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    BV Kelompok 6

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    Mr. R P, age 25, complained of itchy eyes after work and seeing a black dot in his right eye. He has a family history of diabetes and hypertension. Examination found low hypermetropia in both eyes, color blindness, and normal results on binocular and accommodation tests. The diagnosis was low bilateral hypermetropia and color blindness. The management plan includes prescribing glasses with photochromic lenses or sunglasses, avoiding excessive eye rubbing, and keeping the eyes and face clean.

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    BV Kelompok 6

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    Genre Pessel
    9 views11 pages
    Mr. R P, age 25, complained of itchy eyes after work and seeing a black dot in his right eye. He has a family history of diabetes and hypertension. Examination found low hypermetropia in both eyes, color blindness, and normal results on binocular and accommodation tests. The diagnosis was low bilateral hypermetropia and color blindness. The management plan includes prescribing glasses with photochromic lenses or sunglasses, avoiding excessive eye rubbing, and keeping the eyes and face clean.

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    PPT BV KELOMPOK 6

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    Mr. R P, age 25, complained of itchy eyes after work and seeing a black dot in his right eye. He has a family history of diabetes and hypertension. Examination found low hypermetropia in both eyes, color blindness, and normal results on binocular and accommodation tests. The diagnosis was low bilateral hypermetropia and color blindness. The management plan includes prescribing glasses with photochromic lenses or sunglasses, avoiding excessive eye rubbing, and keeping the eyes and face clean.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    9 views11 pages

    BV Kelompok 6

    Uploaded by

    Genre Pessel
    Mr. R P, age 25, complained of itchy eyes after work and seeing a black dot in his right eye. He has a family history of diabetes and hypertension. Examination found low hypermetropia in both eyes, color blindness, and normal results on binocular and accommodation tests. The diagnosis was low bilateral hypermetropia and color blindness. The management plan includes prescribing glasses with photochromic lenses or sunglasses, avoiding excessive eye rubbing, and keeping the eyes and face clean.

    Copyright:

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    of 11

    Binocular clinic 2

    Danang Kusumah – 172020009


    M. MA’SUM – 172020030
    DIMAS MAULANA - 172020033
    CASE HISTORY PATIENT PROFILE AND HISTORY
    01

    TENTATIVE DIAGNOSIS AND ASSESSMENT


    02
    PLAN

    03 PreliMINERY EXAMINATION

    04 Binocular test & accommodation test

    05 Diagnosis & MANAGEMENT


    PATIENT PROFILE

    Name : Mr. R P
    Age : 25 Y.O
    Gender : male
    Hobby : PLAYING FUTSAL
    Work : DRIVER DELIVERY

    Chief Complaint 🡪
    ⮚Itchy eyes after work activities
    ⮚Vision with right eye feels that there is a black dot
    that follows
    Ocular History
    Family History
    ⮚ Far n near vision no problem
    ⮚ Never had an eye exam ⮚ His father have diabetes
    ⮚ Right eye hit a stone about 10 years ago Case ⮚ His mother have
    ⮚ No infection hypertension
    ⮚ No surgery history ⮚ His mother have high
    myopia

    General History Lifestyle


    ⮚ Diabetic (-) ⮚ Activitas more to outdoor
    ⮚ Hypertensi (+) (driver)
    ⮚ Alergic (-)
    ⮚ Drug consumption (-)
    TENTATIVE DIAGNOSIS AND ASSESSMENT PLAN

    ⮚ Refraksi Test
    Tentative diagnosis ⮚ Binocular Test
    ⮚ Accomodation Test

    ⮚ Hypermetropia
    ⮚ Dry eye assessment plan
    PRELIMINARY EXAMINATION
    Right Eye Refraction Left Eye

    S +0.75/ -0.75 X15 Auto Refractometer S +0.50/ -0.25 X25

    6/6 VA W/O CORRECTION 6/6

    S +0.50/ -0.50 X10 S +0.25


    MPD 33 Subjective Refraction MPD 33

    6/6 Visual Acuity 6/6


    BINOCULAR TEST

    Right Eye Examination Left Eye

    Ortho/ No Movment Defect Cover test Ortho/ No Movment Defect

    Center and Simetris Hirshberg test Center and Simetris

    No RAPD/ PERRLA Pupil Reflex No RAPD/ PERRLA

    SAFE Ocular motility test SAFE

    FULL Confrontation FULL

    2/38 Color Vision with Isihara test 2/38


    ACCOMODATION TEST

    Examination Both eye Right eye Left eye interpretation

    Npa Blur : 7 cm Blur : 8 cm Blur : 8 cm


    (aided) Recovery : 9 cm Recovery : 10 cm Recovery : 10 cm
    AA = 100/7 =14,3 D AA = 100/8 = 12,8 D AA = 100/8 = 12,8 D
    Expected aa for Average AA = 18,5-
    age Max AA = 25 -0,4(25) Min AA = 15 - 0,25(25)
    0,3(25)
    = 15 D = 8,75 D
    = 11 D
    Npc Break : 6 cm
    - - Normal (6-10)
    Recovery : 8 cm

    nra
    +2.25 - - Normal

    Pra
    -2.00 - - Normal
    DIAGNOSA AND MANAGEMENT

    Diagnosa Managemant

    ⮚ R/L Low Hypermetropia ⮚ Need glasses prescription with


    ⮚ Color blind photocromic lens or sunglasses
    ⮚ Binocular Test and ⮚ don’t rub eyes too often
    Accommodation Test in the ⮚ Keep eyes n face clean
    normal range so do not need
    action
    THANK YOU

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