Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with complaints of blurred vision, particularly at near distances, associated with eye strain (asthenopia) and frontal headaches after prolonged near-work tasks. Symptoms are exacerbated by fatigue and end-of-day activity. No history of diplopia, photopsia, or ocular pain.
Clinical Examination Findings
Visual acuity (VA) shows reduced near vision with normal or near-normal distance vision. Refraction reveals positive spherical equivalent (plus lenses required for correction). Slit-lamp examination is unremarkable; anterior chamber depth is within normal limits. Cycloplegic refraction confirms latent hyperopia.
Treatment Protocol
Prescription of convex (plus) lenses for refractive correction. Recommendation for full-time wear or task-specific wear (reading glasses) depending on patient age and accommodative demand. Monitor for accommodative esotropia in pediatric cases. Follow-up in 12 months for refraction stability check.