-
Krog Glover posted an update 13 days ago
To study the effects of breathing techniques for anxiety, perceived pain, and patient satisfaction while receiving intravitreal injections.
This prospective, randomized clinical study included patients admitted for intravitreal anti-VEGF injections. They were randomized into two groups a relaxation group who listened to a prerecorded relaxation breathing session before and during the injection, and a control group who received the injection without a relaxation session. Statistical analysis was then performed to assess the factors influencing satisfaction, anxiety, and perceived pain.
We included one-hundred four patients in total 52 in the relaxation group versus 52 in the control group. The relaxation group had a greater decrease in anxiety than the control group (P=0.03) but similar levels of pain (P=0.86). In total, 80.76% of patients in the relaxation group expressed the wish to have a relaxation session during their next injection. Multivariate analysis showed that the patient’s usual level of stress as well as the relaxation session affected the level of anxiety experienced before the injection.
Relaxation techniques before and during intravitreal injections decrease anxiety in patients without decreasing pain during IVT. Prerecorded relaxation breathing sessions are non-invasive, inexpensive, easy to set up, and reduce anxiety during intravitreal injections on an outpatient basis.
Relaxation techniques before and during intravitreal injections decrease anxiety in patients without decreasing pain during IVT. Prerecorded relaxation breathing sessions are non-invasive, inexpensive, easy to set up, and reduce anxiety during intravitreal injections on an outpatient basis.
Thanks to the progress made in the past few years in pediatric intensive care as well as the increased survival of preterm infants, the consequences of premature birth are increasingly well documented. With regard to ophthalmologic complications, retinopathy of prematurity is well described, but the optic nerve may also be affected. The goal of this study is to compare the optic nerves of preterm infants as a function of their gestational period with a control group of the same age.
We conducted a case-control study pairing a full-term infant with each preterm infant. Inclusion criteria were any child from 5- to 10-years-old, separated into three sub-groups according to their degree of prematurity. Variables were cup/disc ratio, ocular biometry, intraocular pressure and RNFL thickness.
Thirty-seven preterm infants and 37 controls were included in the study. The mean age at the time of inclusion was 7.05 years for the preterm group and 7.19 years for the control group. No significant difference was obseratched control group to be able to obtain functional results.
In the case of the studied children (aged 5 to 10), the reduced RNFL fiber thickness is a phenomenon dependent essentially on the stage of prematurity. Epigenetics inhibitor It would be useful to follow these preterm populations over the long term and to compare them to a matched control group to be able to obtain functional results.
This study aims to evaluate the retinal nerve fiber layer (RNFL) with optical coherence tomography (OCT) among patients with alcohol and tobacco use disorder.
This study included 29 patients and 29 age and gender-matched healthy participants without alcohol dependency. The patients underwent full ophthalmologic examination including visual acuity, intraocular pressure, anterior segment and fundus examinations, and RNFL measurements taken with spectral-domain OCT. The RNFL values of the two groups were compared with each other.
In comparison to the control group, the RNFL was found to be thinner in all quadrants in the group with alcohol and tobacco dependency. The RNFL thinning in the superotemporal, temporal, and inferotemporal quadrants was found to be statistically significant (P-values 0.012, 0.040 and 0.005, respectively).
Chronic alcohol and tobacco use may cause RNFL thinning. Assessment of RNFL thinning by OCT among patients with alcohol and tobacco dependency might be used to identify visual morbidity.
Chronic alcohol and tobacco use may cause RNFL thinning. Assessment of RNFL thinning by OCT among patients with alcohol and tobacco dependency might be used to identify visual morbidity.
The objective of this study was to analyze the reproducibility or variability of the time period to exudative recurrences in patients who were treated with intravitreal injections (IVT) of anti-VEGF (ranibizumab, aflibercept) for exudative age-related macular degeneration (AMD). The data studied included the number of recurrences per year, the time between the last IVT and the recurrence, fluctuation over time in the same patient, and changes in the therapeutic management of these exudative recurrences with regard to repeat induction therapy of three IVT, changes in monitoring protocols, and switches in anti-VEGF molecules.
We conducted a retrospective, single center, “real-life” study at the Nantes University Hospital, including 33 patients (42 eyes) between March 2012 and March 2017. These were IVT-naive patients, in whom anti-VEGF IVT treatment was initiated for management of exudative AMD, with a follow-up period of at least two consecutive years. The main outcome was the fluctuation in recurrences tits treated with anti-VEGF IVT in the context of exudative AMD, because, since the advent of anti-VEGF IVT in 2007, few data have been available on long-term follow-up and fluctuations in recurrence times in patients who will receive treatment for several years.
Recurrences times are not reproducible over follow-up, particularly in patients experience their first exudative recurrence beyond 8 weeks and in patients with multiple exudative recurrences.
Recurrences times are not reproducible over follow-up, particularly in patients experience their first exudative recurrence beyond 8 weeks and in patients with multiple exudative recurrences.The nematode, Angiostrongylus vasorum is a nematode that lives in the pulmonary arteries of canids and has an obligate gastropod intermediate host. It can cause various clinical signs. with the two most common clinical scenarios consisting of acute respiratory distress and haemorrhagic diathesis, either separately or together. Younger dogs ( less then 2 years) are overrepresented, and dogs often show pulmonary granulomata (radiographically and pathologically). Thoracic ultrasonography offers a safe, rapid, commonly available, non-invasive means of assessing the lungs. We prospectively examined the utility of thoracic ultrasonography in the diagnosis of angiostrongylosis in 26 client-owned dogs less then 2 years old, presenting with respiratory distress. We identified small hypoechoic subpleural nodules in 15/26 dogs; 14 of these were subsequently confirmed to have angiostrongylosis by faecal Baermann concentration test, A. vasorum antigen testing or both. The remaining 11 dogs without subpleural nodules had negative faecal analysis and A.