The issue of blocking blue light to minimize the risk of eye disease has appeared in the eye care literature for some time now. The issue is multifaceted involving the connection to cataract development, the relationship to age-related macular degeneration, the issues of photokeratitis (snow blindness) and the overall relationship to behavior. The ill-effects of excessive sun exposure are well known to the Inuits and protection has been a part of their culture for decades.
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Sleep apnea is a systemic disorder in which breathing repeatedly stops and starts during sleep, usually with 10 to 60 second interruptions. “Apnea” is Greek for “without breath.” Each pause in breathing is an “apnea”, and each low breathing event is referred to as a hypopnea. When oxygen saturation in the blood drops below a critical level, the brain signals the body to “wake up” and take a deep breath, thus preventing deep sleep. While seemingly innocuous and more annoying to the bed partner than the patient (the sufferer is almost never aware during sleep), sleep apnea represents a genuine threat to both systemic and ocular health because of the associated compromise of oxygen flow to end organs.
A SUMMARY OF THE MOST OFTEN USED MEDICATIONS
Health care providers should be cognizant of the potential side effects of the various medications prescribed to their patients by other providers. Those concerns must include self-prescribed over the counter agents. The pharmacist is the coordinator of the team regarding prescriptive medications. Included in the list of potential offenders should be some of the over-the-counter medications and nutraceuticals with some attention to the interaction of the various combinations in the management of the patients. For example, patients often do not consider the interactions of supplemental vitamin E or Gingko Biloba with often used anti-coagulants. Questioning of patients regarding all supplements that they may use is critical and must be recorded in the chart.
THE KIDNEY AND LIVER CONNECTION
This update is in response to the fact that new information is continually being uncovered regarding Plaquenil toxicity and testing for Plaquenil toxicity. The primary objective of this paper is to highlight the fact that the levels needed to achieve toxicity are related to the status of functioning of the liver and kidneys which work to clear the drug.
THERE ARE NEW STUDIES SUPPORTING A TRIUMVERATE COCKTAIL
This update is in response to the continuing controversy regarding the importance of supplementation with carotenoids, specifically regarding the benefits of mesozeaxanthin, purportedly a semi-synthetic formulation. There have been additions to the research regarding this issue, but none-the-less the rhetoric has become quite contentious.