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APPLE PEA XIN YEE

Apple (F/7) came for eye examination, with glasses sitting very low on nose.

Vision with existing glasses of 2years:
R: +0.50/-1.50×5 (6/7.5)
L: +0.75/-1.00×5 (6/12)

Examination shows:
R: +0.75/-1.75×5 (6/6) N5@30cm
L: +1.50/-1.75×5 (6/7.5) N5@30cm

7/6/2021 Follow Up

Examination shows:
R: +0.75/-1.75×5 (6/6) N5@30cm
L: +1.50/-1.75×5 (6/6-) N5@30cm

Other assessments show:

Examination of 3D Vision (Titmus Fly)
20″
(normal value: 20″)

Examination of Eye Alignment/Vergence (Cover Test)
NMD @ Distance
small XP fast recovery @ Near
(normal value: orthophoria/NMD-No Movement Detected or small XP small 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)
Distance: 0 – 1 EP
Near: 0 – 1 EP
(normal value: 1 EP -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)
+2.00
(normal value: +1.50 to +2.50)

PRA (accommodation analysis – ability to stimulate accommodation)
-2.00
(normal value: -1.37 to -3.37)

Apple can see 6/6 line in both eyes now. Mummy reported that she tends to lie down to see phone without glasses. We explain that she needs to wear her glasses full time considering her longsighted & astigmatism power are on the higher side. Proper visual hygiene is reinforced as well.

We will see Apple in 3months.