Alternatives to Drugs for Treating Pain

September 25, 2017

Treatment for headaches from close work, (cooking, sewing, computer work) should also involve an eye exam! Just sayn’


Basically guns are bad for your health, even Nerf guns!

September 19, 2017

Nerf Guns Can Cause Serious Eye Injuries, Researchers WarnBy Amy Orciari Herman

Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD

Nerf guns can cause serious ocular trauma, researchers warn in BMJ Case Reports.
The article details the cases of two adults and one child who presented to one emergency department over 3 months with eye injuries resulting from Nerf projectile guns. All patients had hyphema. The two adults also had uveitis, while the child had corneal edema, anterior uveitis, localized angle recession, and injury to the outer retinal layers. Patients were shot at a distance of 1–8 meters. All injuries resolved within weeks with treatment (e.g., dexamethasone and cyclopentolate drops).
The authors note that Nerf guns are generally believed to be less harmful than pellet guns, but this case series “calls into consideration the need for protective eyewear with their use … [and] calls for reconsideration of the safe age limits for Nerf gun use in children.”
BMJ Case Reports article (Free abstract)
Background: NEJM Journal Watch Emergency Medicine coverage of 1998 study on pellet guns (Your NEJM Journal Watch registration required)


Does this mean I can get a Shingles vaccine before I turn 60?

September 14, 2017

FDA Advisers Recommend Approval of New Shingles Vaccine

By the Editors

An FDA advisory panel voted 11-0 on Wednesday in favor of approving the Shingrix herpes zoster vaccine for adults aged 50 and older, Reuters reports.
In clinical trials, the new vaccine conferred greater protection against herpes zoster among older adults, relative to the currently marketed zoster vaccine, Zostavax. In particular, 4 years after immunization, Shingrix was about 90% effective in adults older than 70, while the efficacy of Zostavax waned with time, according to Reuters.
The FDA is not required to follow the advice of its advisers, but it usually does.
Reuters story (Free)
Background: NEJM Journal Watch General Medicine coverage of Shingrix (Your NEJM Journal Watch registration required)


Clinical Evidence of Increased Ocular Inflammation with Multi-Use contact lenses

September 11, 2017


This article mentions a peer reviewed publication showing what I have personally suspected for a while now.

The total number of patients evaluated was small, but further studies should confirm this one.


Vision Screenings for Kids Work!

September 6, 2017

This recommendation from the US Preventitive Health Task Force reaffirms that getting your kids vision tested makes sense!

USPSTF Reaffirms Vision Screening Recommendations for Young Children

By the Editors
The U.S. Preventive Services Task Force is again recommending that children aged 3–5 years undergo vision screening at least once to detect amblyopia or its risk factors, including strabismus or anisometropia (grade B recommendation). For younger children, the USPSTF says the evidence is insufficient to weigh the benefits and harms of screening (I statement).
The guidance is in line with the group’s 2011 vision screening recommendations.
USPSTF recommendation statement in JAMA (Free)
USPSTF evidence report in JAMA (Free)
JAMA Pediatrics editorial (Free)
JAMA Ophthalmology editorial (Free)
USPSTF grade definitions (Free)


NYTimes: Blind Football Player Snaps for Extra Point in a U.S.C. Win

September 4, 2017

Amazing what a few accommodations can do for a person to enable them to excel!


NYTimes: Worried About Your Eyes After the Eclipse? Here’s What You Should Know

August 29, 2017

An interesting article with realistic symptoms.