examples of refractive errors correction in far phoria (without correction) gradient ac\a u a v a? b...
TRANSCRIPT
EXAMPLES OF REFRACTIVE ERRORS
CORRECTION IN CHILDREN
Dr. Samer Hajjo
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +3.25 +0.75 90 +3.50 +1.00 80
Suggested correction
No correction recommended
Re-examination interval 3 – 6 months Instant full correction if any esotropia noted
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 15pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : E 10 pd
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +3.25 +0.75 90 +3.50 +1.00 80
Suggested correction
+3.00 +0.75 90 +3.25 +1.00 80
Re-examination interval 3 – 6 months Comments
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +5.50 +0.75 90 +5.00 +1.00 80
Suggested correction
+4.00 +0.75 90 +3.50 +1.00 80
Re-examination interval 6 – 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 15pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : E 10
2 Year Routine exam
-----------------
? ?
Re-examination interval 3 – 6 months Instant full correction if any esotropia noted
Comments
+3.25 +0.75 90 +3.50 +1.00 80 Suggested correction
No correction recommended
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far E 5pd 2.5
≈ 0.7 ≈ 0.7
Age Complaint
Family history
Near phoria with +2.00D add : 0
4 Year -------------
Esotropia & Amblyopia in father and brother
≈ 0.7 ≈ 0.7
Uncertain V.A because of poor cooperation
+3.25 +0.75 90 +3.50 +1.00 80 Suggested correction
No correction recommended
Re-examination interval 3 – 6 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far E 5 pd 2.5
1.0 1.0
Age Complaint
Family history
Near phoria with +2.00D add : 0
4 Year -------------
Esotropia & Amblyopia in father and brother
1.0 1.0 +4.50 +0.75 90 +4.00 +1.00 80
Suggested correction
No correction recommended
Re-examination interval 3 – 6 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far E 5pd 2.5
0.7 0.8
Age Complaint
Family history
Near phoria with +2.00D add : 0
4 Year -------------
Esotropia & Amblyopia in father and brother
0.7 0.8 +4.50 +0.75 90 +4.00 +1.00 80
Suggested correction
+3.50 +0.75 90 +3.00 +1.00 80
Re-examination interval 6 - 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
4 Year -------------
Esotropia & Amblyopia in father and brother
? ? +4.50 +0.75 90 +4.00 +1.00 80
Suggested correction
+3.00 +0.75 90 +2.50 +1.00 80
Re-examination interval 6 - 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
Cyclorefraction
Near X 10pd Far X 6pd 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 15pd
4 Year Routine exam
------------
+5.50 +0.75 90 +4.50 +1.00 80 Suggested correction
+2.00 +0.75 90 +1.00 +1.00 80
Re-examination interval 2- 3 months If any amblyopia detected increase correction temporally by 2.00D and do alternate full time occlusion
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 20pd Far E 15pd 1.5
≈ 0.4 ≈ 0.4
Age Complaint
Family history
Near phoria with +2.00D add : E 17pd
4 Year -------------
Esotropia & Amblyopia in father and brother
≈ 0.5 ≈ 0.5 +8.00 +0.75 90 +7.50 +1.00 80
Suggested correction
+8.00 +0.75 90 +7.50 +1.00 80
Re-examination interval 6 - 12months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 20pd Far E 15pd 5
≈ 0.4 ≈ 0.4
Age Complaint
Family history
Near phoria with +2.00D add : E 10pd
4 Year Doubt about visual acuity
--------------
≈ 0.5 ≈ 0.5 +8.00 +0.75 90 +7.50 +1.00 80
Suggested correction
+6.00 +0.75 90 +5.50 +1.00 80
Re-examination interval 3 – 6 months Comments
Phoria (Without correction)
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 2pd Far 0 1
0.9 - 1.0 0.9 – 1.0
Age Complaint
Family history
Near phoria with +2.00D add : 0
6 -12 Year Doubt about visual acuity
--------------
1.0 1.0 +2.00 +0.75 90 +1.50 +1.00 80
Suggested correction
No correction recommended
Re-examination interval 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 6pd Far E 2pd 3
0.9 - 1.0 0.9 – 1.0
Age Complaint
Family history
Near phoria with +2.00D add : 0
6 -12 Year Doubt about visual acuity – headache & ocular fatigue in reading
--------------
1.0 1.0 +2.00 +0.75 90 +1.50 +1.00 80
Re-examination interval 12 months Comments
Suggested correction
+1.25 +0.75 90 +0.75 +1.00 80
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +2.00 +0.75 90 +3.25 +1.00 80
Suggested correction
No correction recommended
Re-examination interval 3 – 6 months We advocate 5h weekly occlusion for RE Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 15pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : E 10 pd
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +2.00 +0.75 90 +3.50 +1.00 80
Suggested correction
+2.00 +0.75 90 +3.50 +1.00 80
Re-examination interval 6 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +0.50 +0.75 90 +2.50 +1.00 80
Suggested correction
0.00 +0.75 90 +2.00 +1.00 80
Re-examination interval 6 months We advocate RE occlusion 4h\ day for 3 weeks Alternative treatment : long term RE occlusion 2h\day without correction
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 5pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : 0
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +2.00 +0.75 90 +3.50 +1.50 80
Suggested correction
+0.50 +0.75 90 +2.00 +1.50 80
Re-examination interval 6 months Alternative treatment : long term RE occlusion 2h\day without correction
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
2 Year Routine exame
--------------
? ? +1.50 +7.00
Suggested correction
0.00 +5.00
Re-examination interval 6 months We advocate RE occlusion 8h\ day for 3 weeks then long term occlusion 3h\ day In case of correction intolerance we advocate at least 4h\day occlusion & correction continuously
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near X 10pd Far ? 2.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 15
2 Year -------------
Esotropia & Amblyopia in father and brother
? ? +0.50 +0.75 90 +2.50 +1.00 80
Suggested correction
0.00 -0.75 180 +1.25 +1.00 80
Re-examination interval 6 months We advocate RE occlusion 4h\ day for 2 weeks then 5h weekly
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 2
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 4pd
2 Year Routine exame
------
? ? +1.00 +4.50 45 +2.00 +3.50 80
Suggested correction
-0.50 +4.50 45 +0.50 +3.50 80
Re-examination interval 6 months
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 2
0.6 0.6
Age Complaint
Family history
Near phoria with +2.00D add : X 4pd
5 Year Routine exame
------
0.6 0.6 +1.00 +3.00 45 +2.00 +3.50 80
Suggested correction
-0.50 +3.00 45 +0.50 +3.50 80
Re-examination interval 6 months
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near X 5pd Far X 15pd 5
0.6 0.6
Age Complaint
Family history
Near phoria with +2.00D add : X 15pd
5 Year Routine exame
------
0.6 0.6 +1.00 +3.00 45 +2.00 +3.50 80
Suggested correction
-1.00 +3.00 45 +0.00 +3.50 80
Re-examination interval 6 months
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near X 10pd Far X 6pd 3
0.9 - 1.0 0.9 – 1.0
Age Complaint
Family history
Near phoria with +2.00D add : X 16
6 -12 Year Doubt about visual acuity – headache & ocular fatigue in reading
--------------
0.9 - 1.0 0.9 - 1.0 +3.00 +0.75 90 +3.50 +1.00 80
Suggested correction
+1.25 +0.75 90 +0.75 +1.00 80 Suggested correction
No correction recommended
Re-examination interval 12 months Orthoptic training may be indicated
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 12pd Far E 6pd 3
0.9 - 1.0 0.9 – 1.0
Age Complaint
Family history
Near phoria with +2.00D add : 6
6 -12 Year Doubt about visual acuity – headache & ocular fatigue in reading
--------------
1.0 1.0 +1.25 +0.75 90 +3.00 +1.00 80
Re-examination interval 12 months Comments
Suggested correction
+1.25 +0.75 90 +3.00 +1.00 80
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
2 Year Routine exam
_______
? ? -3.00 -0.75 90 -3.50 -1.00 80
Suggested correction
No correction recommended
Re-examination interval 3 – 6 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
? ?
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
2 Year Doubt about visual acuity
______
? ? -5.00 -0.75 90 -5.50
Suggested correction
-4.50 -0.75 90 -5.00
Re-examination interval 6 - 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
0.3 0.3
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
4.5 Year Routine exam
_______
1.0 1.0 -3.00 -0.75 90 -3.50
Suggested correction
-2.50 -0.75 90 -3.00
Re-examination interval 12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
0.9 0.9
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
6 - 12 Year Routine exam
_______
1.2 1.2 -0.75 -0.75 90 -0.50 -1.00 80
Suggested correction
No correction recommended
Re-examination interval 6-12 months Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near 0 Far ? 1.5
0.9 0.9
Age Complaint
Family history
Near phoria with +2.00D add : X 3pd
6 - 12 Year Routine exam
_______
1.2 1.2 -1.25 -0.75 90 -1.00 -1.00 80
Suggested correction
-1.25 -0.75 90 -1.00 -1.00 80
Re-examination interval 12 months Using spectacles for far gaze only (class room – T.V ..)
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near X 10pd Far X 7pd 2.5
0.4 0.4
Age Complaint
Family history
Near phoria with +2.00D add : X 15pd
6 - 12 Year Bad far vision
_______
1.2 1.2 -2.25 -0.75 90 -1.75 -1.00 80
Suggested correction
-2.25 -0.75 90 -1.75 -1.00 80
Re-examination interval 12 months We advocate keeping spectacles in reading
Comments
Phoria (Without correction)
Gradient AC\A
U A V A
B C V A
Cyclorefraction
Near E 10pd Far 0 2.5
0.4 0.4
Age Complaint
Family history
Near phoria with +2.00D add : E 5pd
6 - 12 Year Bad far vision
_______
1.2 1.2 -2.25 -0.75 90 -1.75 -1.00 80
Suggested correction
-1.75 -0.75 90 -1.25 -1.00 80
Re-examination interval 3 - 6 months We advocate avoiding spectacles in reading - bifocals may be indicated
Comments