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RAJESWARI KARUPPIAH

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Rajeswari (F/48) came for eye examination, she wears her glasses for driving only & she can see near without glasses. She reported prolonged computer causes some blurriness sometimes.

Vision without glasses
R: 6/18-
L: 6/15-

Vision with own glasses
R: -2.50 (6/6)
L: -2.25/-0.50×75 (6/6)

Examination shows:
R: -1.75 (6/6)
L: -1.50/-0.75×75 (6/6) (L: dominant left eye)
Add: +1.75 (N5@40cm)

Other assessments show:

Examination of Eye Alignment/Vergence (Cover Test)
NMD @Distance
moderate XP, fast 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 (Howell Card)
Distance: 2 XP
Near: 12 – 14 XP
(normal value: 1 EP-0 or 0-3 XP @Distance & 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

Firstly, we will have a look at your vision without glasses. Rajeswari is seeing 6/18 in right eye & 6/15 on left eye. We estimate her power by dividing the bottom figure with 18.. so estimated power in right eye is -100 & slighly lesser than -100 in left eye. That’s a rough estimated power. Having noted the power on her glasses is so much higher, we need to check whether or not she really needs power that high. If eye has pathological condition/eye disease, then this estimation does not apply.

Normally, if we reduce your power drastically, you will complain of blurry vision. We will let you compare the newly reduced power with existing glasses for a satisfactory & comfortable power.

Also, those who do not wear glasses all the time tend to present with higher power as their eyes constantly work harder without glasses. So, when we check your power, you tend to give response that would want higher power.

Only when your eyes are relaxed, as easy as giving your eyes the optimum power correction, will you feel your eyes at their best with no complaint!❤️

Thank you Kak Rajeswari for your continuous support? We are in this together✨

I’ve got to know akak from an eye screening event for her sons Punitan & Bharathaan. Recently, Punitan came back for a follow up with an increment of shortsighted power in one eye on top of having anisometropia (different power of 200 between both eyes). Kak Rajeswari is anxious, so does Punitan. Aunty is sorry for making you overwhelmed on your power increase. Power increase means that we need more love & care to our eyes by reinforcing proper visual hygiene such as taking regular break 20-20-20 in between near work, to have proper posture, enough lighting.. these are the manual things that we can do to put our eyes at ease.

Otherwise, there are myopia control management in terms of myopia control spectacle lenses or contact lenses to control the progression of myopia/shortsighted power in the market that are available should manual method is not sufficient & progression were still recorded.

Aunty will see Punitan in 6months. Knowing that this myopia control journey is shared by you & me. Together we make it work in order to bring myopia under control.

#KeluargaMalaysia