Mrs. V.S., age 30 years consulted on May 4, 1992.
She had been married in 1988, Had no children and no abortion (primary sterility). Seminal fluid of the husband had been examined and found normal.
She came with a diagnosis of Pseudotumour right eye. The diagnosis had been made by a specialist in May 1991.
BackgroundHistory: In October 1974, at the age of 13 years she had pain, redness, inflammation in right eye. She received antibiotics and steroids, both orally and as eye drops. The condition kept recurring. It was then diagnosed Retrobulbar Neuritis and Orbital Cel-lulitis. Vision continued to be normal. In May 1975, A.T.T. was proposed but not taken. Then she took some treatment from an amateur Homoeopath. She was given
Sulphur 200 at bed time of one day and it showed remarkable result because the acute pain subsided by next morning though some bulging of the eye and red-ness remained. He gave 3 more doses of Sulphur 200 over the next few days upto May 22, 1975, on May 25, 1975 Silica 500, on June 17,1975 Silica 1000 and on July
8, 1 9 7 5 Sulphur 1 0 0 0 .
She kept fairly well for the next 15 years. In July 1990, she had viral fever for which she received much antibiotics. After that low grade pyrexia persisted. Sub-sequently, she had two or three attacks of viral fever at an interval of some months. In April 1991, she received
Psorinum 200. This cleared the low grade pyrexia. After 10 days she was given Calcarea carbonica. Thereafter she had a recurrence of her eye trouble.
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Much investigation was done. The results of some of . which are given below:
X-ray chest - Normal
C.T. Scan of brain - Normal Study
Ultrasonography right orbit - Impression Endocrine Exophthalmos
Abdomen scan - N.A.D.
X-ray P.N.S. - Normal
Six weeks ago she had fever 102.6°F. After treatment low grade pyrexia (99-99.4 F) has persisted. Slight tired feeling.
In recent months had used Prednisolone for her eye condition but discontinued two months ago.
Appetite: Good. Non-vegetarian. Likes sweets.
B.O.R.
Sleep — Good. But in last 4 months not so refresh-ing. Dreams — Is in difficulty: lost her way, does not know where to go, etc.
Chilly patient, possibly feels both heat and cold but cold more.
Irritable but keeps it to herself and does not lose temper. Worrier. Not keen on company.
M.P.: Regular. Mild pain for 1 or 2 hours before and for short while after onset.
P.I.: Frequent colds. Less for last 2 years ?after use of steroids. Eczema at the age of 20 years. Suffered for 3 months. Cured by Croton tiglium. Had mostly been on Homoeopathic treatment. Fracture at 3 years — Good union and no after effects. Arthritis of one knee at 7 years was diagnosed as Rheumatic fever and had Penidure L.A. injections for one year.
F.H.: Grandfather — asthma. Father had T.B. glands in childhood. An uncle has Diabetes.
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O.E.: Wt. 97 lbs. Ht. 5'3". No abnormality found in general examination. Exophthalmos right eye.
As mentioned earlier during the early phase of eye trouble, the vision had remained normal. However, now it had been affected in the right eye. Even with correc-tion (0.5 D) it is 6/9 on right side. Vision is poorer in bright light which has been considered as due to the development of a cataract as a result of eye drops con-taining steriods. She also had some pain in the right eye.
In Kent's Final General Repertory on page 262 EYE-PROTRUSION, right eye more than left: Com.
This is the only remedy mentioned and in first grade.
Boericke Materia Medica page 229: "Eyes — Ciliary neuralgia with eyes feeling large and protruded, espe-cially right... feels as if pressed outward... eyeball feels too large"
1992
May 4: Comocladia dentata 200/3 powders on the same day — morning, afternoon and bedtime followed by Saccharum lactis for 3 weeks.
May 12: Came to report that she had fever one day.
Pain in eye off and on. Asked to continue the medicine
(Saccharum lactis).
May 26: Pain became more frequent, i.e., a daily fea-ture in last 2 weeks. However, there has been no pain in the last 3 days.
Saccharum lactis continued.
June 8: "Much better" practically no pain in eye. Has a cold from the previous day and temperature 100°F.
Feeling slight chill.
Rhus toxicodendron 30/16 powders q.i.d. and
Sac-charum lactis to follow.
July 22: The cold and fever got okay with Rhus
toxicodendron. During those days had slight pain.
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sequently, has had trouble in the eye on two occasions.
In the last 5 months she feels she had proper M.P. one month and the next month has blackish spotting for one to two days and then proper flow. On such occasions also has pain eye.
Comocladia dentata 200/3 powders at 15 minutes in-terval.
August 15: L.M.P. on August 12 — spotting for 2 days and then free flow from August 14. For last 2-3 days feeling pain in right eye and right malar bone. Had cold for one week. Now has slight cough and partial nose block.
Sanguinaria canadensis 30/16 powders q.i.d. and after that to take Comocladia dentata 200/3 powders at 15 minutes interval.
November 10: In October had a cold and at that time felt very cold especially in the feet. For this Nux vomica 30 was used with quick relief. During the last nearly 3 months had pain 4 times — initially there is pain in the right side of the head and then mild pain in right eye.
Comocladia dentata 200 repeated for the last time. , November 16: From the previous day has pain in right knee. There is difficulty or pain in bending. It is to be recalled that she had rheumatism in childhood and the same knee was affected. I have put a question mark, could it be return of old symptoms.
Saccharum lactis for 5 days.
November 30: Knee pain disappeared. Eye feels okay.
She has been seen subsequently from time to time as she is now anxious to have treatment for sterility. There has been no recurrence of pain in the eye and the exoph-thalmos had been much reduced and the two eyes looked practically the same. Last seen on April 10,1993.
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