Rose Chong

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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