This document presents a low vision case study of a 14-year-old female patient named Juhi Patil. She presented with blurry right eye vision for distance over the past 4 months and itchy eyes in both eyes for 3 months. Her initial examination found dullness and retinal pigment epithelium atrophy in the macula and fovea of both eyes. She was prescribed a bar magnifier and See TV for low vision assistance with near and distance vision tasks. The final devices provided her 6/12p binocular vision for distance with the See TV and near vision of N6 with the bar magnifier. She was diagnosed with macular dystrophy, which was explained as a genetic disorder that deteriorates

1. NAME – RAHUL DEB BERA
VCOVS 4TH YEAR
INTERNSHIP AT ADVANCED EYE HOSPITAL & INSTITUTE

2. LOW VISION CASE PRESENTATION
 Demography data of patient:
Name- JUHI PATIL Age- 14 yrs
gender- Female Contact No.- 9004366874
Address-Mumbai
Visited at: Advanced eye hospital & institute

3. CHIEF COMPLAINT
 Right eye blur vision for distance since 4 months
 Both eyes itching frequent since 3 months
OPHTHAL HISTORY:
 Both eyes current glasses since 2 days
FAMILY History:
 No family history of using glasses

4. INITIAL WORKUP
 Non Contact tonometer: OD-15 mmHg @ 4:56pm
OS-13 mmHg @ 4:57pm
 Vision Assessment:
On Examination Right eye Left eye
Visual Acuity With Glass 6/36 6/24P
Visual Acuity With
Pinhole
NIF, N36 NIF,N10
Glass Power -0.50DS -1.00Dcyl@ 90

5. OBJECTIVE REFACTION
 AUTO REFRACTOMETER:
OD: -1.00/-0.50@90
OS: +0.50/-0.75@90
 DRY RETINOSCOPY:
OD: -0.75DS
OS: -0.75Dcyl@90
 WET RETINOSCOPY:
OD:
OS:

6. SUBJECTIVE REFRACTION
DRY ACCEPTANCE:
OD: -0.75DS (6/36,N36)
OS:-1.00Dcyl@90 (6/24p,N10)
WET ACCEPTANCE:
OD:
OS:

7. OCULAR FINDINGS
OD OS
CORNEA CLEAR CLEAR
ANTERIOR SEGMENT REST WITH IN NORMAL LIMIT REST WITH IN NORMAL LIMIT
RETINA DULL FR,RPE ATROPHY AT
MACULA,FOVEAL HYPOPLASIA
Dull FR,RPE atrophy at
macula,foveal hypoplasia
ADDITIONAL ADVISE FOR : mfERG & E.R.G FOR FURTHER EVALUATION OF NEURONAL &
VISUAL PATHWAY STATUS.

8. FINDINGS REPORT(OCT)

9. FINDINGS REPORT(HVF 24-2)

10. SUGGESTION:
 NO SIGNIFICANT IMPROVEMENT WITH GLASSES
 AFTER DISCUSSION WITH PATIENT ADVISED FOR LVA TRIAL

11. BEFORE LVA TRIAL,UNDERSTANDING OF
PATIENT’S NEED/LIFE STYLE
BACKGROUND OF PATIENT :
SHE IS A 14 YR SCHOOL GOING STUDENT,HER
HOBBIES ARE READING BOOKS & PLAYING INDOOR GAMES. BY UNDERSTANDING
HER HOBBIES & NEEDS WE CHOOSED APPROPRIATE LVA DEVICES FOR DISTANCE &
NEAR.

12. LVA TRIAL
 FOR DISTANCE : SEE TV

13.  FOR NEAR: BAR MAGNIFIER (2X)

14. FINAL DEVICE PRESCRIBED WITH VISION
 BAR MAGNIFIER (2x) DIRECTORY READER FOR NEAR ONLY Vn N6
 For distance with the help of see tv patient’s achived vision binocularly 6/12p

15. DISCUSSION
MACULAR DYSTROPHY
 Macular Dystrophy is deteriotion of central part
Of the retina that’s called macula which carries the photoreceptors cells (Rods &
Cons).
 In this condition central vision is more effected as compare to periphery
 It’s a inherited genetic disorder

16. THANK
YOU