A Journey towards Improved Quality of Life of a Typist with Retinitis Pigmintosa

Malab Sana Balouch, Muhammad Shahbaz, Mohammad Moaz Balouch
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Abstract

Abstract: Retinitis pigmentosa (RP) is a group of inherited rod-cone degenerative pathologies that present clinically with similar signs and symptoms. Common fundus findings include bone-spicule pigment formation, attenuated blood vessels in the posterior pole and waxy optic nerve pallor. Symptoms mostly start with progressive night blindness, mid-peripheral visual field defects, and eventual tunnel vision. A 42 year old male patient, typist by profession presented to our clinic with complaints of decreased vision and reduced dark adaptation affecting his quality of life a lot. On examination, he was diagnosed as an advanced case of retinitis pigmentosa bilaterally and there was bilateral posterior sub capsular cataract. His quality of life was assessed by using a simplified version of the VFQ-25 questionnaire. After successful cataract surgery and low vision rehabilitation his quality of life was reassessed by using same questionnaire. He had a much more positive outlook towards his eyesight. Our case report reviews the life changing personalized low vision rehabilitation of a typist with retinitis pigmentosa. Key words: retinitis pigmentosa, quality of life, low vision rehabilitation  
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色素性视网膜炎打字员改善生活品质之旅
摘要:视网膜色素变性(RP)是一组遗传性杆状锥体变性病变,临床上表现出相似的体征和症状。眼底常见的表现包括骨针状色素形成、后极血管减弱和视神经蜡样苍白。症状主要开始于进行性夜盲症,中周边视野缺损,最终形成隧道视觉。一名42岁男性患者,职业是打字员,因视力下降和黑暗适应能力下降而就诊,严重影响了他的生活质量。经检查,诊断为双侧色素性视网膜炎晚期病例,双侧后囊膜下白内障。使用简化版的VFQ-25问卷评估患者的生活质量。在白内障手术和低视力康复成功后,用相同的问卷重新评估患者的生活质量。他对自己的视力有了更积极的看法。我们的病例报告回顾了改变生活的个性化低视力康复的打字员色素性视网膜炎。关键词:视网膜色素变性,生活质量,低视力康复
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