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Macular degeneration, loss of central vision, cervical spondylosis, neck pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   Good evening.
User :   I donot have central vision for my both eyes
Doctor :   Yes proceed with your query.
Doctor :   Ok
User :   When I have checked from Hospital Mumbai 10 years back it is found that maccula defect in both eyes
Doctor :   Ok
User :   some scar also was there
Doctor :   Ok
User :   Recently when I checked with the help of some dye test it is found that I do not have central vision
Doctor :   Ok
User :   so that I am not in a position to drive vehicles
Doctor :   Ok
User :   Now I am using a bifocal spectacle with +3 for long vision and more for near vision
Doctor :   Ok
User :   I am also suffering from cervical spondylosis for the last 6 years
User :   but I am not taking or had not taken any medicine for these problems
Doctor :   Ok
User :   Now a days both this problem is affecting me more seriously
Doctor :   Ok
User :   due to this I am getting nervous also
User :   especially thinking of future
User :   Kindly advise me in this regard
Doctor :   May I know your age?
User :   42
Doctor :   Have the doctor explained you about the cause of macular defect?
User :   may be because of some infection years back
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Macula is an area of the retina where all the retinal nerves converge.
User :   ok
Doctor :   Degeneration at this area are usually a permanent ones and cannot be reversed.
User :   ok
Doctor :   So as far as your eye problem is concerned, it may not be possible to reverse it.
Doctor :   You may need to continue with the glasses given to you to aid vision.
User :   But the doctor told me that they have some medicine may be imported from US
Doctor :   If there is degeneration, then this may not be reversed,
User :   They have given me broucher
User :   but the side effect is complete vision loss
Doctor :   however the ophthalmologist who have performed the retinal and macular studies are in the better position to suggest it.
User :   Whether the same problem will come to my childs also ?
Doctor :   If the cause is purely infective and not gene factors are associated, your child may not inherit the illness.
Doctor :   I am sure, your doctors would have looked for those.
User :   My father is now at 90s can read news paper without spectacle
Doctor :   That is a good sign that this illness is not genetic.
User :   I have twin brother he has also deteriorating vision
User :   He has already gone through lazer surgery
User :   but it is 10 years back
Doctor :   Refractory errors is different from loss of central vision.
User :   Now he may be using +5 or more
Doctor :   Refractory errors can be corrected by use of glasses, contact lens or via surgical treatment.
Doctor :   They occur most commonly (in about 75 to 80%) people as a part of aging.
User :   ok And what about Cervical Spondylosis
Doctor :   This condition is not related to macular defect and central scotoma.
User :   ok
Doctor :   Cervical spondylosis is a degenerative condition of the cervical spine.
User :   Suppose nerve compression comes will it effect blood circulation to eyes
Doctor :   With appropriate measures, you can control these degeneration and your symptoms can be reversed.
Doctor :   Before I can explain to you about the measures,
Doctor :   can you brief me about the symptoms that you have?
User :   Why it occurs and what is the treat ment
User :   I was doing business in which case I had to load goods into my vehicles
User :   Carrying of weight deteriorated the condition
Doctor :   Ok
User :   6 years back the neck pain started
User :   My right hand power come down
User :   For the past 5 years I am doing computer operation work since morning till evening
User :   For the last 2 years I had been suffering from backpain also
User :   I have a feeling of some block in urinal part
Doctor :   Since when are you having urine difficulties?
User :   But some test had done but not found out any stone or infection
User :   For the last 2 years
Doctor :   Ok
Doctor :   Have you been evaluated for this problem?
User :   I have tried some dieting but problem is gas generation in stomach and acidity
Doctor :   Ok
User :   All this factor tring to fetching me to a depression
User :   I could not perform my duties smoothly
Doctor :   Let me explain to you.
User :   Iok
User :   ok
Doctor :   Spondylosis is a degenerative condition and these changes are known to occur due to age, strain on the spine secondary to lifting weight, lack of rest, weight factors and so on.
User :   ok
Doctor :   The symptoms that you have are explained by spondylosis, but there could be a component of depression and anxiety contributing to your symptoms.
User :   ok
Doctor :   Exact treatment will be decided by the findings we notice on xray's and or scans.
Doctor :   You may have to consult an orthopedician who can guide you with these tests.
Doctor :   Apart from this,
Doctor :   I recommend the following
Doctor :   1. Adequate rest when ever you are in severe pain.
User :   ok
Doctor :   2. Local antiinflammatory measures such as volini gel applications, local heat applications
Doctor :   3. Back strengthening exercises
Doctor :   4. Regular physiotherapy
Doctor :   5. Avoid lifting heavy weight.
User :   ok
Doctor :   6. Use oral anti inflammatory medications such as tab. Ibuprofen 200mg twice daily after meal for 3-5days, whenever you are in severe pain.
Doctor :   All these measures will prevent serious nerve compressions from occuring.
Doctor :   If these measures do not improve your symptoms,
Doctor :   then you will need stronger medications such as prescription NSAID's drugs, injectable drugs, intra thecal steroid injections.
Doctor :   Surgery is the last option if nerve complications occur or if the pain is severe not controlled by medications.
Doctor :   Have you followed what i have suggested?
User :   ok Can you s explaing some backstrengthening exercises
Doctor :   You need to concentrate both on lower back and cervical spine.
User :   ok
User :   Whether the tablet will get without prescription
Doctor :   Ibuprofen can be brought without prescription.
User :   ok
Doctor :   You can also obtain topical antiinflammtory medications such as volini gel or volini spray.
User :   ok
Doctor :   This link gives you details of some exercises that you can perform,
User :   ok tank u
Doctor :   they will help in strengthening back muscles which are proved to be beneficial in lumbar spondylosis.
Doctor :   The second link has details of cervical muscle strenghtening exercise
Doctor :   you may practise these regularly.
Doctor :   In addition, I do recommend you to contact a physiotherapist near your location.
Doctor :   You can perform these exercises under trained physiatrist initially.
Doctor :   Your symptoms are expected to improve with these exercises.
Doctor :   Do you follow?
Doctor :   Do you have any other query?
User :   yes doctr i will follow ur instrctn
User :   no dctr i dnt hav any qury
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   tank u very much i wish u 2
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