Dry eye can really stir some emotional issues with patients experiencing them. Generally, lubricating drops are being prescribed. In some cases, the whole regimen of steroids, warm compress, lid scrubs, cyclosporine drops are being given. Many get by with just using the drops, however, we have seen even the toughest individual shatter, completely broken down and incapacitated by their dry eyes. Dry eyes cannot really be treated, but can be managed considerably. The patient and the doctor has to find the sweet spot and the balance for the regimen to work their wonders. Looking for the right combination is a crucial thing. Definitely with compliance, patient's issue of grittiness, stinging sensation will improve. It does not work in a day or in a week. But definitely in a month's time, improvement can be felt and seen. Scleral lenses can also play a big part in dry eye management. As the bowl of the contact lens is filled with liquid, then the cornea is bathe in moisture. For some, this management works wonder and can mean going back to their old self.
Many patients are asking if they can still do weight lifting since they have keratoconus. During weight lifting, in order to carry tons of weight, a powerlifter may utilise a breathing pattern which involves Valsalva manoeuvre. According to wikipedia, t he V alsalva manoeuvre is performed by moderately forceful attempted exhalation against closed airway, usually done by closing one's mouth, pinching one's nose shut while pressing out as if blowing up a balloon. Other situations where Valsava manoeuvre is done are during diving, hyperbaric oxygen therapy, air travel and sometimes even going to the restroom doing your number 1. According to Findley, Keating and Toscano (2003), the Valsalva manoeuvre is commonly used in powerlifting to stabilise the trunk during activities such as squat, deadlift, and bench press. So what happens to the cornea when Valsalva manoeuvre i...
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