PILOCARPINE AND SJOGRENS

By Dr. Kevin -

Conjunctival epithelium improvement after systemic pilocarpine in patients with Sjogren's syndrome -- Aragona et al. 90 (2): 166 -- British Journal of OphthalmologyThis study concludes:
"Oral pilocarpine induced an increase in goblet cells number and an amelioration of conjunctival epithelium not dependent on tear secretion."
Yea, but how 'bout those side effects! I can't imagine using oral pilocarpine in anyone but the more desperate dry eye patients.

Comments

Post a Comment

Leave a Comment or Question:

Popular posts from this blog

Keratoconus and Inflammatory Skin Conditions

By Dr. Kevin -
Image
 New research shows that keratoconus may be linked to certain inflammatory skin conditions, including eczema (atopic dermatitis), psoriasis, seborrheic dermatitis, contact dermatitis, and hives. People with these conditions were more likely to develop keratoconus than those without them. Rosacea did not show this connection. One possible reason is eye rubbing , which is common in itchy skin conditions and can slowly damage the cornea over time. Another reason may be inflammation in the body , which can weaken collagen—the protein that helps keep the cornea strong and stable. Because of this link, people with chronic inflammatory skin conditions may benefit from earlier and regular eye exams . Controlling inflammation and avoiding eye rubbing may help lower the risk of keratoconus or catch it earlier, when treatment is more effective.
Read more

CORNEA CROSS-LINKING RE-TREATMENT

By Dr. Kevin -
Image
According to a review of a study in Cornea: “Parents of the younger patients must be clearly informed at the time of corneal cross-linking therapy (CXL) that seven to 10 years after CXL, the corneal collagen turnover may induce loss of CXL effect duration with new KC instability or progression, so the treatment could be potentially repeated if necessary in nearly 25% of the patients,”
Read more

IMPLANTABLE COLLAMER LENS APPEARS BETTER THAN LASIK OR PRK FOR MODERATE TO HIGH MYOPIC PATIENTS

By Dr. Kevin -
Image
http://www2.cochrane.org/reviews/en/ab007679.html The results of this review suggest that the implantable lens (ICL) is are safer than excimer laser (the laser used in PRK and LASIK) surgical correction for moderate to high myopia in the range of -6.0 to -20.0 D and ICL is preferred by patients. ICL surgery resulted in better corrected visual acuity, better contrast sensitivity, and improved patient satisfaction. ICL may also be considered in cases where the patient has more moderate near-sightedness (in the range of -3.00 to -6.00). My personal experience with ICL gives me a high level of confidence in this procedure and the surgeon with whom I co-manage. All patients I have seen have been 20/20 or better. One patient was in the -6.00 range and the others in the -10 range! I see very little side effects. For more information, feel free to our office at 480-812-2211.
Read more