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SN Video Medicine and Life Sciences, Refractive Error in the Geriatric Population
produced by Springer Nature, in SN Video Medicine and Life Sciences (Springer Nature, 2018), 11 mins
Visual disturbance affects a significant proportion of the elderly, and although there is an increase in ocular pathology with age (diabetic retinopathy, cataracts, glaucoma, etc.), 91.5% of isolated vision loss in the elderly is due to refractive error. Visual acuity screenings in the primary care setting is a re...
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produced by Springer Nature, in SN Video Medicine and Life Sciences (Springer Nature, 2018), 11 mins
Description
Visual disturbance affects a significant proportion of the elderly, and although there is an increase in ocular pathology with age (diabetic retinopathy, cataracts, glaucoma, etc.), 91.5% of isolated vision loss in the elderly is due to refractive error. Visual acuity screenings in the primary care setting is a recommended geriatric screening tool to detect undiagnosed visual changes. Adults with visual acuity loss have deterioration in quality o...
Visual disturbance affects a significant proportion of the elderly, and although there is an increase in ocular pathology with age (diabetic retinopathy, cataracts, glaucoma, etc.), 91.5% of isolated vision loss in the elderly is due to refractive error. Visual acuity screenings in the primary care setting is a recommended geriatric screening tool to detect undiagnosed visual changes. Adults with visual acuity loss have deterioration in quality of life and have difficulty with activities of daily living, as well as increased risk of social isolation, depression, anxiety, falls, hypertension, heart disease, and stroke. These difficulties have been found to be amplified 6 to 41 fold in patients with bilateral visual loss. Aging causes a decrease in visual acuity in mesopic conditions or conditions with glare, as well as worsening color discrimination and a diminishing useful field of view (area of field that the patient can recognize and react to visual stimuli).
The predominant cause of visual impairment in the world and second most common cause of blindness in the world is uncorrected refractive error. In the developing world, this can sometimes be due to surgical aphakia or inadequate pseudophakic correction and problems largely stem from access to affordable health care. However, correctible vision loss is still an enormous problem for the elderly in developed nations as well. Even in patients with ocular comorbidities, a spectacle prescription taking into account the patient’s visual goals can minimize age related visual field and acuity changes.
It should be noted that not all patients with glasses have the correct prescription for their current visual acuity and are essentially using their current glasses as simple magnifiers. Correcting their prescription can have profound impacts on their quality of life and prevent deterioration.
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Date Published / Released
2018
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Topic / Theme
Gerontology
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SN Video Medicine and Life Sciences, Age-Related Macular Degeneration
produced by Springer Nature; interview by Mariam Hussain, fl. 2019, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 14 mins
Age-related macular degeneration (AMD), if left untreated, is the most common cause of vision loss in people over 50 years older in the US. Patients may have attributed their vision loss to comorbid ocular pathology, such as cataracts. Previously, neovascular AMD often progressed from one eye to the other and caus...
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produced by Springer Nature; interview by Mariam Hussain, fl. 2019, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 14 mins
Description
Age-related macular degeneration (AMD), if left untreated, is the most common cause of vision loss in people over 50 years older in the US. Patients may have attributed their vision loss to comorbid ocular pathology, such as cataracts. Previously, neovascular AMD often progressed from one eye to the other and caused great loss of function in the patient. This video covers topics unique to this phenomena that physician and students should know. T...
Age-related macular degeneration (AMD), if left untreated, is the most common cause of vision loss in people over 50 years older in the US. Patients may have attributed their vision loss to comorbid ocular pathology, such as cataracts. Previously, neovascular AMD often progressed from one eye to the other and caused great loss of function in the patient. This video covers topics unique to this phenomena that physician and students should know. Topics include treatment options that greatly reduce the risk of vision loss, present lower costs, the pros and cons of drugs, and other considerations. The videos also cover the limited evidence currently available, prognosis for better treatment options in the future, and patient perceptions on AMD based on common misconceptions and misinformation.
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Field of Study
Nursing
Content Type
Interview
Contributor
Springer Nature
Author / Creator
Mariam Hussain, fl. 2019
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Person Discussed
Charles C. Wykoff, fl. 2010
Topic / Theme
Gerontology
Copyright Message
Copyright © 2019 Springer Nature
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SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Ahmed Glaucoma Valve Implantation
presented by Soosan Jacob, fl. 2013; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 14 mins
This video walks the viewer through all the steps in the placement of an Ahmed glaucoma valve with the tube passed into the posterior chamber through the sulcus. This is possible in a pseudophakic eye and has the advantage of preventing possible corneal endothelial decompensation secondary to tube-corneal touch. P...
Sample
presented by Soosan Jacob, fl. 2013; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 14 mins
Description
This video walks the viewer through all the steps in the placement of an Ahmed glaucoma valve with the tube passed into the posterior chamber through the sulcus. This is possible in a pseudophakic eye and has the advantage of preventing possible corneal endothelial decompensation secondary to tube-corneal touch. Posterior chamber tube insertion may also be performed by combining surgery with phacoemulsification in older patients with lens changes...
This video walks the viewer through all the steps in the placement of an Ahmed glaucoma valve with the tube passed into the posterior chamber through the sulcus. This is possible in a pseudophakic eye and has the advantage of preventing possible corneal endothelial decompensation secondary to tube-corneal touch. Posterior chamber tube insertion may also be performed by combining surgery with phacoemulsification in older patients with lens changes.
The video demonstrates use of the patient’s own scleral flap to cover the tube, though it is also possible to use preserved sclera or pericardium for this purpose. Fibrin glue is then carefully used to close the edges of the conjunctiva, ensuring that none passes posteriorly into the sub-Tenon’s space. Video segments also discuss priming of the valve, conjunctival peritomy, sub-Tenon dissection, and how to suture the valve plate. The final segments of the video detail how to trim the tube, the insertion of the tube into the posterior chamber, as well as how to anchor the tube to the sclera via a stay suture, and best practices to closing the scleral flap and conjunctiva.
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Soosan Jacob, fl. 2013
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Topic / Theme
Practice Compliance, Surgical Care
Copyright Message
Copyright © 2019 Springer Nature
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SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Anterior Zirconia Crowns for Primary Incisors
produced by Springer Nature, in SN Video Medicine and Life Sciences (Springer Nature, 2019), 9 mins
This video describes and illustrates zirconia crown restoration in a patient with early childhood caries of the maxillary anterior teeth. Zirconia crowns for primary teeth confer many advantages, including great strength, durability, and ability to retain a high polish. The patient in this video received general...
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produced by Springer Nature, in SN Video Medicine and Life Sciences (Springer Nature, 2019), 9 mins
Description
This video describes and illustrates zirconia crown restoration in a patient with early childhood caries of the maxillary anterior teeth. Zirconia crowns for primary teeth confer many advantages, including great strength, durability, and ability to retain a high polish. The patient in this video received general anesthesia for full mouth dental rehabilitation, which guarantees optimal conditions for placement of technically demanding restoration...
This video describes and illustrates zirconia crown restoration in a patient with early childhood caries of the maxillary anterior teeth. Zirconia crowns for primary teeth confer many advantages, including great strength, durability, and ability to retain a high polish. The patient in this video received general anesthesia for full mouth dental rehabilitation, which guarantees optimal conditions for placement of technically demanding restorations. The video covers key aspects of the procedure, including bur selection, preparation, and subgingival reduction, and documents a novel approach to try-in and cementation that ensures predictable esthetic results. The principal components of this technique are trial alignment with fast-set impression material, pick-up impression of aligned crowns via transparent polyvinyl impression material, delivery of multiple units simultaneously, and command cure of resin-modified glass ionomer cement in the final restoration. Providers who watch this video will be well equipped to deliver anterior zirconia restorations for children with greater skill and confidence.
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Topic / Theme
Incisors, Crown lengthening, Dental cement
Copyright Message
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SN Video Medicine and Life Sciences, Arthroscopic Rotator Cuff Repair
presented by Stephan Pauly, fl. 2008; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 11 mins
This video demonstrates the application of a knotless double-row repair technique of the rotator cuff. All technical aspects of the procedure are covered, such as patient preparation and positioning, portal placement, anchor positioning, tendon perforation and suture management. In addition, a brief introduction i...
Sample
presented by Stephan Pauly, fl. 2008; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 11 mins
Description
This video demonstrates the application of a knotless double-row repair technique of the rotator cuff. All technical aspects of the procedure are covered, such as patient preparation and positioning, portal placement, anchor positioning, tendon perforation and suture management. In addition, a brief introduction is provided on the evolution of open and arthroscopic double-row techniques. The video will be of value for all who perform arthroscopic...
This video demonstrates the application of a knotless double-row repair technique of the rotator cuff. All technical aspects of the procedure are covered, such as patient preparation and positioning, portal placement, anchor positioning, tendon perforation and suture management. In addition, a brief introduction is provided on the evolution of open and arthroscopic double-row techniques. The video will be of value for all who perform arthroscopic rotator cuff repairs.
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Stephan Pauly, fl. 2008
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Topic / Theme
Surgical Care
Copyright Message
Copyright © 2019 Springer Nature
Series
SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Cataracts and Visual Decline
produced by Springer Nature; interview by Kimberly Nguyen, in SN Video Medicine and Life Sciences (Switzerland: Springer Nature, 2019), 15 mins
Cataracts are the leading cause of blindness in the world and a significant cause of vision loss in the geriatric population. Vision loss affects patient’s activities of daily living (ADLs) and quality of life. Cataracts are associated with risk factors such as increased age, diabetes mellitus, and steroid use....
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produced by Springer Nature; interview by Kimberly Nguyen, in SN Video Medicine and Life Sciences (Switzerland: Springer Nature, 2019), 15 mins
Description
Cataracts are the leading cause of blindness in the world and a significant cause of vision loss in the geriatric population. Vision loss affects patient’s activities of daily living (ADLs) and quality of life. Cataracts are associated with risk factors such as increased age, diabetes mellitus, and steroid use. It is important for physicians to recognize that patients may not fully understand how cataracts contribute to vision loss and may attr...
Cataracts are the leading cause of blindness in the world and a significant cause of vision loss in the geriatric population. Vision loss affects patient’s activities of daily living (ADLs) and quality of life. Cataracts are associated with risk factors such as increased age, diabetes mellitus, and steroid use. It is important for physicians to recognize that patients may not fully understand how cataracts contribute to vision loss and may attribute it to an incorrect eyeglass prescription or other etiology. This video covers cataracts in aging patients, who frequently have additional comorbidities or healthcare consideration to take into account that a non-geriatrician may not be trained to factor into care.
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Field of Study
Health Policy
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Kimberly Nguyen
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Person Discussed
Rahul T. Pandit
Topic / Theme
Blindness, Elderly people, Eye disorders
Copyright Message
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SN Video Medicine and Life Sciences, Combined Staged Telo-velar and Trans-choroidaI Approach to a Tumor of the Sylvian Aqueduct
presented by Giuseppe Cinalli, fl. 2000; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 34 mins
The video describes the staged resection of a midbrain ganglioglioma growing into the sylvian aqueduct, bulging downward into the fourth ventricle and upward into the third ventricle. The lesion had been diagnosed and treated four years earlier in another institution, but the tumor grew over the time and the ped...
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presented by Giuseppe Cinalli, fl. 2000; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 34 mins
Description
The video describes the staged resection of a midbrain ganglioglioma growing into the sylvian aqueduct, bulging downward into the fourth ventricle and upward into the third ventricle. The lesion had been diagnosed and treated four years earlier in another institution, but the tumor grew over the time and the pediatric patient was referred to our department for surgical treatment. Due to the tumor dumbbell appearance, one-stage resection was co...
The video describes the staged resection of a midbrain ganglioglioma growing into the sylvian aqueduct, bulging downward into the fourth ventricle and upward into the third ventricle. The lesion had been diagnosed and treated four years earlier in another institution, but the tumor grew over the time and the pediatric patient was referred to our department for surgical treatment. Due to the tumor dumbbell appearance, one-stage resection was considered too dangerous and therefore a staged resection in two procedures was planned. Telo-velar approach allowed for removal of approximately 2/3 of the lesion
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Giuseppe Cinalli, fl. 2000
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Copyright Message
Copyright © 2019 Springer Nature
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SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Comorbid Vision and Hearing Loss
produced by Springer Nature; interview by Mariam Hussain, fl. 2019, in SN Video Medicine and Life Sciences (Berlin State: Springer Nature, 2019), 12 mins
Hearing and visual loss are comorbidities that affect activities of daily living and result in higher mortality rate in an urban population of elderly patients. Patients with age related macular degeneration (ARMD) frequently also have hearing loss, and the combination of hearing and vision loss has been found to...
Sample
produced by Springer Nature; interview by Mariam Hussain, fl. 2019, in SN Video Medicine and Life Sciences (Berlin State: Springer Nature, 2019), 12 mins
Description
Hearing and visual loss are comorbidities that affect activities of daily living and result in higher mortality rate in an urban population of elderly patients. Patients with age related macular degeneration (ARMD) frequently also have hearing loss, and the combination of hearing and vision loss has been found to be associated with the greatest likelihood of both cognitive and functional decline. The treatment of both has been suggested to decrea...
Hearing and visual loss are comorbidities that affect activities of daily living and result in higher mortality rate in an urban population of elderly patients. Patients with age related macular degeneration (ARMD) frequently also have hearing loss, and the combination of hearing and vision loss has been found to be associated with the greatest likelihood of both cognitive and functional decline. The treatment of both has been suggested to decrease the functional decline. Although some forms of hearing loss in the elderly are irreversible, many are reversible. This video covers the unique aspects of aging, vision, and hearing loss in order to appropriately equip the ophthalmologist to refer the patient for evaluation.
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Field of Study
Health Policy
Content Type
Interview
Contributor
Springer Nature
Author / Creator
Mariam Hussain, fl. 2019
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Person Discussed
Carmel Bitondo Dyer, fl. 1993, Andrew G. Lee, fl. 1995
Copyright Message
Copyright © 2019 Springer Nature
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SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Deep Anterior Lamellar Keratoplasty
presented by Soosan Jacob, fl. 2013; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 15 mins
Deep anterior lamellar keratoplasty (DALK) is a surgical procedure for removing the corneal stroma down to deep stroma, Pre-Descemet’s layer, Descemet’s membrane and endothelium. It is most useful for the treatment of corneal disease in the setting of a normally functioning endothelium. Traditionally, penetrat...
Sample
presented by Soosan Jacob, fl. 2013; produced by Springer Nature, in SN Video Medicine and Life Sciences (London, England and Berlin State: Springer Nature, 2019), 15 mins
Description
Deep anterior lamellar keratoplasty (DALK) is a surgical procedure for removing the corneal stroma down to deep stroma, Pre-Descemet’s layer, Descemet’s membrane and endothelium. It is most useful for the treatment of corneal disease in the setting of a normally functioning endothelium. Traditionally, penetrating keratoplasty (PK), which involves a full-thickness corneal graft, has been the treatment of choice for corneal stromal diseases. Bu...
Deep anterior lamellar keratoplasty (DALK) is a surgical procedure for removing the corneal stroma down to deep stroma, Pre-Descemet’s layer, Descemet’s membrane and endothelium. It is most useful for the treatment of corneal disease in the setting of a normally functioning endothelium. Traditionally, penetrating keratoplasty (PK), which involves a full-thickness corneal graft, has been the treatment of choice for corneal stromal diseases. But PK can be complicated by graft rejection, irregular astigmatism and corneal opacification, thus resulting in visual impairment. DALK offers an alternative procedure that may lessen those risks because the recipient Descemet’s membrane and endothelium are preserved. At the same time, DALK carries the advantage of avoiding an open sky situation.
This video opens with an overview of the procedure: when DALK is necessary, and the types of surgical techniques that can be used. Big-bubble and manual dissection DALK are then explained in detail, and viewers are walked step-by-step through each procedure. The final segments of the video show viewers how to prepare the donor cornea and technique to suturing the donor graft to the eye.
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Field of Study
Nursing
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Soosan Jacob, fl. 2013
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Topic / Theme
Surgical Care
Copyright Message
Copyright © 2019 Springer Nature
Series
SN Video Medicine and Life Sciences
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SN Video Medicine and Life Sciences, Elder Abuse
produced by Springer Nature; interview by Yi-Hsien Renee Yeh, in SN Video Medicine and Life Sciences (New York, NY: Springer Nature, 2019), 13 mins
There are 700,000-1.2 million cases of elder abuse annually in the US, and internationally 2-10% of patients over 65 years old report a history of maltreatment. Less than 10% of the estimated elder abuse cases are reported. Elder abuse includes physical abuse, neglect, exploitation, abandonment, and sexual abuse,...
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produced by Springer Nature; interview by Yi-Hsien Renee Yeh, in SN Video Medicine and Life Sciences (New York, NY: Springer Nature, 2019), 13 mins
Description
There are 700,000-1.2 million cases of elder abuse annually in the US, and internationally 2-10% of patients over 65 years old report a history of maltreatment. Less than 10% of the estimated elder abuse cases are reported. Elder abuse includes physical abuse, neglect, exploitation, abandonment, and sexual abuse, psychological abuse (i.e. humiliation, intimidation). Signs of abuse include physical trauma, poor hygiene, malnutrition, or dehydratio...
There are 700,000-1.2 million cases of elder abuse annually in the US, and internationally 2-10% of patients over 65 years old report a history of maltreatment. Less than 10% of the estimated elder abuse cases are reported. Elder abuse includes physical abuse, neglect, exploitation, abandonment, and sexual abuse, psychological abuse (i.e. humiliation, intimidation). Signs of abuse include physical trauma, poor hygiene, malnutrition, or dehydration. Signs also include unexplained broken glasses, noncompliance with prior treatment instructions, missed appointments, or nonspecific anxiety or depression. Abuse of the elderly is often from the spouse or children in the home. The 3-year relative mortality in the elderly with a history of abuse is 3 times greater than controls. The Elder Assessment Instrument is a highly sensitive but nonspecific test for elder abuse. Elder abuse is underreported by physicians, but physicians have a duty to report all cases of suspected abuse in most states. In many cases, the best solution is to treat the abuser’s underlying social and psychological issues and allow the older patient to remain at home.
This video covers the key points that all physicians need to be aware of, as any physician can spot the signs and help a patient suffering from abuse. Since very few physicians are trained in elder abuse, few will recognize the signs and have the appropriate tools to get help for the patient. This video discusses the signs as they may present in the course of a vision-care setting, how to address the problem, and what resources are available to those seeking to help their patients.
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Field of Study
Health Policy
Content Type
Instructional material
Contributor
Springer Nature
Author / Creator
Yi-Hsien Renee Yeh
Date Published / Released
2019
Publisher
Springer Nature
Series
SN Video Medicine and Life Sciences
Person Discussed
Carmel Bitondo Dyer, fl. 1993, Andrew G. Lee, fl. 1995
Topic / Theme
Medical doctors, Eye disorders, Physical abuse, Eldercare
Copyright Message
Copyright © 2019 Springer Nature
Series
SN Video Medicine and Life Sciences
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