examination
R: clear on lens
L: clear on lens
Fluorescein staining
R: -ve staining
L: -ve staining