A female Chinese girl age 5 years old was came to Paediatrics clinic for fully eye check-up. She has no complaint of blurring of vision at distance and near and has no headache. But her mother claimed that she unable to get the most Visual Acuity according to her age during Eye test in her kindergarten school. Her mother had bring her to optical shop for refraction but had been refuse since she is very young girl. This patient had never wear glasses before, she was full term delivery baby and generally healthy, undergone ear operation before. Below are the full report of her eye examination.
Objective
VA | RE | LE | ||
Distance Unaided: 6/9¯³ Ph: 6/9¯³ | Distance Unaided: 6/18⁺¹ Ph: 6/9 | |||
Near: N6@25cm | Near: N6@25cm | |||
PD Distance: Near: | 27.0 mm | 27.0 mm | ||
25.5 mm | 25.0 mm | |||
Hirrschberg | Central & symmetry | |||
NPC | TTN, TTN, TTN | |||
OMT | SAFE | |||
Retinoscopy | -0.50 DS/ -0.75DC x180 | 6/9⁺¹ | -0.50 DS/ -0.50 DC x 180 | 6/9 |
Subjective Refraction | -0.25 DS/-0.50 DC x140 | 6/9⁺³ N5 | -0.50 DS/ -0.50 DC x 180 | 6/9 N5 |
Post Refraction (CT) Distance: Near: | Orthophoria Orthophoria | |||
Stereopsis | 50” of arc, Stereofly test | |||
Ophthalmoscope (visuoscope) | 0.5˚ superior nasal unsteady EF | Central fixation | ||
Neutral Density Filter VA ∞: | 0.6 log; 6/9¯³ | 0.9 log; 6/9¯³ | ||
Asessment / Diagnosis
1. Bilateral low compound myopic astig
2. BE amblyopia , RE with Eccentric Fixation (EF)
Plan / Management
1. Prescribe full correction for full time wearing
2. TCA 2/52 to ask level of comfort with RX and to check on EF, do visuoscope one more time
Group 1
Group 1
