LOW VISION CASE PRESENTATION
- 1. NAME – RAHUL DEB BERA VCOVS 4TH YEAR INTERNSHIP AT ADVANCED EYE HOSPITAL & INSTITUTE
- 2. LOW VISION CASE PRESENTATION Demography data of patient: Name- JUHI PATIL Age- 14 yrs gender- Female Contact No.- 9004366874 Address-Mumbai Visited at: Advanced eye hospital & institute
- 3. CHIEF COMPLAINT Right eye blur vision for distance since 4 months Both eyes itching frequent since 3 months OPHTHAL HISTORY: Both eyes current glasses since 2 days FAMILY History: No family history of using glasses
- 4. INITIAL WORKUP Non Contact tonometer: OD-15 mmHg @ 4:56pm OS-13 mmHg @ 4:57pm Vision Assessment: On Examination Right eye Left eye Visual Acuity With Glass 6/36 6/24P Visual Acuity With Pinhole NIF, N36 NIF,N10 Glass Power -0.50DS -1.00Dcyl@ 90
- 5. OBJECTIVE REFACTION AUTO REFRACTOMETER: OD: -1.00/-0.50@90 OS: +0.50/-0.75@90 DRY RETINOSCOPY: OD: -0.75DS OS: -0.75Dcyl@90 WET RETINOSCOPY: OD: OS:
- 6. SUBJECTIVE REFRACTION DRY ACCEPTANCE: OD: -0.75DS (6/36,N36) OS:-1.00Dcyl@90 (6/24p,N10) WET ACCEPTANCE: OD: OS:
- 7. OCULAR FINDINGS OD OS CORNEA CLEAR CLEAR ANTERIOR SEGMENT REST WITH IN NORMAL LIMIT REST WITH IN NORMAL LIMIT RETINA DULL FR,RPE ATROPHY AT MACULA,FOVEAL HYPOPLASIA Dull FR,RPE atrophy at macula,foveal hypoplasia ADDITIONAL ADVISE FOR : mfERG & E.R.G FOR FURTHER EVALUATION OF NEURONAL & VISUAL PATHWAY STATUS.
- 10. SUGGESTION: NO SIGNIFICANT IMPROVEMENT WITH GLASSES AFTER DISCUSSION WITH PATIENT ADVISED FOR LVA TRIAL
- 11. BEFORE LVA TRIAL,UNDERSTANDING OF PATIENT’S NEED/LIFE STYLE BACKGROUND OF PATIENT : SHE IS A 14 YR SCHOOL GOING STUDENT,HER HOBBIES ARE READING BOOKS & PLAYING INDOOR GAMES. BY UNDERSTANDING HER HOBBIES & NEEDS WE CHOOSED APPROPRIATE LVA DEVICES FOR DISTANCE & NEAR.
- 12. LVA TRIAL FOR DISTANCE : SEE TV
- 13. FOR NEAR: BAR MAGNIFIER (2X)
- 14. FINAL DEVICE PRESCRIBED WITH VISION BAR MAGNIFIER (2x) DIRECTORY READER FOR NEAR ONLY Vn N6 For distance with the help of see tv patient’s achived vision binocularly 6/12p
- 15. DISCUSSION MACULAR DYSTROPHY Macular Dystrophy is deteriotion of central part Of the retina that’s called macula which carries the photoreceptors cells (Rods & Cons). In this condition central vision is more effected as compare to periphery It’s a inherited genetic disorder
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