This document summarizes an optical treatment for a patient presenting with hyperopia and accommodative insufficiency. The patient's visual acuity and findings from slit lamp examination, funduscopy, and binocular vision assessment are presented. The patient was prescribed +0.75DS lenses in each eye with a +1.00DS add for near vision, which improved their acuity to N5. The document then reviews treatments for hyperopia including surgical and optical options like contact lenses and spectacles. It provides details on prescribing spectacles for hyperopia, including correcting the full amount of hyperopia and gradually increasing the prescription. Examples of calculating different types of hyperopia are also presented.
11. Prescribing for Hyperopia: Quick Tips for New
Optometrists
O Children from infancy to 10-years-old
Be aware that prescribing the full amount of hyperopia for an infant can
interrupt the emmetropization process.
12. O Adults and children older than 10 years
If you feel that your patient needs a higher hyperopic prescription,
consider dispensing the glasses right after a cycloplegic dilation and
advise them to wear the glasses for the rest of the day.
13. O Pre-presbyopic adults 30 to 40-years-old
Consider prescribing a partial distance correction that can be
worn full-time in order to relieve their near visual symptoms.
15. 1. Total amount of hypermetropia should always be measured
under complete cycloplegia.
2. The spherical correction given to patient should be acceptable
to patient, however astigmatism should be fully corrected.
3. Gradually increase the spherical correction at 6 month interval
till patient accepts manifest hypermetropia.
4. In presence of accommodative convergent squint full
correction should be given in first sitting.
5. If there is associated amblyopia full correction with occlusion
therapy should be started.
16. Example
Visual acuity of a patient is 6/18 unaided, dry
Retinoscopy values are +4.50D (OD) & +4.50D (OS),
acceptance is +2.00D (OD)-6/9 & +2.00 (OS)-6/9,
wet Retinoscopy using atropine is +6.00D (OD) &
+6.00D (OS). Find manifest hyperopia, latent
hyperopia, absolute hyperopia, facultative hyperopia &
total hyperopia.
18. Advantages of
glasses
• Suitable for all budgets.
• Can be an attractive fashion accessory.
• No risk of side effects like dry eyes.
• Comfortable.
• Easier method.
• Safe