Long Ccse

atunl
Senil (atanac
mm
I
HHISTORY

. Pahent Pauhaulats

Nam jpy Cunda

Cundn

564
Ag male
Sew
Reliaion- indu

A d d u v -h a t n a , B a n b u e

Owupanon
5/yl 21
Dar o Admi'bion -
oaninahby 5/4lu
Date O phthalmology
clpatmunt

Deparnment
Uni
BSMCM

In night
.Chu Complains O
Wslon

P u o g r m v e
A0
PaunuM

o r Last 3yeans
bulb)
nakeel bulb)
nakeel
anound
hu uqht
COLeuwud
halas
o r t D JAst yea
ov
o ingt Obyech
magea
muhplo
Seuing
Jast L yew
Punt 'umnt Tun malL
S69r old, ftotoq
my peuti enh Ajoy undu,

Labouun by ccupahon
Gn 24. 03.2
On 24. 03 2
OPD
bankuna Clume ho ye Vital
w h r
Loilh no
O Vmal
well
w cll
was aupparuntry hu stukd
h patient whvdh
Atta
omypluuns 3yoa go.
los of /IDIOn
Ioion

P r o g r w i v e

dLvelopim panu
shatHCA
AMYha
He aluo
n uGh y aumd
b a l b s md
nalecl i
nalucl ugg h balbs
aMOund
Lolswwd haloes t
sht hu
u
stngle obfec
Imagts o
a

ulnpu

. Mtu o Paat LirL hsh

ha ono hVshory
Pahnt
IsTORY
mEDIAL Cnaovaa
ahma,
ypttnion,

Cialote,

ADn dip edus

Ttngee_t0pcosteu
O Y C A m d u ' u

Atto zOY on
o ngg
a"d
dissase un
Onuy
No hiooy
Cortostrbid'nhtuke

Pprolonqa hop/el
hsho
hishony2 Mo ry of
SwLial
A y ov u g
5. Poonal u s to r

Sluep Adquar
PLadde habit R g u l

Bewe Kagulan
Appe re Adeguuare

, No hisrovy o
L o n - alcohoUe
on - moKOA
AdilWhon Pbsant

6 faly swn
h emily
a ppanuy
Ppo
mum
bes o exetr
AU ulAUant
hvsory
oilh no
we
w elll lypohns/dn, diaberes, TB

OWDSmd smma

07 Cataras
uilvwant funuly h4sroy
Mo

EXMINAT DA
4heneal Examin afbn O o
ve
prahve
Operah
C O n s o u s
QLnd
dund
co
Isaluut, fo h m ,
mspet
JPE wilh
OAu'ened

well
Und

place peuson

. Built vnage
5. Lumnon Adyuar

O hotec
horce.
Deublus
9 Depb
5-Palox PA
facies Uormal

b s ant
6Pallor
9 Lctenud
8 wbbi Absent

Cuansld
(o. Deduma

Netk vuns Not engonge

eltnds Not sqnupcantly pp

NecLNoclts MoA palpabl

13

empeaturt N ormal

Pl Eat 4 btati pumunute, Rigudan

1S
6 Bpod Presune 2ol 8 mmHA

19KeapirahoryPey 18 beaths pn muinue

A A
B. Susteme Ewam/nalon
Cauuiorascutor Sysk
head
normally
S , 2 S, anL
dhir
oun
M o a d n onal

Rispiraory yskem
braclh sounds
Ueiuulan
bilatusl
lormal
hiarod

Respirahon horauo abdonninal

 R g l as
PpwDy ate 9 bacaws lmun

Tncohnl yshen
3. Gasyo
on fenden
Abdomun l S o
normed
uantl as
A0nd
H'nal
hktsn a pauustalc

Cunyu ys tcm
norma
Mighunun Chors evr decead

abrormalu hy
or
al u'ut

wunany sysrom
5. Genui'ho oluere

MO bnorm ali y1

.Oulnjaminhon

L
ttmordas
Uual Pcu 611
6160
u n uidled>
6l6
wim Cmes>
6136
6/60
616
Pin hole
9Lw inh

PL

Pe

oYmas

2 Ocula
m o v c m u n s
lomal

3. Cd
lorma
Cononiunchva ormal

Cog ne
Antuwo thambe
 Appcans Mtmal
AP p a s Ovmal

Absan

L n Shadou Pesv

C'rulan
- Pupi ,Cu'ruuawn
3y mm
. 3 - 4 mm

. DiCh LicprPLjee Preunt (Bnist) Proins(Bmse

.Con senaual ugh Phuunt (Briak) Drocnt Bisk )

P
orma
lo. Lens Greyish wwe
FYunsparenk

ym pwunke U puhnj e
mage iA ui's/bl maalne nrmdle

bu cli Forteel un

Laenuimal
cguehio
s q i hefnon
Apparus
n p t e s i n g evet

on p r e s i n g OveH

T h a l Hqyon
he Ac Hugron

SUMm pRY
abouwn b occuyhbr
pain,
S6 u r old,mile
wim The omplan
rorle y e 0PD
Duxnd
Puuwnte
VIroAihce

puogrve dum nus o

pa'nls Sulng
uneund
and A
Coloun haLoes
Jos Syeos a
YnuPe mags o
Lthplt
Obfeet MnuL a s q in Ph
Aingle
 C aminanon d wilha
On Ocuan
On Ocuan
Uiual 0guiky
CANS Juoul ro 6 6 0 in

6/3 n nTh
bF Lorrukd
Ui dn was 613 n
amel ne
Das 1oet

Heysh Lohite
white wo iim

guioh
uns appcad
Omd n in 1L ng
a n f e
image
OIsrorhed

#MOVIsiond Diacy nosts SUilL

SNilL
Co
C at
a arrait
t

jmmahul
mma
Cune
O
This T a
r
n m
a alle
e
p t
paa n e n
old
Old
skeHe 56
S6 r

nin thu

n q
 Matww Senile (alac

mmatun

Pahnt Parlars um as
Senile Cararay

Chu Complans
Ur'srn n I
Paunl ymo v to d

ye Stnce LOs 3 ylo

6 monhs

Wnk spot inAld Vha ye o

3 Musro o roun anu

Casana
Stnle

Sume CUS m mar

suha
he
h sopp
6monhA

las
binu th
OamL
objeth.
mulhplL m
h a l o e s

i'na/olL Thu
owt Spo
wht in wqhtey
Me
le
ho't'wd

nsan'on

wim

rUusog Past Unu

ann
mm
aA
SPuuonul H s o Sume

enile Catua

6. amly lfsbry
6

xAMINATION
mmahn st'l
A G n e n a l earninahon SumL as

Catanae-.
t m i t whminan
Dn
 C.Oauld Ckminanbn

.Visual Aa 636
Acury Cwn as ded)

P'L
PR

Cuuan movtmins

5 uds Morma

. onyunnva Nomal

S Sca

.lormih
1 mu Chamben

Mormal PppAs MOTm

Appeans
Absen
AL S e n

nA Shado
3 4 mm.
Crulan,
3-1mm
Pupl Cuncula
Present Cs) Presen (Brnst)
Direct L u
CDnmnhal u g H u
rarsparunb
*Pearty LOhite

l0 n s Au pue
4 hpwrkinje Img maqs seenle

bs ent
Lormal

LAorumal hopna
Mormnal
(No rqtunq tkehn
m p r u h OA
Prtmtng ovn h

atre/n)
Sau u / 0 n
SUMM pRy
labourntn
56 q e 0 Old malL pahent y e oPD
OCCuupurrn., puwnted l
Pauhl poGrmi
pöpr
Panls,
Complan 0
wilh mu shdus3 ens h rry
OUmn Of vilsi10n n nd
uh
Mnsah'on
noo n e d u u d
hb jus
e
A

Adme
h
White spor înaide
heVual awhy h ne
On Oulau ewonin
an'n,
uduud o PL2
PL 2 P
PR-
woas
q h ye
absnt. uuh Puunje
h Purhnje
Cas
Ahadlao uns appcnnd pearluy
p early
appcinml
Luns
sun.
was
hot
nAe
nu u h cye
olou
ohte in

4PuovisjonalDiagnoaip

lataratn
AUnile

h i I a Ca Ol m pahen uaht

mmll pahw
etgtye56yr old
 PsLudophakia
IisTOey
SAme as im mutou yrle
Pahent niulrs
Chrauu

Choil Lomplu
Catnac swrg
Foloo p kke

3.Miorp P u p n WnuM m m a N l L atoneh

OprarelorCakana S uwets
Was
P u t
o
o uu
ouo P
Come kor
and he ha
CO
Cgo
uren ungeNM

nU
OL P a s t
amcA mmurul Mnile

honm

YheCAL nISTORY
Cetana

Suaical hrsroY (SiCS)

operahbn
m o g w n G e n y

Catana
1/0
fn wiq
(25)
5 03. 20).
enile
'mmane

5. Pernsonat nisror same

as

6 Pauy nso Cattnas

 CXAMINATION snila
mhn

Genow paminan'on as
im
dant
tsamnan
Dn CartnhL
emic
S

C Ocu caumu'nan'on

ViAual Acwn 619

613
unwdid

6)6
wih qunes
PL
PR

wVmas
Codan Movcmuns lorma

3 Lid ACan mpnseinon Ovm

Onjundhva bepeiorJirmb
S 8clu orma
Marma

6 torA m ban scan OYmal

embe 4uu kom

VaAFFTrEy
2-100' Clo ck pos/ho

n hi pper pat
wih mndnnl

Acauu

Pmtuor ug Moma
nu be
dupen
 Ri L
Morma
Parch o iuo
Wophy at puts

Puuphual udtomy

mane. p u u n t in

uppe pay

Cirultn, 3-4mm

9. Pupu Ottht pupillan asa

Cluisrornon

hiny qlaay e
hyiDular uns D

Pupiuany anea

Diuct icyh u PuxntBn PkusnrlBmk)

lonun sual bght Ru

A Mbma
Rque (3rdpunkaye pauns

lO Lend mag m OL
u puremje )
mnges setn
puuenF hormel
1 purtineimaqe

1. Caesumal Pppina LLo reqUA'khon

re9ugrantn
Mo On remina
Bn preMmg avo1
SUMMARY
td mall pahen, JabouA by
S e
oPD
OPD
puNred ho
he y
OCCupah'm
U o s n d e

Cervae

uktu
oLLeo up
o had
Cumnus
CUmu
uinDn
UADm

peratnm (hea COus yna

b ast 3qcansand

fmaa g
mlhiplu,
haloes
Colouud oes oprtred

Last 1yca r
Oblect th
m Rg
wey ao n
hu had 619
6l4

C o a m i n a h b m ,
hu h a l
c u l n
on ught eye
wih glhones
ulAual acuiy Confunha&
&
lonjwnha

mauk
mauk
Om
A CO posihm
r hav k o CLockposih

0'cLoc
2-10 O
uom
u m 2 - | 0

umbus
ouupa. T r e
Aupuuor

chambs
was sghy
Pnreub t w i n p n p h n a l

ha patthis oaYophy Pupil was

n uppa
parr
UacHomy
maue

shiny any
Sugsty distorted Au 4pukihfe
anna
anca.

in
he pupllang
1OL
in The u g h y
Qre scen
mages
Bovisional Diagnots
Pseudophabia in a

Case

in ha
h a ug
S6y Old malo p e i e n