Alan Upmann-Macular Degeneration-(America)-Posted on Dec.19th, 2017
Name: Alan Upmann
Sex: Male
Nationality: American
Age: 66Y
Diagnosis: Macular Degeneration
Date of Admission: August 29th, 2017
Treatment hospital/period: Wu Medical Center/15 days
Before treatment:
The patient was unable to see clearly with his left eye, especially reading little words, so he went to local hospital and was diagnosed with macula degeneration. His disease got worse and he had laser surgery in both eyes 20 years ago. 5 years ago his right eye could not see clearly and 2 years later he often saw flashes in front of his eyes. Now the patient can only see blurry vision at a distance of 100 meters and he is unable to recognize people's faces at a distance of 4 meters. He wants a better life so he came to our hospital.
His spirit and weight are normal. His diet, urination and defecation functions are normal.
Admission PE:
Bp: 159/89mmHg, Hr: 53/min, breathing rate: 17/min, body temperature: 36.3 degrees. His height is 178 cm, weight 118Kg. Nutrition status is good with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht, no throat congestion, and his tonsils have no swelling. The respiratory sounds in both lungs were clear, there was no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and with no obvious murmur in the valves. The abdomen was bulging and soft, with no masses or tenderness. The liver and spleen were normal.
Nervous System Examination:
Patient was alert and had clear speech. His memory, orientation and calculation ability were normal . Both pupils were equal in size and round, diameter as 3.0 mm, the direct and indirect reaction to light was sensitive, eyeballs can move freely. Visual acuity: naked eyesight with 3m standard chart, both eyes 1.05; left eye 0.12, right eye 0.15; the corrected visual acuity: both eyes 0.3; left side 0.25, right eye 0.30. Eye fundus examination: right eye fundus color was red, clear border of macula, A/V was 1:4; mild arteriosclerosis, optic nerve head was normal, no exudation. Left eye fundus color was jacinth, the macula area color was dark, there were around 1/5 area with unclear border, with irregular shape, A/V was 1:4. The optic nerve head and retina were normal, no exudation. Bilateral forehead wrinkle and nasolabial fold are symmetrical, showing of teeth is normal and he could extend the tongue out as normal. Neck could move freely, the 4 limbs muscle tone were normal and muscle power of 4 limbs were 5 degrees. The abdominal reflex was normal, the bilateral biceps reflex and radial periosteal reflex could not be induced by examination, bilateral triceps reflex was normal. The patellar tendon reflex of both sides were normal. Both ankle reflexes could not be induced. The palm-jaw reflex was negative, bilateral Hoffmann sign were negative, Rossilimo signs were negative in both arms, the pathological reflex of the legs were negative. Sensory system was normal and the coordinate movement was normal.
Treatment:
After the admission the patient received a detailed body examination and he was diagnosed with Macula degeneration. He received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair his damaged macular area, replace dead cells with new injected stem cells, nourish macular area, regulate his immune system and improve blood circulation. This was done with rehabilitation training.
Post-treatment:
After 15 days treatment his blood pressure got better, his blood lipid was lower than before, his visual ability improved. The 3m standard chart test showed naked vision was 0.2, left eye 0.15, right side 0.2. Corrected vision: bilateral vision was 0.4, left eye vision 0.3, right eye vision 0.4.
