Jia (F/18) came for eye examination, vision with existing glasses is still fine seeing far & near.
Vision with existing glasses of 1.5years
R: -3.75/-0.50×180 (6/6)
L: -3.75/-1.00×145 (6/6-)
Examination shows:
R: -3.75/-0.75×180 (6/6) (+1.00 blur lens test 6/9-)
L: -3.75/-1.25×145 (6/6) (+1.00 blur lens test 6/9-) [L: dominant left eye] L>R
Add: +0.75 R>L
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
NMD @Distance
small XP, 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
Examination of Eye Alignment/Posture (Howell Card) by 6^ Base Down on Right eye
Distance: 0 – 2 XP (blue part)
Near: 2 – 4 XP (blue part)
+1.00 Near: 4 – 6 XP (blue part)
(normal value: 0-1 EP or 0-3 XP @Distance; and 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
NRA (Accommodation analysis – ability to relax accommodation) by plus lens
+2.00
(normal value: +1.50 to +2.50)
PRA (Accommodation analysis – ability to stimulate accommodation) by minus lens
-1.00
(normal value: -1.37 to -3.37)
MEM (Accommodation lag – to measure accommodation response seeing near target)
R: +0.75
L: +0.75
(normal value: +0.25 to +0.75)
Jia’s eye alignment is good, her eye’s posture at far & near are within normal value. Her focusing is well too. All these translate to a more stabilised power, hence no increment of shortsightedness/myopia. Her findings show slight reduction on ability to stimulate accommodation, PRA.. in which we prescribe added plus lenses on near to help support her near work, considering increasing near demand during studies soon.
Jia asked.. how come her sis, Thong has so many other tests? Yes, because Thong shows some findings that require us to test more in order for us to find out about her eyes.. and how we can do something about it. What is happening to you & your vision, only you will know.. and we will know after we do all those tests. That is why, we always start by asking about your visual complaint.. then we will conduct certain tests so that we know what causes your complaint.
Happy to see that Jia’s eyes are good.. giving the little support in near work is all needed❤️