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Archive for the ‘Blindness’ Category

How a Blind Man Mastered this Impossible Violin Piece – RADII

Sunday, December 15th, 2019

27-year-old Zhang Zheyuan is prolific. As a violinist, hes toured with elite performance troupes, traveled the world, and played in Olympic ceremonies. And hes done it all in darkness.

Zheyuan was born with congenital blindness in southwest Chinas Yunnan province. He attended a special school for the disabled, learning side by side with other blind children, in a program designed to equip them with the kind of barebones skills theyd need to survive and make a living, if they were to eventually emerge on their own into the world. And that is an if theres a tacit understanding that many of the programs students will never achieve true independence.

For Chinas blind, the default path is massage. Some age-old idea posits that, sans vision, ones sense of touch becomes hyper-developed, allowing blind masseurs to navigate through tensions and knots in the muscles like some kind of bootleg therapeutic Daredevil (having experienced a blind massage, I feel a twang of harsh honesty to recall that it was generally unremarkable). Its unclear whether the tradition remains alive primarily out of a genuine belief in its tenets, or out of a public willingness to accept it as a sort of de facto, self-sustaining social support system.

Around the time when other children were setting off down the one-way road of massage education, Zheyuan was studying violin. As a productive hobby, of course, not a future career.

One evening while practicing at his instructors home, he recalls, rain began to fall heavily outside. The instructor invited Zheyuan to stay for dinner until the storm cleared, putting a Bach record onto the turntable. Zheyuan ate, awash in the white noise of vinyl crackle and raindrops on windows, taking in the sounds of Bachs compositions. Its worth noting that Bach too endured much hardship in his life, becoming orphaned at age 10 and eventually going blind himself, dying as the result of a botched surgery.

Zheyuan listened to his teacher, of whom Bach was a personal favorite, as he relayed these stories over Art of Fugue. He recounts feeling deeply affected by Bachs ability to transform his trauma and suffering into something beautiful that could move others. When the rain cleared he left with a head full of new ideas.

When Zheyuan told his school, no, I dont want to study massage, Id actually like to play the violin, he was met with harsh rebuke. Why would someone like Zheyuan want to throw himself into a useless pursuit like that? Why would he want to shuck off the dehumanizing-in-a-way-I-cant-quite-put-my-finger-on, but also safe and reliable tradition of becoming a masseur? Did he want to starve?

Zheyuan left the school that same year.

Amidst a firestorm of dream-shattering good intentions, Zheyuans father was a pillar of support. When others told him to be realistic, it was his father who read Zheyuans sheet music aloud, and told him to do something he loved. Zheyuan, with his fathers help, woke up routinely at 7:00 AM and practiced for ten hours each day.

Its touching, but realistically, it should have been insufficient. When your friends, family, teachers, and caretakers are all telling you that your dream is not of the come true variety, but of the pipe variety, and when that assessment is bolstered and supported by an unfair and undeserved truth, namely that you are different than others, and less capable than others, and unable to do the basic things that others take for granted (others, they might add, who have failed to achieve the very same dream youve identified), the support of one person, sadly, should not be enough to align your inner compass. Its in this understanding that we move closer to the true nature of Zheyuans greatness.

Lets condense the remainder of Zheyuans blow-by-blow history. He called up the China Disabled Persons Performing Arts Troupe and played his violin on the phone. He was invited to join the elite troupe, and spent the next two years touring the world. He played at the Lincoln Center, placed in a national TV competition, and captivated audiences with a solo performance at the Asia Paralympic Games.

After two years though, uncertainty started to creep in. Zheyuan was undeniably good for a blind man the best in the world. But Zheyuan wanted to be more than that.

Much to the dismay of his family and friends, who felt that against all odds, he had already achieved his fantastic impossible goal, he went back to school.

The Central Conservatory of Music in Beijing told him they would love to accept him, but unfortunately, didnt have the facilities required to educate blind students. Zheyuan only heard the first part of that sentence, renting out a small basement near the university and auditing all the classes there.

American schools were stunned by his playing, but turned him away for his poor English. Zheyuan started studying, memorizing a comprehensive English textbook word for word using the text-reading app on his phone, it was the only method available to him. Clearly, this is a man who doesnt give a damn if you think hes already reached his zenith. He has further zeniths in mind, and who are you to tell him otherwise? You probably dont even play the violin.

That was six years ago. The day that we wrapped on shooting this documentary film, September 20th, 2019, Zheyuan set off on the next leg of his march down an unending and personally-bricked road: a scholarship at the University of Sheffield in England. Goodness knows where hell go next.

When it comes to being blind, we tend to feel like its quite self-explanatory. The absence of vision. Wouldnt that be something?

In five days of intensive, 9-to-5 shoots with Zheyuan, we learned that blindness is far more complex, and far less one dimensional than that. Its not the absence of vision, full stop. Its the absence of vision as it relates to ones physical safety, and the absence of vision as it relates to ones social life, relates to ones relationships, relates to ones concept of self. Blindness is not a singular and major affliction that blankets Zheyuans life, but a complex and ever-moving truth that changes every aspect of his lived experience, in ways big, small, and diverse.

Shooting one of our RADII Voices films requires a significant commitment from the subject, and most of the time theyre not very familiar with the filmmaking process. Zheyuan, more than anyone, displayed an immeasurable readiness and tolerance for the (often grueling) demands of the shoot.

When the crew was collapsing onto park benches, shoulders sagging with fatigue, Zheyuan was ready for the next shot. When we were scrambling madly to reach our location while the light was perfect, Zheyuan was at the front of the mob. Not once did he question anything or betray a hint of frustration. He was here to make a film, and he brought to that task the same steely resolve he brings with him everywhere.

Interestingly, from the outset, Zheyuan was preoccupied with the visual nature of our project. He wanted to know the shooting style and the visual motifs we had in mind. We sent him references, which he poured over with the help of his dad. When we created a flier for our live music event in Shanghai (Zheyuan improvising with experimental electronic musician Laughing Ears), he sent us back revisions to improve our graphic design.

Zheyuan moves around with a kind of deftness. He bumps into something every now and again, but has an uncanny ability to catch himself that could only come from a lifetime of practice (its worth noting that we worked as a team exclusively in environments that were unfamiliar to him). Somewhere like his home or his school, his disability could very well go unnoticed. He can navigate through rooms based on a totally alternate set of sensory skills he can tell if the walls are metal, and at which point they change to wood, based on the reverberations of spoken voices in the room. Once hes been in a place for a few minutes, hes already drawn up a memory map of each object and corner.

That kind of alternate sensory skill extends to his specially-designed smartphone, which uses a computer narrator to orate texts, emails, web browsing, etc. It does so at approximately 300 million words per minute, sentences and whole paragraphs whizzing by in a wild gaussian blur. The Mandarin was unintelligible to our Chinese crew members, and when he switched the device to English, I too was stumped. Zheyuan found it amusing English was his second language, after all, and here he was scoring higher than me on listening comprehension. He had trained to do this.

In between shots, wed return periodically to Zheyuans hotel room for meals or power naps. The hotel was a nice one, with wall-to-wall windows and plenty of natural light. Good feng shui. The only thing that stood out was that some birdbrained interior designer had taken it upon themselves to construct the bathrooms doors and walls out of perfectly clear glass. Using the restroom, there was an unspoken rule that all would avert their eyes from the glass cube of public shame.

It wasnt until the fourth day, when we returned to the room with a full crew of additional day-rate cameramen, that one of them cracked a joke about the rooms obvious design flaw.

Zheyuan turned and asked me in English, The bathroom is made of glass?

I told him it was. He laughed it off and said something about how silly it was. But I knew that he was having to come to terms, in one instant, with the sudden realization of public awkwardness wed been enduring all week. Blindness is more than a physical inconvenience its an exclusion from a communal experience that is enjoyed ungratefully by nearly all living creatures.

When wed wrapped the last scene on day five, we felt that euphoric sense of bliss and relief that comes with crossing any finish line. Zheyuan was beaming. We went straight to a bar to celebrate with beer and chicken wings.

Zheyuan is able to sense the social cues of conversation based on things like the tightened roundness of words spoken with a smile, or the direction someone is facing when telling a story, and the resulting way their voice projects through space. He knows when youre trying to shake his hand, or when you want to help him with his bags. Sharing a communal basket of chicken wings in the center of the table can be a little tricky, but is overall very manageable.

At one point, I asked him if he could sign the vinyl record wed used in the film, as a memento of our time together.

Sign it? he said. I can only sign it in braille!

Id put my foot in my mouth. Even the simple pleasure of autographing something for a fan (which by now, I had become), writing ones own name, was outside of Zheyuans experience.

But when hed said that, hed done it with a sincere smile, laughing about it. This is classic Zheyuan.

The amazing thing about Zheyuan is not that he has mastered the violin. The amazing thing about Zheyuan is that, saddled with a challenge more immense than most people have ever known, he holds himself like someone who is completely unbothered in every moment. More than unbothered, but grateful.

Through one week of intense shooting, outside of his element, being prodded and shuttled around a foreign city by a crew of near-strangers, Zheyuan complained zero times. The only thing he brought forward was productive energy and assurance, even at times when we had little of our own. When he ran out of that, he slept.

It occurred to me that it was this attunement to a greater understanding, and a certainty about ones place in this world, that allows Zheyuan to do what he does. In spite of his challenges, Zheyuan has mastered his outlook on life, and he has mastered himself, in an almost nirvanic, Buddhist kind of way.

Zheyuan is not amazing because he has mastered the violin. He is amazing because he has mastered Zheyuan. His music is an expression of that a symptom of the greater illness of freedom and conviction in ones own inner truth. We hope you enjoy Zheyuans story as much as we enjoyed telling it with him.

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Iran in flames and experts didnt foresee it due to Trump-hate blindness – New York Post

Thursday, December 5th, 2019

The Iranian regime faces the most serious popular challenge to its tyranny in 40 years. Sparked by a 50 percent hike in fuel prices last month, the uprising has spread to the whole country. Security forces have killed hundreds of protesters, and at one point they were even forced to shut down the internet a sign that the ayatollahs feared for the survival of their regime.

So its worth asking: Did our experts see this coming?

Nope: Most were too busy blasting President Trump. The prestige press and Twitterati spent the last few years railing against the president for trashing the nuclear deal and ratcheting up sanctions actions that had supposedly sent the Iranian people rallying around the flag.

Writing in February, New York Times Tehran correspondent Thomas Erdbrink described a nation standing behind its government. Braving a drenching rain, he wrote, Iranians came out in droves to march up Revolution Street to the capitals Freedom Monument for a huge state-backed rally commemorating the 40th anniversary of the Islamic Revolution.

Erdbrink also described Iranians parading effigies of Trump. But a reader would get little sense of a brutal regimes internal crisis of legitimacy that would explode a few months later.

You could hear a similar story on public radio, where PRIs popular show The Conversation warned this summer that Trumps sanctions would prove catastrophic. The presidents hard measures, the show suggested, would yield the classic rally-around-the-flag effect. Iranians are critical of their governments economic policies, but they also blame Trump for the hardships resulting from sanctions.

The same conventional wisdom traveled all the way down the journalistic totem pole, with Newsweeks David Brennan predicting last month that Trumps treatment of Iran will ensure America remains the Great Satan for years to come.

The very same ideas, often expressed in the very same words, emanated from Washingtons bien pensants at an alarming rate. Colum Lynch, Foreign Policys senior diplomatic correspondent, touted an academic poll in October that found conclusive evidence supposedly showing that Trumps sanctions had increased Iranian hostility toward the United States and boosted the popularity of Iranian hard-liners.

Writing in the same publication a year earlier, Philip Gordon of the Council on Foreign Relations and Robert Malley, a former Team Obama adviser, said the same thing only with more scorn. In Trumps vision, sanctions are a quasi-magical, multipurpose tool, they wrote, which might even lead the Iranian people, facing a collapsing economy, to rise up and sweep aside the Islamic regime. Thats an impressive wish-list. Its also utterly implausible.

Holly Dagres agreed in The Atlantic, judging Trumps policy to have produced meager results and noting that the heavy US pressure on Tehran in recent months has led to a rally-around-the-flag effect as Iranians push back against what many view as a Western imperialism.

Dror Michman, a Brookings Institution visiting fellow, concurred. Trumps sanctions, he wrote, will also have a huge impact on the Iranian president and will strengthen the radicals in Iran who always claimed that the West could not be trusted.

The unimprovably named Marik von Rennenkampf, an analyst appointed by Team Obama to the Pentagon, was even less subtle. Bellicose threats and confrontation lead to a rally-round-the-flag effect, he wrote in July in The Hill, where the Iranian population supports the government in power, regardless of how unpopular or authoritarian it may be.

As they say in Foggy Bottom: Oopsies.

The problem here isnt that so many experts were so wrong even the best thinkers can sometimes miss the mark. The problem is that all of our experts were wrong in exactly the same way, for precisely the same reason.

Blinded by their disdain for Trump, they could credit no narrative that didnt feature the president as the ultimate bumbler. Otherwise, theyd have had to accept two rather obvious points: that the billions paid by Team Obama kept the despised mullahs afloat; and that Trump imposing strict sanctions deprived the mullahs of the resources they need to keep oppressing the Iranian people.

So much was clear to anyone who actually bothered looking at Iran soberly. Sadly, this excludes more or less our entire liberal foreign policy establishment, most of academia and the media.

Its a troubling turn of events, but pay it little mind: As our experts are busy with their own #Resistance, a real resistance is unfolding in Iran.

Liel Liebovitz is a senior writer for Tablet. Twitter: @Liel

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I spent a day experiencing blindness, which made me realise how badly the world is set up – inews

Thursday, December 5th, 2019

NewsEducationDialogue in the Dark has opened in London, giving visitors a sense of what it's like to not be able to see in a visual world

Wednesday, 4th December 2019, 6:01 am

Im in the pitch black and my heart is racing. Its not the kind of darkness that my eyes can adjust to I cant see a thing, not a single sliver of light.

My cane, which Ive been told to move slowly in front of me from left to right, clangs against what feels like a metal gate. Im seriously worried that Im going to smack into a wall, so I go slowly.

With my free hand, I reach out to check whats nearby, touching what might be a tree trunk. Dogs bark as I make my way through what Im pretty sure is a market stall, rummaging around to find something that feels like an onion. I dont know if its red or white, but I can feel the layers of peel.

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I try to work out what coins I have in my pocket in order to buy a coffee, but Im not sure Ive got the right money. The waitress tells me Ive given her 10p, not the pound coin I owe.

The blind leading people who want to learn

Im not actually outside on a street, but inside a studio space set up to feel like a real neighbourhood. This is Dialogue in the Dark, a new immersive experience in Hackney, east London, which shows people what its like to carry out ordinary daily activities when you cant see.

Of all the senses humans fear losing the most, sight is usually top of the list. Yet there are more than 350,000 people in the UK registered as blind or partially sighted, who every day find their way through a visual world.

Dialogue in the Dark was set up 27 years ago in Germany by Dr. Andreas Heinecke in 1988 who, after helping train a new, blind journalist at the radio station he worked at, realised how little he understood about blindness.

The social enterprise project now exists in over 40 countries across the world, opening for the first time this week in the UK. The idea is to help people understand what its like not to see, but it also provides employment opportunities for blind and partially sighted people.

Dialogue in the Dark

As I pick my way carefully over gravel and feel my way past a parked car, trying not to whack it with my cane, my guide Adara, a 34-year-old who has been blind all his life, helps me find my way with his voice. Its very disorientating at first- is Adara to my left or right, is he behind me? How far away? At one point I bump into him, feeling terrible about it- but of course, hes used to this in the real world.

I ask Adara how people with sight could change their behaviour to make his life easier. The bus drivers could make sure the volume is up on the next stop announcements, he says. He often has to ask them to turn it up. It would also be good if people looked where they were going, he sighs, albeit good naturedly. They just stop in the middle of the street.

When setting up the UK version of Dialogue in the Dark, the three founders sought advice and help from various organisations including The Royal Society for Blind Children about recruiting guides, and about how to make the experience as real as possible. Huseyin Gunduzler, who first had the idea to bring the concept to London after visiting it in Istanbul, says that the UK has some way to go with catering for the differently abled.

Leaving a genuine impression

I wanted this to get people thinking about how they might be able to help design the world better for those who cant see, to help inclusion and to have a more forward-thinking society. The aim is that at some point in the UK we have designed daily life to make it so accessible that we can stop using the word accessible because accessible will become the norm.

Dialogue in the Dark in Hackney has started fairly small- in Istanbul visitors experience going to an airport and getting on a plane - but Gunduzler hopes his exhibition will grow in time.

Dialogue in the Dark has left a genuine impression on me. Experiencing my sight taken away even for just one hour reminds me how much I take it for granted. Its made me better understand that its not that being blind is necessarily a tragedy in itself, but that the world is so badly set up for the differently abled.

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Selective Perception Demonstrated in Love Is Blind With Director Monty Whitebloom – Film Threat

Thursday, December 5th, 2019

Love Is Blind follows a young lady who cant see her mother or the suicidal man that her psychiatrist assigned to her due to her previous traumatic experiences. The film stars newcomer and lead Shannon Tarbet as Bess, Matthew Broderick as the father, Chlo Sevigny as the mother, Aidan Turner as Russell, and Benjamin Walker as Farmer.

In the interview with director Monty Whitebloom, he explained what precisely selective perception is, the deeper meaning of the story, and how traumatic experiences shape our vision. The questions and answers are below:

What made you want to make a movie about selective perception about a girl that cant see her mother or this suicidal man?Whitebloom: What I felt was the central idea of the whole film was really identity. Its an important subject matter. The whole idea of who somebody is and what you think you are or what you think you see around youis that really real, is that fake, or is there truth to that. The story of Bess with this metaphor of selective blindness is really an interesting concept about not being able to see or not wanting to see whats right in front of youwhether that be good, bad, or indifferent. That is a really interesting jumping-off point to explore the ideas of love, the ideas of companionship, connection, how you meet people and have a better life.

what you think you are or what you think you see around youis that really real, is that fake, or is there truth to that.

What have you learned about selective perception in making this film? Did you have to do some research? Is this real? How does this happen?The selective perception within the film isnt actually a real condition, but there are various forms of blindness where you get face blindness. The most obvious cases, cant recognize their name or dont know who they are. This is called face blindness, so face recognition is a real condition, even though weve met people, we cant remember who they are. I did quite a lot of research into that. The whole idea of sight of how and what one sees is really interesting thing. Obviously, sight and the idea of seeing is believing, in what you see and how important it was. I was always fascinated by that subject matter. I could relate to that experience, not quite selective; but its certainly the idea of how important sight is and when you cant see something. Obviously, Bess is dealing with a mental condition more than a physical one.

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27.11.2019 Air pollution linked to debilitating eye condition and blindness – AirQualityNews

Wednesday, November 27th, 2019

Long-term exposure to air pollution has been linked to glaucoma, a debilitating eye condition that can cause blindness.

These were the findings of a major study published in Investigative Ophthalmology & Visual Science and undertaken by scientists at University College London which is the latest research to reveal how exposure to air pollution is affecting almost every part of the human body.

In England, about 480,000 people have chronic open-angle glaucoma. It most commonly results from a build-up of pressure from fluid in the eye, causing damage to the optic nerve that connects the eye to the brain. Glaucoma is a neurodegenerative disease.

The findings were based on 111,370 participants of the UK Biobank study cohort, who underwent eye tests from 2006 to 2010 at sites across Britain.

The participants were asked whether they had glaucoma, and they underwent eye examinations, which was then measured against where they live.

The results revealed that in neighbourhoods with higher amounts of fine particulate matter pollution were at least 6% more likely to report having glaucoma than those in the least-polluted areas.

The research team found that people in the most-polluted 25% of areas were 18% more likely to report having glaucoma than those in the least-polluted quartile, and they were also significantly more likely to have a thinner retina, one of the changes typical of glaucoma progression.

Eye pressure was not associated with air pollution, which the researchers say suggests that air pollution may affect glaucoma risk through a different mechanism.

Professor Paul Foster (UCL Institute of Ophthalmology and Moorfields Eye Hospital) said: We have found yet another reason why air pollution should be addressed as a public health priority, and that avoiding sources of air pollution could be worthwhile for eye health alongside other health concerns.

While we cannot confirm yet that the association is causal, we hope to continue our research to determine whether air pollution does indeed cause glaucoma, and to find out if there are any avoidance strategies that could help people reduce their exposure to air pollution to mitigate the health risks.

Photo Credit Pixabay

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Dry Eye Relief Discovered By Sharon Kleyne & Dr. Yuan Fang Of China Combats Global Blindness – PR Web

Wednesday, November 27th, 2019

GRANTS PASS, Ore. (PRWEB) November 27, 2019

Sixty percent of young people in China are nearsighted and 300 million Chinese people suffer from dry eye disease, says Dr. Yuan Fang, M.A., Ph.D. of the Bio Chemistry Research Center in China.

Joining Sharon Kleyne, founder and research director of Bio Logic Aqua Research Water Life Science in Grants Pass, Oregon and the host of the internationally syndicated radio program, The Sharon Kleyne Hour Water Life Science/Natures Pharma, The Power of Water & Your Health sponsored by Natures Tears EyeMist on VoiceAmerica and produced by Rose Hong, founder and director of Global Dragon TV in Washington, D.C., genome researcher Fang strongly supports the use in China of Kleynes signature invention to provide long-lasting relief from dry eye, Natures Tears EyeMist.

Dr. Fang is internationally respected for his genome research and efforts to provide relief from dry eye and eye fatigue. After earning a Ph.D. in physiology in China, Fang came to the United States for post-doctoral training in neurology. Fang also studied dry eye at the OHSU Casey Eye Institute in Portland, Oregon where, says Fang, he began to notify and agitate people about the danger of dry eye and other ocular disorders. Fang and colleagues agree that over-evaporation of the tear film can infect and damage the cornea, causing symptoms that include headaches, irritability, exhaustion, red eyes, blurred vision, distracted behavior, poor vision, poor schoolwork, loss of productivity on the job and damage to relationships in families and communities. In severe cases, dry eye can also led to blindness.

Kleyne and Fang call for better education in China and around the world about dry eye, its causes, symptoms and treatments. Fang and Kleyne also want to see more new water technology and research and more proactive, individual care than they see now. People must take responsibility for their personal health, says Kleyne, inventor of the Health Olympics, a new lifestyle that encourages people everywhere to be responsible about their health care.

Fang and Kleyne encourage everyone to drink 8 to 10 glasses of water every day to replace the body water vapor that is lost continually through the natural process of evaporation. People also must learn to sleep with the earth, getting the rest that they (and their eyes) need every night. Breathing properly is important, too. Yoga, Tai Chi and Qigong teach proper breathing techniques And moderate exercise promotes improved health and well being. Diet should be designed to meet an individuals specific needs because Everyone is unique, says Kleyne.

Fang and Kleyne are also promoting and teaching the use in China of Natures Tears EyeMist, the worlds only Dry Eye Solution that is more than Just a Mist or a chemical eye drop. Natures Tears EyeMist consists of pH-balanced, 100 percent Trade Secret tissue culture grade water and applied to the eye with a personal, patented micron-size mist, technology that is designed for ultimate absorption by the eyes tear film, which is naturally 99 percent water. Natures Tears EyeMist new technology is painless and does not blur vision. Natures Tears EyeMist contains no additives or chemicals and is regularly tested in multiple laboratories, and is pure water that is lighter in weight than eye drops. That increased weight speeds up evaporation of the water in the eye.

Date aired: November 25th, 2019Guest: Dr. Yuan Fang, M.A., Ph.D., China

You may listen to the program featuring Dr. Yuan Fang and Sharon Kleyne discussing dry eye disease, relief of dry eye with Natures Tears EyeMist, education, water evaporation, new water research technology and other ocular issues in China by following this link: https://www.voiceamerica.com/episode/118967/encore-the-dry-eye-population-in-china-and-treatment-options

If you wish to see a brief educational film that demonstrates the application of the new Dry Eye Solution technology Natures Tears EyeMist, go here: https://www.youtube.com/watch?v=l0gOr8TB45U

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A 23-Year-Old With Blindness After a Fall She Can’t Remember – Medscape

Wednesday, November 27th, 2019

Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

A 23-year-old woman is brought to the emergency department by her concerned mother after experiencing an apparent fall. The patient's mother reported that she found the patient early that morning. The patient was lying on the floor of the bathroom staring blankly at the ceiling.

The patient recounted that she had had fallen asleep several hours earlier while studying for her exams and woke up needing to urinate. She stated that she could not remember what happened after this time. She was unable to get up without assistance from her mother. The patient downplayed her fall and had to be convinced by her mother to come to the emergency department. The patient mentioned that she might have bumped her head on the bathroom sink during the fall, but she reported no pain and did not lose consciousness. She also nonchalantly reported that she could not see out of her left eye and described lower-extremity weakness, also on her left side.

When questioned about her medical history, the patient only reported that she has occasional migraines for which she takes sumatriptan. Her mother contributes that her daughter also takes alosetron for irritable bowel syndrome and fluoxetine for depression.

The patient appeared to be noticeably unworried about her condition. Her mother mentioned that her daughter has experienced numerous significant life stressors recently, including her father's recent diagnosis of terminal glioblastoma multiforme and increasing pressure from her rigorous nurse practitioner program. When questioned about this, the patient minimized her current situation, simply stating, "I have my ups and downs." The patient denied suicidal ideation, plans, gestures, or intention.

Medscape2019WebMD, LLC

Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Jeffrey S. Forrest,Alexander B. Shortridge.A 23-Year-Old With Blindness After a Fall She Can't Remember-Medscape-Nov27,2019.

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Transmission of river blindness may be reduced when vegetation is… – ScienceBlog.com

Wednesday, November 27th, 2019

The World Health Organization has set a goal to eliminate river blindness, a neglected tropical disease found mostly in African villages near fast-flowing rivers and streams, by 2030. Spread by bites from black flies that deposit a parasitic worm under the skin, the disease can cause itching and skin infections in addition to blindness.

Current approaches to reduce transmission of river blindness include treating those rivers and streams with pesticides, as well as providing drug therapy, but neither method has come close to ending transmission of the disease.

In a new study, a University of Notre Dame research team used mathematical modeling, which showed combining mass drug distribution with removing vegetation may be the quickest way to curb transmission.

Modeling is a powerful tool to synthesize myriad information about parasite transmission, said lead authorEdwin Michael, professor in theDepartment of Biological Sciencesat Notre Dame. Once we obtain a working model, we have the capability to do forecasting into the future, and we can also use the available short-term, limited data to present decision makers with new information that is not otherwise available.

Removing vegetation trailing in fast-flowing water bodies and throwing it onto riverbanks kills the black fly larvae, according to the studys findings. This form of vector control, called slash and clear, was tried briefly during the 1960s and found effective, but wasnt continued.Thestudy, published in Natures Scientific Reports, includes modeling after a one-year field trial where researcherslived in villages in Uganda and worked with residents to test the process and earn their buy-in.

All you need are machetes, and the activity is well-accepted by the community, said Michael, who is affiliated with theEck Institute for Global Health. And theres no cost involved.

The groups modeling work synthesized the information from the trial data and forecast the outcomes of the intervention into the future in different locations. The approach allowed researchers to understand how slash-and-clear impacts extinction of both black flies and worm infection in humans, and showed that the method worked well even when performed just once per year during the first month of the rainy season.

The slash-and-burn approach, because it is community-based and is free, can be more sustainable than using pesticides because the latter relies on governments to complete dosing rivers in a timely fashion, and costs money. It is also a feasible addition to administering drugs that kill the worm. The drugs can take many years to interrupt transmission, because adult worms can live for up to 15 years in the body.

The next step in the research is to develop further testing in the field, but Michael stressed that mathematical modeling can save some of the time and effort that would normally be used for conducting such empirical studies.

When new data come in, you use it to further refine the model to reduce prediction uncertainty, he said.

In addition to Michael, other collaborators include Morgan E. Smith and Shakir Bilal of the University of Notre Dame; Peace Habomugisha and Edson Byamukama of the Carter Center, Kampala, Uganda; Thomson L. Lakwo and Edridah Tukahebwa of the Ministry of Health, Kampala, Uganda; Moses N. Katabarwa and Frank O. Richards of Emory University and the Carter Center, Atlanta, Georgia; Eddie W. Cupp of Auburn University, Auburn, Alabama; and Thomas R. Unnasch of the University of South Florida, Tampa, Florida.

The study was supported by a grant from the National Institute of Allergy and Infectious Diseases and by fellowship funding through Notre Dames Eck Institute for Global Health.

Contact:Jessica Sieff, assistant director of media relations, 574-631-3933,jsieff@nd.edu

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Did Color Blindness Cause a Grandfather to Accidentally Drop His Granddaughter From a Cruise Ship – Inside Edition

Wednesday, November 27th, 2019

The grieving grandfatherwhose granddaughterfell to her death out a cruise ship window recalled for the first time the moment he saw the toddlerslipfrom his grasp.

I saw her fall," Salvatore "Sam" Anello, 51, told CBS News. "I saw her fall all the way down.I saw her fall and I was just in disbelief it was like, 'oh my God!

Anello was holding18-month-old Chloe Weigand up against what he said he thought was a bank of a closed windows onThe Freedom of the Seas cruise ship while it was docked in Puerto Rico in July. Chloe slipped from her granddad's grasp "in seconds," Anello said.

Though the windows on Deck 11 where the incident occurred are tinted, Anello toldCBS This Morninglead national correspondent David Begnaud that he is color blind.

I'm color blind. I just never saw it, he said of the window's tinting. I've been told that's a reason it might have happened.

Anello has pleaded not guilty to criminally negligent homicide and faces up to three years inprisonif convicted. But the prospect of prison is nothing compared to the pain of losinghis granddaughter, Anello said.

If they find me guilty of whatever or not, it's inconsequential because of what has already happened is so horrible, he said.

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Foundation Fighting Blindness Launches Natural History Study for People with Retinitis Pigmentosa Caused by EYS Gene Mutations – Yahoo Finance

Wednesday, November 27th, 2019

Known as Pro-EYS, the study will help researchers design clinical trials for potential therapies

Columbia, MD, Nov. 27, 2019 (GLOBE NEWSWIRE) -- The Foundation Fighting Blindness has launched a natural history study (NCT04127006) for people with retinitis pigmentosa (RP) caused by mutations in the gene EYS called the Rate of Progression in EYS Related Retinal Degeneration (Pro-EYS). The goals of the international, four-year study include estimating the rate of disease progression and evaluating the usefulness of various outcome measures for future clinical trials for emerging therapies.

This is an important study because it is characterizing one of the most common genetic causes of retinitis pigmentosa. Natural history studies, such as this, are critical for understanding the impact any therapy may have on the natural progression of disease. These efforts will help accelerate the development of treatments, says Mark Pennesi, MD, PhD, Oregon Health & Science University, and study chair for Pro-EYS.

The findings from this natural history study will be published and widely disseminated so that we can share what we learn with therapy developers from around the world, says Todd Durham, PhD, vice president of clinical development and outcomes research at the Foundation. Our goal is to boost and accelerate EYS therapy development for all commercial and academic researchers. One way we do this is to make de-identified data from the study accessible to researchers who can use it to design clinical trials. This study is a significant undertaking and we are grateful to the investigators, reading centers, laboratories, genetics experts, and study participants who make this possible.

Pro-EYS has three participant cohorts:

After an initial baseline visit, participants will make four annual visits for exams and vision testing. Investigators will be evaluating several aspects of vision and retinal health including: visual fields, visual acuity, retinal sensitivity, and the size of the patients ellipsoid zone, the area of healthiest photoreceptors.

The following collaborators will be supporting this multi-year study:

The research sites are in the final steps of the approval process. For an up to date list of participating sites, individuals with retinal dystrophy associated with the EYS gene who are interested in participating in the Pro-EYS study should contact the Jaeb Center for Health Research by e-mail at ffb@jaeb.org or call 813-975-8690.

About the Foundation Fighting Blindness

Established in 1971, the Foundation Fighting Blindness is the worlds leading private funding source for retinal degenerative disease research. The Foundation has raised more than $760 million toward its mission of accelerating research for preventing, treating, and curing blindness caused by the entire spectrum of retinal degenerative diseases including: retinitis pigmentosa, age-related macular degeneration, Usher syndrome, and Stargardt disease. Visit FightingBlindness.org for more information.

###

Chris AdamsFoundation Fighting Blindness Inc4104230585cadams@fightingblindness.org

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Foundation Fighting Blindness Launches Natural History Study for People with Retinitis Pigmentosa Caused by EYS Gene Mutations - Yahoo Finance

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The Innocent Victims of Hatred’s Blindness A Surviving Spouse Looks Back on Neo-Nazi Shooting in – Flatland

Wednesday, November 27th, 2019

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Published November 24th, 2019 at 6:00 AM

Jim LaManno can barely remember the first two years after a neo-Nazi murdered his wife Terri at the Village Shalom retirement community in Johnson County.

If you ask me anything about 2014 or 2015, I dont know, he said over lunch recently.

Oh, he recalls having family support and lots of care from members of St. Peters Catholic Church, where he and Terri worshiped.

I got meals from women of the parish almost every night, he said. Another woman came to my house twice a month and cleaned it top to bottom. She did that for like six months. The people of the parish were incredible.

Beyond that, hes not sure how he survived.

Teresa Rose LaManno was the third person murdered on April 13, 2014, by a fanatic determined to kill Jews. Earlier that day, he shot Mindy Corporons son, Reat Underwood, and her father, William Corporon, at the Jewish Community Center.

Mindy and her family and Jim and his family have had to reimagine their lives because of that violence. Mindy has spearheaded the Faith Always Wins Foundation and the related annual Give Seven Days events.

Jim has cheered her on but hasnt been as much in the public eye as Mindy.

I think what Mindy does is tremendous, he said. I cant do what she does. I dont know how she does it. Its amazing what she does. I just try to help out the best I can.

For Jim, life has meant continuing to work in his dentists office on the Country Club Plaza and accommodating himself to the reality that hes alone now.

You have to get over the things you thought your life was going to be, he said, which, for me, took time and involved regular counseling.

For over a year, maybe two (after Terri died), I kept thinking that our planned trip to Italy was still on. I never did make it to Italy. And then you figure out that a lot of these things you did before were with friends who were married. When you dont have a spouse, it just isnt the same. So you have to find a new group of people to do things with. Thats the transition I had to make. When work is over, I know that my house is empty.

An empty house, a broken heart. Thats what demented extremism can and does lead to. It also forces its victims to re-examine what they believe about eternal matters.

In the beginning, Jim said, I probably went to church as often as we always went to church. But since then there have been times when I just didnt feel like going to church, but I still believe in God. I just feel church can be anywhere that I decide to be.

I dont think Terri would want me to walk away from God. Thats why I dont.

Then he pauses, sighs and adds this: But it changed me as a person. Im not the same person I was five and a half years ago.

One of the things he and his family (he has three grown children, two daughters and a son) have done since Terris death is establish the Teresa R. LaManno Scholarship for clients of the Childrens Center for the Visually Impaired, where Terri worked.

Im grateful for what everyone gave me, Jim said, so I want to make sure I give back.

But much of Jims life since that day in 2014 when Overland Park police came to his Brookside home with devastating news has been spent figuring out how to put one foot in front of the other.

You do come to a point in your life where youd just like to find somebody to do things with, he said. Just the little things I used to do that I havent done in a while, like taking someone to the movie or to an art gallery, just someone to walk around with. Thats what I really miss.

Heres what he would want Kansas Citians to learn from his experience: I would tell people, especially if youre married, to enjoy that person. Terri and I never went to bed at night mad at one another. So I would say treasure the relationships you have. People argue and disagree about things, you know, things. I would give up a lot of things almost every thing for what I had before. What I had before was much more valuable to me than any thing that I have. Any thing. A person is the most important. We were happy. We were happy with what we had. We were happy with where we lived.

But thats gone now. And although Jim is open to the possibility of a new love relationship, he says: It may not happen. It may happen. I dont know. If I find someone, I find someone. If I dont, I dont.

The antisemite who caused all this agony no doubt never gave a thought to what Jim LaMannos life would be like in 2019. All he cared about was hating Jews enough to kill them. Which, of course, he failed to do. Each victim was a Christian.

That, too, reveals hatreds blindness.

Bill Tammeus, a Presbyterian elder and former award-winning Faith columnist forThe Kansas City Star, writes the daily Faith Matters blog forThe Starswebsite and columns forThe Presbyterian Outlook and formerly for The National Catholic Reporter. His latest book isThe Value of Doubt: Why Unanswered Questions, Not Unquestioned Answers, Build Faith. Email him atwtammeus@gmail.com.

Discover more unheard stories about Kansas City, every Thursday.

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Medical student and alumni discover zebrafish are resistant to eye infection – The South End

Wednesday, November 27th, 2019

A Wayne State University School of Medicine student and two recent graduates working on a collaborative project in the laboratories of Associate Professors of Ophthalmology, Visual and Anatomical Sciences Ashok Kumar, Ph.D., and Ryan Thummel, Ph.D., have discovered that zebrafish dont contract endophthalmitis.

The eye infection can cause blindness within hours if not diagnosed and treated quickly.

Matthew Rolain, Frank Mei, M.D. 19 and Xiao Yi Zhou, M.D. 17, contributed to the study, Zebrafish are Resistant to Staphylococcus aureus Endophthalmitis, published in Pathogens, a peer-reviewed journal in the field of microbiology and immunology.

The study showed that while humans require only 10 to 100 bugs to cause endophthalmitis, and mice require 5,000 before infection, in the freshwater fish even 250,000 bacteria wont cause the eye infection. The finding indicates that zebrafish eyes are incredibly resistant to such eye infections and possess strong host defense mechanisms.

Dr. Thummel and others in the field have shown that humans and fish share similarities in eye structure and immune responses. Studying why fish, but not human eyes, are resistant, may help identify protective pathways and molecules that could be translated to humans.

Traditionally, we have used a mouse model to study the pathobiology of these infections. In recent years, zebrafish have emerged as an important model organism in biomedical research, providing insight into the pathogenic mechanisms of infectious diseases. We sought to determine their susceptibility with the ocular bacterial infection, Dr. Kumar said. I contacted my colleague Dr. Thummel and discussed the idea, and the project took off with participation of three medical students who completed the task collectively.

Dr. Kumars laboratory focuses on understanding the pathobiology of ocular infections, especially those affecting the retina, such as endophthalmitis. The infection most often occurs due to surgical complications or eye trauma.

Apart from conducting research, I truly enjoyed mentoring these medical students, Dr. Kumar said. I hope they continue develop scientific acumen as they transition to their respective residency programs.

Matthew Rolain will graduate from the School of Medicine in 2020.

Working with Dr. Kumar and Dr. Thummel was an awesome experience, he said. They gave me great guidance and were always very supportive, regardless of the outcome of our experiments. It was nice being able to learn about the research process while working on such an interesting and potentially impactful project. Hopefully the scientific community will be able to build on our results to better help future patients.

Dr. Mei is now a resident in his transitional year in Chicago before starting a two-year Ophthalmology program at the University of Texas Southwestern Medical School in Dallas.

Individually, Drs. Kumar and Thummel were well respected in their separate expertise. However, the unification of their talents into a singular project created a collaborative environment where the strengths of both labs meshed, launching and dramatically expeditingthis project to completionin a very short timeframe. Bridging the gap between Scott Hall and the KresgeEye Institute, Drs. Kumar and Thummel created a warm atmosphere to foster my growth as a researcher. This experience was invaluableand an encouragement for me to seek further collaborations in my career in academic ophthalmology, Dr. Mei said.Lastly,I would like to thank the Medical Summer Research Project through Wayne State and the Kresge Summer Internship for supporting me through this project.

Their colleague, Dr. Zhou is a resident in her transitional year at NorthShore University Health System in Illinois. She completed a one-year fellowship at Bascom Palmer Eye Institute in Miami after graduation.

Moving forward, they plan to test zebrafish susceptibility to other bacterial and fungal pathogens.

The work was supported by grants from the National Institutes of Health (R01EY027381 and R01EY026964 to Dr. Kumar, and R01EY026551 to Dr. Thummel. Histology and imaging core resources were supported by a vision core grant (P30EY04068) and an unrestricted grant from Research to Prevent Blindness to the Department of Ophthalmology, Visual and Anatomical Sciences.

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Deadly fake vodka which can also cause blindness due to antifreeze ingredient seized from shop and pub in Fife – The Scottish Sun

Wednesday, November 27th, 2019

FAKE vodka laced with a potentially lethal antifreeze ingredient has been seized in Fife.

Bottles of the counterfeit Smirnoff are believed to contain isopropanol, which is used in anti-freeze and some fuels.

1

It can lead to blindness and even death.

The fake vodka bottles were found in a shop and a pub in the Levenmouth area as part of an investigation by Fife Councils food safety and trading standards teams.

The shop and pub have not yet been named but both premises will have their licences reviewed and may face prosecutions.

Officers visited 30 licensed premises earlier this month, following tip-offs from the community.

Douglas Hardaker, from Fife Councils environmental health, said: One of the vodkas was found to be dangerous and had things in it which could be seriously harmful.

These are things where you are not getting what you paid for, you are getting a little bit extra and its not good for you.

He said customers should follow the recommendations of the DrinkAware campaign, which advises buying alcohol from a reputable supermarket, off licence or shop, avoiding products sold at very cheap prices and looking out for poor quality labelling or unfamiliar brands.

Its thought the fake vodka may have contained isopropanol, which is used in anti-freeze and some fuels. The substance has been detected in counterfeit alcohol seized by police elsewhere in the UK.

It can mimic the effects of regular alcohol, but also causes side effects including abdominal pain, sickness and dizziness.

Investigations are under way to determine whether it was made locally or shipped in from elsewhere.

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Mr Hardaker urged people to be vigilant at Christmas and new year celebrations.

Paul Madill, NHS Fife consultant in public health, said consumers needed to be able to trust shopkeepers and licensees.

People need to have confidence they are getting what they thought they were getting, he said.

Licensing forum member Paul Smith, the managing director of Castle Leisure Group who represents the licensed trade, said it was disappointing to see people flouting the law.

We would all like to see those people who peddle that type of illicit alcohol, while the rest of us comply with the rules and regulations, taken to task, he said.

We pay for your stories and videos! Do you have a story or video for The Scottish Sun? Email us at scoop@thesun.co.uk or call 0141 420 5300

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Fake vodka that can cause blindness and death found in Fife shop and pub – The Courier

Wednesday, November 27th, 2019

Drinkers have been warned to stay safe this festive season after potentially lethal fake vodka was discovered on sale in Fife.

Bottles of counterfeit Smirnoff vodka were found in a shop and a pub in the Levenmouth area as part of an investigation by Fife Councils food safety and trading standards teams.

Analysis of one of the bottles confirmed it contained chemicals which can lead to blindness and even death.

The details emerged in a report to the Fife Licensing Forum. The shop and pub have not yet been named but both premises will have their licences reviewed and may face prosecutions.

Officers visited 30 licensed premises earlier this month, following tip-offs from the community.

Douglas Hardaker, from Fife Councils environmental health, said: One of the vodkas was found to be dangerous and had things in it which could be seriously harmful.

These are things where you are not getting what you paid for, you are getting a little bit extra and its not good for you.

He said customers should follow the recommendations of the DrinkAware campaign, which advises buying alcohol from a reputable supermarket, off licence or shop, avoiding products sold at very cheap prices and looking out for poor quality labelling or unfamiliar brands.

Its thought the fake vodka may have contained isopropanol, which is used in anti-freeze and some fuels. The substance has been detected in counterfeit alcohol seized by police elsewhere in the UK.

It can mimic the effects of regular alcohol, but also causes side effects including abdominal pain, sickness and dizziness.

Investigations are under way to determine whether it was made locally or shipped in from elsewhere.

Mr Hardaker urged people to be vigilant at Christmas and new year celebrations.

Paul Madill, NHS Fife consultant in public health, said consumers needed to be able to trust shopkeepers and licensees.

People need to have confidence they are getting what they thought they were getting, he said.

Licensing forum member Paul Smith, the managing director of Castle Leisure Group who represents the licensed trade, said it was disappointing to see people flouting the law.

We would all like to see those people who peddle that type of illicit alcohol, while the rest of us comply with the rules and regulations, taken to task, he said.

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Fake vodka that can cause blindness and death found in Fife shop and pub - The Courier

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Building, Supporting the Usher Syndrome Community : The Hearing Journal – LWW Journals

Wednesday, November 27th, 2019

Vasi, Krista MPA; O'Donnell, Nancy MA

Usher syndrome (USH) is the most common genetic cause of combined deafness and blindness. It is a rare disease, affecting about 400,000 individuals worldwide and 20,000 to 50,000 individuals in the United States.1,2 While there is no cure for this condition, over a century of scientific discovery has resulted in tremendous advances toward the development of treatments. Despite these advances, less than one percent of people with USH is known to researchers, putting future research and clinical trials at risk. Hearing health care professionals can play a critical role in identifying children and adults with USH.

Usher syndrome was first described in 1858 by German ophthalmologist Albrecht von Graefe, who studied three siblings with deafness and progressive vision loss caused by retinitis pigmentosa (RP). In 1914, Scottish ophthalmologist Charles Howard Usher studied 69 families and identified an inherited recessive condition that caused deafness and progressive vision loss in a subset of these families.3 This syndrome was later named after Usher.

The early years of USH research were focused on identifying the different types of Usher syndrome as well as the prevalence and psychosocial aspects. Before genetic testing of this condition became available, children and adults were diagnosed phenotypically based on a history of early-onset hearing loss, progressive vision loss, and the absence or presence of vestibular involvement.

Three types and nine confirmed genetic subtypes of Usher syndrome have been identified to date (Table 14), distinguished by the severity of hearing loss, age of onset of hearing and vision loss, and the presence or absence of vestibular function.

In 1995, the first causative gene for Usher syndrome was identified. In subsequent years, additional discoveries located genes for five subtypes within USH1, three for USH2, and in 2001, the gene for USH3A.

Historically, a diagnosis of Usher syndrome was devastating, offering few options and resources. Many were told that they would be blind by a certain age, and that the syndrome is so rare they would probably never meet another person with USH. In addition, they had no knowledge of, or access to, researchers around the world who were working to understand Usher syndrome.

Early diagnosis of Usher syndrome is critical so that individuals and families can find support, make informed decisions about communication, and consider options for education, employment, and beyond. However, finding those with USH remains a challenge. The 2017 National Child Count of Children and Youth Who Are Deaf-Blind5 reported only 329 children with Usher syndrome in the United States. This number represents only a fraction of the thousands of children estimated to have USH.6 The Usher Syndrome Coalition maintains the largest international registry of individuals of all ages and types of Usher syndrome, yet that too has less than one percent of the total population registered.

Universal newborn hearing screenings have dramatically increased the number of babies identified as deaf or hard of hearing.7 Infants who fail this screening are referred to a hearing health care professional for follow-up. These professionals can play a pivotal role in recognizing the early symptoms of Usher syndrome by understanding its functional impact on a child's development and behavior. These include:

More than a century of scientific discovery has resulted in tremendous advances toward the understanding of USH and the development of treatments for this rare genetic disorder. To ensure that treatment development and clinical trials are not delayed, researchers must have access to their greatest resourcepeople living with Usher syndrome. As the first point of contact, hearing health care professionals can play a critical role in helping to identify infants, children, and adults with this condition. Together, we can help to find, educate, support, and connect the Usher community, one person at a time.

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‘Today’ Co-Host Savannah Guthrie Has Torn Retina: What to Know About the Eye Injury – Inside Edition

Wednesday, November 27th, 2019

Savannah Guthrie is recovering from a serious eye injury after being hit in the eye with a rather large toy trainthrown by her 2-year-old son.

The "Today" show co-host posted on social media and called her colleagues Wednesday to say she had suffered a torn retina when her boy, Charley, accidentally hit her in the face while playing with his train.

Torn retinas carry a high risk of retinal detachment, which can lead to permanent blindness.

"It happened last week, actually, and then I lost my vision in my right eye about 24 hours later," she told her fellow co-hosts. "Then it turned out to be kind of serious. They were afraid my retina was detached," she said.

Diagram of a torn and a detached retina. Mayo Clinic

The injurymost often occurs when something sharp scrapes or hits the eye, according to experts.The train belonging to Guthrie's son "has a really pointed edge and he threw it right at me," she said.

Medical treatment should be sought immediately.

Detachment occurs when that thin layer of tissue pulls completely away from the eye, leading to blood and other fluid building up behind the rip. The longer treatment is delayed, the stronger the risk of losing sight in that eye, according to the Mayo Clinic.

Signs of torn retina include reduced visionand the appearance of "floaters" and flashes in one's vision.

Not to be too gross, Guthrie said, but her lost vision was caused by internal bleeding building up behind the retinal tear. She has been undergoing laser treatments to try to seal the rip, she said.Laser treatments, which can be administered in a doctor's office, are the most common means of trying to reseal the torn tissue.

Doctors advised her to rest, she said, to avoid detaching the retina completely. Sudden body movements can make the tear worse.

Another form of treatment is cold therapy, or cryotherapy, a newer practice that involves applying an extremely cold probe to the outside of the eye.

The freezing temperature, like a laser, can seal leaking blood vessels and retinal tears.

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Air pollution linked to higher risk of glaucoma: Study – Deccan Herald

Wednesday, November 27th, 2019

Exposure to polluted air is associated with an increased risk of glaucoma, a debilitating eye condition that can cause blindness, according to a study.

The findings, published in the journal Investigative Ophthalmology & Visual Science, show that people in neighbourhoods with higher amounts of fine particulate matter pollution were at least six per cent more likely to report having glaucoma than those in the least-polluted areas.

"We have found yet another reason why air pollution should be addressed as a public health priority, and that avoiding sources of air pollution could be worthwhile for eye health alongside other health concerns," said lead author Paul Foster, a professor at the University College London (UCL) in the UK.

"While we cannot confirm yet that the association is causal, we hope to continue our research to determine whether air pollution does indeed cause glaucoma, and to find out if there are any avoidance strategies that could help people reduce their exposure to air pollution to mitigate the health risks," Foster said in a statement.

Glaucoma, a neurodegenerative disease, is the leading global cause of irreversible blindness and affects over 60 million people worldwide, the researchers noted.

It most commonly results from a build-up of pressure from fluid in the eye, causing damage to the optic nerve that connects the eye to the brain, they said.

"Most risk factors for glaucoma are out of our control, such as older age or genetics. It's promising that we may have now identified a second risk factor for glaucoma, after eye pressure, that can be modified by lifestyle, treatment or policy changes," Foster said.

The findings were based on 111,370 participants of the UK Biobank study cohort, who underwent eye tests from 2006 to 2010 at sites across Britain.

The participants underwent a test to measure intraocular pressure, and a laser scan of the retina to measure thickness of their eye's macula, the central area of the retina.

The participants' data was linked to air pollution measures for their home addresses, with the researchers focusing on fine particulate matter, equal or less than 2.5 micrometres in diameter, or PM2.5.

The team found that people in the most-polluted 25 per cent of areas were at least six per cent more likely to report having glaucoma than those in the least-polluted quartile.

They were also significantly more likely to have a thinner retina, one of the changes typical of glaucoma progression, the researchers found.

Eye pressure was not associated with air pollution, which the researchers said suggests that air pollution may affect glaucoma risk through a different mechanism.

"Air pollution may be contributing to glaucoma due to the constriction of blood vessels, which ties into air pollution's links to an increased risk of heart problems," said the study's first author, Sharon Chua from UCL Institute of Ophthalmology and Moorfields Eye Hospital.

"Another possibility is that particulates may have a direct toxic effect damaging the nervous system and contributing to inflammation," Chua said.

The researchers noted that air pollution has been implicated in elevated risk of pulmonary and cardiovascular disease as well as brain conditions such as Alzheimer's disease, Parkinson's disease and stroke.

Particulate matter exposure is one of the strongest predictors of mortality among air pollutants.

The latest study adds to previous evidence that people in urban areas are 50 per cent more likely to have glaucoma than those in rural areas, suggesting that air pollution may be a key contributor to that pattern.

"We found a striking correlation between particulate matter exposure and glaucoma. Given that this was in the UK, which has relatively low particulate matter pollution on the global scale, glaucoma may be even more strongly impacted by air pollution elsewhere in the world," Foster said.

"And as we did not include indoor air pollution and workplace exposure in our analysis, the real effect may be even greater," he said.

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Reps. Sewell introduces legislation to improve access to diabetic vision testing – alreporter.com

Wednesday, November 27th, 2019

Friday, Congress members Terri A. Sewell (D-Selma), Tom Reed (R-New York) and Diana DeGette (D-Colorado) introduced the Diabetic Vision Loss and Blindness Prevention Act. The legislation allows primary care physicians to perform eye tests on Medicare enrollees in an effort to encourage the early detection of diabetes-related vision loss.

Diabetic retinopathy is the most common cause of adult vision impairment in the United States and, if not found and treated early, can cause permanent vision loss, Sewell said. When it comes to our fight to improve outcomes for those living with diabetes, we need to do everything in our power to give patients the tools to stay healthy, especially for those living in rural and underserved communities without access to specialty doctors. The Diabetic Vision Loss and Blindness Prevention Act is a commonsense, bipartisan measure that will allow more Alabamians to receive critical care from their family doctors.

More than 80 percent of people living with diabetes develop diabetic retinopathy which causes vision loss. However, many people are not getting tested for the disease because Medicare will only reimburse specialty doctors, Reed said. I care about those struggling with diabetes, and want to ensure they have quick and efficient access to care. There is no fair reason for diabetics on Medicare to wait to see a specialist for a simple test their family doctor has the ability to conduct.

There are more than 30 million people in the U.S. living with some form of diabetes who, without the proper treatment, could start to lose their vision as a result, DeGette said. In addition to lowering the cost of insulin, we need to make sure that everyone with diabetes has access to the eye care they need to prevent one of the worst effects of this disease.

According to the Centers for Disease Control and Prevention, the number of Americans with diabetic retinopathy, which can cause vision loss and blindness, is expected to nearly double by 2050, from 7.7 to 14.6 million.

Under current law Medicare only reimburses specialty doctors for testing, leaving many diabetes patients without access to sight-saving vision exams. The Diabetic Vision Loss and Blindness Prevention Act reforms the reimbursement requirements for Medicare, allowing Medicare-enrolled patients to receive annual vision exams that are integral to early diagnosis and vision protection.

State Senator Jim McClendon (R-Springville) who is an optometrist told the Alabama Political Reporter: Medicare pays optometrists for any exam or visit with a medical diagnosis- diabetic retinopathy, dry eye, cataract, glaucoma and so on. Medicare does not pay any provider for routine eye exams (update glasses Rx for example).

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Currently, primary care physicians refer patients to optometrists and ophthalmologists for testing for diabetic retinopathy.

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Reps. Sewell and Reed are courageous leaders in Congress who are taking decisive action against the nations diabetes epidemic and the tragic toll its taking on Americas families, said Barbara L. Horn, O.D., President of the American Osteopathic Association. The Sewell-Reed bill, which AOA supports, represents an effective, efficient, and thoroughly bipartisan approach to fighting back against diabetes

Rep. Terri A. Sewell represents Alabamas Seventh Congressional District.

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Loss of sight fails to dim warder’s dreams of brighter future – Daily Nation

Wednesday, November 27th, 2019

By NDUNG'U GACHANEMore by this Author

A blind prison warder at Muranga GK Prison has beaten all odds to diligently serve her country and discharge her duties as a deacon at the Anglican Church of Kenya, Diocese of Mt Kenya Central.

Ms Esther Nyawira Kamindo, who lost her eyesight in 2014 after a long battle with diabetes, visualised a bleak future and feared that her employer, the Prisons Service, would declare her redundant. She was at a crossroads.

She did not know whether to soldier on or despair in life as she could no longer perform her duties at the prison, including escorting inmates to the courts and hospitals.

Worse still, how would her husband, in-laws and friends react to her condition? She wondered.

I could not commit suicide, since Im a believer, but I lost the purpose to live. Whenever I heard that a friend or a relative died, I wished it was me. I was hopeless and could not imagine that I would catch up with life again, she told the Nation.

As fate would have it, she lost some close friends who could not tolerate a blind friend and she now had to cope with a new way of life, where friends and strangers alike discussed her in hushed tones.

From a person who used to enjoy the beauty of the world to one covered in a world of darkness, a person who could perform all household chores to someone who was dependent on others for everything, and having to cope with gossip from people who knew me before I went blind, it was not easy. It was tormenting and challenging, she adds.

But her family has remained supportive and with help from her employer, she underwent counselling and rehabilitation, learning Braille, living skills such as orientation with the surroundings, mobility and computer studies.

She accepted her situation and this kept her moving. And though tormented by the turn of events, Ms Nyawira gradually accepted that she could no longer see and had to take her studies seriously to compliment her new life as a blind warder.

In 2016, she completed her studies and went back to her work station as a counsellor, since she could no longer discharge her earlier duties.

A white cane became her companion. But even with the milestones made to readjust her life, Ms Nyawira has to live with insults from some drivers and matatu conductors, who do not understand that she cannot see when crossing the road.

Some even attempt to assault her and she has to explain that she is visually impaired.

These are just some of the things that I have to cope with as a person living with disability. When I look at my earlier life, I just feel the urge to serve the Lord.

People like me have been neglected but I was not. Some were fired; I was not; while some have isolated themselves because of stress, she said.

Ms Nyawira says her employer has been supportive, enabling her to complete theological studies and attain the position of a deacon at ACK.

I will be ordained on December 27 this year, and I will use the position to not only spread the gospel but to reach out to all those who have either lost their eyesight or a function of their body but have refused to accept themselves, she says.

I will also use myself as an example to help people understand that we are human beings too and we need acceptance despite our shortcomings.

ACK Bishop Timothy Gicere believes that by becoming a deacon, Ms Nyawira will have fulfilled her calling and that it will be a lesson that God uses us differently.

See the rest here:
Loss of sight fails to dim warder's dreams of brighter future - Daily Nation

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More than 5,000 measles deaths in DR Congo this year: WHO – FRANCE 24

Wednesday, November 27th, 2019

Issued on: 27/11/2019 - 23:20Modified: 27/11/2019 - 23:18

Geneva (AFP)

Measles has killed more than 5,000 people in the Democratic Republic of Congo since January -- more than double the toll in the country's Ebola epidemic -- the World Health Organization said Wednesday.

"The DRC (measles) outbreak is the largest outbreak worldwide. It is one of the largest that we have seen," Kate O'Brien, director of the WHO's immunisation department, told reporters in Geneva.

As of November 17, the country had registered 250,270 measles cases, including 5,110 deaths, the WHO said.

DRC declared its latest measles epidemic in June, and in September the country launched an emergency vaccination campaign to counter the outbreak.

WHO said that campaign was still ongoing, but was expected to be completed by the end of the year.

O'Brien said the epidemic was still "all over the country", pointing out that most of those affected were "children and babies".

Measles is a highly-contagious disease caused by a virus that attacks mainly children. The most serious complications include blindness, brain swelling, diarrhoea, and severe respiratory infections.

The rapid spread of measles in DRC has garnered far less attention than the Ebola epidemic that has also been raging in the east of the country since August 2018. That outbreak has killed some 2,200 people.

Ian Norton, at WHO's Emergency Medical Team Unit, said the UN agency had begun training some of the Ebola teams in DRC to also manage measles cases, "because there is such a large burden".

Efforts to rein in the spread of both Ebola and measles are meanwhile being hampered by violence and unrest across the country, and especially in the east.

On Tuesday, WHO said it had moved 49 Ebola-response staff out of the eastern town of Beni as insecurity in the area surged.

Ninety-four civilians in the Beni area have been killed by armed groups since November 5, following the launch of an offensive by the country's army, according to the Congo Research Group (CRG), a not-for-profit organisation.

"The Ebola response is being hampered by the insecurity," Norton told reporters.

"The same can be said... for the measles response, not just in Beni but across the entire country," he said.

Attacks, even when not directed at medical staff or facilities, can block health workers from getting to work, and can prompt people feeling ill to stay home instead of seeking help.

Norton said the WHO was "extremely worried" by the growing insecurity, warning it had a dire "impact on the management of disease".

2019 AFP

Read the original:
More than 5,000 measles deaths in DR Congo this year: WHO - FRANCE 24

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