18/9/2022
EYi (F/9) came for follow up. She can copy from whiteboard, now that she sits in the middle row of her class. She feels that her eyes are tired. Previously, we prescribed her eye patch (to patch Left eye) but no improvement obtained in vision of Right eye.
Vision without glasses
R: 6/45-
L: 6/15-
Existing Glasses
R: -3.25/-1.50×165 (6/18-)
L: -0.75/-1.50×180 (6/9- 6/7.5- 6/6-)
Subjective Refraction
R: -3.00/-1.25×165 (6/18-) PH 6/12
L: -0.75/-1.25×10 (6/9- 6/7.5- 6/6-)
Other assessments show:
Hirschberg
RE hypertropia (reflex in RE is downwards, nearer to lower pupil margin)
Cover Test
Distance: RE hypertropia & exotropia
Near: alternating exotropia
Maddox Rod
Distance: 2 Base In
Near: 2 Base In
MEM
R: -0.50
L: +0.50
Worth 4 Dots
Distance: 3 lights
Near: 1 light?
Random Dots 3S
400″
We refer EYi for cyclo Rx to co-manage with eye doctor/ophthalmologist and orthoptist.
*UpdatedA 22/10/2022
EYi (F/9) came for follow up, while waiting for eye appointment due to parents’ work schedule.
We change her lenses (VA OU 6/6-)
R: -2.75/-1.25×165 (6/21) (N5 looks dim)
L: -0.75/-1.25×10 (6/7.5) (N5 looks bright)
Add: +0.50
Pt reported more comfortable seeing near through lower portion.
Other assessments show:
Cover Test
Distance: RE hypertropia & exotropia
Near: alternating exotropia
Worth 4 Dots
Distance: 4 lights
Near: 1 light?
Random Dots 3S
400″
Lid & Adnexa
R: ptosis
Interpupillary distance, IPD = 5.8cm
We will see her in 6weeks.
*UpdatedB 10/12/2022
Existing glasses
R: -2.75/-1.25×165 (6/21) (N5 looks dim)
L: -0.75/-1.25×10 (6/7.5) (N5 looks bright)
Add: +0.50
Other assessments show:
Random Dots 3S
400″
Cover Test
Distance: RE hypertropia & exotropia
Near: alternating exotropia
Maddox Rod
Distance: 12 BI, R 4 BD
Near: orthophoria
AA (target N10)
R: 15yo, 15yo, 15yo (blur @end of RAF rule, clear @30cm)
L: 15yo, 20yo, 25yo
Accommodation Facility (+/-1.50) xclear -2.00
BE: difficult plus lens
R: difficult minus lens
L: difficult minus lens
MEM
R: -0.50
L: PL