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  Macular
  Degeneration
  Recovery

HIGHLY ATYPICAL
MYOPIC MACULAR DEGENERATION
RECOVERY

subsequent to treatment by MAHARISHI AYURVEDA

Case details for clinicians

 

APR- JULY 2004

 

LEFT EYE

Loss of central vision from 6/9 to 6/60 (from 20/200 to 20/20):

 

Distortion for 2 months, followed by loss of central vision from 6/9 to 6/36, pinhole 6/24 (20/30 to 20/100, pinhole 20/70) in June.  My referring doctor was informed by my consultant ophthalmologist that the fluorescein angiogram ... “does not reveal leakage beneath his left macula. His diagnosis is therefore one of progression of his myopic macular degeneration which will unfortunately result in visual loss on the left.”  

Further deterioration to 6/60 (20/200) by July, and subsequent to a second angiogram, my referring doctor was informed that “
he has a break in the RPE layer of his left retina, which unfortunately goes right through his macula” and “the fluorescein angiogram suggests that this break is related to his myopia and not to any neovascular membrane

 

It may be pertinent to note, that in view of the unusual picture my case presented, my consultant ophthalmologist consulted with several of his colleagues who also corroborated the atrophic diagnosis (but see Note 2 below).
 

RIGHT EYE

Early stage macular degeneration diagnosed.  Deterioration from 6/9 to 6/12 (20/30 to 20/40) - but see Note 3 below.  Warned of possible future vision loss of the slow ‘dry’ type. This turned out not to be the case (as the loss was due to sudden leakage in Dec 04).

 

 

 

AUGUST 2004 (1st residential Ayurvedic treatment in Delhi, India)

 

Began taking daily Ayurvedic herbs after an Ayurvedic consultation in London, and shortly thereafter travelled to Delhi, India for 21 days residential Ayurvedic treatment under the special guidance of Dr. Raju at Maharishi Ayurveda Hospital. (I also began taking daily doses of a Lutein based neutrical).  Upon my return to the UK, I continued to take daily Ayurvedic herbs and the neutrical, which I continue to do.

 

 

 

LATE 2004 - FEBRUARY 2005

 

LEFT EYE

Subjectively observable improvements begun Oct / Nov 2004.  By Feb 2005, vision had improved to 6/18 (20/60).  Examination at this time revealed the peri-papillary atrophy and a large lacquer crack going through the fovea.  Optometrist measured vision in Dec 2004, was 6/24 (20/70).

 

 

RIGHT EYE (1st bleed)

Onset of observed distortion and deterioration in December 2004, and examination in February 2005 revealed a small Foster Fuch’s spot adjacent to the fovea resulting from a neovascular event (1st bleed). Optometrist measured vision in Dec 2004, was 6/9 +2 (better than 20/30).

 

 

 

 

MARCH 2005 (2nd and 3rd bleed; one Verteporin PDT treatment)

 

RIGHT EYE

Further deterioration in vision. Fluorescein angiogram revealed a scotoma with strong indication of active choroidal neovascularisation (2nd bleed).  Verteporin PDT was administered, followed by an acutely distressing and dramatic loss of vision the next day, which gradually improved to equal the pre-laser treatment level by the end of week two.

 

By the end of week three there was a net slight improvement in vision relative to the pre-PDT level, but this lasted only two days, when a further (3rd) bleed occurred, thus eliminating the improvement.

 

Having considered the risk / benefit ratio of further PDT in the light of being in the subgroup susceptible to increased and possibly permanent vision loss, I decided against further PDT

Optometrist measured vision in April 2005, was 6/12 - 1 (just less than 20/40).

 

 

 

 

JULY 2005

 

LEFT EYE

Atypical recovery back to 6/9 (20/30) from it’s pre-RPE macular break value one year previous.  In spite of worrying subjective impressions of vision fluctuation over the previous month, ocular examination at this time revealed “the optic disks … as pink and healthy”.

 

RIGHT EYE

Further vision deterioration to 6/24 (20/80).

 

 

 

SEPT/OCT 2005

 

LEFT EYE

Optometrist measured vision, Sept 2005, showed further recovery to 6/6 -1 (just under 20/20).  Distance visual acuity now actually measures better than before the macular break. [My standard optometrist eye test for prescription glasses in April 04 measured 6/9 (20/30)].

 

RIGHT EYE

Optometrist measured vision, Sept 2005, measured recovery to 6/18 (20/50)

 

Further 23 days of residential treatment at Maharishi Ayurveda Hospital in October.

 

 

 

MAY 2006

 

LEFT EYE

Optometrist measured vision in May 2006, showed recovery to 6/6 (20/20)

 

RIGHT EYE

     Optometrist measured vision in May 2006, showed small improvement to 6/18 +2
      (better than 20/50)

 

 

 

NOV 06

 

LEFT EYE

Optometrist measured vision in Nov 2006, showed recovery holding at 6/6 (20/20).

 

     RIGHT EYE
     Optometrist measured vision in Nov 2006, now at 6/12+3 (approx. 20/35).  Marked
     improvement in colour perception, though there is still substantial distortion (straight
     lines appear wavy) and inability to see fine detail.

 

 

 

MAY 2007 (discharged by consultant)

 

LEFT EYE

Optometrist measured vision in May 2007 showed recovery still holding at 6/6
      (20/20).

 

RIGHT EYE

     Optometrist measured vision in May 2007, now showing at 6/12 (20/40)


 

 

Notes:

1.  Left Eye: myope value has gone from 6.5 to 7.0.

 

2.  Left Eye: although diagnosis (June, July 04) was ‘dry’ macular degeneration, my later
          consultant expresses the view that leakage had to have occurred.  I understand he arrives
          at this view with reference to his belief that recovery of the magnitude I exhibit is
          probably not explainable any other way.
 

3.  Right Eye: in June 04, consultant measured value was 6/5.  As this is inconsistent with
          my earlier dispensing optician measured value at 6/9 (20/30), it would appear to be
          anomalous and is omitted from the graphed data set.

 

4.  Over-sensitivity to light has improved, but is still troublesome.

 

5.  Visual Acuity values are Snellen and some were taken in uncontrolled conditions relative
           to each other.

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