Mr.Kim-Optic Nerve and Retina Injury-(Korea)

Name: Mr.Kim
Sex: Male
Nationality: Korean
Age: 45Y
Diagnosis: Optic nerve and retina injury (Post Glaucoma)

Before treatment:
The patient was unable to see a light ball clearly 20 years ago so he went to a local hospital and was diagnosed with Glaucoma. The doctor prescribed some eye drops to control the problem.  The effect was good but his intra-ocular pressure became higher than normal. 5 years ago the eye drops were unable to control it, his vision and central vision field became bad. He had a trabeculectomy 2 years ago and still used eye drops to control intra-ocular pressure but his vision and vision field were not improved. At present he has almost no central vision field and is unable to see objects clearly. He wants a better life so he came to our hospital.
His spirit, diet and sleep are all normal. His bladder and bowel functions are normal.

Admission PE:
Bp: 134/83mmHg; Hr: 80/min, Br: 18/min, body temperature: 36.8 degrees. Height: 182cms, weight: 91kgs. His development and nutrition were normal. The skin and mucous was normal, there was no ecchymosis, petechia or yellow stains on skin. The thorax was symmetrical. The respiratory sounds of both lungs were clear, with no 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. Through palpation, the liver and spleen were not enlarged.

Nervous System Examination:
He was alert and his speech was clear. His memory, orientation and calculation ability were normal. Both pupils were equal in size and round, the diameter was 3.0mms. Both eyes were sensitive to direct light reflex and consensual reflex. Eyelids apperture of the left eye was smaller than the right side, conjunctival of the left eye was hyperemia and swelling. 3 m standard chart: corrected vision of both eyes were 0.2, corrected vision of the right eye was 0.08, corrected vision of the left eye was 0.06. 1 m standard chart: naked vision of both eyes were 0.06. 50 cm standard chart: naked vision of both eyes were 0.2, left eye vision only was 0.1, and right eye vision only was 0.1. The central visual field of the both eyes was blurred, the blurred range of the left eye within about 50 cm: above 7 cm, 8 cm on the right side, 19 cm on the left side, the blurred range of the right eye within about 50 cm: above 16.5 cm, below 21.5cm, 15 cm on the right side. Both of his eyes could move to each side but the motion amplitude was poor with no obvious nystagmus. 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 tendon reflexes of all four limbs were normal. The palm jaw reflex, Bilateral Hoffmann sign, Rossolimo sign and the Babinski sign were all negative. The deep sensation and superficial sensation were normal. The coordinated movements were normal. The sucking reflex was negative. The meningeal irritation sign was negative.

Treatment:
After the admission Mr.Kim was diagnosed with Optic nerve and retina injury (Post Glaucoma). He received 3 times nerve regeneration treatment to repair his damaged nerves, replace dead nerves, nourish nerves, regulate his immune system and improve blood circulation. This was done along with rehabilitation training.     

Post-treatment:
After 14 days of treatment his eye vision is getting better. His field of view lost range is getting smaller than before. 3 meters standard visual chart: corrected vision of both eyes is 0.3, 1 m standard chart: naked vision of both eyes is 0.1. Now he can take care of himself much better.