27/11/2021
Anila (F/8) datang untuk 6bulan follow up, penglihatan jauh & hadap hp/komputer okay & tak kabur. Tapi, Anila kata “mata rasa pedas macam kena burn” bila penat. Ibu kata Anila selalu gosok mata dulu, lepas pakai spek, sangat kurang dah.. beberapa kali saje yang nampak Anila gosok mata. Anila adakalanya tidak pakai spek kat rumah.
Tahap penglihatan tanpa cermin:
R: 6/15-
L: 6/6
Cycloplegic refraction:
R: +0.75/-2.75×180 (6/6)
L: +0.25/-1.00×180 (6/6) [L: mata kiri dominan] L>R
Near: R>L
Pakai spek & tak pakai spek.. Anila kata penglihatan sama saja
Pemeriksaan lain menunjukkan:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 6 – 8 XP
+1.00 Near: 10 – 12 XP
NPC (RAF rule)
16/22cm, 17/23cm, 17/23cm
AA (RAF rule)
R: 30 YO, 33 YO, 35 YO
L: 8 YO, 15 YO, 20 YO
NRA
+1.50
PRA
-1.50
MEM
R: +1.25
L: +0.75
Fusional Reserves (Prism Bar)
Distance, NFV: 6/1
Distance, PFV: 14/4
Near, PFV: 16/14
Near, NFV: 14/10
*UpdatedA
29/12/2022
Anila (F/9) came for follow up, her glasses were broken. She shared that she sees shadow on near print when she is tired or when she feels sleepy.
Vision without glasses
R: 6/12- slow
L: 6/6
Examination shows:
R: +0.25/-1.75×180 (6/6)
L: +0.25/-0.50×180 (6/6) [L: left dominant eye] L>R
Other assessments show:
Cover Test
Distance: NMD
Near: small XP, fast recovery
Howell Card (6BD on OD)
Distance: 0
Near: 6 XP
+1.00 Near: 10 XP
-1.00 Near: 2 – 4 XP
+2.00 Near: 12 – 14 XP
-2.00 Near: 2 XP
NRA
+2.25
PRA
-2.25
NPC
20/30cm, 22/34cm, 26/36cm, 22/34cm, 20/28cm, 26/36cm
AA
R: 30yo, 30yo, 30yo
L: 15yo, 15yo, 15yo
NPC (with Add +0.50)
12/14cm, 12/16cm, 12/18cm, 12/20cm
Accommodation Facility (+/- 2.00)
BE: 16 cpm, difficult plus lens
R: 17 cpm, difficult minus lens
L: 20 cpm, no difficulty
MEM
R: +1.25
L: +0.75
Fusional Reserves (Prism Bar)
Near, PFV: 6/20/8
Near, NFV: 12/18/16
Distance, NFV: x/8/4
Distance, PFV: x/25/18
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 9 cpm (slow BO)
Distance: 10 cpm (slow BO)
Modified
R: +0.25/-1.75×180 (6/6)
L: +0.25/-0.50×180 (6/6)
Add: +0.75/+0.50
Fusional Reserves (Prism Bar) we repeated
Near, PFV: x/20/14
Near, NFV: x/18/14
