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Catalina - Retinopathy of prematurity (Argentina)

Author Admin Views Posted at 2013/05/06

Name: Catalina Zamira
Sex: Female
Country: Argentina
Age: 6
Diagnosis: Retinopathy of prematurity
Admission Date: 2013-03-25
Days Admitted to the Hospital: 28

Before treatment:
Catalina Zamira is 6 years old. Catalina Zamira was born when her mother was  31 weeks pregnant. The weight was 1550 g when she was born. The doctor found the patient suffered from serious retinopathy. She suffered from retinal hemorrhage and disinsertion. She received laser surgery for therapy. 2 months later, the patient suffered from visual stimulation. Both eyes presented with strabismus and nystagmus. The patient only could sense a shadow. Then the patient didn't received special therapy. At present, the patient has very bad vision and strabismus of both eyes. She could only distinguish a small object from 2-5cm distance. She couldn't distinguish colours. The patient has no diplopia and nystagmus.

Nervous System Examination:
Catalina Zamira was alert and her speech was fluent. She was unable to cooperate with the examination of memory or orientation. The diameter of both eyes was 3.0mm. Both eyes had sensitive direct light reflex and consensual reflex. Both eyes had light sensation. She could distinguish objects at a short distance (2-5cm) when facing a light. She also could touch big or small objects. She could see a person's figure at 1 meter distance, but she couldn't see the face contour of the person. Both eyes couldn't distinguish colours. Both eyeballs moved up and down normally. She had esotropia, and the outreach of the eyeballs was incomplete. There was no nystagmus. The fundi presented pale. There was a defect in the right eye bitemporal and left eye nasal retina. The arteriovenous proportion of both eyes was 2:3. The standard visual acuity chart (3 meters reading values): she could see "E"(0.06) part shadow from 2-3cm. She could read 0.1 from 30cm. The forehead wrinkle pattern was symmetrical. The nasolabial sulcus was equal in depth. The teeth were shown symmetrically. The tongue was in the center of the oral cavity. The neck could turn normally. The muscle tone of the four limbs was almost normal. The muscle strength of the four limbs was almost level 5. The abdominal reflexes were normal. The tendon reflex of the four limbs was normal. The sucking reflex and palm jaw reflex were negative. Bilateral Hoffmann sign was negative. The Rossolimo sign of both upper limbs was negative.  The pathological reflexes of both lower limbs were negative. The deep sensation and shallow sensation were present. She couldn't cooperate with the coordinate movement examination.

Treatment:
We gave Catalina Zamira a complete examination. She received treatment to improve the blood circulation in order to increase the blood supply to the damaged nerves, to strengthen immunity and nourish the neurons. She also received treatment for retina nerve regeneration and neural repair. This was accompanied with rehabilitation.

Post-treatment:
The vision, colour vision and retina in the fundi are better than before. The patient can distinguish fingers, from a short distance 15cm when facing a source of light. The patient can distinguish part of a shape and touch objects, from 2-3cm distance when facing the light. She also can distinguish yellow, blue, red, green, black and white colours from 2-3cm distance. From 30 cm distance, the patient can distinguish face contours. She saw a figure from 2 meters distance. The left vision is better than the right eye. The Ophthalmoscope showed: the color of the fundi present shallow orange. The retinal scar has a newborn vessel. The proportion of the vessel is normal. The standard visual acuity chart (3 meters reading values): she could saw "E" (0.2) orientation from 5cm distance. She could see 0.2 from 30cm.

Catalina zamira's family member emailed to us after they returned home:

2013-05-05

Dear,

The medication is working really well, and I feel like a "normal" girl. At thise effects, I am pleased to say, and I am making sure that I enjoy every moment in my life.
Coming to CHina has been a real turn around and life has been enjoyable again.
Probably in the next 4 weeks I will order some more,

Hope you too are keeping well.

with kind regards

See a report of Catalina:

http://www.diarioepoca.com/notix2/noticia/312984_zamira-volvio-de-china-y-con-el-tratamiento-ya-mejoro-su-vision.htm

2014-02-14

Catalina Zamira's parents email to us:

 

 

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