To assess changes in the peripapillary retinal pigment epithelium (RPE) in association with an acute intraocular pressure (IOP) elevation provoked by a dark room prone provocative test (DRPPT).
A MATLAB-based (The MathWorks, Inc, Natick, MA) computer program (the ganglion cell-inner plexiform layer [GCIPL] hemifield test) for automated detection of GCIPL thickness difference across the horizontal raphe was developed, and its glaucoma diagnostic performance was assessed.
Distinguishing between vernal keratoconjunctivitis (VKC) and atopic keratoconjunctivitis (AKC) can be challenging. Historically, AKC is rarely recognized as a diagnostic entity before puberty and is thought to occur predominantly in adults. If a young patient were to present with AKC-like symptoms and atopic dermatitis, they might be diagnosed with VKC.1 The aim of this report was to establish guidelines for distinguishing diagnosis between AKC and VKC.
News about untreatable sight loss is devastating. Clinicians have an important role to play in determining when and how information is provided, gauging how effectively patients are likely to cope, and recognizing when someone needs to access treatment for their psychological distress. It is true that some resilient individuals are able to adjust, eventually, to their new situation, but many others find the myriad of practical problems associated with sight loss and worry about the future overwhelming, their psychological well-being suffers, and many sink into chronic depression.
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