DR.YURI KASHIV

DR. HIMANSHU GAIKWAD, DR.HARPAL SINGH

Abstract

AIM

TO EVALUATE THE EFFECTIVENESS OF DARK ADAPTATION PROTOCOL

MATERIAL

250 PATIENTS OF AGE GROUP FROM 55 TO 70YRS, INCLUDED IN STUDY, SINCE LAST 5 YEARS.SAME NUMBER OF INDIVIDUALS OF SAME AGE GROUP WITHOUT ANY EVIDENCE OF ARMD UNDER TAKEN AS CONTROL GROUP

METHOD-

ALL THE MORBID (250) INDIVIDUALS DIVIDED IN 3 GROUPS AS PER FUNDUS INVOLVEMENT

GR1-ONE LARGE DRUSEN IN ONE EYE,NIL IN FELLOW EYE,GR2-BILATERAL LARGE DRUSEN WITH OR WITHOUT RPE CHANGES

GR3-ONE LARGE DRUSEN IN ONE EYE,ADVANCED ARMD IN FELLOW EYE.CONTR0L GR—NO FINDING IN FUNDUS OF BOTH EYES.DARK ADAPTED RETINAL SENSITIVITIES AND KINETICS OF DARK ADAPTATION STUDIED USING A HUMPHREY VISUAL FIELD ANALYSER. THE RESULTS COMPARED WITH CONTROL GROUP

RESULTS. THE TIME OF DARK ADAPTATION PROLONGED BEYOND 45 MINUTES IN MORBID INDIVIDUALS AS PER RETINAL INVOLVEMENT.

CONCLUSION-IN MOST OF THE PATIENTS WITH ARMD, OF ANY GRADE IN ONE EYE, THE FELLOW EYE SHOWS ABNORMAL DARK ADAPTATION. THESE CHANGES IN DARK ADAPTATION ARE MORE PRONOUNCED