Case 5a

9 year old presents with complaints of distance blur.

Habitual Rx

-0.75

Entering VA

20/40

Static retinoscopy

-2.00 O.D., O.S.

Subjective

-1.25 20/20

Near point phoria

4 eso

Cross cylinder

+1.00

PRA / NRA

-1.25/+2.50

MEM

+1.00

 1. What history information is important to obtain (not medical history)?

2. What are the important examination findings? Why are they important, their significance?

3. What do you prescribe? Why would you precribe it?

4. Other management / follow-up? What would you tell the parents & child?

 

Case 5b

9 year old presents with complaints of distance blur.

Habitual Rx

-0.75

Entering VA

20/30

Static retinoscopy

-1.25 O.D., O.S.

Subjective

-1.25 20/20

Near point phoria

4 exo

Cross cylinder

+0.50

PRA / NRA

-2.25/+2.50

MEM

+0.75

1. What history information is important to obtain (not medical history)?

2. What are the important examination findings? Why are they important, their significance?

3. What do you prescribe? Why would you precribe it?

4. Other management / follow-up? What would you tell the parents & child?

 
Case 5c

7 year old presents with complaints of distance blur.

Habitual Rx

none

Entering VA

20/30

Static retinoscopy

-0.75 O.D., O.S.

Subjective

-0.25 20/20

Near point phoria

ortho

Cross cylinder

+0.50

PRA / NRA

-2.25/+2.50

MEM

+0.50

1. What history information is important to obtain?

2. What are the important examination findings?

3. What do you prescribe?

4. Other management / follow-up?

Case 5d

12 year old presents with complaints of near point asthenopia.

Habitual Rx

none

Entering VA

20/25-

Static retinoscopy

-0.75 O.D., O.S.

Subjective

pl 20/20-

Near point phoria

ortho

Cross cylinder

+0.50

PRA / NRA

-1.25/+2.50

MEM

+0.75

1. What history information is important to obtain?

2. What are the important examination findings?

3. What do you prescribe?

4. Other management / follow-up?