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Do you undergo cataract surgery when it is not vital? Some people do it to improve their eyesight, but it is not without risks

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Judy is an experienced consultant who frequently travels to business meetings. She got here to me because she felt her contact lenses were uncomfortable and wanted to explore other options – especially surgical alternatives.

One option was to replace the lens with an implant. This surgery is similar to cataract surgery, but is offered to patients who do not have the disease. However, it is not without risk.

As an optometrist specializing in touch lenses, dry eye treatment, and pre- and post-operative management of eye surgery, I had the experience required to help Judy.

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Dry eyes

I began with Judy’s clinical assessment. When she got here to see me, she was about to turn 53 and had myopia (cannot see far), astigmatism (images stretched to near and much), and presbyopia (low vision at near) due to age.

She hated glasses and didn’t want to wear them in front of clients, so she had undergone laser surgery to correct myopia 15 years earlier.

At the age of 45, when presbyopia developed, Judy had to wear contact lenses again. Around the time of menopause, on the age of 51, she developed dry eye symptoms, which had turn out to be more severe within the months preceding her visit to me.

Changes in lens materials, care products, or wearing style (sooner or later) had little effect. The dry environment (automotive interiors, airplanes, processed office air) to which she was frequently exposed contributed to her symptoms. She also spent a variety of hours in front of the pc screen, so she blinked less often, which in turn increased her visual discomfort.

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Clinical examination revealed that she did indeed suffer from dry eyes. She had a reduced amount of tears, side effect of laser surgery. Her cornea was dry and discolored, which we attributed to incomplete closure of the eyelids during sleep, undoubtedly induced by cosmetic eyelid surgery she had undergone three years earlier. And then got here the results of her medications: some antidepressants dry eye effect.

Step by step approach

Judy’s vision problems were compounded by poor eye health.

All dry eyes affect the standard of vision, whatever the correction method used. The very first thing that needed to be done was to restore balance and cure her dry eyes.

The past surgery has left a mark and there is no going back. So what should we do in this example?

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As for the eyes, yes first step is to provide intensive lubrication (fully artificial tears, without chemical preservatives). The ointment also needs to be applied at bedtime to protect the cornea while you sleep. For this reason, topical use of cyclosporine must be considered its effect on tear stability.

Additionally, soft contact lenses may worsen dry eyes. Fortunately, there are other alternatives. Scleral lenses these are large, stiff lenses that create a tear reservoir, which helps reduce dry eye symptoms. Despite their large diameter, these lenses are very comfortable because they rest on the white of the attention (sclera) without touching the cornea. Visually, they will compensate for myopia, astigmatism and presbyopia.

I suggested these lenses to Judy. However, I understood from her response that she was searching for a surgical alternative as a substitute.

Scleral lenses are large, stiff lenses that create a reservoir for tears.
(Michaud Oil), Provided by the writer

Lens substitute, clear crystal lenses optional

Laser amplification is out of the query when the cornea becomes too thin.

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However, for several years now, surgery has been possible to replace the crystalline lens, the natural lens contained in the eye, with an implant. Similarly to cataract surgery, this procedure is performed within the absence of the sort of pathology, in often younger (50-65 years) and healthy patients. And it’s quite popular today.

The advantage is that this implant can correct most vision defects – unlike Lasik. In Judy’s case, it could be a multifocal lens (for distance and near vision) and a toric lens (astigmatism).

Judy was immediately fascinated about this selection. She assumed that thanks to this operation she could be permanently free from the necessity to wear contact lenses or glasses.

A procedure that carries potential risks

Every surgery carries risks. In the case of a disease or pathology, the ophthalmologist’s decision to operate should theoretically be based on a rigorous assessment of the extent of risk compared to the expected advantages.

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When replacing a transparent lens within the absence of any pathology, the risks and advantages have to be weighed in a different way. Basically, we’re talking about non-essential and non-urgent cosmetic surgery. The risks remain, but the advantages are less obvious and more related to personal patient satisfaction, which might vary greatly depending on our own perspective.

Although cataract surgery is considered a protected procedure, the identical cannot all the time be said replacing clear lenses. The younger the patient, the greater the chance of complications. Other patient-specific aspects it can even affect your weight. The patient’s condition must be fastidiously assessed before proceeding.

The retina of each myopic person is susceptible to tearing. This is a possible complication of cataract and lens surgery this could not be taken flippantly. The highly myopic retina is also stretched and may worsen after 60like a movie screen that breaks. Vision mechanically deteriorates.

A multifocal implant requires an ideal retina to provide good vision. Because Judy was very nearsighted, her lifelong vision could not be guaranteed after clear lens substitute.

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Not to mention that, like her mother and grandmother, she could sooner or later develop macular degeneration. Also on this case the vision of the multifocal implant will likely be significantly impaired.

Multifocal implants are sometimes related to the perception of halos and glare, especially within the evening. Although most patients tolerate these unintended effects after surgery, they will turn out to be very concerning in the long run persist over time. Dry eyes may be the worst. Moreover, the procedure is not completely reversible – removing the implants could have serious consequences.

So replacing Judy’s lens didn’t seem to be the perfect option, a minimum of for now. In the meantime, she decided to consider scleral lenses and optimize her dry eye treatment.

She left satisfied after exploring her options with the one who knew her eyes best – her optometrist!

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This article was originally published on : theconversation.com
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Health and Wellness

What happens to Wendy Williams? What we know about her recent hospitalization

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Wendy Williams was removed with her assist in New York and brought to the hospital yesterday by the Police Department in New York.

On Monday, March 10, after warning for assist in taking good care of the court, the 60-year-old was the host of Talk show supposedly slipped out the note through the window of her residential assistance in paparazzi, who read “Wendy’s help”, leading Nypd to escort her to the hospital, Post reported.

In January, Williams called the “Breakfast Club” to make clear his situation and ask for help from public opinion. She said The Radio Show that she was forced to live in a security facility in the sphere of security, she had no access to her phone and couldn’t make her own purchases. She added that the guests were forbidden, the elevators are closed and her cats were faraway from her care.

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“I am not cognitively, but I feel that I am in prison,” she said.

“I am in the place where people are in the 90s and 80s and 70s” she added. “Something is wrong with these people on this floor.”

After the interview with “The Breakdeal Club”, her guardian ordered a brand new assessment amongst Wenda’s claims that she shouldn’t be overwhelmed, regardless that she is ruled as such due to the diagnosis of primary progressive aphasia (PPA) and frontal -protective dementia (FTD). TMZ reported That she received a brand new rating – she returned “capacity test” – which he passed with a superb result.

Williams is under court care, and the lawyer Sabrina Morrissey called her guardian, from May 2022 she was taken care of among the many growing health problems and the alleged suspicious activity related to Fargo bank accounts. Speaking of “The Breakfast Club”, the tv personality defined the arrangement as “emotional abuse”.

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“This system is broken,” she said.

Williams also suggested that he didn’t completely support Morrissey to take legal actions against the A & E network so as to emission the explosive documentary film “Where is Wendy Williams?” In 2024, life documentation of Williams Chronicle in the autumn of his program, when he fights the abuse of gear, health problems and financial problems.

Just a number of hours after her appearance on the syndicated radio program, Morrissey submitted a request for a brand new medical assessment.

“In these statements (Williams) indicated that in her opinion she did not suffer from dementia and is not overwhelmed,” he said. “We write this letter today, because during the radio interview this morning (Williams) discussed A&T’s matter and seemed to indicate that she did not want to continue the action.”

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However, the notification noticed that it often happens that somebody with her diagnosis has conscious moments and feels fully capable.

Szemran also appeared, which Williams will appear within the media this week, only this time a call to “View”. Though Her unexpected hospitalization could put the important thing In these plans.

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(Tagstotranslate) lifestyle

This article was originally published on : thegrio.com
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Health and Wellness

Healthcare employees should not be a goal. In gas, their detention and death affect the entire population

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AND Freeze the help entering the gauze beltimposed by Israel last week, means again Lots of urgent medical materials and medicines They got stuck on the border and the delivery is uncertain.

But stocks are just one a part of the image, and their usefulness is restricted without trained healthcare employees who know methods to treat and take care of patients.

Healthcare employees are the most significant element of any healthcare system. Despite being protected in accordance with international lawThey were killed and wounded in alarming rates in Gaza from October 7, 2023.

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Is also growing evidence inhuman treatment and abuse of healthcare staff in Israeli arrest. This has serious implications for the health of Palestinians, each in brief and long -term.

What is the condition of the healthcare system?

The healthcare system in the Gaza Strip is in ruins. Israeli defense forces conducted at the least 670 attacks on health services and facilities from October 7, 2023.

Latest Update of the World Health Organization In February, it was found that only 50% of hospitals operated partly functionally, and 41% of basic healthcare facilities (for instance, general practices and pharmacy clinics) was functional.

. The latest report By the United Nations Agency for Help and Palestine bags, it indicates that only 4 out of twenty-two health centers that may launch.

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This widespread and systematic destruction health infrastructure and equipment puts healthcare professionals and their patients in direct danger. Deficiencies of medical materials and the lack of reliable electricity and water make healthcare to make sure look after healthcare.

What about healthcare employees?

According to estimates, over 1000 healthcare employees-in this nurses, surgeons and other clinicists, rescuers, pharmacists and technicians-in the last 17 months, died in Palestinian territories United Nations Organization and Palestinian monitoring group Healthcare employees watch.

In September last yr UN query found Israeli security forces deliberately killed, wounded, arrested, stopped, incorrectly treated and tortured medical staff and targeted medical vehicles.

Watch the latest report of healthcare professionals documents 384 cases of illegal detention of healthcare staff in Palestine since the starting of the current war, 339 from Gaza.

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Of these96 presented certificates of inhuman treatment. It is understood that at the least 185 is stopped and 24 is missing after hospital invasions.

Human Rights Doctors Israel AND The Guardian I also documented the testimonies of medical staff exempt from Israeli detention. Many say that they were detained during the performance of medical duties.

They report that they’re subject to interrogations without legal representation, medical neglect and hunger, abuse and torture.

One senior surgeon consultant, Dr. Issam Abu Ajwa, he told journalists from the guardian and Arab reporters of investigative journalism He was arrested while performing the operation and then stopped for months without fees.

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He claims that the prison guards received instructions for deliberate damage to his hands: “They said they wanted to make sure that I would never go back to work.”

Israeli defense forces (IDF) did not reply to individual allegations, but said that Guardian “suspected of terrorist activities” were arrested and detained during the fight in the Gaza Strip. In the IDF statement he said: “Those who are not involved in terrorist activities are released as soon as possible back to the Gaza Strip.”

High UN Commissioner for Human Rights Volker Türk he said Israel’s statements are used for military purposes, are unclear, unfounded, and “in some cases they seem to be contrary to publicly available information.”

What does this mean for people in gas?

Before October 7, the Gaza Health Care System was now not capable of meet the needs of its population. Escalation of those needs as a consequence of bombing and reducing sanitary conditions in Broken healthcare system is catastrophic.

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The lack of healthcare workers-no matter how they’re killed, wounded or imprisoned-additionally exhausted the overloaded system. As a result, odd people have reduced access to qualified and qualified staff. Like younger medical staff, which implies that they miss the possibilities of learning from the experience of older employees.

All residents of Gaza, including healthcare employees and their families, encounter serious Threats to their health. Lack of adequate sanitary conditions, nutritious foods and protected water, other problems, comparable to increased risk of respiratory and diarrhea, in addition to complications while pregnant and delivery.

UN star 50,000 women are currently pregnant in the Gaza Stripfrom about 5500, which is born in the next month. About 1,400 of them would require a imperial section.

What about long -term?

Israel Freeze humanitarian aidand The threat of renewing air bombingsIt makes planning and providing health services more and tougher.

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In the population 2.1 million There are high unmet needs Previously existing conditions. The UN estimates that 45,000 people in gas have heart disease, 650,000 have hypertension, yearly cancer has been diagnosed, and over 485,000 have mental illness.

As a results of the war, many other diseases will appear. We have already seen the revival of polio in gas.

Without a sufficient variety of healthcare professionals, it reduces the ability to supervise and control public health – for instance, routine screening services and vaccination programs – which increases the risk of diseases.

Healthcare employees also play a crucial role in training the next generation of healthcare professionals. Disruption of this chain makes it difficult to rebuild your health force and healthcare system more generally.

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The influence of war cannot simply be calculated when it comes to fatalities, injuries and damaged centers or healthcare facilities.

Joint involvement in humanitarian principles and respect for human and international rights can also be damaged.

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This article was originally published on : theconversation.com
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Health and Wellness

Cult Heritage of Art and Spokesbook Debbie Allen – Essence

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Photo: Chris Haston/WBTV

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Debbie Allen has long been the strength of nature – a visionary, which easily combined its artistic talents with a deep sense of goal. From the moment she fell on the stage as a dance instructor, Lydia Grant, it was clear that Allen was not only one other contractor. She was an influence. Thanks to unparalleled energy and sacrifice, she built a profession that covers a long time, touching almost every aspect of the entertainment industry, while using its impact on raising the community by supporting dance and health.

Born in Houston, Texas, Allen’s love for movement was visible from an early age. However, the barriers stood in her way – racial discrimination stopped her from subscribing to some dance schools. But Allen, undressed, continued pushing forward, ultimately winning a diploma in classic Greek literature, theater and dance at Howard University. Her breakthrough occurred when she was forged in a movie from 1980, and later repeated her role of Lydia Grant in the tv series.

While consolidating Allen’s place in Hollywood, her profession trajectory brought a fair more impressive railway when she was directing. Recognizing the dearth of directors who really understood the right way to capture dance on the screen, she took matters into her own hands. “There were so many directors that they didn’t know how to shoot at dance,” he recalls. “So they went home and I would manage the number of dance.” Her talents behind the camera quickly became undeniable, which results in the chance of directing and producing one of probably the most iconic television programs, including I.

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In addition to film and television, Allen’s passion for dance led her to the establishment of the Dance Debbie Allen Academy, a paradise for beginner dancers of all environments. Thanks to programs designed for young miracles, older, patients with cancer and even surviving from domestic violence, Dada is greater than a spot of study – it’s a lighthouse. “I also founded a junior high school because I think that education and art should go hand in hand,” he explains. “I hope that we can influence what is happening throughout the country with education.”

Cult Heritage of Art and Debbie Allen
The award -winning actress, director, producer and choreographer Debbie Allen discusses the mark of diabetes in the course of the panel in the course of the premiere of Abbott’s above the Bias movie visible at Nadbias.com, Tuesday, February 4, 2025 in New York. (Jason Decrow/AP Services for Abbott)

In addition to her work in art, Allen became a vocal voice of health awareness, especially within the fight against diabetes. Her commitment results from personal experience – the disease has deeply affected her family. “My father’s loss was so and changing my life,” he shares. “He always said:” Just dance, Debra, you will not get it. ” But that’s more. “Determined to interrupt the mark surrounding the disease, Allen has established cooperation Abbott‘S Campaign, a world initiative to extend the notice of unconscious prejudices, with which individuals with diabetes often encounter.

“I want to convey this word of the global community to become more aware of this initiative and stand in the shoes of someone who experiences prejudices and prejudices every day because they live with diabetes,” says the award-winning Emma choreographer.

Despite countless awards, Allen stays as tireless as at all times, balancing his duties as a director, producer, philanthropist and mentor. However, with all his successes he recognizes pushing and pulling life. “The biggest victim was in my personal time.” But for Allen, the mission is obvious: using its platform to encourage and education. “Thanks to art I help the world to be a better place,” he says with conviction.

Debbie Allen is greater than an artist – she is changing. Regardless of whether on the stage, behind the camera or in the neighborhood, its impact is undeniable. He dances through life through life, showing again that art shouldn’t be just entertainment – it’s a metamorphosis tool.

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This article was originally published on : www.essence.com
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