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
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
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).
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
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)
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).
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”.
Further vision deterioration to 6/24 (20/80).
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
Optometrist measured vision, Sept 2005, measured recovery to 6/18 (20/50)
Further 23 days of residential treatment at Maharishi Ayurveda Hospital in October.
Optometrist measured vision in May 2006, showed recovery to 6/6 (20/20)
Optometrist measured vision in May 2006, showed small improvement to 6/18 +2
(better than 20/50)
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)
Optometrist measured vision in May 2007 showed recovery still holding at 6/6 (20/20).
Optometrist measured vision in May 2007, now showing at 6/12 (20/40)
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
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.