Latent Hyperope: How to prescribe?

Hi guys,

Well, really don't know what suitable topic to be posted here. Emm...let us discuss on this topic. Latent hyperope.

Millodot defines latent hyperope in Dictionary of Optometry and Visual Science as a portion of total hyperopia which is compensated for by the tonus of the ciliary muscle. It can be revealed wholly or partially by the use of a cycleplegic.

It is suspected when:

• patients have an AA less then their expected age.


• patients are esophoric at distance through the manifest plus refraction.


• the results of the binocular balancing show considerably more plus than the monocular subjective refraction.


• when static retinoscopy shows considerably more plus than the subjective refraction.


• the patients' plus prescription does not reduce the patients' near symptoms, such as headache.
  

What should we do next?

....to be continued.....