Man (M/28) came for eye examination, complaining blurry far vision. His left eye is observed to be bulging out compared to his right eye and he reported the bulging has been there since young.
Vision with own glasses of 6years
R: -3.00/-2.75×5 (6/18-)
L: -6.00/-2.75×175 (blurry, cannot guess 6/120)
Examination shows:
R: -4.25/-2.75×5 (6/6) N5@40cm
L: -16.50/-3.75X175 (6/12+) N5-@30cm
Modified power for comfort of glasses wear
R: -4.25/-2.75×5
L: -7.50/-3.75X175
We plan to let him try to wear contact lens of power 800 in his left eye on top of wearing his spectacles
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
Left eye Exotropia @Distance & Near
(normal value: orthophoria/NMD-No Movement Detected or small XP fast recovery)
EP = Esophoria is misalignment of eye, eye is deviated inwards
XP = Exophoria is misalignment of eye, eye is deviated outwards
Exotropia = constant outwards position of eye
Esotropia = constant inwards position of eye
Man reported that he was seeing fine in his left eye 6years ago. With such huge increment of shortsighted power/myopia over the years, we strongly advise him to go and check his left eye with eye specialist doctor/ophthalmologist, but he is not keen to go at the moment. Having such extreme high power, this significantly increases the risks for vision impairment from pathologic eye conditions including retinal damage, cataract and glaucoma.
He is also advised to avoid adventurous, action-filled recreational activities such as bungee jumping that put higher risk for vision impairment.
We will still advise him to go and see ophthalmologist soonest.