December 2020
Wesley (M/8) came for eye examination, his mother Joanne reported he rubs & blinks his eyes always.
Vision with existing glasses of 1year+
R: -3.25/-1.50×5 (6/18-)
L: -1.50/-2.00×190 (6/15-)
Examination shows:
R: -4.25/-2.00×5 (6/9) PHNI
L: -2.25/-2.50×175 (6/9) PHNI
Other assessments show:
Cover Test
Distance: small XP, fast recovery
Near: moderate XP, moderate recovery
Howell Card
Distance : 4-6 XP
Near : 12-14 XP
Random Dot 3S
40″
*UpdatedA (6/3/2021)
Wesley came for follow up. Previously, we prescribed alternate patching while doing near work of 2hours every day, in which he returned after 1month+ of the vision therapy.
Examination shows:
R: -4.25/-2.00×5 (6/7.5-) PHNI, N5@35cm
L: -2.25/-2.50×175 (6/9) PHNI, N5@35cm
Other assessments show:
Random Dot 3S
12.5″
Cover Test
Distance: small XP, small recovery
Near: moderate XP, moderate recovery
Maddox Rod
Distance : 4 XP
Near : 8 XP
NPC (RAF rule)
TTN, TTN, TTN (observed with frowning of eyebrow)
AA (RAF rule)
R: 9cm, 10cm, 10cm
L: 9cm, 9cm, 10cm
NRA
+1.50
PRA
-1.00
MEM
R: +0.75
L: +0.75
Accommodation Facility (Flipper +/- 2.00)
R: 0 cpm – difficult plus lens
L: 5 cpm – difficult plus lens
BE: 6 cpm – difficult plus lens
Fusional Reserves (Prism Bar)
Near, PFV: 14/12
Near, NFV: 18/16
*UpdatedB (3months Follow Up)
Vision with existing glasses
R: -4.25/-2.00×5 (6/9-)
L: -2.25/-2.50×175 (6/9-)
Other assessments show:
Random Dot 3S
12.5″
Cover Test
Distance: small XP, fast recovery
Near: moderate XP, moderate recovery
Howell Card (6BD on OD)
Distance: 4-6-8 XP
Near: 12-14-16 XP
Maddox Rod
Distance: 4 BI
Near: 8 BI
Fusional Reserves (Prism Bar)
Near, PFV: 14/10
Near, NFV: 18/14
*UpdatedC (December 2021)
Wesley (M/9) came for follow up, father reported that he blinks his eyes lesser now. We prescribed patching therapy to him previously.
Vision with existing glasses
R: -4.25/-2.00×5 (6/12)
L: -2.25/-2.50×175 (6/12)
Examination shows:
R: -4.75/-2.00×5 (6/9-) PHNI N5@35cm
L: -2.25/-2.50×175 (6/12) PHNI N5@35cm
Other assessments show:
Cover Test
Distance: moderate XP, moderate recovery
Near: moderate XP, moderate recovery
Howell Card (6BD on OD)
Distance: beyond & out of blue scale
Near: beyond & out of blue scale
NPC (RAF rule)
12/16cm, 13/17cm, 14/18cm
AA (RAF rule)
R: 22 YO, 22 YO, 22 YO
L: 20 YO, 20 YO, 20 YO
NRA
+1.00
PRA
-0.50
Accommodation Facility (Flipper +/- 2.00) held at 20cm
R: 14 cpm, difficult minus lens
L: 13 cpm, difficult minus lens
BE: 10 cpm, difficult plus lens
*UpdatedD (15/1/2022)
Vision without glasses
R: 6/45-
L: 6/30-
Vision with existing glasses
R: -4.25/-2.00×5 (6/9-)
L: -2.25/-2.50×175 (6/12-)
Examination shows:
R: -5.25/-2.25×5 (6/6-) N5@35cm
L: -3.25/-2.75×175 (6/6-) N5@35cm
We gave 075/050/025 shortsightedness lower in both eyes/right eye but he did not want it
Near: L>R (adding +0.25/+0.50/+0.75 on right eye, still L>R)
We tried giving lesser astigmatism binocularly, but he did not like it
Discrepancy in power with last visit may be due to attention lost
Other assessments show:
Random Dot 3S
20″
Howell Card (6BD on OD)
Distance: 6-8 XP, (after blink: 2 XP)
Near: 18 XP & beyond
-1.00 Near: beyond blue bar
+1.00 Near: 18 XP & beyond
1 BI OU Near: 10-12-14 XP
2 BI OU Near: 4-6-8 XP
Modified (exercise glasses)
R: -4.50/-2.25×5 2BI
L: -2.50/-2.75×175 2BI
*UpdatedE (15/1/2023)
Wesley (M/11) came for eye examination, with complaint of difficulty seeing whiteboard at school.
Vision without glasses
R: 6/45
L: 6/45
Existing glasses (prescribed as exercise glasses while doing VT)
R: -4.50/-2.25×5 2BI (6/12) N6
L: -2.50/-2.75×175 2BI (6/15-) N6
Other assessments show: (with existing glasses)
Cover Test
Distance: alternating XT
Near: alternating XT
Howell Card (6BD on OD)
Distance: beyond blue scale, (after blink: 2-4 XP)
Near: beyond blue scale, (after blink: 16 – 18 XP)
+1.00 Near: beyond blue scale
-1.00 Near: beyond blue scale
+2.00 Near: beyond yellow scale
-2.00 Near: beyond blue scale
NPC (RAF rule)
12/16cm, 12/16cm, 14/18cm, 14/18cm, 16/20cm, 16/20cm (OD deviates @12, 14, 16cm)
AA (RAF rule) (N6 target)
R: 7.5D, 7.5D, 7.5D
L: 8D, 8D, 8D
Accommodation Facility (Flipper +/- 1.00)
BE: 10cpm, difficult plus lens
R: 9cpm, difficult minus lens
L: 7cpm, difficult plus lens
MEM
R: +0.25
L: -0.25
Fusional Reserves (Prism Bar)
Near, PFV: x/18/1
Near, NFV: x/16/8
Distance, PFV: x/18/16
Distance, NFV: x/16/14
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 1 cpm (double BO)
Distance: 1 cpm (double BO)
Random Dot 3S
25″
12.5″ (with Add +0.75)
