- Name: Mrs. M N
- Age: 63 years
- Sex: Female
- Date of visit: 2-3-1995
Chief complaints:
There is dim vision in the Rt. Eye since January 1992. She had redness of the eye followed by gradual loss of the vision.
She can see only from the left eye.
She was treated with local and systemic steroids without any improvement and was then referred for homoeopathic treatment.
She also has cough with yellowish expectoration since three years which is < winter, < afternoon (after eating). She has been started on Tab. Isonex by her doctor for the cough (TB).
Life Situation and Mind:
Mild personality.
Very fearful. Fear of darkness3. Fear of being alone3. She has a fear of ghosts and feels that ghosts might creep out of the dark areas of the house.
Hence she wants company, especially at night.
Sleep: Poor. Scared at night. Gets sleep at 2-3 am.
Patient as a Person:
- Appetite: OK
- Desires: Spicy
- Aversion: —
- Thirst: Increased. Wants cold water.
- Sweat: normal
- Stools: Takes Isabgul (husk preparation) to get proper bowel movements.
- Urine: D:N::4:2-3
- Chilly patient
Past History:
Nothing particular
Family History:
Nothing particular
Examination findings:
(S/B Dr. Maniar on 28-2-1995)
Vision: Rt. Eye- F.C. upto 2 feet
Fundus: Ant. vitreous haze with vitreous floaters
Investigations:
Blood sugar: (F)-82, (PP)- 92; Mantoux test: – ve
Diagnosis:
Rt. Eye vitreitis
Treatment:
Phos 200 tds x 7 days
Follow up:
10-03-1995: No redness of eye. Dimness of vision >.
Treatment- ct all x 7 days.
17-03-1995: (S/B Dr. Maniar: Vision – 6/60; Fundus- ant. haze +, floaters +) Treatment- ct all x 7 days.
24-03-1995: Vision improved.
Treatment- SL tds x 14 days
10-04-1995: (S/B Dr. Maniar: Vision – 6/36; Fundus- ant. haze +, floaters +) Treatment- ct all x 14 days.
24-04-1995: Haziness of vision >. Can see objects clearly. Floaters >.
Treatment- ct all x 14 days.
08-05-1995: Vision again dim since 3 days. Floaters +
Treatment- Phos 200 tds x 7 days, then SL tds x 7 days.
23-05-1995: Vision improved once again. Haziness > ++; Floaters > + Treatment- ct all x 14 days.
05-06-1995: (S/B Dr. Maniar: Vision – 6/9; Fundus- clear, floaters- nil) Treatment- SL tds x 14 days.
05-07-1995: (S/B Dr. Maniar: Vision – 6/9; Fundus- clear, floaters- nil; IOP- normal). Treatment- SL tds x 14 days.