#iritis
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Hey guys I think my eye is inflamed
Wish me fucking luck this shit hurts
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PRIRODNE KAPI I ČAJNE MJEŠAVINE PROTIV KATARAKTE – SIVE MRENE
#youtube#cataract#cataract surgery#cataract treatment#cataract removal#siva mrena#oftalmologia#optika#glaukom#bolesti oka#iritis#uveitis#očna mrena#korekcije vida#leče#sočiva#optička sočiva#suhoća oka#vaskulitis#dioptrija#makula#makularna degeneracija#eyes
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Ordering specific test in Uveitis – Avoiding a scattershot approach
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Ordering specific investigations in uveitis involves a systematic approach to identify the underlying cause and guide appropriate treatment, with the initial evaluation typically including a comprehensive eye examination, detailed medical history, and assessment of symptoms, carefully analysing risk factors and clues to diagnosis.
This short discouraging the blunderbuss approach to ordering tests and taking into account both sensitivity (how well the presence of a disease is predicted by a test) and specificity (how well the absence of a disease is predicted by a test), targeting a golden ratio of minimal amount of tests for maximum amount of data (The analogous blunderbuss was a a 17th- century large-bored gun firing balls or slugs which scattered projectiles in a broad range but lacked subtlety and precision).
Specific investigations may be ordered based on the clinical presentation and suspected aetiology of uveitis. Common tests include blood work to assess for infectious or autoimmune diseases, such as full blood count (FBC/CBC), inflammatory markers such as erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), organ profile (LFT, U+E), Chest X-ray to look for TB or Sarcoidosis, Syphillis.
Other tests depend on the outcome of targeted history and examination, and include Serum ACE, Toxoplasma and Toxocara antibodies, HLA-A29, ANCA, ANA, Mantoux Test, Interferon Gamma Release Assay, Fundus Fluorescein Angiography, Indocyanine Green Angiography, Electrophysiology, CT Chest, CT Abdo/Pelvis, MRI Brain, Lumbar Puncture for CSF Studies, Conjunctival biopsies, Anterior chamber tap, Biopsy of vitreous/choroid - In infectious uveitis cases, polymerase chain reaction (PCR) testing of ocular fluids or serological tests for specific pathogens may be necessary
Sometimes doing routine immunological tests doesn’t really help as there are often weak positive anti-nuclear and other antibodies found in Uveitis which are not really interpretable, so
Tailor Those Investigations!
Featuring Pirates of the Caribbean’s Marty, Guardians of the Galaxy’s Mantis, Shawshank Redemption’s Warden Samuel Norton, the lab scene from Jurassic Park’s Isla Nublar, and the classic Knightmare CITV series (1987-1994) "Ooh, nasty!"
#youtube#uveitis#ophthalmology#iritis#pirates of the caribbean#marty#guardians of the galaxy#mantis#shawshank redemption#warden#jurassic park#isla nublar#knightmare#citv#oftalmologia#oftalmologo#oftalmo#oftalmologista#optometry#blunderbuss
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you ever just. have extreme pain for five days and it recontextualizes your entire life
anyways i'm on steroids because my white blood cells decided "hey. hey. what if we invaded your eye"
worst pain i've ever felt but uhhhh at least I'm taking care of myself now for the first time since age six
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'three images of condylomatous iritis, a form of inflammation thought to be characteristic of syphilis' in the sick rose: disease + the art of medical illustration - richard barnett (2014)
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the mystery of aidens eyes
{I apologise in advance if the reason Aiden has red eyes is known, and if it's not, that you had to read all this, just because my friends don't want to be proofreaders}
So, as I do, I remember random stuff during eating, and I just so happened to remember finding this post by @/yeonggisbitch about Aiden possibly having depression and suicide. One thing lead to another, and I found myself with a single question. His eyes.
Now, since we've seen images of young Aiden, we've seen his natural eyes colour is brown, a common colour, but why are they now red? Red eyes are only natural for albinos, which we know he isn't. However, the other likely option is blood leaking into your iris, but it's unlikely that happened to both eyes. But, if he did have an eye injury, causing blood to leak, then he'd either have partial or full blindness, so we can rule that out.
Now, I know what most of you are thinking. They're probably contacts. However, it's dangerous to sleep with contacts in. If you do, there's an increased chance of getting an eye infection. We see Aiden sleep, without taking out any contact lenses, so I think it's safe to say that Aiden doesn't wear contact lenses.
However, there's something else you can get done. It's possible to surgically change your eye colour to red, however it's expensive, and there's no guarantee nothing will go wrong, meaning you may loose your eyesight, but that's only if things go wrong. This makes sense, seeing Aiden's family is rich. Theres one key issue, however, it only destroys the melanin at the front of your eyes, leaving them blue. However, this reason seems most likely at the moment.
I found these websites, however, saying you can get red eyes from physical trauma, like getting a blunt object thrown in your eye, or chemicals wafting into them. If this happens, you need medical treatment. What do we know about Aiden? He's reckless and often does stuff that could put him in danger, getting a bruise at best, going to the hospital at worst. In one of the chapters, we see Aiden threaten a phantom using chemicals. Chemicals give you physical eye trauma. This is called traumatic iritis, and I'd not healed, leads to permanent blindness.
For now, we don't know much about the mystery of Aidens eyes, but I think it's either caused by surgery, or chemicals infecting his eyes
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People who go blind in one eye tend to develop perceptions called "visual release hallucinations" aka Charles Bonnet Syndrome. They might see, for example, very short people and people in beautiful clothes. Sounds an awful lot like fairies and dwarves, and it would have been more common a long time ago. There's a good chance I would have Charles Bonnet Syndrome right now if I hadn't had modern medicine for iritis.
The more I learn about Charles Bonnet Syndrome, the stranger it is. There was one guy who saw Hebrew letters written on things for a few weeks after each Passover. One person saw a terrifying spectre loom over her threateningly and felt a sense of certainty that this portended her own imminent death. Luckily, her premonition didn't come true.
Oliver Sacks wrote about this in his book called Hallucinations, and he mentioned an experiment where scientists induced this condition just by keeping people blindfolded for three days. I've been meaning to replicate this experiment on myself, but I haven't had the chance yet.
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Little bit of a life update (nothing heavy DW):
I don't often do this but seeing as a lot of you know me for my art, I thought it was worth noting. Over the past few weeks I've been receiving treatment for Iritis/uveitis, and one of the side effects of the drops is that my vision is slightly blurry in my right eye. I've had it before twice in my left (2020 and 2022), but this time its in my right. My right eye is mostly entirely settled now, but you can't just stop the drops or it can flare up, so you have to gradually reduce the dose over a few weeks. So long story short my right eye will still be ever so slightly blurred for a while still.
This has been the situation for 3-4 weeks now, and to be honest once I was on treatment it hasn't been affecting my art output too much, as after a while my brain filtered out the blurry signal and just focused through my left eye.
And now I have it again in my left eye, right on cue.
I've caught it very early so it's likely gonna be easily treated, but it means I'm putting the Blur Drops in both eyes rn, meaning I have slightly blurry vision that isn't distance dependent. It's blurry even if I bring stuff close. Now, it's not as bad as I expected it would be; I do not think it will stop me drawing, but I might be slower than I usually am.
I am determined to be okay, and I'm grateful to you all for being patient with me
💜
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I ordered myself a kindle paperwhite to try and like. I got a multi payment deal, and I’ve been getting eye strain. And I know raw raw fight the power but I already have a shit tonne of kindle books and the paperwhite has like screen but not screen with a bunch of backlighting and warm lighting and dark mode and stuff and I have been so frustrated with migraines lately. If it gets worse I’m going to the opthamologest and like. Checking. I think that’s a reasonable thing right? Like. “I’m prone to iritis and flares of pressure on my optic nerve and I’m experiencing pain, can I make an appointment to check?”
But also there is a very indulgent voice in my head like “you should get a chaise lounge for your bedroom and make a reading nook, to go with your kindle” and my brain is like conjuring some like obnoxious fairy lights Pinterest aesthetic nook of whimsical escapism that will be photographable for like 30 minutes before I ADHD all over it and like pile clothes on it but still.
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So I'm in another flare. One bad enough to require me to switch medications yet again.
It started with usual flare symptoms, ones I thought I could catch and mitigate. I could not.
Then I got iritis. Responded well to treatment, until it didn't, and I had to restart the cycle of prednisolone drops. Iritis was another sign that my flare was bad, and getting worse rapidly.
Now I am having issues with my radial nerves/blood vessels in my right hand. Capillary refill is shit. The digits are cold. Fingers blotchy, if I fall asleep and stop using them I wake up and they hurt so fucking bad. I need strong painkillers just to deal with it. And I am already on a taper of prednisone oral pills now too. And this development could be yet another sign of my flare being worse than previously anticipated. Idk how to feel anymore.
I don't want this to be the rest of my life. I just want this next fucking medication to work.
#chronic illness#chronic pain#crohns#colitis#flare#flareup#illness flare#pain#this shit sucks#personal#rant#cw medical#cw medication#cw medicine
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Mick Mars general headcannons! This has hc for both romantic and general things for the Marsman, no NSFW, that will have its own separate post. I also split this into 80s-90s and current Mick, because I can.
Warnings: Talk of Chronic illness and some sad themes. Nothing extreme though
80s/90s
Playful af, despite the grumpy demeanor he shows he’s always in a silly goofy mood around you.
Has a very weird, dark sense of humor, but he never fails to make you laugh.
Surprisingly can cook well, but he doesn’t do it often
Would never cheat, he’s perfectly happy having you in his life. Though girls do swarm him after shows. He always reassures you that you are all he needs.
Doesn’t really get ‘jealous’ per say, but he does sometimes has a bit self of self doubt I’m terms of his appearance. Especially with the AS.
He has freckles on his arms, and he hates them. Doesn’t understand why you think they are cute.
Appreciates the calm you give him, especially after shows or if he’s been around his bandmates for too long.
A bit protective of you around the boys…glares at them if they get touchy with you.
Although it’s no where near as bad as Tommy and Nikki, he doesn’t shower as much as he’s supposed to. He views it more as a chore than anything else, the best way to convince him is to join him.
On that note, he love bathing with you. It’s very relaxing, and he loves the intimacy.
When it came out he was obsessed with Nintendo, and he loves it when you join him to play.
Doesn’t like PDA all that much, but when you are in the comfort of your home he clings to you, he’s big on cuddles.
Current
Wears sunglasses everywhere. Even inside, due to the iritis that came with the AS. So the lights in the house are always on low, he also has the most gorgeous eyes in the world.
When he plays his guitars, the man has no chill. You hear him shredding, and it’s so loud it not only shakes the house, but has caused the power to go out several times.
Definitely has a guitar named after you or reminds him of you in some way, and has it on the road with him if you aren’t with him.
Despite the stiffness the AS, he still finds ways to be playful. He likes jumping out at you and scaring you.
Insanely possessive of his precious hat. You have a little game where you steal it or hide it and he had to come find it. Pretends to be mad but always laughs in the end.
Sometimes feels a little bad that he can’t do as much with you as he wants to. He knows you understand but it’s still hard on him.
Has the SOFTEST hair. He loves it when you run your fingers through it.
He loves squeezing your hand when he holds it. It’s the most PDA he shows in public, but he’s willing to make the most of it.
He’s salty about his height. He used to be 5’9 but is now 5’3, but will playfully make fun of you if you’re shorter than him(like me)
Frequent horror movie date nights are a common occurrence, teases if you get scared but will hold you close.
Never gets up before 10:00 if he doesn’t have to. Don’t talk to him before coffee.
Has you cut his hair, gives a very menacing side eye if you cut it too short.
Is a cat person, and has a few. I don’t think he has anything against dogs, but they may be a bit much to take care of for him.
He smiles more, especially now that he has you on his life.
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Be like Detective Pikachu, but don't forget Shin Chan! Anterior Uveitis & Axial SpA - HLA-B27 Testing, Features, Support? · • —– ٠ ✤ ٠ —– • ·· • —– ٠ ✤ ٠ —– • ·· • —– ٠ ✤ ٠ —– • · The most common type of Uveitis (inflammation in the eye) is anterior uveitis, or iritis, and almost 50% of patients with this condition test positive for the genetic marker HLA-B27. Having a positive result could potentially help establish the diagnosis, guide treatment, and provide information about prognosis. It can help avoid unnecessary diagnostic workup too. But it's a grey area as both false negatives and false positives can happen. Asking questions is key and results should be interpreted in the context of the full clinical picture.
#uveitis#axialspa#ankylosing spondylitis#hla b27#pikachu#pokemon#detective pikachu#shin chan#spondylitis#house md#hugh laurie#axial spondylarthritis#iritis#scleritis#psoriasis#ibd#inflammatory bowel disease
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Going through ABFM CKSA questions:
An acute red eye is a common presentation in primary care and it is critical to differentiate serious causes from benign causes. Pain is an important distinguishing feature for the acute red eye. Episcleritis is a self-limited condition that can be idiopathic or associated with autoimmune conditions. It is more common in females and usually presents with mild discomfort and focal hyperemia. Discerning episcleritis from scleritis is important. In general, the inflamed vessels of episcleritis will move with gentle pressure from a cotton-tipped applicator whereas those with scleritis will not, and the pain of scleritis is more intense. The treatment of episcleritis is symptomatic with topical lubricants and oral NSAIDs. If recurrent episodes occur, an autoimmune workup should be considered. Conjunctivitis is typically associated with a discharge that is clear in viral cases and mucopurulent in bacterial cases. Iritis is associated with significant pain, a poorly reactive pupil, diminished vision, and photophobia. This patient does not have changes in visual acuity, photophobia, or severe pain as seen in keratitis, which would also cause an abnormal fluorescein stain showing corneal ulceration.
A Cochrane review reports good evidence that salicylic acid is effective for the treatment of plantar warts. Candida injections may be indicated for warts that are difficult to treat, but they are not considered a first-line treatment. The application of duct tape has not been shown to be more effective than placebo. Manual paring and extraction of plantar warts carries a greater risk for complications and is not necessary for flat, minimally bothersome warts. Laser treatment may be effective, but the cost is not justified as initial therapy in this case.
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I'm having a flare up and it sucks. I'm in pain. My iritis is bothering my eye again. I'm afraid of going back to the ophthalmologist because I don't want to hear that I need another surgery. Ugh
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