Case:

  • Chief complaint: 56 YO White male complains of gradual decrease to vision OD over a few months
  • Entering VA OD: 20/50 OS: 20/20
  • Manifest Refraction:
    • OD: +3.25 -2.75 x 045 VA: 20/25
    • OS: +3.00 Sph VA: 20/20
  • Previous Manifest Refraction 1 year prior
    • OD: +2.75 -0.50 x 070
    • OS: +3.00 -0.25 x 125
  • Note significant increase in astigmatism OD