Genesis Shiloe Lazarte Almada-binocular retinal detachment-(Argentina)

Patient name: Genesis Shiloe Lazarte Almada
Gender: female
Age: 4 years old
Nationality: Argentina
Disease diagnosis: binocular retinal detachment

Before treatment:
Mainly due to "no vision in the left eye and poor vision in the right eye for more than 4 years", she was admitted to hospital with "binocular retinal detachment".
Main symptoms: her left eye had a slight sense of light and no light reflex; her right eye was sensitive to light reflex and had blurry vision at close range.

Admission for physical examination:
Blood pressure: 82/52mmHg, heart rate: 108bpm, height: 93cm, weight: 16.5Kg, good nutrition, no skin and mucous membrane damage, no cyanosis in lips, no hyperemia in pharynx. Both lungs breathed clearly. There was no protuberance in precordial region, strong heart sound, uniform rhythm and no murmur in each valvular region. The abdomen was flat and soft, and the liver and spleen were not enlarged. There was physiological curvature of the spine and there was no edema in both lower extremities.

Nervous system physical examination:
She could walk independently with clear articulation. The left eye had a slight sense of light, the left pupil diameter: 4mm, no light reflex, the right eye was sensitive to light reflex, the right pupil diameter: 3mm, she had blurry vision at close distance. Both eyeballs moved flexibly in all directions. The bilateral forehead lines were symmetrical and the tongue was in the center. Good neck mobility, muscle strength of limbs was grade 5, muscle tension of limbs was normal. The pathological signs of the extremities were negative. Meningeal irritation sign was negative.

Treatment process:
The diagnosis of admission was "binocular retinal detachment". Mesenchymal stem cells and neural stem cells combined treatment was given to repair retina and optic nerve, nourish retina and optic nerve, improve circulation and regulate immunity, with comprehensive visual function rehabilitation and other treatments.

After treatment:
The patient's visual function was significantly improved, she could avoid obstacles, had primary color discrimination ability, her binocular vision was improved by 40% - 50%, and she could independently pick up small objects on the ground; the field of vision was significantly expanded, about 70 degrees in vertical direction and 80 degrees in horizontal direction. The light sensitivity of the left eye was obviously improved, and the light reflection existed, she could locate the position and recognition outline of small objects in 30cm, and the image of large objects could be seen from a long distance; the right eye was sensitive to light reflection; she could recognize other persons and see small moving objects at 4m distance.

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