A STORY THAT NEEDS TO BE TOLD
Recently new guidelines for the management of patients taking PLAQUENIL were released. Two of the authors of this article published in this area, being the first to point to the importance of assessing kidney and liver function in all patients scheduled to be placed on PLAQUENIL.
Wednesday, 20 February 2013
Written by Larry J Alexander OD FAAO, Kim Sneed, LPN, CNC, Dwayne Yeager BSRT, OD, FAAO
Posted in Philosophy/Editorials
Case Lesson #3
- 80 yo Hx dry ARM taking nutritional supplement since 2005
- BCVA 20/20- OD and 20/25 OS
- increase in appearance of hard crystalline macular deposits by observation
Case Lesson #5
- 65 YO
- HX DRY ARM BCVA 0.63 OD AND 0.80 OS DOWN FROM 1.0/1.0 18 MONTHS AGO
- MORE CONFLUENCE OF “SOFT DRUSEN” NOTED ON EXAMINATION
Case Lesson #6
- 42 yo
- cc: poor night vision since early twenties
- last eye exam 20 yrs
- best corrected acuity 6/7.5 o.U.
- iop 15/16 mmhg
- no reported medications or allergy to medications
- color vision anomalies non descript
- slit lamp unremarkable
Modulating The Morbidity of Inflammation
Inflammation is a necessary and critical component of the healing system and the overall actions of the immune system. The immune system is an integrated network of organs and cells that protect the host from invasion and modulate reaction once invasion has occurred. The immune system depends on self-regulation to dampen the potential for unrelenting self -destruction of autoimmune reactions. The balance in the system (immunomodulation ) is critical to the overall health of the immune system and thus the human system. Acute inflammation is modulated by the immune system to take care of an immediate problem…then it is supposed to shut itself off. Chronic inflammation is an issue that is a representation of the immune system out of control…an immune system that does not shut itself off. The immune (inflammatory) system then becomes a smoldering fire that creates significant issues throughout the bodily systems including the eye. Chronic inflammation is responsible for destabilizing cholesterol deposits (heart attack and stroke), destroying nerve cells (dementias), proliferating abnormal cells and potentially transforming them to cancer, and impacting on devastating disorders of the eye such as macular degeneration, uveitis and glaucoma.