Ms Rose (M/51) came for eye examination, with complaint of slightly blurry looking at laptop & phone. She had Lasik 25years ago.
Unaided Vision
R: 6/6
L: 6/6
Examination shows:
R: PL (6/6) (+1.00 blur lens test: 6/12-) [R: right dominant eye]
L: PL (6/6) (+1.00 blur lens test: 6/9) L>R
Add: +2.00
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card
Distance: 1 EP
Near: 2 XP
+1.00 Near: 2 – 4 XP
-1.00 Near: 2 XP
NRA
+0.75
PRA
-0.50
NPC (RAF rule)
LE deviates @12cm x6
AA (RAF rule)
R: 46yo, 46yo, 46yo
L: 46yo, 46yo, 46yo
Accommodation Facility (Flipper +/- 0.50)
BE: 16cpm, difficult minus lens
R: 13cpm, difficult minus lens
L: 15cpm, difficult minus lens
MEM
R: +0.50
L: +0.25
Fusional Reserves (Prism Bar)
Near, NFV: x/18/12
Near, PFV: x/20/18
Distance, NFV: x/8/6
Distance, PFV: x/25/18
Vergence Facility (Prism Flipper of 12Base Out & 3Base In)
Near: 6 cpm [slow BO(more difficult)] & BI]
Distance: 4 cpm [slow BO & BI(more difficult)]
Interpupillary distance, IPD = 6.2cm
Contact lens (daily disposable multifocal)
R: PL low Add
L: PL mid Add
