Yap Sew Lian

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Lian jie (F/54) came for eye examination, with complaint of slight blurry far vision seeing subtitles on TV. She was told to go see ophthalmologist 2years ago to have laser.

Vision without glasses
R: 6/9- 6/7.5- 6/6- slow (double shadowy)
L: 6/6

Subjective Refraction
R: PL/-0.50×75 (6/6) (+1.00 blur lens test: 6/7.5-)
L: PL (6/6) (+1.00 blur lens test: 6/7.5-) (L: left dominant eye)
Add: +1.50

Other assessments show:

Cover Test
Distance: NMD
Near: NMD

Howell Card (6BD on OD)
Distance: 0 – 1 EP
Near: 4 – 6 XP
+1.00 Near: 6 – 8 XP
-1.00 Near: 4 – 6 XP

NPC (RAF rule)
6/10cm, 6/10cm, RE deviates @8cm

NRA | PRA
+0.75 | -0.50

MEM
R: dim
L: +0.25

Fusional Reserves (Prism Bar)
Near, PFV: x/x/x
Near, NFV: 4/10/8 (above break point 4, double then single)
Distance, NFV: x/8/6
Distance, PFV: x/20/18

Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 4 cpm (double BO at last)
Distance: 7 cpm (slow BO)

Amsler Grid
R: normal
L: normal

Colour Vision
R: normal
L: normal