Sharvin (M/10) came for follow up after 1 year, complaining blurry far vision seeing whiteboard at school & headache upon prolonged near work/hp. He has not been wearing his glasses fulltime, mainly wear his glasses at school and when doing homework.
Vision with existing glasses of 1year
R: -5.25/-1.00×95 (6/12-)
L: -5.25/-1.00×90 (6/12)
Examination shows:
R: -6.00/-1.00×95 (6/6) N5-@38cm
L: -6.25/-0.75X90 (6/6-) N5-@38cm
Relax Add: +1.50
Other assessments show:
Examination of 3D Vision (Titmus Fly)
25″
(normal value: 20″)
Examination of Eye Alignment/Vergence (Cover Test)
NMD @Distance & small XP fast recovery @Near
(normal value: orthophoria/NMD-No Movement Detected or small XP fast recovery)
EP = Esophoria is misalignment of eye, eye is deviated inwards
XP = Exophoria is misalignment of eye, eye is deviated outwards
NRA (accommodation analysis – ability to relax accommodation)
+2.00
(normal value: +1.50 to +2.50)
PRA (accommodation analysis – ability to stimulate accommodation)
-0.50
(normal value: -1.37 to -3.37)
MEM (to measure Accommodation response seeing near target)
R: +0.50
L: +0.50
(normal value: +0.25 to +0.75)
Sharvin has increment of shortsighted power/myopia of 075 in 1year. Power progression of more than 075 is a red flag, requiring us to look into ways in controlling his myopia. And he is only 10years old.
Not only we want to correct his power so that he can see far clearly, we also want to control the progression of his power.. in what we call as Myopia Control while we still can. Myopia/shortsighted power that has gone up will not come down. Same goes to the changes in your eye – eyeball that has gone longer(means higher power) wont go shorter back again. The longer the eyeball, the more vulnerable the eye in developing pathological myopia/eye diseases due to high myopia such as myopic maculopathy, retina degeneration.
There are 3 main strategies in myopia control management, namely:
- Atropine eye drop (to be prescribed by eye specialist doctor/ophthalmologist)
- Contact lenses during daytime wear or Contact lenses to be worn during sleep, as well as
- Spectacle lenses of myopia control lens
Mother knows the child best as each child is individually different in his/her way. We will let you know all the options available, and you can decide for your child.