Monday, April 2, 2012

GROUP 4 CASE : LE PRIMARY CONSTANT DECOMPENSATED INTERMITTENT EXOTROPIA

OVERVIEW
12 / C / M
Ø      Referred from PCO clinic. Diagnosed having moderate EXOTROPIA
Ø      Reason for referral: To confirm the diagnosis of tropia; challenging to manage during PCO since patient gave less cooperation.
Ø      Pt did not has any ocular & visual complain.

 FINDINGS
A. VISUAL & REFRACTIVE


TEST
RE
LE
VISION   
                          Unaided
                PH                                                       
                Near



6/9
6/6
N5 @40cm

6/9
6/6
N5@40cm
REFRACTION

        Retinoscopy
        Subjective Rx


-0.50DS / -0.50DC X 180    6/6
 Pl / -0.50DC X 180             6/6            


+0.50DS / -0.50DC X 180   6/6
 Pl / -0.25DC x 180              6/6                  


B. BINOCULAR VISION STATUS

TEST
RE
LE
General Observation
Face turn to right
AA (D)  Exp :14.5D
15/12, 15/12, 15/12
15/12, 15/12, 15/12
NPC
7, 7, 7 cm
HIRSCHBERG TEST



COVER TEST 
                                 Dist
                                Near

MADDOX ROD     Dist
                                 Near
At first : RE is central, LE showed XT 10° nasally
After a few seconds, LE took fixation and result in central & symmetrical




LE Moderate exotropia with slow recovery
LE Small exotropia with moderate recovery

V : 6pd BO         H : 0  
V : 4pd BO          H : 0

AC/A Ratio : 4.96 pd/D       (Normal
STEREOPSIS
(Stereo Fly Acuity Test)

 25” of arc
    
ASSESSMENT
  • LE Primary Constant Decompensated Intermittent Exotropia
 MANAGEMENT
  • No treatment for tropia since it is constant & pt has no symptoms and complaint
  • Plan to prescribe tinted / transition lens on future prescription to avoid glare.
  • TCA : Suggest for annual ocular check up

Best regards,
Group 4 ( Nur Syazriena, Norhafizah, Nur Hanani, Zulhusni)

3 comments:

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    ReplyDelete
    Replies
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      Delete
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