Qneist Hosky - Macular degeneration (Poland) Posted on October 13, 2014

Name: Qneist Hosky  
Sex: Male
Country: Poland
Age:76 years
Diagnosis: 1.Macular degeneration 2. Hypertension 3. Coronary atherosclerotic heart disease, post heart bypass surgery 4. Cardiac arrhythmia, Paroxysmal atrial fibrillation
Date: September 2, 2014
Days Admitted to Hospital: 21 days

Before treatment:
            The patient suffered from blurred vision of both eyes for more than 3 years. The left eye was more severe. This accompanied with dysmetria. The visual field and the ability to distinguish color were normal. He went to a local hospital and received related examination and was diagnosed with macular degeneration. He didn't received special treatment. Then the disease progressed gradually.

            From the onset of disease, the patient's spirit was good. His weight had no obvious change. The diet was normal. The defecation and urine were normal. The sleep quality was poor. There was no familial or hereditary disease.

  
Admission PE:
            Bp: 146/88mmHg; Hr: 80/min, Br: 19/min. The patient's development was normal. The body type was normal. The skin and mucosa were intact. The thorax was symmetrical; the respiratory sounds of both lungs were clear, with no moist rales. The rhythm of his heart was regular, and there was no obvious murmur in the valve area. The abdomen was enlarged and soft, with no masses. Through palpation, the liver and spleen were found to be normal. There was an incision in the chest, which has been cured, the size of incision was 5-8cm. There was a moderate pitting edema below his ankles.

Nervous System Examination:
            Ernest Narodetsky was alert and his speech was clear. His calculation, memory and orientation were normal. The diameter of right pupil was 3.0mm. Both pupils were sensitive to direct light reflex and consensual reflex. The color vision was normal. He suffered dysmetria and obvious metamorphopsia. Under the ophthalmoscope: bilateral fundus presented with dark red. This accompanied with dark red exudation, no swelling. The border of both eye's macular area was unclear. The border of the head of optic nerve was clear. The arteriovenous ratio was near 1:4.  Left eye's fundus had yellow floccule. From a distance of 3 meters of standard visual acuity chart: right eye's vision was 0.2, left eye’s vision was 0.08. After correction, right eye's vision was 0.3, left eye's vision was 0.3. Both eyeballs could move freely to each sides. There was no visual field defect or obvious nystagmus. The convergence ability of left eye was poor. 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 his four limbs was almost normal; the muscle strength of his all four limbs was at level 5. The tendon reflex of his four limbs was normal. The abdominal reflexes were not elicited. The sucking reflex was negative. Bilateral palm and jaw reflex were positive. Bilateral Hoffmann sign was negative. The Rossolimo sign of both upper limbs was negative. The pathologicalreflex of both lower limbs was negative. He had normal deep and shallow sensation. The coordinate examination was normal.

Treatment: 
            We gave Ernest Narodetsky a complete examination. The patient received treatment for retina and optic nerve regeneration and to activate stem cells in vivo.
He received treatment to improve the blood circulation in order to increase the blood supply and also to nourish the damaged neurons. This accompanied with rehabilitation training.

Post-treatment:
            Both visions have improved. Vision from a distance of 3 meters of standard visual acuity chart: right naked eye is 0.4, left naked eye is 0.25. The right corrected eye is 0.5, left corrected eye is 0.5. The dysmetria and metamorphopsia have been alleviated. Under the ophthalmoscope: left fundus presented with a pale orange color. The effusion has reduced. The yellow floccule in fundus has reduced obviously. Right fundus presented with orange color. The effusion has reduced. The border of macular area is clearer than before.