Dr.Niral Hinsu

Dr.Priyanka Kharadi, Dr.Kashyap Patel

Abstract

RECENTLY RECEIVED A CASE OF 39 YEARS OLD MALE PATIENT CAME TO OPHTHALMIC OPD ON DATE OF 27/05/2023 WITH CHIEF COMPLAIN OF DECREASE OF VISION IN BOTH EYE SINCE 6 YEARS WITH NO HISTORY OF ANY SYSTEMIC ILLNESS, OCULAR SURGERY, TRAUMA AND SIMILAR COMPLAIN IN FAMILY. HE GAVE HISTORY ABOUT CONSULTATION AT ANOTHER EYE HOSPITAL ON DATE OF 19/10/2019, WHERE BCVA OF RIGHT EYE -6/60,LEFT EYE -6/18, NORMAL AMSELAR GRID TEST BUT COLOR VISION IS ABNORMAL, REFRACTION OF RE)6/18 (-0.75S/-1.00C/90) AND LE)6/12 (-0.75S/-0.75C/90) THEN REFERRED FOR VR SURGEON OPINION. HE CONSULTED ON DATE OF 21/10/2019 TO VR SURGEON ,WHERE FUNDUS EXAMINATION SUGGEST FOVEAL THINNING AND OCT SHOW CMT OF RE)77 LE)71, WHERE PROBABLE DIAGNOSED AS ?HEREDOMACULAR DEGENERATION. ON OUR OCULAR EXAMINATION BCVA RE)2/60 LE)3/60 WITH NO IMPROVEMENT IN PIN-HOLE TESTING. DILATED FUNDUS EXAMINATION SUGGEST BE)MEDIA CLEAR WITH MACULAR SCAR ?, FLUROSCEIN ANGIOGRAPHY REVEALED DARK CHOROID WITH OCT OF RE)56 LE)77,LOW VISION AIDS PRESCRIBED.