3/11/2022
Mr William (M/50) came, vision with existing glasses is fine seeing far & he removes glasses to see near. He also has a newer pair of progressive (but he did not bring).
Vision without glasses
R: 6/30+
L: 6/30
Existing glasses SV of 3+yrs
R: -1.50/-0.25×80 (6/9)
L: -1.25/-0.25×60 (6/6)
Examination shows:
R: -1.75 (6/6) [+1.00 blur test: 6/18+] [R: right dominant eye]
L: -1.50 (6/6) [+1.00 blur test: 6/12]
Add: +1.75 (N5@40cm)
– habitual ATR DC is favoured @N, prescribe? (as corneal w/ WTR DC)
Other assessments show:
Cover Test
Distance: NMD
Near: moderate XP, moderate recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 14 XP
+1.00 Near: 14 XP
-1.00 Near: 10 XP
NRA
+1.50
PRA
-1.75
NPC (RAF rule)
LE deviates @10cm/12cm x6
AA (RAF rule)
R: 44yo, 44yo (blur @end of RAF rule, clear @44cm)
L: 45yo, 45yo (blur @end of RAF rule, clear @44cm)
MEM
R: +0.25 (small pupil)
L: +0.25 (small pupil)
Fusional Reserves (Prism Bar)
Near, PFV: x/25/18
Near, NFV: x/14/12
Distance, NFV: x/8/4
Distance, PFV: x/14/12
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 12 cpm (slow BO)
Distance: 15 cpm
We repeated
Fusional Reserves (Prism Bar)
Near, NFV: x/20/18
Interpupillary distance, IPD = 6.8cm
We ask Mr William to bring his progressive.
7/3/2023
Existing glasses
R: -2.00/-0.50×95 (6/7.5-)
L: -2.00/-0.25×105 (6/6)
Add: +1.75
Examination shows:
R: -2.00 (6/6) [+1.00 blur test: 6/7.5-] [R: right dominant eye]
L: -2.00 (6/6) [+1.00 blur test: 6/7.5-]
Add: +2.00 (N5@40cm)
Other assessments show:
Cover Test
Distance: small XP, fast recovery
Near: moderate XP, moderate recovery
Howell Card (6BD on OD)
Distance: 0 – 2 XP
Near: 12 – 14 XP
+1.00 Near: 12 – 14 XP
-1.00 Near: 8 – 10 XP
NRA
+1.00
PRA
-1.50
NPC (RAF rule)
LE deviates @8cm, 9cm, 10/12cm, 12/14cm
Accommodation Facility (Flipper +/-1.00 & +/-0.50)
BE: difficult plus lens
R: difficult plus lens
L: difficult plus lens
MEM
R: -0.25 (small pupil)
L: -0.25 (small pupil)
Modify
R: -2.00
L: -2.00
Add: +1.50
Fusional Reserves (Prism Bar)
Near, PFV: 8/16/12 (LE deviates @14)
Near, NFV: 16/18/16 (LE deviates @16)
Distance, NFV: x/10/6
Distance, PFV: x/14/12
Vergence Facility (Prism Flipper 12BO, 3BI)
Near: 5 cpm (slow BO)
Distance: 8 cpm (slow BO)
We prescribe Brock string.
KIV 2/12