Describe functional hypermetropia case study with case presentation hess chart 3rd nerve palsy patient

1. Prepared by school of ophthalmic technology
3rd group
18th batch
FUNCTIONAL HYPERMETROPIA

2. Orthoptic assessment report

3. The eye cannot move inward or up, and the pupil is
typically enlarged and does not react normally to light.

7. Clinical types of hypermetropia
• Simple hypermetropia
• Pathological hypermetropia
• Functional hypermetropia

8. What is functional hypermetropia
Results from paralysis of
accommodation
Seen in patients with 3rd nerve paralysis
& internal ophthalmoplegia

9. Symptoms of functional hypermetropia due to
3rd nerve palsy
• Double vision (diplopia)
• Eye misalignment (strabismus)
• Droopy eyelid (ptosis)
• Enlarged pupil that does not react normally
to light.
• Tilted head posture to compensate for
binocular vision difficulties.

12. Optical
• Treatment for underlying causes
• Diplopia – occlusion patch or prism involved
eye
• Monitor children for development of
amblyopia
Surgical
• Neurosurgery – Aneurysm or haematoma
• Ptosis surgery – non earlier than six months
from time of onset