vol2 - Page 227

Page 227 Previous , Next , Original Image
Return to Index

 and was an Assistant Professor in Surgery at the College of
 ! ....... Medicine. _ am now on the staff at the University of North
 Carolina Hospitait Chapel Hill, North Carolina°
 _. On September 9_ 1976 Robert Randall became my
 private patient. A thorough ocular examination showed that
 Robert Randall ha4 ch=onlc open-angle @!aucomao This disease
 is characterized by elevated intra=ocular pressure (XOP) which
 i_ uncontrolled results in damage to the optic nerve° _OP
 ..... within a range of I0 to 20mmo is considere_ safe an4 should
 not cause damage to the optic nerve. The examination of Robert
 Randall revealed substantial damage to the optic disc of both
 eyes as a result of uncontrolled XOPo Visual field examination
 revealed a marked loss of sight in the right eyes particularly
 within the central field. Visual acuity (a measure of visual
 sharpness, ability _o distinguish contours) has ranged from
 _0/200 (legally blind) to 20/60 depen,_ing upon the patients
 routine of conventional medication..'Visual acuity in the left
 eye is correctable to 20/20, but with diminished peripheral
 3° For a period of two months, September to Novem-
 ber of i976_ _ examined Robert Randall while he was on a routine
 of conventional glaucoma control medi,zineso These medications
 includeS: Phosopholine _odide at .06%_ Glaucon at 2.0% and
 occasional use o_ Diamox. These druqs_ even when employed at
 their highest permltted dosages, were not capable of reducing
 Robert Randall_s elevate4 ._OP to within the safe range throughout
 the course of the days These drugs, =herefore, were ineffective
 in treating his diseaseo Treatment with conventional medications
 alone will not prevent Robert Randall's blindness.

Previous , Next , Return to Index