Priscilla (F/46) came for eye examination, with complaints of tired, burning to painful eyes, especially worst with near work. She has not worn any glasses before.
Vision without glasses
R: 6/6-
L: 6/6
Examination shows:
R: +0.25/-0.25×45 (6/6) [+1.00 blur lens test 6/7.5] [R: dominant right eye]
L: +0.25 (6/6) [+1.00 blur lens test 6/6-]
Add: +1.25
Other assessments show:
Examination of Eye Alignment/Vergence (Cover Test)
NMD @ Distance
small XP, fast to moderate recovery @ Near
(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 (Howell Card) by 6^ Base Down on Right eye
Distance: 2 – 4 XP (blue part)
Near: 18 – 20 XP (blue part)
(normal value: 0-1 EP or 0-3 XP @Distance and 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
Priscilla has longsightedness/hyperopia with power indicated with “+” sign – power that can be autocorrected by our eyes. When eyes are fresh, they have no problem autocorrecting the hyperopic power. Once your eyes are tired, you start to feel dry, burning, painful eyes to see.. as if you can no longer hold your eyes open. Upon +1.00 blur lens test, it shows that she has higher hyperopic power.. her eyes are tensed up due to overwork in which they reject more plus power now.
Simply giving the power your eyes need is all you can do for your eyes.. easing near vision will slowly take your symptoms away once your eyes start to relax/not tensed up anymore. When eyes are “opened up” & become more flexible, you will find that your hyperopic power increases slowly. This is so when they start relaxing by gradually accepting more plus power in helping to do some of the job.
Many will lament.. “I used to have very good eyesight without the need of glasses.. when I started wearing my glasses, my power keeps increasing.”
This is because your eyes are very pandai.. you wear spectacles, lenses do the job for you to see clearly.. they just goyang kaki.. hence no complaint langsung.. woohoooo
VS
Comparatively, if you do not wear glasses, eyes need to do the job for you to see clearly.. such hard work hence mogok you by giving you tired & dry, burning sensation.. aduhhhh
It is also partly due to the natural lens inside our eyes that loses elasticity (to exert & relax) as we enter 40yo.. the time most of us would start to need reading power to help with near work.
As long as eyes see good & feel good, wearing glasses is no problem at all. Give the little support our eyes need, in turn they work tirelessly in serving us.
Let us sayang our eyes by not forgetting to schedule an annual eye examination from your nearby eye care practitioner.
- We will review her significant exophoria at near when she comes back soon
Priscilla, ngan yau hou dit jao hou la?