- Name: Mr. N V
- Age: 60 years
- Sex: Male
- Date of visit: 23-5-1996
Chief complaints:
The patient developed sudden black spots in the Rt. Eye in front of his vision about 2 months ago.
Blurring of vision and ultimately complete loss of vision followed this. He cannot make out details of the objects. There is also a stiffness of the Rt. Eye in the morning on waking. He is a welder by profession and is exposed to very bright light.
He also complains of gases and flatulent distension of the lower abdomen, which is < eating pulses and > passing flatus.
Life Situation and Mind:
He is married and has 3 sons and 2 daughters.
He joined a religious group 24 years ago and since then he has stopped eating non-vegetarian food and now helps in the local temple.
He has been working as a welder for the past 40 years but is not treated well by his boss.
He is mild and does not retaliate if insulted, though he feels hurt and sometimes gets a desire to hit the other person. He will weep if insulted.
No tensions or fears.
Patient as a Person:
- Skin: Vitiligo on hands and feet
- Appetite: Poor
- Desires: Sweets3, Salt, Milk
- Aversion: Spicy
- Thirst: Increased. Mixes fridge and pot water
- Sweat: Profuse, no stains/ odours
- Stools: Daily but hard and unsatisfactory
- Urine: D:N::4-5:2-3. No straining
Past History:
Rt. Herniorrhaphy, Rt. Hydrocele (RCTVH done)
Family History:
Nothin g significant
Examination findings:
Rt. Eye: Vitreous haze ++, Vision- FC (finger counting), IOP- Normal
Investigations:
(7-5-1990)
Blood Sugar: (F)- 93 mg%; (PP)-127 mg%
RBC- 4.3, Hb- 13, TC- 12,200, N/60, L/24, E/6; ESR- 15mm
Diagnosis:
Rt. vitreitis
Treatment:
Lycopodium 200 tds x 7 days
Follow up:
28-05-1996: Vision SQ. Treatment- ct all x 7 days.
04-06-1996: Vision- can detect light; flatulent distension >.
Treatment- ct all x 7 days.
12-04-1996: Vision improving, no gases. Treatment- SL tds x 14 days.
26-04-1996: (S/B Dr. Maniar: Vision- Rt. Eye- 6/60, IOP- normal.)
Pt. complains of smoky vision; but can appreciate shapes.
Treatment- ct all x 14 days.
11-05-1996: Vision- slightly better. Gases again +
Treatment- Lyco 200 tds x 7 days then SL tds x 7 days.
25-05-1996: (S/B Dr. Maniar: Vision- 6/24, Media clearer, Very few floaters seen, IOP- normal.) Symptomatically >
Treatment- SL tds x 14 days.
11-06-1996: Vision improved. Can read letters on TV clearly. Haziness of vision reduced ++. Gases and abdominal distension >
Treatment- ct all x 14 days. 26-06-1996: (S/B Dr. Maniar: Vision- 6/12, Media clear, floaters reduced IOP- normal.) Pt. again complains of gases and distension of the lower abdomen after eating pulses. Vision is better and haziness has reduced almost completely. Treatment- Lyco 200 tds x 7 days then SL tds x 7 days. 26-07-1996: Vision improved. No haziness of vision. No gases. (S/B Dr. Maniar: Vision- 6/9, Media clear, floaters nil, IOP- normal. Has recommended new glasses.) Treatment- SL tds x 1 month.