Eggers Age Table

VA Myope Hyperope age add

Distance vergence BO 9/19/10 ± 4/8/4 25 -.25 +.50 40-44 +.75 +1.00
BI -/ 7/ 4 ± -/3/2 30 -.50 +.75 45-49 +1.00 +1.50
Near vergence BO 17/21/11 ± 5/6/7 40 -.75 +1.00 50-54 +1.50 +2.00
BI 13/21/13 ± 4/4/5 50 -1.00 +1.25 55-59 +2.00+2.25
NRA +1.50  +2.50 60 -1.25 +1.50 60+ +2.25+2.50
PRA -1.37  -3.37 70 -1.50 +1.75
FCC +0.25  +.075 80 -1.50 +2.00 RSR LSR
MEM +0.50  +0.75 100 -1.75 +2.00 LIO RIO
Ave. Acc. Amp 18 – 1/3 age 200 -2.00 +2.25 LMR RMR
Min Acc. Amp 15 - ¼ age 400 -4.00 RLR LLR
Phoria (D) 1 XP ± 2 800 -8.00
Phoria (N) 3 XP ± 5 RIR LIR
AC/A 4:1 LSO RSO
IOP (expected) 15 ± 2.5
HbA1c 70-120mg/dL blood sugar (1A1c= 21mg/dL bld sugar)

CONVERGENCE/DIVERGENCE HYPERTENSION
CI: High EXO @ N, low BO to blur, low AC/A 1 Arteriolar narrowing
CE: High ESO @ N, high AC/A, low to norm NFV 2 Narrowing, focal constrictions, deviations
DI: High ESO @ D, low AC/A, low tonic divergence 3 Above plus exudates
DE: High EXO @ D, high AC/A, high tonic divergence 4 Above plus papilledema, retinal edema,
macular scar

DIABETIC RETINOPATHY ARTERIOSCLEROSIS

1 venous dilation & sheathing, microaneurism near macula 1 Broadening of reflex
2 dot/blot hemes, hard exudates, circinate retinopathy 2 A/ V nicking, ↑widening, venous compression
3 venous sheath & thrombosis, flamed-shaped hemes, 3 above plus copper reflex and nicking
venous dilation, knots, loops, coils, A/V shunts to bypass occlus, 4 above plus silver reflex and pronounced A/V
increased microaneurysms and hemes crossing
4 “proliferative”, preretinal & vitreal neo, vitreal heme, scarring, RD, conn tiss proliferation

ISHIHARA PLATE 16 PLATE 17

Normals 26 42
Protanopes/strong protanomalous trichromats 6 2
Mild protanomalous trichromat 26 (6 clearer) 42 (2 clearer)
Deutranopes/strong deutranomalous trichromats 2 4
Mild deutranomalous trichromats 26 (2 clearer) 42 (4 clearer)

HEADACHES FOLDARS RGP

Patient description Frequency K reading 8.8/7.8 9.2/8.0
Family history Onset 0.50 K -.25 K-.50
First occurrence Location .621.00 on K K-.25
Onset (sudden/ gradual) Duration 1.12 1.87 K+.25 on K
Frequency (seasonal/work) Assoc. symptoms >2.00 K + ∆ K/4 K + ∆ K/4
Character (tearing, pain, itch) Relief 2 R/W Bc +1/.2 Bc +1/.4
Severity (interfere w/ fxn) Symptoms/signs 3 R/W 2۫ +1.2/.2 ---
Duration (acute, chronic, recur) PCR/W 3۫ + 1.2/.1 1.1/.2
Location (incl uni/ bilateral)
Cause (if known) S C L K +1.0mm
Tx (if any by px)
Exacerbating factors (eyestrain, glare) MEDICATION CAPS
Progression (better, worse, same) Tan anti-infective
gray NSAID
GONIO (visible) ANGLES GLAUCOMA SUSPECT turquoise prostaglandin
SL, TM, SS, CB 4 > .50 corneal thickness C/D > 0.6 purple adrenergic agonist
SL, TM, SS 3 .25.50 V>H in same eye Green miotics
SL, anterior TM 2 =.25 >0.2 diff b/w eyes Pink anti-inflam/steroid
SL 1 <.25 Red mydriat/cycloplegic
Iris root Orange CAI’s
Yell/blue Beta-blocker