PEDIATRIK CLINIC 3

PRESENTATION
C

PRESENT BY :
DANANG KUSUMAH / 172020009
M. MA’SUM / 172020030
DIMAS MAULANA / 172020033
 Name : D A

Patient
Occupation
1st grade
Age : 7 years
elementary
Profile
Old
school
students

Gender : Male
Case History

• Blur for distance

Ocular History • Healthy
• F : always blurry • No history of allergies, no systemic
• L : Both eyes disease, not currently undergoing
• O : 2 month a go • Never wearing glasses treatment
• P : a little blurry • Never had an eye exam
• D :if looking detail for distance • Playing Handphone more than 2 hours
• R : squinting per day
• Trauma (-)
• S : tired
• Infection (-)
• Operation (-)

Chief General
Complaint Health
Family History

Parent * Diabetes (-)

* Hypertension (-)
* Allergic (-)
* Drug consumption (-)
* Wearing glasses (-)
 • Myopia
Tentative • Hypermetropia
Diagnosis
• Astigmat

• Preliminary Examination
Assessmnet • Refraction
Plan • Accommodation Test
• Management & Follow Up
Prelimenary Examination
EXAMINATION RESULT

Cover Test sc @dist n @near Distance : Orhto

Near : Ortho
Ocular Motility Test SAFE

Confrontasi Test FULL

Hirschberg Test Center, Symetrical

Pupil Reflex Test NO RAPD

Color Vision Test 10/10

Refraction
EXAMINATION RIGHT EYE LEFT EYE

Streak S-0.75 S-0.75

Visus : 20/20 Visus : 20/20

Visual Acuity (sc) Distant : 20/25 PH(+) 20/20 Distant : 20/25 PH(+) 20/20
Near : N6 @30cm Near : N6 @30cm

Subjective Refraction S -0.50 (20/20) S -0.50 (20/20)

Near : N6 @30cm Near : N6 @30cm

Stereopsis 100 sec of arc

 Accommodation Test
EXAMINATIO RIGHT EYE LEFT EYE BINOCULAR INTERPRETATIO
N N
NPA Blur : 4 cm Blur : 4 cm Blur : 4 cm Accommodation
Recovery : 6 cm Recovery : 6 cm Recovery : 6 cm Excess

AA : 100/4 = 25 D AA : 100/4 = 25 D AA : 100/4 = 25 D

Expected AA for AA min = 15 - 0,25 x age (7) = 13,25 D

age AA max = 25 - 0,4 x age (7) = 22,2 D
AA average : 18,5 – 0,3 (7) = 16,4 D

NPC - - Break : 4 cm Normal

Recovery : 7 cm
Management & Follow Up
• Myopia
Diagnosis • Accommodation Excess
• Glasses with new prescription
• Wearing blue light protection lens
• Stop or reduce the near activity of using HP
Management • Do 20-20-20 tehnic
• Explanation of how to wear n care glasses

Follow Up • Regular examination every 1 year