Thiara avril crespo-Retinal Dystrophy-(Argentina)

Name: Thiara avril crespo 
Sex: Female
Nationality: Argentinean
Age: 9Y
Diagnosis: Retinal Dystrophy

Before treatment:
The patient had a fever when she was born. She also had high levels of serum potassium and had diabetes insipidus. She was diagnosed with retinal dystrophy. She did stem cell treatment (IV and retrobulbar injection) in Thailand 4 years ago but after the treatment her vision function was not improved much. At present she only has light sense in her right eye.
Her spirit is good, her sleep, urination and defecation functions are normal.

Admission PE:
Bp: 120/78mmHg, Hr: 90/min, breathing rate: 22/min, body temperature: 36 degrees. Her height is 136 cm, weight 43.5Kg. Nutrition status is good with normal physical development. There is no injury or bleeding spots of her skin and mucosa and no blausucht. The respiratory sounds in both lungs were clear with no dry or moist rales. The heart beat is powerful with regular cardiac rhythm and 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. Her memory, orientation and calculation abilities were normal. Both pupils were equal in size and round, diameter of 4.0 mm and react well to light. Her left eye color vision and nystagmus examination were normal, the right eye had some light perception on the nasal side but could not distinguish things on the visual chart at 3m. Both eyes naked eyesight were 0.15. Left eye visual field examination: upwards 14cm, downward 18cm, left side 9cm, right side 15cm. The eyes fundus examination: left side eye fundus was red color, there were some black sediment in the surrounding area, the blood vessels and retina development were poor. Right eye fundus was faint red in most areas, others were pale, the optic nerve head was pale with optic nerve dysplasia. The bilateral forehead wrinkle and nasolabial fold are symmetrical, swallowing function and hearing ability were normal. The 4 limbs could move freely with the muscle tone and muscle power normal. The tendon reflex of all 4 limbs was normal. The abdominal reflex was normal, sucking reflex was normal, bilateral palm-jaw reflex were negative. The bilateral Hoffmann sign were negative, the Rossilimo sign of both sides were negative, bilateral Babinski signs were negative. The sensory and coordinate movement were basically normal and the meningeal irritation sign was negative.

After the admission she received related examinations and received 3 times nerve regeneration treatment to repair her damaged retinal cells, replace damaged cells, nourish nerves, regulate her immune system and improve blood circulation, This was done with rehabilitation training.     

After 18 days treatment her eyesight showed good improvement. Results of the 3m eyesight chart examination: both eyes naked eyesight were 0.25, left eye naked eyesight was 0.25, the left eye visual field enlarged: upward 34cm, downward 34cm, left side 22cm,right side 27cm. Both eyes visual field examination: upward 28cm, downward 33cm, left side 18cm, right side 25cm. the eyes fundus examination: left eye fundus was red, the artery vessels enlarged, and the blood supply of the fundus improved.

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