CASE PRESENTATIONAVINASH SHAHINTERNNSO

OP NO: 878527

AGE: 75 yrs

GENDER: FEMALE

PLACE : BANGALORE

CHIEF COMPLAINTS

BE : DIMINUTION OF VISION ( FOR DISTANCE AND NEAR )

FOR LVA TRIAL

OCCULAR HISTORY

BE : H/O RETINITIS PIGMENTOSA BE : H/O BAND KERATOPATHY

MEDICAL HISTORY

SYSTEMIC : H/O DIABETES SINCE 40 YEARS ON Rx

SYSTEMIC : H/O HYPERTENSION SINCE 40 YEARS ON Rx

SYSTEMIC : H/O KIDNEY PROBLEM SYSTEMIC : H/O HEARING LOSS

GLASS POWER

Sph Cyl Axis AddRE -2.50 -1.25 10 +2.75LE 0 +1.0 90 +2.75TYPE SEPARATE

GLASSES

VISUAL ACUITY

IOP ( NCT ) OD 17mmHg OS 17mmHg

RE UCVA

PG PH LE UCVA PG PH

DV 6/60

DV 6/30

NV N36 NV N18

+4.00D

0

OD

+2.5D

-1.50D

OS

+2.5Dsph/-4.00Dcyl ×180°

+3.00D

+4.5D +1.50D

+3.00D

+1.50Dsph/+1.50Dcyl×130°

RETINOSCOPY

SUBJECTIVE :

RE Sph Cyl Axi VADV +2.50 -4.0 90 6/36BL

RNV +3.0 +5.50 -4.0 90 N36

LE Sph Cyl Axi VA

DV +1.50 +1.50 130 6/18NV +3.0 +4.50 +1.50 130 N18

SUGGESTION

NO SIGNIFICANT IMPROVEMENT WITH GLASSES.

ADVISED FOR LVA TRIAL .

LOW VISION CASE RECORD

OP NO : OP878527 AGE/SEX : 75 YEARS / FEMALE REASON FOR LOW VISION:

RETINITIS PIGMENTOSA MARRIATAL : MARRIED DEPENDENTS : NO H/O PREVIOUS LVA USE : NO MOTILITY PROBLEM : YES

LOW VISION CASE RECORD

DISTANCE VISION TASK PROBLEMS : WALKING AROUND THE HOUSE , MOTILITY (SHE WANTS TO WALK INDEPENDENT NOW SHE IS DEPENDENT ON HUSBAND ) NEAR VISION TASK IN DAILY LIFE :

READING NEWSPAPER , BOOKS GLARE DISCOMFORT : YES OTHER PROBLEMS : NO

LVA TRIAL FOR DISTANCE : OPTIMA

FOR NEAR : SPECTACLE MAGNIFIER

FINAL DEVICE PRESCRIBED WITH VISION OPTIMA 2 x (6/9 B/O) SPECTACLE MAGNIFIER +8D (N8 B/O)

NON OPTICAL AIDS INDICATORS ( RADIUM , LED ) FLOOD LIGHT

DISCUSSION

RETINITIS PIGMENTOSA

IT IS PIGMENTENTARY DYSTROPHIC CONDITION OF PHOTORECEPTORS USUALLY INVOLVING THE RODS MORE THAN CONES

IT IS ONE OF THE COMMON CAUSE OF RETINAL BLINDNESS

FUNDUS PIC TURE SHOWS BONY SPICULE – PIGMENT WAXY PALE OPTIC DISC

FUNDUS

NORMAL FUNDUS RETINITIS PIGMENTOSA

Signs of RP usually appear during childhood or adolescence. The first sign is often night blindness followed by a gradual loss of peripheral vision. As the disease develops, people with RP may often bump into chairs and other objects as peripheral vision worsens and only central vision persist. They see as if they are in a tunnel (thus the term tunnel vision).

LOW VISION AIDS IN RP PATIENTS TUNNEL VISION - REVERSE

TELESCOPE NIGHT BLINDNESS - INFRARED

NIGHT VISION SCOPES GLARE - AMBER / YELLOW /

ORANGE FILTERS

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