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A CASE of A 12
A CASE of A 12
DOPT 3-A
SOUTHWESTERN UNIVERSITY PHINMA
Chapter I
Lars Peeters
Management | 2025
Introduction
What is Astigmatism?
Is when an irregularly shaped cornea or lens that prevents
light from focusing properly on the retina
Astigmatic Normal
American Optometric Association (2018)
Football Basketball
Astigmatic Normal
A Cylinder Power Meridian
Axis
Meridian
Medial Half Ellipsoid
Power Meridian
Axis
Meridian
Half Sphere
No Astigmatism
Foot Ball Shape
AM
PM
National Eye Institute (2021)
Children
Adults
3 in 9 People is Astigmatic
Department of Health (2023)
25%
Department of Health (2023)
Symptoms:
-headaches, eyestrain
-squinting of eyes
-blurring of vision near and far
Aim
Tests:
Chief complaints
Visual acuity
Objective and subjective refraction
Retinoscopy
Keratometry
Slit lamp examination
Functional tests namely the 21 steps.
Statement of the problem
1. What is relationship demographic profile of the patient
in terms of:
1.1 Age
1.2 Educational Year Level
Statement of the problem
2. What are the patient’s chief complaints that attributes to
astigmatism in terms of:
The Clinician
Patients
The Future Clinicians
CHAPTER II
REVIEW OF RELATED
LITERATURE
Age
A 40
s
ti 30
g
m
20
a
ti
10
s
m
0
0 5 15 25 35 45 55 65
Age
Chief Complaints Visual Acuity
Keratometer Jackson Cross
Cylinder
Retinoscope
Refractive Status
CHAPTER III
METHODOLOGY
Methodology
Research Environment
This study was conducted at the College of Optometry
Department building situated inside the Main Campus
of Southwestern University-PHINMA (SWU-PHINMA)
located at Urgello St., Cebu City, Philippines.
Research Subjects
The respondents of this study were the selected students aged 19-24 residing in
Cebu City, Cebu. The total patients having Astigmatism based on our clinical duty
were 18 patients.
19-24 y.o
18 patients
Research Instrument
The results that the clinicians collected from their patients' comprehensive and
functional test forms were utilized by the researchers.
Educational level
24 y.o
5.6% Yr lvl age
10
10
20 y.o
22 y.o
16.7%
22.2%
7
7.5
P
x 21 y.o
s 5 50%
5
3
2.5
0
0
Gr12/19yo 1stYC/20 2ndYC/21 3rdYC/22 4th/24
Educational Level
Gender
M
27.8%
Gender No. %
Female 13 72.3
Male 5 27.7
TOTAL 18 100% F
72.2%
Chief complaints
BOV@F
20
15
10
0
BovF BovN FHA THA Squinting Glare
Comprehensive tests
Range of ophthalmometry
OD OS
10
18 Pxs
10 ATR
0% 44-45
39.1%
7.5
7
42-43
P 60.9%
x
s
5
5
WTR
2.5
2 100%
0
0 40-41 42-43 44-45 46-47
Keratometry Results
Range of ophthalmometry 17-Pxs
No. Px
6
P 4
4
x
s
3
22
0
0
0.00 - 0.50 cyl -0.75 - 1.25 cyl -1.50 - 2.25 cyl -2.50 cyl
Cylinder
Final Rx/Step#7
RS CHM SMA
5.6%
15
15 11.1%
13
P
10
x 10
s CMA
83.3%
7
5
5
0
0 SMA CMA CHA
RS
Astigmatism to myopia results of
Step #4 Retinoscopy
OD OS
66
M 4
4
y
o
3
p
e
s 2
2
00
0.00Cyl 0.25Cyl 0.50Cyl 0.75Cyl 1.00Cyl 1.25Cyl 1.50Cyl 1.75Cyl 2.00Cyl 2.25Cyl
Cylinder
Myopia to astigmatism of results
of Step #4 Retinoscopy
OD OS
15
12
A
s
t 10
9
i
g
6
P
5
x
s 3
0
0
+0.50sph -0.00 to -1.00sph -1.25 to -2.00sph -2.25 to -3.00sph > -3.25
Sphere
External Observation
External Observation
DISCUSSION
Group 5
Optomtery | 2023
Relationship to Myopia and Astigmatism
OD OS OD OS
15 6
10 4
5
2
0
+0.50sph -0.00 to -1.00sph -1.25 to -2.00sph -2.25 to -3.00sph > -3.25 0
0.00Cyl 0.25Cyl 0.50Cyl 0.75Cyl 1.00Cyl 1.25Cyl 1.50Cyl 1.75Cyl 2.00Cyl 2.25Cyl
CONCLUSION
Group 5
Optomtery | 2023
Astigmatism is one of the most common refractive error
managed during clinical duty for 3rd year students. The
evaluation for comprehensive and functional tests for the 18
patients, only show that it can indicate a person who has
astigmatism. With regards to the different exams being
performed, there were several factors that could correlate
to their astigmatic conditions. Describing the relationship
and impacts of age and education levels with astigmatism,
addressing patients' chief complaints through subjective
and objective refraction, able to assess and classified the
level of astigmatism and dealing with patients' refractive
error, gathered patients' results with Ophthalmometry,
Subjective Refraction, and Retinoscopy.
Group 5
Optomtery | 2023
Therefore, there is significant relationship among
the comprehensive and functional test results on
astigmatic patients done by the 3rd-year students
in Southwestern University-PHINMA.
Group 5
Optomtery | 2023
Thank You!
100
75
50
25
0
0 40 65