Diabetic Retinopathy and Subconjuctival Hemorrhage Case presentation

Transcription

1 Diabetic Retinopathy and Subconjuctival Hemorrhage Case presentation Fernando Yaacov Pena, MD, MSc. 9th Annual Microcurrent Conference Carefree, Arizona

2 Disclose No comercial interest

3 Introduction Diabetic Retinopathy (Case 1) Main cause of blindness in working age population th cause of blindness after cataract, glaucoma and ARMD Caused by changes in the retinal microcirculation due to high blood glucose levels World Health Organization 2011

4 Introduction DR is characterized by hemorrhages, exudates and other changes in the micro vascular permeability of he retinal vessels. Classified as non-proliferative and proliferative depending on the signs of neovascularization Normal NPDR PDR

5 Introduction Diabetic Retinopathy It is accepted that the damage to the retina causes irreversible loss of vision Usually the allopathic treatment is oriented to prevent the worsening of signs and deterioration of visual acuity Injections, LASER or Vitrectomy There are no reports, as far as the author searched, that show an improvement of vision with only medical treatment (without surgery) in a case of PDR

6 Patient Information and Presenting Concerns 63 years old woman, who was first seen on October 2014 consulting for progressive loss of vision and blindness She had a history of diabetes mellitus diagnosed five years earlier, and was receiving medical treatment with Insulin, 10 units every 12 hours She also had a history of systemic hypertension treated with Losartan and Amilodipine. Had a cholecystectomy 9 years ago.

7 Patient Information and Presenting Concerns She was complaining of a severe limitation for her daily activities due to the loss of vision, and very often required the aid of other family members in order to walk, eat, and do other personal activities Strong deterioration of her quality of life because of her blind condition, depression Lost appetite and become intolerant with others, often angry and with a bad mood

8 Clinical Findings Visual acuity in the right eye of "light perception" and in the left eye was "Count fingers at 50 centimeters Conjunctiva was congestive, had cataract surgery in the right eye and mild opacification of the lens in the left eye The intraocular pressure was 18mmHg and 16mmHg for the right and left eye respectively The retina was attached but with multiple intrarretinal hemorrhages, vitreous hemorrhage with neovascular proliferation and macular edema in both eyes. It was difficult to see the optic nerve to evaluate the excavation

9 Angiography Right eye

10 Angiography Left eye

11 Other tests Blood tests: Blood sugar 92mg%, HbA1c 6.1, Cholesterol 211, Triglicerides 267, HDL 30, LDL 143, Creatinine 2.94 BUN 56

12 Diagnostic focus Legally blind Allopathic diagnosis: Diabetes mellitus, Systemic hypertension, Proliferative diabetic retinopathy, Dyslipidemia and kidney dysfunction. Biorregulatory medicine diagnosis: Kidney and liver dysfunction and intoxication, Yin- kidney insufficiency, Chi-pancreas stagnation, Impregnation of extracellular matrix

13 Therapeutic focus and assessment The therapy with MICROCURRENT and HOMEOPATHY was oriented to: 1. Detoxify kidney and liver 2. Regulate microcirculation 3. Modulate inflammation 4. Improve mitochondrial function 5. Increase oxygenation

14 Bioregulatory therapy protocol Detoxification with Nux vomica, Lymphomyosot and Berberis Homacord. Oculoheel one tablet tid, for two months and Traumeel one table tid, for two months Microcurrent frequency specific Protocols (Dr. Kondrot) 3 times per week, for 2 months Diabetic Retinopathy Vision Basic Detox Diabetes Detox Pancreas dysfunction Depresion

15 Bioregulatory therapy protocol Delta Cold Laser, Diabetes and Eye protocols Nutritional recommendations (antioxidants, prebiotics, probiotics) Breathing and meditation exercises

16 Follow-up and outcomes After 2 weeks of treatment she refers an improvement in her visual acuity and her general mood status One month later the visual acuity in the right eye improved to "hands movement at 1 meter" and in the left eye improved dramatically to 20/200 at 6 meters

17 Follow-up and outcomes When comparing the vision before and after the treatment, before she could not walk alone by her self and neither recognize objects further than 50 centimeters of distance. After the treatment she was able to read the big letters of the Snellen chart at 6 meters, recognize persons and walk by her self. At the last visit she came smiling to the office

18 Discusion In this case, the patient recovered some degree of visual acuity, more in the left eye and it was reflected in an improvement in her quality of life This is very unusual to happen with a nonsurgical non-invasive treatment for PDR There are no previous reports of improvement of vision in proliferative DR, when treated with homeopathy and Microcurrent as far as we investigated.

19 Case 2 Evolution of subconjunctival hemorrhage treated with Delta Cold Laser comra Therapy directly on the eye with eyelid closed PROTOCOL: 50Hz, Ultra sound ON, 2 minutes, 4 times/day

20 1 HOUR AFTER FIRST TREATMENT BEFORE TREATMENT

21 14 HOURS AFTER 7 HOURS AFTER

22 3 DAYS AFTER INITIAL TREATMENT 40 HOURS AFTER

23 BEFORE AFTER Complete healing in 3 days A process that normally takes 2 to 3 weeks

24 Conclusion This case-report describes an example where Microcurrent and anti-homotoxic biorregulatory medicine with Homeopathic medications, combined with other alternative approaches (Delta laser, nutrition and meditation), may provide an important option to improve vision in patients with diabetic retinopathy Subconjunctival hemorrhage can acelerate reabsortion with energy medicine comra therapy

25 Thank you