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Problems in a mature cataract
What is a mature cataract?
Mature Cataract |
As the natural lens ages, it undergoes a process whereby the
normal transparent lens fibers become opaque. This is a gradual process
that can take months or years to complete. During the time taken to
complete this process the lens is called an immature cataract. As all
the lens fibers opacify the lens gradually becomes a mature cataract.
The time taken for this process varies from person to person ranging
from a few months to a few years.
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What happens after the cataract matures?
Morgagnian Cataract |
Once the cataract matures it can follow one of two different processes.
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- Desiccation: Here as the name suggests the lens fibers undergo a drying process where the lens dries up a progressively becomes thinner and harder. This lens can at any stage abruptly undergo liquefaction. Surgery in this lens is also fraught with danger, as the hard lens is very difficult to phacoemulsify.
Is there an association between cataract and glaucoma?
There are three types of glaucoma associated with a developing cataract.
Glaucomatous optic nerve |
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Is it advisable to wait for the lens to mature?
Immature cataract |
As is evident from the discussion above a mature cataract causes more
problems. In the past patient's were advised to wait for the cataract
to mature. This was done because the surgery in those days was
intra-capsular. Here the emphasis was on removing the entire lens along
with the capsule, which was easier done if all of the lens fibers were
opaque.
But with the advances in the operating
microscope even clear transparent fibers are easily visible and can be
easily removed. Moreover phacoemulsification is easier done in an
immature cataract than in a mature one. Hence today there is no
rationale to wait for the cataract to mature.
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However this does not mean that the lens has to be
removed at the earliest sign of cataract. Cataract surgery though much
safer than before still has it's attendant risk's. This has to be taken
into account before the decision for surgery is made. So the ideal time,
unless otherwise advised by the doctor is when the diminished vision
causes hindrance in the day to day activities of the patient.
Saturday, October 8, 2016
Can drinking eight glasses of water a day harm you?
- IANS
Challenging the popular notion that we should drink eight glasses of water a day for good health, researchers have found that drinking too much water can put people in danger of water intoxication.
Researchers from Monash University in Victoria, Australia have found a mechanism that regulates fluid intake in the human body and stops us from over-drinking.
The findings showed that excess of water in the body can cause water intoxication or hyponatremia — a condition that occurs when vital levels of sodium in the blood become abnormally low.
The condition can potentially give rise to symptoms ranging from lethargy and nausea to convulsions and coma.
The study revealed that a ‘swallowing inhibition’ is activated by the brain after excess liquid is consumed, helping maintain tightly calibrated volumes of water in the body.
“If we just do what our body demands us to we’ll probably get it right — just drink according to thirst rather than an elaborate schedule,” said Michael Farrell, Associate Professor at Monash University.
For the study, the team asked participants to rate the amount of effort required to swallow water under two conditions: following exercise when they were thirsty and later after they were persuaded to drink an excess amount of water.
The results showed a three-fold increase in effort after over-drinking.
Further, the team used functional magnetic resonance imaging (fMRI) and found that the right prefrontal areas of the brain were much more active when participants were trying to swallow with much effort.
“We found effort-full swallowing after drinking excess water which meant they were having to overcome some sort of resistance, as the swallowing reflex becomes inhibited once enough water has been drunk,” Farrell said.
The study was published online in the Proceedings of the National Academy of Sciences.
Tuesday, October 4, 2016
Sunday, October 2, 2016
Friday, September 30, 2016
Monday, September 26, 2016
HDL ‘Good Cholesterol’ is not that good; It can kill you early!
By Rohan Ganguly -
Cholesterol is of basically two types — good cholesterol and bad cholesterol. The amount of good cholesterol (HDL, high-density lipoprotein) should be high while it should be less for bad cholesterol (LDL, Low-density lipoprotein).
HDL “good” cholesterol enhances blood glucose levels by improving skeletal muscle capacity and diminishing heftiness. Low levels of HDL leads cardiovascular diseases. The specialists discovered that HDL cholesterol levels must be enhanced for appropriate skeletal muscle capacity.
For the study, researchers observed decade-long data (2003-13) from 1.7 million male in the U.S. It was found that like bad cholesterol, good cholesterol too affects our health adversely and increases the risk of early death.
“The findings surprised us,” said the study’s senior author Ziyad Al-Aly, Assistant Professor at Washington University School of Medicine in St. Louis, Missouri. “Previously it was thought that raised levels of the good cholesterol were beneficial. The relationship between increased levels of HDL cholesterol and early death is unexpected,” Al-Aly said.
Study authors said that consuming too much of HDL can lead to kidney dysfunction similar to LDL and VLDL. Al-Aly further added that consuming too less and too much of HDL is bad for health. Just like people try avoiding consuming too much LDL to protect their heart. Similarly, people should also keep a check on HDL levels to reduce the risk of early death.
It is the first study of its kind and a study on a larger scale is required to confirm the find.
Here are few tips to control levels of HDL
- Workout daily
- Join weight loss programs
- Genetics play important role in maintaining HDL level
- Promote good gut bacteria with probiotic-rich foods
- Do not take stress
- Follow the code — ‘Smoking is injurious to health’ and quit smoking
- Reduce saturated fat intake
- Reduce simple carbohydrates intake
- Keep alcohol consumption to a minimum
The study appeared in the Clinical Journal of the American Society of Nephrology.
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