Recovery from Optic neuropathy again

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On 28 April 2014, the father of Mursali Ali, 16, appealed us complaining about deteriorating vision in both eyes of his son.

 A year ago, the boy felt that vision had begun deteriorating in both of his eyes. He appealed to doctors. The diagnosis was atrophy of the visual nerves of both eyes. He received treatment for atrophy, but to no avail. On the contrary, his vision continued to decline catastrophically.

At the moment of his visit to us, the visual acuity of the right eye was 10 per cent and left eye – 5 per cent with eyesight improvement.

The disk of the visual nerve had become sharply pale in the eyeground (Picture1).

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Myopic refraction was 1.0 dioptre.

The boundaries of the field of vision in both eyes had sharply narrowed (Picture 2, the vision of the right eye).

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A conjunctiva test of both eyes for microflora and a test of susceptibility to antibiotics were taken from the patient. Given the results of the test, anti-bacterial treatment in small doses was conducted for six days.

By the fifth day, the boy notices an improvement in visual acuity.

A repeat perimetry after two weeks revealed a considerable decline in the number of scotomas (Picture 3, the field of vision of the right eye two weeks after the beginning of treatment). The visual acuity of the right eye became 16 per cent and left eye – 10 per cent.

After another week, the visual acuity of the right eye was 30 per cent and left eye – 20 per cent. His vision will continue to improve in the next few months.

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