Mohammad Essa-Retinopathy-(Pakistan)

Name: Mohammad Essa
Sex: Male
Nationality: Pakistani
Age: 6Y
Diagnosis: 1. Retinopathy 2. Sinus arrhythmia       

Before treatment:
The patient was born with anoxia. He was put in an incubator for one day and was injected with antibiotics for 5 days. Three years ago his mother found there was white matter in his eye so he was taken to hospital and diagnosed with a cataract and he had surgery to remove the cataract in the left eye in Sept. 2015. He was diagnosed with retinopathy during the surgery. He also had surgery in right eye in Feb. 2016 and Dec. 2016. After the surgery he was able to see clearly but one month later he was unable to see. Now he is unable to see objects or color being only able to see light and he always has tears.
His spirit, sleep and diet are all normal. His urination and defecation functions are both  normal. 
Admission PE:
Bp: 102/89mmHg, Hr: 89/min, breathing rate: 19/min, body temperature: 36 degrees. Nutrition status is poor but with normal physical development. There is no injury or bleeding spots of his skin and mucosa, no blausucht, no throat congestion, and his tonsils do not have 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, with no obvious murmur in the valves. The abdomen was flat and soft, with no masses or tenderness. The liver and spleen were normal.

Nervous System Examination:
Patient was alert with clear speech and his memory, orientation and calculation abilities were normal. Both pupils were upturned outside, with frequent tears and the doctors could not exam his pupil diameter, response to light, color vision or nystagmous. Bilateral forehead wrinkle and nasolabial fold are symmetrical, he could swallow as normal, hearing ability was normal. His neck could move freely and the 4 limbs could move as normal. The muscle power and muscle tone were normal. Tendon reflexes were normal., abdomen reflex was normal, sucking reflex was negative, bilateral palm-jaw reflex was negative. The Hoffmann sign of both sides were negative, bilateral Rossilimo sign and Babinski sign of both sides were negative. The sensory system was normal, coordinate movement was normal and meningeal irritation sign was negative.

After the admission he received related examinations and was diagnosed with Retinopathy. He received 3 times nerve regeneration treatment to repair his damaged retinal cells, replace dead cells, nourish cells, regulate his immune system and improve blood circulation. This was done with rehabilitation training.     

After 13 days treatment his sexual gland was normal, his tears reduced, his photonasty was better than before and he could distinguish the direction of a large area white object.


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