A 21 year old white male comes to you complaining that his vision in his right eye has been steadily getting worse over the last couple of years.
A 21 year old white male comes to you complaining that his vision in his right eye has been steadily getting worse over the last couple of years.
He had a refraction a couple of years ago and felt that the vision was OK, but not quite perfect when compared to the left eye. His history is negative for eye disease, trauma or surgery. He suffers from hay fever for which he takes a Claritin tablet, but uses no other medications. He has worn glasses since age 10 and has not worn contact lenses.
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His visual acuity is OD 20/40 and OS 20/20 with his current spectacles; OD 20/800 and OS 20/200 without spectacles. Your refraction is; OD -3.50 DS -3.00DC x 145, 20/40; OS -0.75DS -1.75DC x 135, 20/20-. Pinhole improved OD to 20/25. Keratometry:
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