9/1/2023 0 Comments Retina vitreous medical groupAnother treatment possibility is vitrectomy surgery, where the vitreous gel is removed as part of a surgical procedure. I would caution that this is not mainstream therapy at the current time, and I do not advise my patients to pursue this option. More recently, few providers have claimed that floaters can be treated with a laser in order to make them less noticeable. With time, the flashes will go away, and the floaters will become less noticeable. Treatment for PVD usually involves simple observation. If a retinal tear or detachment is discovered, early treatment can help prevent loss of vision. For this reason, it is recommended that all patients with the new onset of floaters or flashes have a dilated eye exam. It is important to recognize that the typical symptoms of a regular PVD are often similar to a PVD with an associated tear. Tears in the retina can predispose to retinal detachment, which is a serious condition that can lead to permanent vision loss. In approximately 5-10% of cases, the vitreous can tug too hard on the retina as it tries to separate and it may pull a hole or tear in the retina. The good news is that PVD is usually harmless in the vast majority of cases, and the annoying floaters will become less bothersome over time. The flashes of light typically resolve once the vitreous has fully separated from the retina and the tugging has ceased. These flashing lights are sometimes described as lightning streaks, and patients may notice them more readily in settings with low ambient light. Since the normal process of PVD development involves the vitreous tugging on the retina until it can fully separate, this tugging can result in flashing lights that can commonly appear in the peripheral, or side, vision. In others, a PVD may occur abruptly and cause more dramatic symptoms that can be very anxiety provoking. In many people, a PVD develops slowly and there may be no symptoms or just a few annoying floaters. It is common for patients to describe floaters of different shapes and sizes, and patients may notice just one or in some cases many. When the vitreous separates from the retina during the development of a PVD, the floaters may become more noticeable or numerous. When the vitreous separates from the retina, this is called a PVD.Īs we age, the collagen components of the vitreous can clump together and are free to float in the eye. As we age, changes in these fibers cause the vitreous to lose its shape and eventually pull away from the retina. The collagen fibers act as a scaffold to allow the vitreous to maintain a formed shape as well as provide a means for the vitreous to attach to the retina, which is the light-sensitive tissue that lines the inner back wall of the eye and is critical for vision. The vitreous is comprised primarily of water, which accounts for 99% of its volume, and the remaining 1% includes proteinaceous substances such as collagen fibers as well as hyaluronic and ascorbic acids. The vitreous is a jelly-like substance that occupies the back portion of the eye. PVD is a natural process that occurs in the majority of people usually over the age of 50. Were the floaters associated with flashing lights that made you think there was a lightning storm coming your way? These are typical symptoms of a posterior vitreous detachment (PVD), and if you have had these symptoms you are far from alone. Have you ever noticed floaters in your vision? Perhaps they looked like a bunch of small dots or maybe a cobweb swaying back and forth in your visual field.
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In 618, after news arrived at Chang'an that Emperor Yang was killed in a coup at Jiangdu led by the general Yuwen Huaji, Li Yuan had Yang You yield the throne to him, establishing Tang dynasty as its Emperor Gaozu. Li Yuan released Li Jing, whom Li Shimin soon retained Li Jing to serve on his staff. You are not concerned about what is important, but instead are executing a brave man on account of personal enmity!" Li Yuan was impressed by his words, and Li Yuan's son Li Shimin interceded on Li Jing's behalf. At the execution, Li Jing yelled, "You, duke, rose in order to eliminate tyrannical rule for the people. Knowing that Li Jing was planning to report his plans to Emperor Yang, Li Yuan set to execute him. In 617, Li Yuan indeed rebelled, and soon captured Chang'an, declaring Emperor Yang's grandson Yang You the Prince of Dai emperor (as Emperor Gong) but seizing power as regent. However, he was first delivered to Chang'an, and then, as nearly the entire Sui state was engulfed in agrarian rebellions at that time, there was no way to deliver him to Jiangdu from there. Li Jing came to suspect that Li Yuan was plotting a rebellion, and therefore pretended to commit a crime and asked to be locked up and delivered to Emperor Yang, who was then at Jiangdu (江都, in modern Yangzhou, Jiangsu). Near the end of the reign of Emperor Yang, Li Jing served as the vice prefect of the Mayi Commandery (馬邑, roughly modern Shuozhou, Shanxi), when he served under the general Li Yuan the Duke of Tang, who was in charge of the nearby important city of Taiyuan (太原, in modern Taiyuan, Shanxi) against Eastern Tujue forces. He later served as a low level official within the imperial administration, and it was said that he impressed both the prime minister Yang Su and the important minister Niu Hong (牛弘). His maternal uncle was the Sui general Han Qinhu (韓擒虎), and it was said that Han was impressed by his talent, stating, "You are the only person that I can talk to about Sun Tzu's and Wu Qi's strategies."Įarly in his career, Li Jing served as a minor county official for Chang'an county – one of the two counties within Chang'an, which served as Sui's capital. In his youth, Li Jing was said to be handsome and ambitious, and was talented both in literary and military matters. His grandfather Li Chongyi (李崇義) served as a provincial governor during the Northern Wei, and his father, Li Quan (李詮), served as a commandery governor during Sui. Li Jing was born in 571, during the Sui dynasty's predecessor state Northern Zhou. Li Jing and Li Shiji are considered the two most prominent early Tang generals. In 630, Li Jing defeated the Göktürks, led by Jieli Khan, with just 3,000 cavalry soldiers in a surprise attack, allowing the Tang Empire to subjugate the Göktürks and reduce them to the status of a vassal under the Tang Empire. Li Jing (571 – July 2, 649 ), courtesy name Yaoshi, posthumously known as Duke Jingwu of Wei (also spelled as Duke of Wey), was a Chinese military general, strategist, and writer who lived in the early Tang dynasty and was most active during the reign of Emperor Taizong. 9/1/2023 0 Comments Cnet ccleaner reviewAnd now the company has one of the best Mac cleaning apps you’ll find too.ĬCleaner offers a cleaning tool that analyzes your Mac’s storage to hunt out cache files, browser cookies, and other junk. 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