1/7/2022
Faiz (M/13) datang untuk pemeriksaan mata, beliau dapat nampak & salin papan putih kat sekolah. Beliau kata penglihatan jauh & dekatnya masih okay.
Preskripsi yang dibawa
R: -1.75 (6/6-)
L: -1.75 (6/6-)
Vision without glasses
R: 6/18+
L: 6/18+
Examination shows:
R: -1.50 (6/6) [+1.00 blur lens test: 6/12]
L: -1.50 (6/6) [+1.00 blur lens test: 6/9-] (L: left dominant eye)
Other assessments show:
Cover Test
Distance: large alternating exotropia @Distance (fixing OD) (sometimes eyes are straight)
Near: small EP, fast recovery
Howell Card (6BD on OD)
Distance: no double arrow seen (6/8/10BD on OD)
Near: 5 EP
+1.00 Near: 2 XP
-1.00 Near: 19 EP & beyond the scale of 21 EP
NPC (RAF rule)
1st: RE deviates inwards @18cm
2nd: RE deviates inwards @32cm
3rd: 8/10cm
4th: 14/16cm
5th: RE deviates inwards @32cm
Modified power
R: -1.50
L: -1.50
Add: +1.00
Worth 4 Dots
Distance: 4 dots
Near: 4 dots
NPC (RAF rule)
1st: 16/18cm (RE is seen to deviate inwards @18cm
2nd: RE deviates inwards @18cm
3rd: 16/18cm (RE is seen to deviate inwards @18cm
AA (RAF rule)
R: 20yo, 25yo, 30yo
L: 20yo, 25yo, 30yo
Fusional Reserves (Prism Bar)
Near, PFV: x/4/2
Near, NFV: x/x/x
Distance, NFV: x/x/x
Distance, PFV: x/x/x
Random Dot 3S
12.5″ (when focused)
Modified
R: -0.50
L: -0.50
Pt is comfortable to wear for far & near vision.
(For -0.75 OU & above, pt likes to remove to see near)
Cover Test
Distance: large alternating exotropia (fixing OD)
Near: small alternating exotropia [Far>Near]
– Kita tanya sama ada Faiz perasan yang matanya boleh bergilir juling keluar.. beliau tidak tahu dan tidak dapat kawal & tarik matanya untuk masuk balik.
– Bila kita suruh Faiz untuk tuliskan namanya atas kertas, beliau seolah meniarap di atas meja – beliau berada sangat dekat dengan kertas (<15cm) untuk tulis. Ibu ayah kata beliau sentiasa tulis macam itu biarpun berkali-kali ditegur. Ini mungkin disebabkan yang beliau kerahkan focusing mata untuk tarik masuk/converge dua mata supaya nampak jelas pada kertas semasa menulis.
– Ibu ayah kemudian bagitahu yang mereka tahu Faiz mula juling sejak umur 5-6tahun lagi.
– We prescribe -0.50 OU for full-time wear & Dot Card.
*UpdatedA 5/11/2022
Faiz (M/13) came for follow up, mother reported that he has not been using his glasses often.
Vision without glasses
R: 6/15
L: 6/15-
Examination shows:
R: -1.25 (6/7.5)
L: -1.25 (6/7.5) (L: left dominant eye)
Other assessments show:
Random Dot 3S
12.5″ (when focused)
Cover Test
Distance: large alternating exotropia, slow recovery
Near: small XP, fast recovery (XP increases with prolonged ACT)
Worth 4 Dots
Distance: 4 dots (sometimes 5 dots)
Near: 4 dots
NRA
+2.25
PRA
-1.25
NPC (RAF rule)
TTN, TTN, TTN, TTN, TTN, TTN
AA (RAF rule)
R: 30yo, 35yo, 30yo, 35yo
L: 25yo, 30yo, 35yo
Accommodation Facility (+/- 2.00)
BE: 17 cpm, difficult minus lens
R: 18 cpm, difficult minus lens
L: 18 cpm, difficult minus lens
MEM
R: +0.50
L: +0.50
Fusional Reserves (Prism Bar)
Near, PFV: 18/x/x
Near, NFV: 16/x/x
Distance, PFV: eye deviates @6^
Distance, NFV: eye deviates @1^
Assessing Control of IXT
Subjective
Clinic Control
Distance: score 2 (poor control)
Near: score 0 (good control)
Objective
Binocular VA
Distance: 6/9
Interpupillary distance, IPD = 6.5cm
Kita tanya Faiz sama ada beliau tahu matanya akan juling keluar.. beliau kata mata kirinya yang biasanya juling keluar.
Ibu bagitahu Faiz tak berapa banyak buat Dot Card.
Kita bagi dorongan & kita galakkan Faiz untuk terus usahakan buat Dot Card.
