Mr Yoga (M/45) came for eye examination, with complaint of slight blurry far vision looking at far2 away. He removes glasses to see near.
Vision without glasses
R: 6/45-
L: 6/45
Vision with existing glasses
R: -3.50 (6/6)
L: -3.25/-0.50×60 (6/6)
Examination shows:
R: -3.50(6/6) (+1.00 blur lens test: 6/9-) (R: right dominant eye)
L: -3.00/-0.25×40 (6/6) (+1.00 blur lens test: 6/9-)
Add: +1.25 (N5@40cm)
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 1 EP
Near: 0 – 2 XP
+1.00 Near: 4 XP
-1.00 Near: 1 – 3 EP
NRA
+1.25
PRA
-0.75
NPC (RAF rule)
10/12cm, 10/12cm, 10/12cm, 10/12cm, 10/12cm, 10/12cm
Accommodation Facility (Flipper +/- 1.00)
BE: difficult minus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: +0.50
L: +0.25
Fusional Reserves (Prism Bar)
Near, NFV: 14/16/14
Near, PFV: x/25/20
Distance, NFV: x/8/4
Distance, PFV: x/25/18
Vergence Facility (Prism Flipper of 12BO & 3BI)
Near: 9 cpm (slow BO)
Distance: 2 cpm (double BO eventually)
Slit Lamp Examination
R: very3 mild yellowish on lens
L: very3 mild yellowish on lens
Fluorescein staining
R: -ve staining
L: -ve staining
