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Nampak Bayang Di Bawah Setiap Huruf?

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Ismah (F/19) datang untuk pemeriksaan mata, penglihatan dengan spek 2+ tahun masih okay tengok jauh & dekat.

Penglihatan tanpa cermin:
R: 6/120
L: cannot guess 6/120

Penglihatan dengan spek:
R: -5.00/-0.50×170 (6/6)
L: -5.00/-1.00×165 (6/6)

Pemeriksaan menunjukkan:
R: -4.75/-0.50×10 (6/6)
L: -4.75/-0.75×175 (6/6) [L: dominant left eye]
Beliau kata ada bayang kat bawah kanan setiap huruf yang berbentuk bulat seperti O, D, R di barisan 6/9, 6/7.5 & 6/6

Pemeriksaan lain menunjukkan:

Examination of Eye Alignment/Vergence (Cover Test, CT)
NMD @Distance  (on alternating CT: upon covering left eye, patient reported target goes down & left.. when covering right eye, target goes up & right)
small XP, fast recovery @Near  (on alternating CT: upon covering left eye, patient reported target goes down & left.. when covering right eye, target goes up & right)
(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/Posture (Maddox Rod)
Distance: 8 Base In, R 1 Base Up
Near: R 2 Base Up
Base Out/EP = Esophoria is misalignment of the eye, eye is deviated inwards
Base In/XP = Exophoria is misalignment of the eye, eye is deviated outwards

Examination of 3D Vision (Random Dot 3S)
25″
12.5″ (with Add +0.75 in both eyes)
(normal value: 12.5″)

Examination of Eye Muscles (OMT)

9 cardinal gazes (line is straight, red spotlight is at the middle)

3Steps Test (BHTT)
no hypertropia seen

AHP Head Posture
slight head tilt to left observed

Modified
R: -4.50/-0.50×10
L: -4.50/-0.75×175
Penglihatan dengan dua mata 6/6 (tak ada bayang dilaporkan)

Interpupillary Distance = 6.0cm