Juan Luis B-Glaucoma, retinal detachment, optic neuropathy-(Argentina)

Patient Name: Juan Luis B
Gender: Male
Age: 69 years old
Nationality: Argentina
Disease Diagnosis: Glaucoma, retinal detachment, optic neuropathy

Pre-treatment:
The patient experienced progressive deterioration of vision and visual field loss in both eyes. He had a history of glaucoma, degenerative myopia, previous retinal detachment surgery, and cataract surgery; he also had a long-standing history of hypertension. He denied any other chronic diseases, infectious diseases, or allergies.

Admission Examination:
The patient's blood pressure was 125/75 mmHg, and heart rate was 62 beats per minute. He was developmentally normal and well-nourished. His skin was not jaundiced. Breath sounds in both lungs were clear, with no significant dry or moist rales heard. Heart sounds were slightly low, with a regular rhythm and no significant murmurs in any valve area. His abdomen was soft, and the liver and spleen were not palpably enlarged.

Neurological Examination:
The patient was alert and spoke fluently. His calculation ability, memory, and orientation were generally normal. Both pupils were 3.0 mm, with brisk direct and indirect light reflexes. Eye movements in all directions were full, with no noticeable nystagmus. Visual acuity test results: standard vision chart at 3 meters showed unaided visual acuity of 0.12 in both eyes and corrected visual acuity of 0.12 in both eyes. There was significant night blindness; the visual fields were markedly constricted (40 degrees up, 40 degrees down, 60 degrees temporal, 30 degrees nasal), and color discrimination was poor. Intraocular pressure was not elevated. Forehead wrinkles were symmetrical, and tongue protrusion was midline. Muscle strength and tone in the neck and limbs were normal. Deep tendon reflexes in the limbs were normal, and pathological signs were negative.

Treatment Process:
The patient was admitted with a clear diagnosis of "glaucoma, retinal detachment, and optic neuropathy." He was treated with mesenchymal stem cells and neural stem cells to repair the retina and optic nerve, along with supportive CAST therapy to nourish the retina and optic nerve, improve circulation, regulate immunity, and assist with comprehensive visual rehabilitation.

Post-Treatment:
The patient's visual acuity in both eyes significantly is improved, with the visual acuity test at 3 meters showing unaided vision increasing from 0.12 to 0.5. Color discrimination ability is improved markedly, allowing him to recognize four different colors (red, yellow, blue, green) at a distance of 4-5 meters. The visual field in both eyes expands significantly (approximately 50 degrees up and down, 70 degrees temporal, and 40 degrees nasal). Dark adaptation ability is enhanced. The patient is very pleased with the treatment results and enthusiastically climbs the Great Wall.