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A Case of Insecticide induced Retinopathy

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Stanley Medical College, Department of Medicine
Health & Medicine
1 of 43
By: Dr Jami Swathi Prof Dr A.Gowrishankar’s unit A RARE COMPLICATION OF A COMMON POISONING
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Investigations CBC: Hb 11 gm% TC DC 12000 cells/ cu mm P68 L32 ESR 6/ 15 Platelets 1,80,000 RBS 82 mg % RFT: UREA: 28 mg/dl CREATININE: 0.8 mg/dl LFT WNL Serum cholinesterase 1,500 (normal: 3000- 11,000)
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Right Left Visual acuity Perception of light + Perception of light + Cornea& conjunctiva Clear Clear EOM Restricted in all the directions Restricted Pupil Dilated & not reacting to light Dilated & not reacting to light
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C T O R B I T N O R M A L
 
 
MRI BRAIN
 
[object Object],[object Object],[object Object],Right Left Edema of lids Present Present Conjunctival chemosis Present Present Proptosis Present Present Pupil Mid dilated Mid dilated EOM Could not be assessed
[object Object],Right Left Visual acuity Perception of light + Perception of light + Cornea& conjunctiva Clear Clear EOM Restricted in all the directions Restricted Pupil Dilated Dilated Fundus examination Retina pale, Arteriolar narrowing + Disc appears pale Macular hyperpigmentation seen ? Cherry red spot Retina pale, Arteriolar narrowing + Disc appears pale Macular hyperpigmentation seen ? Cherry red spot
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ERG
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WHAT MAKES RETINA VULNERABLE TO TOXIN INDUCED DAMAGE??.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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A Case of Insecticide induced Retinopathy

  • 1. By: Dr Jami Swathi Prof Dr A.Gowrishankar’s unit A RARE COMPLICATION OF A COMMON POISONING
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  • 8. Investigations CBC: Hb 11 gm% TC DC 12000 cells/ cu mm P68 L32 ESR 6/ 15 Platelets 1,80,000 RBS 82 mg % RFT: UREA: 28 mg/dl CREATININE: 0.8 mg/dl LFT WNL Serum cholinesterase 1,500 (normal: 3000- 11,000)
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  • 14. Right Left Visual acuity Perception of light + Perception of light + Cornea& conjunctiva Clear Clear EOM Restricted in all the directions Restricted Pupil Dilated & not reacting to light Dilated & not reacting to light
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  • 18. C T O R B I T N O R M A L
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  • 30. ERG
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