examples of refractive errors correction in far phoria (without correction) gradient ac\a u a v a? b...
TRANSCRIPT
![Page 1: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/1.jpg)
EXAMPLES OF REFRACTIVE ERRORS
CORRECTION IN CHILDREN
Dr. Samer Hajjo
![Page 2: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/2.jpg)
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
![Page 3: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/3.jpg)
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
![Page 4: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/4.jpg)
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)
![Page 5: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/5.jpg)
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)
![Page 6: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/6.jpg)
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)
![Page 7: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/7.jpg)
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)
![Page 8: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/8.jpg)
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)
![Page 9: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/9.jpg)
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)
![Page 10: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/10.jpg)
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)
![Page 11: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/11.jpg)
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)
![Page 12: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/12.jpg)
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)
![Page 13: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/13.jpg)
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
![Page 14: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/14.jpg)
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
![Page 15: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/15.jpg)
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
![Page 16: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/16.jpg)
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
![Page 17: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/17.jpg)
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
![Page 18: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/18.jpg)
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
![Page 19: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/19.jpg)
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
![Page 20: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/20.jpg)
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
![Page 21: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/21.jpg)
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
![Page 22: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/22.jpg)
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
![Page 23: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/23.jpg)
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
![Page 24: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/24.jpg)
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
![Page 25: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/25.jpg)
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
![Page 26: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/26.jpg)
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
![Page 27: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/27.jpg)
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
![Page 28: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/28.jpg)
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
![Page 29: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/29.jpg)
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
![Page 30: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/30.jpg)
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
![Page 31: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/31.jpg)
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
![Page 32: EXAMPLES OF REFRACTIVE ERRORS CORRECTION IN Far Phoria (Without correction) Gradient AC\A U A V A? B C V A Cyclorefraction Near E 5pd ? 2.5? ? Age Complaint Family history Near phoria](https://reader031.vdocuments.mx/reader031/viewer/2022022504/5ab7cd327f8b9ad3038c10bb/html5/thumbnails/32.jpg)
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
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