Dira (F/8) datang untuk pemeriksaan follow up selepas 1 tahun selepas cermin matanya patah. Beliau ada postur kecondongan kepala ke kiri(AHP head tilt to Left) dan mata kanan hipertropia (juling/strabismus – keadaan ketidaksejajaran mata di mana paksi visual sebelah mata kanan lebih tinggi daripada mata kiri). Ayah bagitahu yang doktor mata kata mungkin ayah sendiri ada juling. Tiada sejarah jatuh/trauma atau sejarah juling dalam keluarga dilaporkan.
Penglihatan dengan cermin mata:
R: -2.25/-0.50×160 (6/9-)
L: -1.75/-1.25×175 (6/7.5-)
Pemeriksaan menunjukkan:
R: -2.50/-0.50×160 (6/7.5) N5@33cm [with 2BO, 2BU can see 6/6]
L: -2.00/-1.25×175 (6/6) N5@33cm
Pemeriksaan lain menunjukkan:
Penilaian Penglihatan 3D (Titmus Fly)
400″
(normal value: 20″)
Pemeriksaan Alignment Mata (Cover Test)
small HyperT RE, fast recovery @Far
small HyperT RE, fast recovery @Near
(normal value: orthophoria/NMD-No Movement Detected or small XP fast recovery)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
HyperT = Hypertropia is misalignment of the eye, eye turns upwards
HypoT = Hypotropia is misalignment of the eye, eye turns downwards
Pemeriksaan Alignment Mata (Maddox Rod)
Far: 4 BO, 2 BU
Near: 1 BI, 2 BU
BO = prism Base Out
BI = prism Base In
BU = prism Base Up
BD = prism Base Down
Pemeriksaan Alignment Mata (Howell Card)
Near (6 or 8 BD on RE): only 1 arrow is seen
Near (10 BD on RE): 2 -> 4 -> 8 XP
(normal value: 1 EP -3 XP @Far, 0-6 XP @Near)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
We will do BHTT at next follow up.
Congenital strabismus… DVD?
Dira dijadualkan untuk pemeriksaan follow up dengan doktor pakar mata bulan depan. Kita tunggu update daripada ibubapa Dira nanti.