En. Syaufik (M/34) datang untuk pemeriksaan mata untuk buat cermin mata baru. Beliau mengadu adakalanya penglihatan beliau agak silau. Pemeriksaan sebelum ini menunjukkan usia/stamina mata ada kurang sikit.
Power cermin mata yang sama buat 1+ tahun
R: -0.75/-0.50×10 (6/6)
L: -0.75/-0.50×175 (6/6)
Tahap penglihatan tanpa cermin:
R: 6/9-
L: 6/9
Pemeriksaan menunjukkan:
R: -0.75/-0.50×10 (6/6) {+1.00 blur lens test 6/12-}
L: -1.00/-0.50×175 (6/6) {+1.00 blur lens test 6/12-} [L: mata kiri dominan] L>R
Slight vision fluctuation noted
Kita cuba rendahkan power tapi beliau tidak suka.. kita prescribe power yang sama macam dulu
Relax Add: +0.50
Pemeriksaan lain menunjukkan:
Pemeriksaan Alignment Mata (Cover Test)
NMD @ jauh
small XP, fast then moderate recovery @ dekat
(normal value: orthophoria/NMD-No Movement Detected atau small XP fast recovery)
Pemeriksaan Alignment/Postur Mata (Howell Card) by 6^ Base Down on Right eye
Jauh: 0
Dekat: 10 – 12 XP
-1.00 Dekat: 8 – 10 XP
(normal value: 0 – 1 EP or 0 – 3 XP @Jauh & 0 – 6 XP @Dekat)
EP = Esophoria is misalignment of the eye, eye is deviated inwards
XP = Exophoria is misalignment of the eye, eye is deviated outwards
NPC (Convergence – ability of eye to maintain a single clear near image) by RAF rule with near power
Right eye deviates out at around 8-10cm
(normal value: less than 10cm or to the nose, TTN)
Jump Convergence: Right eye deviates out after few rounds
AA (Accommodation/Focusing – eye stamina/ability of eye to focus & sustain seeing near clearly) by RAF rule
R: 18cm, 19cm, 20cm
L: 17cm, 17cm, 18cm
(normal value: 7.5cm for 34YO)
NRA (accommodation analysis – ability to relax accommodation with plus lenses)
+0.75
(normal value: +1.50 to +2.50)
PRA (accommodation analysis – ability to stimulate accommodation with minus lenses)
-0.50
(normal value: -1.37 to -3.37)
MEM (Accommodation lag – to measure accommodation response seeing near target)
R: +1.50 (refleks malap)
L: +1.25 (refleks malap, terang & malap)
(normal value: +0.25 to +0.75)
Facility (Accommodation facility – ability to change focus: far to near or near to far) by Flipper +/- 1.00
R: 0 cycle per minit(cpm), failed plus & minus lens
L: 1 cycle per minit(cpm), failed plus & minus lens
BE: 0 cycle per minit(cpm), failed plus & minus lens
(normal value: *data normal di bawah tidak digunapakai untuk usia 30 ke atas
Monocular or R/L: 6cpm to 16cpm
Binocular or BE-both eyes: 4cpm to 14cpm)
Fusional Reserves (Convergent/Divergent reserve stamina) by Prism Bar
Near, Base-Out/Convergent, PFV: x/x/x (right eye noted to deviate at 20^)
Near, Base-In/Divergent, NFV: 14/25/18
(normal value: Blur/Break/Recovery)
Near, PFV: 16/10-28/7-21
Near, NFV: 13/7-19/5-15
[Scheiman]
[Interpupillary distance, PD: 7.0cm]
En. Syaufik sedang sambung PhD, maka banyak tugasan research yang perlu dibuat. Kita akan bagi terapi penglihatan untuk regulate akomodasi & binocular vision. Motivasi diperlukan dalam kita sama-sama jayakan terapi penglihatan ini.