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A Case of Hypertensive Retinopathy

Mr. X aged 62 yrs. old residing at Nadiad, Consulted me on 17th Oct. ’04. For diabetes and hypertensive retinopathy.

 
C/C Eyes: Recurrent haemorrhages in both the eyes since 3 years. Laser treatment is given to left eye.
Left eye: Small, swelling under lower eyelids. Lachrymation Agglutination- occ. Dimness of vision.
Right eye: Loss of vision.
H/O: Diabetes, Hypertension. Cataract- both the eyes- operated.

PERSONAL HISTORY:

Appetite : good, hunger – good
Desire : sweets3, Salad2
Aversion : Banana, ladyfinger
Thirst : 11/2- 2 lit / day
Digestion : regular
Stool : regular
Urine : normal
Perspiration : scanty
Sleep : not sound
Dreams : Thoughts of past events.
Habit : Gutka, tobacco

LIFE SITUATION:

Gets angry easily, when things are not done according to his wish. He shouts loudly when angry. Never become anxious in unusual circumstances. Always prefer company. Keeps his things in proper place and want every thing in order.

If cheated or hurt by someone never forget easily and gradually cut off relation with that person. Never try to take revenge. Doesn’t put trust easily on others. Likes consolation. Share his problem with family.

In his government job usually client offer bribes to complete their work but he never accept it. He completes his work properly. Very much cautious about his work.


In his government job usually client offer bribes to complete their work but he never accept it. He completes his work properly. Very much cautious about his work.

Considering the pathology I have given CROTALUS HOR. 30.

Date Followup Treatment
2/11/04 Eye: right: vision started, can go out of home without anybody help. Can see objects. Eye: left: slight improvement in vision. After sleep, for sometimes he cannot see later on slowly vision returns. CROTALUS HOR. 30. TDS
15/11/04 Improvement stopped. Eye: right eye cannot recognize how many fingers from distance. Lachrymation both side. PP2BS- 221 CROTALUS HOR. 200- 2 doses for 30 days. SL. TDS CEPHALANDRA IND. Q- BD.
20/12/04 SQ CT ALL
14/2/05 Eye: right: vision good. Pt can read news paper. Eye: left: dim vision. Can see fingers but cannot count. PP2BS- 230 CROTALUS HOR. 200- 4 doses for 30 days. SL. TDS CEPHALANDRA IND. Q- BD. 30 days.
17/3/06 (after 1 year) Eye: right: vision clear. Eye: left: dim vision. Swelling and lachrymation –occ. B.P. 190/90 at that internal haemorrhage occurred and again vision lost. But as blood pressure controlled and vision came back. PP2BS- 230 SYPHYLINUM 200- 1 dose. CROTALUS HOR. 200- 4 doses for 30 days. SL. TDS CEPHALANDRA IND. Q- BD.






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