Wednesday, May 06, 2009

Chronic Retinal Detachments

Question from a reader: Thanks for reviewing my email concerning my father's damaged right eye from 5 retina operations six years ago.

History: Had cataract surgery on the only good eye my father had. The other one was damaged some time ago from a blood clot in the vicinity of the eye. During the cataract surgery the physician cut into my father's retina. An incision long enough to warrant stitches. My father had stitches for 6 months visiting the physician on a regular basis. After six months went by the stitches were removed. Some months passed and my father was having a hard time seeing out of that eye. Arranged an appointment with the same physician. Determined that my father's retina was detached. Right away we took my father to the Retina specialists out of state. Over the course of a year and then some my father had 5 operations on his retina. Each time the retina came detached. Finally they got it attached and it stayed attached with loss of sight. Too many surgeries on that eye caused a lot of scar tissue. Maybe even optic nerve damage. He still sees from that eye but everything is a blur but he can make out some images.

My father is 88 years old but still in good health and has been praying for eyesight to come back for 7 years now. Is there anything that anyone can do for him. I hear stem cell research has come a long way even when it was not funded by the government. Can he participate in research projects?

Response:

Dear Anonymous:

Your father's vision loss is due to a chronically detached retina. Sometimes, it is extremely difficult to repair a long-standing retinal detachment or a large retinal detachment. Often, vision is restored, but sometimes, vision remains poor.

Stem cell research is promising. Unfortunately, there are currently no treatments or experimental treatments to repair tissues in the eye using stem cells.

Best regards,

Andrew Doan, MD, PhD

Monday, May 04, 2009

What is H1N1 (swine flu)?

H1N1 (referred to as “swine flu” early on) is a new influenza virus causing illness in people. This new virus was first detected in people in April 2009 in the United States. Other countries, including Mexico and Canada, have reported people sick with this new virus. This virus is spreading from person-to-person, probably in much the same way that regular seasonal influenza viruses spread.
What are the signs and symptoms of this virus in people?
The symptoms of this new influenza A H1N1 virus in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. A significant number of people who have been infected with this virus also have reported diarrhea and vomiting. Also, like seasonal flu, severe illnesses and death has occurred as a result of illness associated with this virus.
How does this new H1N1 virus spread?
Spread of this H1N1 virus is thought to be happening in the same way that seasonal flu spreads. Flu viruses are spread mainly from person to person through coughing or sneezing by people with influenza. Sometimes people may become infected by touching something with flu viruses on it and then touching their mouth or nose.
What should I do to keep from getting the flu?
First and most important: wash your hands. Try to stay in good general health. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food. Try not to touch surfaces that may be contaminated with the flu virus. Avoid close contact with people who are sick.

Are there medicines to treat infection with this new virus?
Yes. CDC recommends the use of oseltamivir or zanamivir for the treatment and/or prevention of infection with these new influenza A (H1N1) viruses. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. During the current outbreak, the priority use for influenza antiviral drugs during is to treat severe influenza illness.
For more information, please visit the CDC website: