Ms. Sue-Macular Degeneration-(South Africa)-Posted on Feb.2nd, 2017
Name: Ms. Sue
Sex: Female
Nationality: South African
Age: 51Y
Diagnosis: Macular Degeneration
Date of Admission: October 2th, 2016
Treatment hospital/period: Wu Medical Center/14days
Before treatment:
Ms. Sue’s eyes had photophobia without any known cause, she felt a harsh glare from the sun, light in her home, and it affected her normal life. She also had central amblyopia, she needed to move her eye balls to see objects clearly, so she went to the local hospital and was diagnosed with macular degeneration, untreated. Her eyes are sensitive to light, she has central amblyopia, her dark vision and color discrimination are normal. She wants a better life so she came to our hospital.
Her spirit, weight, diet and sleep are all normal. Her urination and bowel movements are both normal.
Admission PE:
Bp: 127/89mmHg; Hr: 85/min, Br: 20/min. height：168cm, weight: 74kg. Ms. Sue’s development and nutrition were normal. The body type was normal. The skin and mucous were normal. There was no ecchymosis, petechia or yellow stains on the skin. The thorax was symmetrical. The respiratory sounds in both lungs were clear, with no dry or 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. The liver and spleen were not enlarged. There was no edema in the lower limbs.
Nervous System Examination:
Ms. Sue was alert and her speech was clear. Her memory, orientation and calculation ability were normal. Both pupils were equal in size and round, the diameter was 2.0mms. Both eyes were sensitive to direct light reflex and consensual reflex. Both eyeballs could move freely to each side. There was no nystagmus. Her central vision was lost：her vision loss was within both eyes 5cm above，13cm of the right side，6cm of the left side；Left eye vision lost： within 13cm above，8cm down，16cm left，17cm right. Right eye vision lost：within 8.5cm， 24cm to the right side. Vison check，3 meter standard visual chart：naked eyes，0.1；right eye ，0.12. 2 meter standard visual chart：naked eyes，0.15；left eye，0.06，right eye，0.15； Need to move eye balls. Under ophthalmoscope: the fundus in the right eye was presented with a dark yellow color，the arteriovenous ratio was 1:4. The border of the macular area was unclear；the fundus in the left eye was presented with a dark yellow color with no exudation，the arteriovenous ratio was 1:3. The border of the macular area was unclear. 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; the muscle strength of all four limbs was at level 5. The abdominal reflex was normal. The bilateral biceps reflex，radio periosteal reflex and ankle reflex could not be elicited. The bilateral triceps reflex was normal. The bilateral patellar tendon reflex was normal. The sucking reflex and the palm jaw reflex were negative. The bilateral Hoffmann’s sign was negative. The Rossolimo’s sign of both upper limbs was negative. The pathological reflex of both lower limbs was negative. The deep sensation and superficial sensation were normal. The coordinated movements were normal.
Treatment:
Ms. Sue was diagnosed with Macular Degeneration. She received 3 neural stem cell injections and 3 mesenchymal stem cell injections to repair her damaged optic nerves, replace the dead nerves with new injected stem cells, improve her blood circulation, nourish the nerves and improve circulation. This was accompanied with rehabilitation.
Post-treatment:
After 14 days of treatment, Ms. Sue’s photophobia was better improved.
Her vision has improved. 3 meters visual chart：naked eyes：0.3；2 meters visual chart：naked eyes：0.5. The vision loss in her eyes was decreased. Funduscope: The circulation was improved, the boundary of the macular area was clear.