Rezza (M/28) came for eye examination, vision with existing glasses is fine seeing far. He removes glasses to see near, otherwise he will feel tired eyes seeing near with glasses. He also reported seeing blurry when changing fixation from far to near.
Vision without glasses
R: 6/21- (w/ squinting: 6/12-)
L: 6/12-
Vision with existing glasses of 1+yrs
R: -1.50/-0.25×180 (6/6)
L: -1.25/-0.50×180 (6/6)
Examination shows:
R: -1.50 (6/6) (+1.00 blur lens test: 6/12-) (R: dominant eye)
L: -1.25/-0.25×180 (6/6) (+1.00 blur lens test: 6/12+)
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 8 – 10 – 12 XP
+1.00 Near: 10 XP
-1.00 Near: 4 XP
NRA
+1.25 (alternate monocular occlusion: OD clear, OS blur)
PRA
-1.00 (alternate monocular occlusion: OD blur, OS blur)
NPC (RAF rule)
8/10cm, 9/11cm, 10/12cm, 11/13cm, 12/14cm
AA (RAF rule)
R: 25yo, 25yo
L: 28yo, 28yo (blur @end of RAF rule, clear @26cm)
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.75
L: +0.75
Fusional Reserves (Prism Bar)
Near, PFV: x/10/4
Near, NFV: x/12/8
Distance, NFV: x/8/6
Distance, PFV: x/12/10
Fusional Reserves (Prism Bar) w/ Add +0.75
Near, PFV: x/10/6
Near, NFV: x/12/10
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 0 cpm (double BO)
Distance: 0 cpm (double BO)
Slit Lamp Examination
R: clear
L: clear
Fluorescein staining
R: -ve staining
L: -ve staining
Prescribe Relax lens
R: -1.50
L: -1.25/-0.25×180
Add: +0.75
KIV receded NPC & CI
Advise for Relax lens & to get it prescribed from local optometrist.