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James Patrick Eagle-Macular Degeneration-(America)-Posted on July 7th, 2017

Author Zhangqi Views Posted at 2017/07/07

Name: James Patrick Eagle
Sex: Male
Nationality: American
Age: 65Y
Diagnosis: Macular Degeneration
Date of Admission: Jan. 29th, 2017
Treatment hospital/period: Wu Medical Center/14 days

Before treatment:
The patient had some problems with his eyes 12 years ago. He was unable to see if a line was straight or not so he went to local hospital and was diagnosed with Macular Degeneration. His disease became worse and worse and 5 years ago he lost his left eye’s central vision field, he had metamorphopsia, there was a light ring in his right eye and he lost the vision field near his nose with the right eye. He did a test 2 months ago and it was suggested he had higher intracular pressure. He received laser surgery and used Latanoprost eye drops. Since then his intracular pressure became normal. At present he doesn’t have central vision field in left eye, he has metamorphopsia, the vision field near his nose with the right eye is lost, the color vision of both eyes is decreased but his dark vision is normal. He wants a better life so he came to our hospital.
His spirit, diet, sleep and weight are all normal, his bladder and bowel functions are normal.

Admission PE:
Bp: 118/89mmHg; Hr: 52/min, Br: 17/min. His development and nutrition were normal. The skin and mucous was normal. There was no ecchymosis, petechia or yellow stains on skin. The thorax was symmetrical. The respiratory sounds of both lungs were clear, with no moist rales. The heart sounds were strong, the rhythm was regular, and there was no obvious murmur in the valve area. The abdomen was flat and soft with no obvious masses. Through palpation the liver and spleen were not enlarged.

Nervous System Examination:
He was alert and his speech was clear. His memory, orientation and calculation ability were normal. Both pupils were equal in size and round, the diameter was 2.0 mms. Both eyes were sensitive to direct light reflex and could move freely to each side. There was no nystagmus. The center of the left eye vision was lost, the lost range was about : above 15 cm, below 11 cm, 9 cm on the right side, and 4 cm on the left side. The right eye nasal side visual field defect, on the range of inclined top is about 24 * 18 cm.  3 m standard chart: naked vision of both eyes was 0.5, left eye vision only was 0.5, and right eye vision only was 0.1. Funduscopic examination: right eye fundus’ color was orange, the macular area around 2/3 area boundary was not clear, arteriovenous ratio is 1:3, arteries have sclerosing change. Left eye fundus’ color was orange, the macular area around 4/5 area boundary was not clear, arteriovenous ratio was 1:3. The forehead wrinkle pattern was symmetrical, the nasolabial sulcus was equal in depth, the teeth were symmetrical and the tongue was centered in the oral cavity. There was flexible movement in the neck. The muscle tone of all four limbs was normal and the muscle strength of all four limbs was at level 5. The abdominal reflex was normal. Bilateral biceps reflexes and radioperiosteal reflexes could not be elicited. Bilateral triceps reflexes and patellar tendon reflexes were normal. Bilateral ankle reflexes could not be elicited. The palm jaw reflex was positive. Bilateral Hoffmann sign was negative. The Rossolimo sign was negative. The pathological reflexes of the legs were negative. The deep sensation and superficial sensation were normal. The coordinated movements were normal.
The tendon reflexes of the four limbs were normal. The sucking reflex was negative. The Babinski sign was negative.

Treatment:
After the admission he was diagnosed with Macular Degeneration. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged nerves, replace dead nerves with new injected stem cells, nourish nerves, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

Post-treatment:
After 14 days treatment his eye vision is getting better, especially his right eye. 3 meters standard visual chart: naked eye vision of both eyes is between 0.5-0.6, left naked eye vision is 0.5, and right naked eye vision is between 0.5-0.6. The defect area of the right eye nasal side visual field is lower than before. Ophthalmoscope examination:The border of both eyes’ macular region is clearer and the defect area shows obvious improvement.

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