case presentation on retinitis pigmentosa (low vision aid)
Post on 16-Feb-2017
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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
THANK YOU
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