The Art of Prescribing (M2)

Question 1

What is the important factor when prescribing for a patient with anisometropia? 1. Why? 2

Answer 1

1. give full amount of aniso (difference between Rx’s)

2. give equal stimulus to accommodation

Question 2

What is the refractive error that should be prescribed for a child under 1 yo with astigmatism? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 2

1. 3.00 or more
2. 2.50 or more
3. 2.00 or more

Question 3

What is the refractive error that should be prescribed for a child under 1 yo with hyperopia? 1. Age 1 to 2 years? 2. Age 3 to 5 years? 3. Ages 5+? 4

Answer 3

1. +5.00 or more
2. +4.00 or more
3. +3.00 or more
4. +2.50 or more

Question 4

What is the refractive error that should be prescribed for a child under 1 yo with myopia with anisometropia? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 4

1. -4.00 or more
2. -3.00 or more
3. -3.00 or more

Question 5

What is the refractive error that should be prescribed for a child under 1 yo with hyperopia with anisometropia? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 5

1. +2.50 or more
2. +2.00 or more
3. +1.50 or more

Question 6

What are the accommodative aspects to consider?

Answer 6

1. magnitude (accomm amplitude)
2. accuracy (MEM)
3. flexibility (accomm facility)

Question 7

What should be prescribed for a patient with an esotropia?

Answer 7

1. full cylcoplegic Rx

2. may do bifocal (consider AC/A ratio)

Question 8

What is the refractive error that should be prescribed for a child under 1 yo with myopia? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 8

1. -5.00 or more
2. -4.00 or more
3. -3.00 or more

Question 9

What is the strongest predictor of who will develop esotropia?

Answer 9

hyperopia

Question 10

What is the refractive error that should be prescribed for a child under 1 yo with astigmatism with anisometropia? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 10

1. 2.50 or more
2. 2.00 or more
3. 2.00 or more

Question 11

When should a prescription be given to help with accommodation?

Answer 11

1. reduced AA

2. high lag on MEM or increased lag over time during MEM

Question 12

What is the type of esophoria that is larger in magnitude at near, with a high AC/A?

Answer 12

convergence excess esophoria

Question 13

What is the type of esophoria that is similar in magnitude at distance and near, with a normal AC/A?

Answer 13

basic esoporia

Question 14

What is the refractive error that should be prescribed for a child under 1 yo with hyperopia with esotropia? 1. Age 1 to 2 years? 2. Age 2 to 3 years? 3

Answer 14

1. +2.50 or more
2. +2.00 or more
3. +1.50 or more