Janet came for eye examination complaining blurry far vision with existing glasses of 1year. Recently, she was told that her power has increased to 500++.
Examination shows:
R: -5.00/-0.75×180 (6/6)
L: -5.00/-0.75×180 (6/6)
Janet’ shortsighted power has increased 050 for both eyes while her astigmatism power is maintained. She works in a college, and there has been a lot of near work recently, especially during this phase of online learning. Increment of 050 in a year is on borderline, continuous pattern of such power increment would be no good. For those who use computer or have near work for long hours every day, always remember to have regular break (or our 20-20-20 rule) in between near task to manually relax your eyes. Some people may think that they do not want such hassle/inconvenience and your power keep spiking and/or your eyes are always tired looking at computer, you may use optical means in terms of spectacle Relax lenses to help relax your eyes instead of you manually relax your eyes.
Janet also uses contact lenses of Miacare Delight daily disposable of high oxygen lenses & she likes the comfort of it.
With Revlon transparent CatEye frame in pairing with Kodak EvoBlue, Janet gives it a go at an outlook that she has not tried before. Life’s short to hold yourself a tiny bit and let’s rock it like a star!
Thank you Janet for your trust & support!
*Updated
Janet came for a follow up after 9months. Her far vision is fine, and she feels that she needs to go closer to laptop in order to see better. She also complains of dryness upon prolonged near work.
Vision without glasses
R: 6/120+1
L: 6/120
Examination shows:
R: -5.00/-0.75×180 (6/6-)
L: -5.00/-0.75×180 (6/6-)
Relax Add: +1.00
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
NMD @Distance
small EP, 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 (Howell Card – prism base down held before right eye)
Distance: 0 – 1 EP (yellow side)
Near: 1 – 3 EP (yellow side)
+1.00 Near: 0
(normal value: 1 EP-0 or 0-3 XP @Distance & 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)
+2.50
(normal value: +1.50 to +2.50)
PRA (accommodation analysis – ability to stimulate accommodation)
-1.00
(normal value: -1.37 to -3.37)
Janet has slight 1 to 3 esophoria at near, when we give Relax +1.00 at near, we can see that the alignment is normalised back to 0. So, we will prescribe a pair of Relax reading glasses for her to use at home when she needs to use her phone for a long time.
We also notice that she tends to hold her phone very upclose, in which we advise proper distance in holding our phone, the Harmon distance – phone should be held at an elbow distance from your face to your phone. Sometimes, we are used to the way of holding our phone very upclose, and if you do not like the idea of holding further away, you may opt for another pair of Relax reading glasses (just for seeing hp) or you may opt for a pair of Relax glasses (just a single pair of glasses that incorporates Relax power at the bottom of your lenses).
For her dryness, fluorescein (yellow dye) came out negative, the front surface of eye is intact with no dry spot detected. But Tear BreakUp Time, TBUT is lower, lid & lid margin are healthy. Low TBUT indicates oil layer is insufficient on eye surface, hence tears get evaporated fast causing dryness. We advise her to get Systane Balance eye drop from pharmacy to be used whenever she feels the symptom of dryness. Alternatively, we can take food rich in Omega 3 so that we have a healthy oil layer on our eyes.