Saravanan (M/48) came with complaint of blurry watching TV since many years ago, near vision is fine. He presents with hand & toes trembling.
His visual needs:
D: watch TV
N: see phone
Vision without glasses
R: 6/12-
L: 6/12-
Examination shows:
R: -1.00 (6/7.5+) PHNI
L: -1.00 (6/7.5+) PHNI [L: left dominant eye]
Add: +1.25
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 1 EP
Near: 6 – 8 XP
-1.00 Near: 4 XP
NRA
+1.25
PRA
-1.75
NPC (RAF rule)
OD deviates @8cm x4
AA (RAF rule)
R: 42yo, 42yo
L: 42yo, 42yo
Accommodation Facility (+/- 1.00)
BE: 11 cpm, difficult minus lens
R: 12 cpm, difficulty minus lens
L: 10 cpm, difficult minus lens
MEM
R: PL
L: PL
Fusional Reserves (Prism Bar)
Near, PFV: x/20/14
Near, NFV: x/20/14
Distance, NFV: x/10/8
Distance, PFV: x/12/10
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 12 cpm
Distance: 0 cpm (double BO)
Interpupillary distance, IPD = 7.0cm
Fluorescein
R: -ve staining
L: -ve staining
