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)