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Woman Ignores Childhood Myopia, Experiences Vision Loss, But Restores Normal Vision From AEHI

49-year-old Nalini Kulsange* from Nerul visited Advanced Eye Hospital Institute (AEHI) located at Sanpada, Navi Mumbai with complaint of diminished vision which was more in left eye than her right eye. Further, she had high myopia since childhood and diabetes since 15 years.

She was referred to Dr. Yogesh Patil, a Vitreo-retina specialist at AEHI. Dr. Patil observed that she had developed Nuclear Sclerosis of Grade II – III i.e. cataract in both her eyes. Posterior segment examination showed that her vitreous body had been liquefying. The retina of her right eye had active Choroidal neovascular membrane (CNVM) while in the left eye she had myopic retinal degeneration. Optical Coherence Tomography also confirmed the presence of CNVM in her right eye.

Choroidal neovascular membranes (CNVM) are unwanted new blood vessels that grow between choroid and retina. Thus, creating barrier between these two layers that causes loss of vision.

Dr. Yogesh diagnosed her with high myopia and cataract in both eyes and active CNVM in right eye.

Dr. Patil then advised anti-VEGF injection under topical anaesthesia to be taken at the earliest in her right eye. This injection inhibits vascular endothelial growth factor (VEGF). VEGF are those proteins which when interacts with its receptors cause formation of new blood vessels.
 
Myopic degeneration is an eye condition wherein the retina is damaged due to progressive stretching of the eye. Although, the causative feature is not clearly understood but includes hereditary factors. Patients who have high myopia are more prone to develop myopic degeneration.


    
She followed Dr. Patil’s advice and got the intra-vitreal injection done. Follow up after a month showed immense healing. The vitreous body was clear. Nalini was advised to repeat the same injection, which she did. She was then asked to follow up r after a month. After 2 injections the activity of CNVM subsided and she noticed a marginal improvement in her vision as well.

Subsequently, cataract surgery was performed in her left and then right eye.

Nalini’s vision was restored to 6/9 vision in the left eye and 6/12 in the right eye.


TAKE HOME MESSAGE

  • Myopic degeneration can cause severe vision loss. Such patients are at high risk of retinal tear and detachment. Hence a regular retinal evaluation is a must in high myopes. Timely retinal laser can prevent retinal detachment
  • Patients who are treated with anti-VEGF injections like avastin, eylea, accentrix, etc to stop the progression of CNVM may require these injections many times depending on the response. It is a good idea to discuss in detail with your retina specialist the possibility of multiple injections.
  • If you experience floaters, veils, curtain shaped structures, flash of light, loss of vision whether it is sudden or gradual, you must visit an eye specialist as soon as possible because retinal diseases if not managed quickly can cause irreversible vision loss.

 

About Dr. Yogesh Patil:
Dr. Yogesh Patil (MBBS, MS (Ophth), Fellow Vitreo-Retinal Surgery) is a Vitreo- Retinal Surgeon at Advanced Eye Hospital and Institute. He has achieved remarkable competence in the treatment of various diseases involving the retina, vitreous and macula as well as extensive training in the skills of various Vitreo-retinal surgeries.
 
About Advanced Eye Hospital and Institute:
Advanced Eye Hospital and Institute in Navi Mumbai is one of the best eye hospitals in Mumbai.  Comprehensive eye check-up and the operation theatres are state-of-art and equipped with the best diagnostic and surgery machines. Personalised care, infection free modular operation theatres and beautiful ambience compliment the cutting-edge eye care offered at AEHI. Besides treating patients from Kharghar, Nerul, Vashi and Panvel, patients from all over western India travel to AEHI for world-class eye care management.