M

MENARA OPTOMETRY CENTRE SDN. BHD.

(Mid Valley Megamall)
MyopiaCARE — Staff Screening Tool
👤
Name / Nama
Age / Umur
Date / Tarikh
Screened by / Disaring oleh
👁
DISTANCE / JAUH
Right Eye
Mata Kanan
Left Eye
Mata Kiri
NEAR / DEKAT
Right Eye
Mata Kanan
Left Eye
Mata Kiri
Current Prescription / Preskripsi Semasa
If wearing spectacles / Jika memakai cermin mata
SPHCYLAXIS
R
L
⚠
A
Risk of Developing Myopia
Risiko Mengalami Rabun Jauh — kanak-kanak tanpa myopia
✓
1. Age / Umur
9 years old or less
✓
2. Refractive Error
Less plus than expected for age
—
3. Current Progression
N/A for non-myopic child
✓
4. Parental Myopia
At least one parent myopic
✓
5. Ethnicity
East Asian
✓
6. Time Outdoors
Less than 1.5 hours/day
✓
7. Near Work
More than 3 hours/day
Score
0 / 6
LOW RISK
B
Risk of Fast Progression
Risiko Progres Cepat — kanak-kanak dengan myopia
✓
1. Age / Umur
9 years old or less
✓
2. Progression
More than -0.75D per year
✓
3. Parental Myopia
At least one parent myopic
✓
4. Ethnicity
East Asian
Score
0 / 4
LOW RISK
Age / Umur 6 7 8 9 10 11 12
Expected Rx +1.00 +0.75 +0.75 +0.50 +0.50 +0.25 +0.25
â„šī¸ If your child's plus power is lower than expected for their age, it means less "buffer" against developing myopia.
Jika kuasa plus anak anda lebih rendah daripada jangkaan umur, ini bermakna kurang "penampan" terhadap rabun jauh.