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Primary eye care

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https://www.readbyqxmd.com/read/28994646/envisioning-eye-care-from-a-rural-perspective-a-photovoice-project-from-india
#1
Padmaja Kumari Rani, Rajita Kasoju, Venkatiah Komara, Raju Kothapalli, Devichandar Choudary, Jyothi Korani, Jachin D Williams, Clifton M Schor, Nance Wilson
Background To understand barriers and promoters for accessing eye care by rural communities, we used a modified approach to Photovoice, a community-based participatory action research approach Methods Community members took photographs and wrote or spoke stories based upon a series of questions intended to facilitate deeper thinking. Fifteen rural paramedical team members who were affiliated with the rural network of L V Prasad Eye Institute, and 60 people from four villages reported barriers and promoters for eye care access for 20 villages Results Important barriers for accessing eye care included the following: no caretaker at home for grandchildren except for the grandparent(s), alcoholism, uncontrolled blood pressure, inadequate diabetes management, lack of escort for blind people and elders, affordability, and inadequate clinic staffing during summer season when farming villagers were available...
January 1, 2017: International Quarterly of Community Health Education
https://www.readbyqxmd.com/read/28991617/goniotomy-with-a-single-use-dual-blade-short-term-results
#2
Michael D Greenwood, Leonard K Seibold, Nathan M Radcliffe, Syril K Dorairaj, Ahmad A Aref, Jesús Jimenez Román, Gabriel S Lazcano-Gomez, Jason K Darlington, Suhail Abdullah, Mark C Jasek, Khaled A Bahjri, John P Berdahl
PURPOSE: To evaluate the intraocular pressure (IOP)-lowering efficacy and safety of a single-use dual blade (Kahook) in patients with mild to end-stage glaucoma. SETTING: International multicenter ophthalmic care centers. DESIGN: Prospective interventional case series. METHODS: Consecutive patients with glaucoma who had phacoemulsification plus goniotomy with the single-use dual blade were enrolled in this study. Each center collected deidentified clinical data, including preoperative and postoperative IOP, medication use, adverse events, and whether additional surgery was required during a 6-month follow-up...
September 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28988214/integrating-primary-eye-care-into-global-child-health-policies
#3
Aeesha Nusrat Jehan Malik, Milka Mafwiri, Clare Gilbert
Globally, approximately 75% of blind children live in low-income countries (LICs). Almost half of blindness and low vision in LICs is due to avoidable causes such as corneal scarring from measles infection, vitamin A deficiency disorders, use of harmful traditional eye remedies, ophthalmia neonatorum and cataract.
October 7, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28985410/distribution-of-optometric-practices-relative-to-deprivation-index-in-scotland
#4
Robin Legge, Niall C Strang, Gunter Loffler
Background: The UK National Health Service aims to provide universal availability of healthcare, and eye-care availability was a primary driver in the development of the Scottish General Ophthalmic Services (GOS) model. Accordingly, a relatively equal distribution of optometry practices across socio-economic areas is required. We examined practice distribution relative to deprivation. Methods: 672 practices were sampled from nine Health Boards within Scotland. Practices were assigned a deprivation ranking by referencing their postcode with the Scottish Index of Multiple Deprivation (SIMD) tool (Scottish Executive National Statistics: General Report...
July 19, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28975090/chronic-dietary-oxalate-nephropathy-after-intensive-dietary-weight-loss-regimen
#5
Gebran Khneizer, Ahmad Al-Taee, Meher S Mallick, Bahar Bastani
BACKGROUND: Hyperoxaluria has been associated with nephrolithiasis as well as acute and chronic kidney disease. We present a case of end stage renal failure caused by excessive dietary oxalate intake in a dietary weight loss regimen. CASE PRESENTATION: A 51-year-old Caucasian male with the past medical history of type 2 diabetes mellitus, gout, hypertension and morbid obesity was referred to the primary care clinic after being found pale and easily fatigued. The patient had lost 36 kg over a 7-month period by implementing exercise and intense dietary measures that included 6 meals of spinach, kale, berries, and nuts...
July 2017: Journal of Nephropathology
https://www.readbyqxmd.com/read/28967071/outcomes-of-cataract-surgery-in-children-with-persistent-hyperplastic-primary-vitreous
#6
Jitender Jinagal, Parul C Gupta, Jagat Ram, Manu Sharma, Simar R Singh, Sonam Yangzes, Jaspreet Sukhija, Ramandeep Singh
PURPOSE: To evaluate postoperative outcomes of cataract surgery in children with persistent hyperplastic primary vitreous (PHPV) and factors affecting outcomes. METHODS: We analyzed 29 eyes of 28 children with PHPV presenting at a tertiary care center in northern India. All eyes underwent phacoaspiration followed by primary posterior capsulotomy with or without cauterization of persistent fetal vasculature under general anesthesia. Hydrophobic intraocular lens was implanted in selective cases...
September 14, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28963006/frequency-and-predictors-of-missed-visits-to-primary-care-and-eye-care-providers-for-annually-recommended-diabetes-preventive-care-services-over-a-two-year-period-among-u-s-adults-with-diabetes
#7
Diane M Gibson
This paper examines the patterns of visits to primary care and eye care providers for annually recommended diabetes preventive care services over a two-year period in a sample of U.S. adults aged 18years and older with diabetes drawn from the 2008-2013 Medical Expenditure Panel Survey-Household Component (n=3982). The four-category outcome variable was defined based on the four possible combinations of whether an individual missed an annual visit to a primary care provider for preventive care services in at least one year over the two-year period and whether the individual missed an annual visit to an eye care provider in at least one year over this period...
September 28, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28944317/comparison-of-regional-vs-general-anesthesia-for-surgical-repair-of-open-globe-injuries-at-a-university-referral-center
#8
Andrew J McClellan, Jacquelyn J Daubert, Nidhi Relhan, Kimberly D Tran, Harry W Flynn, Steven Gayer
PURPOSE: This study compares the clinical features and physician selection of either Regional Anesthesia (peribulbar or retrobulbar block) with Monitored Anesthesia Care (RA-MAC) or General Anesthesia (GA) for open globe injury repair. DESIGN: A non-randomized, comparative, retrospective case series at a University Referral Center. PARTICIPANTS: All adult repairable open globe injuries receiving primary repair between January 1st, 2004 and December 31st, 2014 (11 years)...
May 2017: Ophthalmology retina
https://www.readbyqxmd.com/read/28944207/predictive-factors-of-visual-outcome-of-malaysian-cataract-patients-a-retrospective-study
#9
Thanigasalam Thevi, Myron Anthony Godinho
AIM: To explore the associations between various characteristics of Malaysian cataract patients and their management, and their post-operative visual outcomes, to inform relevant bodies to reduce cataract-related blindness. METHODS: We conducted a descriptive secondary data analysis of cataract surgery patients in Melaka Hospital, from 2007 to 2014 using the National Eye Database (NED). Patient-related factors (demographic features, systemic and ocular comorbidities) and management-related factors (surgical duration, type of surgery, type of lens) were analysed for their association with visual outcome (acuity)...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28942662/-ophthalmological-symptoms-of-measles-and-their-treatment
#10
Mihály Végh, András Hári-Kovács, Hans-Walter Roth, Andrea Facskó
Measles, caused by the Morbilli virus, is a highly (about 95 %) contagious disease affecting primarily children, but without proper immunisation, adults can also be infected. The leading symptoms of the disease are high fever that presents after an incubation period of 9-10 days and the red rash that begins several days after the fever starts. Beyond specific generalized symptoms, measles may have ocular symptoms. The most commonly occurring conjunctivitis, the so-called "red eye symptom", is not characteristic only for measles infection, however, by taking the generalized symptoms it can suggest the diagnosis at the beginning of the disease...
October 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28936049/prevalence-and-risk-factors-of-dry-eye-symptoms-in-a-saudi-arabian-population
#11
Abdulaziz A Alshamrani, Abdulwahab S Almousa, Abdulrahman A Almulhim, Abdullah A Alafaleq, Mohammed B Alosaimi, Abdulrahman M Alqahtani, Ammar M Almulhem, Mohammed A Alshamrani, Ahmad H Alhallafi, Ismail Z Alqahtani, Abdullah A Alshehri
BACKGROUND: The information about dry eye epidemiology in Saudi Arabia is few in literature. PURPOSE: To estimate the prevalence and identify determinants of dry eye symptoms (DES) in Al-Ahsa, Saudi Arabia. METHODS: Using a multi-stage proportionate sampling technique, Saudis of both genders from 6 urban and 4 rural Primary Health Care centers in Al-Ahsa were enrolled. They were interviewed to gather data on sociodemography, symptoms of dry eye, factors potentially related to dry eye, and chronic comorbidities...
April 2017: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/28922327/releasable-single-suture-for-primary-pterygium-excision-with-a-conjunctival-autograft
#12
Gautam Singh Parmar, Sachin Arya, Ashok Kumar Meena, Bhushan Ghodke, Elesh Jain, Budhendra Jain
PURPOSE: To evaluate the efficacy of a releasable single suture for pterygium excision with a conjunctival autograft (CAG). METHODS: Retrospective case series at a tertiary eye care center in central India was conducted. Medical records of 150 patients, who underwent primary pterygium excision with a CAG secured by a single releasable 10-0 nylon suture in the last year were reviewed. The surgical duration was noted. The suture was released on the first postoperative day under topical anesthesia...
November 2017: Cornea
https://www.readbyqxmd.com/read/28915907/effect-of-a-mother-s-recorded-voice-on-emergence-from-general-anesthesia-in-pediatric-patients-study-protocol-for-a-randomized-controlled-trial
#13
Seok Young Song, Sang Gyu Kwak, Eugene Kim
BACKGROUND: Emergence delirium is a behavioral disturbance after general anesthesia in children and may distress both the patients and the primary caregivers, such as parents and medical staff, looking after the patients. Various medical and emotional interventions have been investigated to reduce emergence delirium; however, none are completely effective. This trial intends to assess whether the mother's recorded voice can reduce this adverse post-anesthesia event and facilitate arousal from general anesthesia...
September 15, 2017: Trials
https://www.readbyqxmd.com/read/28895030/type-2-diabetes-and-cardiovascular-prevention-the-dogmas-disputed
#14
Dario Giugliano, Maria Ida Maiorino, Giuseppe Bellastella, Katherine Esposito
In randomized controlled trials (RCTs), more intensive glucose control in patients with type 2 diabetes leads to a modest (9%) reduction in major cardiovascular events (MACE), associated with a 20% reduction of kidney events and 13% reduction of eye events. The FDA issued guidance in 2008 led to the conduct of numerous cardiovascular outcomes (CVOT) trials to assess cardiovascular safety of new antihyperglycemic therapies in patients with type 2 diabetes. The results of these trials show that insulin glargine, three different dipeptidyl peptidase-4 (DPP-4) inhibitors (saxagliptin, alogliptin, and sitagliptin) and lixisenatide (a glucagon like peptide-1 receptor agonist) produce no significant difference in CVOT when compared with usual care or placebo...
September 11, 2017: Endocrine
https://www.readbyqxmd.com/read/28883442/interdisciplinary-comprehensive-oral-and-ocular-evaluation-of-patients-with-primary-sj%C3%A3-gren-s-syndrome
#15
Behzod Tashbayev, Shermin Rusthen, Alix Young, Bente Brokstad Herlofson, Lene Hystad Hove, Preet Bano Singh, Morten Rykke, Lara Adnan Aqrawi, Xiangjun Chen, Øygunn Aass Utheim, Tor Paaske Utheim, Øyvind Palm, Janicke Liaaen Jensen
A comprehensive evaluation of oral and ocular symptoms and findings in primary Sjögren's syndrome (pSS) patients may provide valuable information for management. Medical history was obtained from female pSS patients, and sex- and age-matched non-SS patients with sicca symptoms (non-SS sicca controls) as well as healthy subjects without sicca complaints (healthy controls). Oral (Summated Xerostomia Inventory, SXI) and ocular (McMonnies Dry Eye questionnaire, MDEIS, and Ocular Surface Disease Index, OSDI) subjective complaints were recorded...
September 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28878930/non-adherence-to-eye-care-in-people-with-diabetes
#16
Ann P Murchison, Lisa Hark, Laura T Pizzi, Yang Dai, Eileen L Mayro, Philip P Storey, Benjamin E Leiby, Julia A Haller
OBJECTIVE: Evaluate individual factors that impact adherence to eye care follow-up in patients with diabetes. DESIGN AND METHODS: A 4-year retrospective chart review was conducted for 1968 patients with diabetes over age 40 from an urban academic center. Data collected included demographics, insurance, visual acuity, smoking status, medications, dates of dilated fundus examinations (DFE), and reported hemoglobin A1C and blood glucose levels. The primary outcome was timely DFE follow-up adherence following the initial eye exam visit...
2017: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/28877120/life-experiences-of-patients-with-glaucoma-a-phenomenological-study
#17
Emine Iyigun, Sevinc Tastan, Hatice Ayhan, Halise Coskun, Gulsah Kose, Tarkan Mumcuoglu
BACKGROUND: Studies that describe the experiences of patients with glaucoma from different cultures may help health professionals gain a broader perspective on this issue. Currently, few qualitative studies describe how patients with glaucoma in Turkey cope with daily life. PURPOSE: The aim of this study was to explore the experiences of patients with glaucoma. METHOD: This descriptive phenomenological study used purposive sampling to enroll 20 patients with glaucoma...
October 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28868287/intracameral-chemotherapy-melphalan-for-aqueous-seeding-in-retinoblastoma-bicameral-injection-technique-and-related-toxicity-in-a-pilot-case-study
#18
Francis L Munier, Marie-Claire Gaillard, Sarah Decembrini, Massimo Bongiovanni, Maja Beck-Popovic
BACKGROUND: The anterior chamber has been shown by pharmacokinetic studies to represent a sanctuary never achieving a tumoricidal dose with the present administration routes, such as systemic, intra-arterial, or intravitreal injections. METHOD: A novel intracameral chemotherapy technique is described to control aqueous seeding in a pilot unilateral group E retinoblastoma case with primary aqueous seeding. Anterior segment toxicity was carefully monitored. RESULTS: Control of the retinal tumor and vitreous seeding was achieved by intra-arterial and intravitreal chemotherapies...
July 2017: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/28866756/unmet-needs-in-systemic-sclerosis-understanding-and-treatment-the-knowledge-gaps-from-a-scientist-s-clinician-s-and-patient-s-perspective
#19
REVIEW
Marta Cossu, Lorenzo Beretta, Petra Mosterman, Maria J H de Hair, Timothy R D J Radstake
Systemic sclerosis (SSc) is a highly heterogeneous disease caused by a complex molecular circuitry. For decades, clinical and molecular research focused on understanding the primary process of fibrosis. More recently, the inflammatory, immunological and vascular components that precede the actual onset of fibrosis, have become a matter of increasing scientific scrutiny. As a consequence, the field has started to realize that the early identification of this syndrome is crucial for optimal clinical care as well as for understanding its pathology...
September 2, 2017: Clinical Reviews in Allergy & Immunology
https://www.readbyqxmd.com/read/28862933/quality-of-care-of-the-initial-patient-cohort-of-the-diabetes-collaborative-registry-%C3%A2
#20
Suzanne V Arnold, Abhinav Goyal, Silvio E Inzucchi, Darren K McGuire, Fengming Tang, Sanjeev N Mehta, Laurence S Sperling, Thomas M Maddox, Daniel Einhorn, Nathan D Wong, Niklas Hammar, Peter Fenici, Kamlesh Khunti, Carolyn S P Lam, Mikhail Kosiborod
BACKGROUND: Although guidelines and performance measures exist for patients with diabetes mellitus, achievement of these metrics is not well known. The Diabetes Collaborative Registry(®) (DCR) was formed to understand the quality of diabetes mellitus care across the primary and specialty care continuum in the United States. METHODS AND RESULTS: We assessed the frequency of achievement of 7 diabetes mellitus-related quality metrics and variability across the Diabetes Collaborative Registry(®) sites...
August 11, 2017: Journal of the American Heart Association
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