Jerson (M/6) came for eye examination, mother reported that he holds phone very close to his eyes and he always rubs his eyes. Examination shows that he has high shortsighted power and high astigmatism and he has not worn any glasses before. So, we referred him for cycloplegic refraction. He is on atropine eye drop.
Cycloplegic refraction shows:
R: -3.50/1.50×180 (6/18) N5@30cm
L: -5.00/-2.00×180 (6/18) N5@30cm
Other assessments show:
Titmus Fly
25″
Cover Test
NMD @Distance & Near
Colour Vision
normal
*UpdatedA 24/5/2021
Jerson went for 3months follow up with his ophthalmologist & came back with a new eye prescription from optometrist.
R: -4.00/1.50×180 (6/9) N5@30cm
L: -5.50/-2.00×180 (6/9-) N5@30cm
*UpdatedB (26/5/21)
Cover Test
NMD @Distance & Near
Howell Card
Distance: 2 XP
Near: 1 EP -> 0
Fusional Reserves (Prism Bar)
Near, NFV: x/18/12
Near, PFV: x/25/14
*UpdatedC (6/12/2021)
Vision with existing glasses
R: -4.00/1.50×180 (6/9+) N5@30cm
L: -5.50/-2.00×180 (6/7.5+) N5@30cm
Howell Card
Distance: 0 – 1 EP
Near: 1 EP
+1.00 Near: 0 – 2 XP (blue part)
Previous glasses Near: 0 – 1 EP
Accommodation Facility (Flipper +/-2.00)
BE: 9 cpm, difficult plus lens
R: 10 cpm, difficult minus lens
L: 10 cpm, difficult minus lens
NPC (RAF rule)
6/8cm, 6/8cm, 6/8cm
MEM
R: +0.25
L: +0.25
Jerson will continue patching therapy (alternate eye).
*UpdatedD (9/7/2022)
Jerson (M/7) came back for follow up, he is still on atropine eye drop. We ask whether or not he can copy from whiteboard at school, he said he can see & copy.
Vision without glasses
R: 6/60
L: 6/60-
Prescription
R: -4.25/1.50×180 (6/6-) N5
L: -5.50/-2.00×180 (6/6-) N5
Cover Test
NMD @Distance & Near
Howell Card
Distance: 1 EP
Near: 1 EP
+1.00 Near: 2 XP
-1.00 Near: 3 EP
NPC (RAF rule)
7/12cm, 7/14cm, 7/14cm
MEM
R: +0.25/PL
L: +0.50
Fusional Reserves (Prism Bar) a bird target is used
Near, NFV: x/20/18
Near, PFV: x/35/30
Distance, NFV: x/10/8
Distance, PFV: x/14/8
Random Dot 3S
25″
*UpdatedE (29/12/2022)
Jerson came for follow up. He is on atropine & alternating patching.
Vision without glasses
R: 6/45-
L: 6/60
Existing glasses
R: -4.25/1.50×180 (6/6) N5@33cm
L: -5.50/-2.00×180 (6/6) N5@33cm
Other assessments show:
Cover Test
Distance: NMD
Near: NMD
Howell Card (6BD on OD)
Distance: 0
Near: 1 EP
+1.00 Near: 0 – 2 XP
-1.00 Near: 7 EP
NPC
TTN, TTN, TTN, TTN, TTN, TTN
Fusional Reserves (Prism Bar)
Near, NFV: x/18/16
Near, PFV: x/25/16
Distance, NFV: x/8/6
Distance, PFV: x/14/12
Vergence Facility (Prism Flipper 12BO/3BI)
Near: 7 cpm (slow BO & BI)
Distance: 4 cpm (slow BO)