Archive for June, 2012

Strategies in Diabetes GETOCT 3

Sunday, June 24th, 2012

OCT from third to the fourth dimension

Thanks OCT, we obtain information to the third dimension. Flurescence angiography allows only limited statements about the spatial extent of processes
The retinal thickness is measured precisely with OCT and an objective quantification is possible. The fourth dimension means a precise control over the course of years at exactly the same place.
The measurements are comparable with each other really well. With OCT is a synchronous mapping and comparison over time is possible and changes are shown. In some OCT devices the scanning area is permanently adjusted, no matter where the patient looks. This is advantageous because the patient can’t fix very well in advanced diseases. From these cross sections thicknesses maps can be produced, even differences over time can be calculated.

Anti-VEGF for diabetic macular edema?

Anti-VEGF for diabetic macular edema has been investigated in many studies.
The combination with ranibizumab turns to an increase in visual acuity. the sole laser therapy worsened the situation at the beginning rather. The number of injections in the combined group with a laser can be reduced.

Immediate or delayed laser?

Another study on laser: what impact does an immediate or delayed laser? If successful, the strategy with immediate laser, a significant gain is produced. When laser was carried out somewhat later, however, a similarly good progress is produced.  So it’s not a big difference whether immediate or slightly delayed laser is done.
The results with triamcinolone and laser show in the first 6 months of a profit, then drop due to cataract formation.  The number of injections in this study is also at eight to nine injections per year.

 

Youtoube Channel:


 

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Strategies in Diabetes GETOCT 3

 

Complication in diabetes facial nerve palsy

Wednesday, June 13th, 2012

(Bells palsy, Fazialisparese)  suddenly a “lopsided” face:

The facial nerve palsy (Bells palsy) is one of the most common injuries of affected cranial nerves. The paralysis affects all of its innervated facial muscles, so that the origin of the disorder is quickly visible. Most often there is no clear cause, it is often associated with infection.

Facial paralysis GETOCT

Facial paralysis right eye. Copyright © 2012 getoct™ Ltd. All rights reserved.

In diabetes a facial paralysis occurs more often, which fortunately is usually benign in course with spontaneous remission.
A major problem is due to paralysis of outer eye muscles resulting in an incomplete eyelid closing. The cornea can dry out, a visual loss occurs, even infection and scarring can permanently impair vision.
Therefore, a good humidification is important using eye drops, ointments and a monoculus (Uhrglasverband).

Problems of monoculus
The disadvantage of a monoculus is that older people show difficulties to change the monoculus themselves, withdrawal may be painful in a thin and sensitive skin,  allergies to adhesives occur soon, massive cosmetic restriction with grotesque appearance  interfere with the patient in his dealings with his social environment. Thus the patient may not feel very comfortable. GETOCT shows a nice trick to improve patient’s quality of life. Plese view the video:

Monoculus in facial paralysis GETOCT

Monoculus in facial paralysis. Copyright © 2012 getoct™ Ltd. All rights reserved.

 

View video (Recordings were made with the consent of the patient) :

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Trick in dry eye facial nerve paralysis GETOCT

OCT Kraftwerk Schweiz

Thursday, June 7th, 2012

Zu diesem Service wird eine Einladung benötigt. Öffne OCT Kraftwerk in voller Bildschirmauflösung:

OCT Kraftwerk Schweiz