Me like that. If that is the case you should listen up closely because today im going to see a doctor in here at the sherry. And shes to head off to model just and were going to talk about how to treat dangerous ideas eases. Vision is quality of life go and see your thumb on a. Three as tech cat when you get older things dont work as well as they used to like your eyesight. Sometimes its enough to wear glasses but when your lenses turn cloudy you can see this is when you have a cataract. Even with the help of glasses going to queens vision had deteriorated over the years he had cataracts theres matters as far as. I notice it in particular when driving my car when it was dark and raining the lights on coming traffic would does on me it was awkward and in fact dangerous. It was a good fit on. The seventy five year old needed surgery and implanted lenses after consulting his doctors he decided to have monofocal which here in germany across a part a standard lenses. Used on the things theyre very good the most important thing is that standard lenses enable you to see well and following standard surgery patients have fantastic i find with them provided the visual cortex is ok and there are no drawbacks kind the enough time that the phone companies are so its not as if monofocal is are a second class product as such its not that simple you have to look at each case individually for comments and so i will most likely. Contar queens can now read his newspaper without spectacles plus he has no more eye strain from the glare of car headlights he had follow up surgery two weeks ago and is already delighted with his standard lenses he. Really opposed to glasses i dont mind but of course its nice not having to put on my glasses every time i want to read. From the. Multifocal lenses are also an option for people with cataracts they provide sound vision of short medium and long distances over the years your vitamin have gotten used to seeing through the very focal glasses but it always dreamt of a life without spectacles on the medical front there would be no objections the one main condition for having multifocal lenses implanted is that you do not have any other ideas isas. The retina has to be intact and healthy for the benefits of the multifocal lens to be utilized. And he had a clear cornea which is also important to make the most of these lenses. Multifocal is are also marketed as premium lenses giving potential whereas the impression of them being superior to standard lenses. But again its not a simple as that. In which it was somewhere is seen rings when its dark and the contrast sensitivity is sometimes reduced so the patient has to be absolutely opposed to wearing glasses and then multifocal makes sense doesnt would you collins isnt much. As was the case with your vitamin hes enjoying life without glasses and the cloudy in us is now also gone i think. It was great to see everything in such vivid colors on a sunny day. So i was glad i did it. Before it goes. To fun telling a normal my i had cataracts and also extreme a stigma to some and a regular curvature of the cornea without glasses everything was distorted an out of focus solution was toric lenses. With cataracts we removed the natural lens because its become so cloudy that the patient can no longer focus and while were there we can correct additional refractive errors caused by the cornea. On ellen can now see things far better despite for now only having one toric lens in her right eye. The soso and id still have to wear glasses i wasnt expecting this kind of result. No but my eye was dependent on his glasses for forty six years but now fitted with toric lenses he can do without specs when hes out on his bike the theory its as if ive been given completely new eyesight and now i can also see the other areas of focus that used to be hazy. From monofocal multifocal varieties lens implants i hoping people to literally see the world with different eyes. Im getting my. Doctor thanks for having me today and youre head of the department of terminology we just saw a report on cataracts this is when the lens is turned cloudy how does it come about but this this happens when the lens fiber started swelling and finally the lens gets a paycheck and that happens with aging. Patients aged seventy to ninety already have a quite cloudy lens but it can also occur in other diseases we go to view a question from the United States eugene b. Harrington is taking cortisone and you add that this can lead to limited to ration as well what can he do yes thats right he would receive exactly the same treatment as every other cataract patient we would remove the a pacifier lens but i trust honed or with a lens laser treatment and then we place it into the old capsule or back and put in a new lens in artificial lens and eye or and then visual acuity would be restored to surgery b. Only option can you treat occur in different ways where surgery is the predominant choice your specialization is the retina and retinal diseases and if you want to examine the retina or to treat it can you do this through an artificial and says well for me that doesnt really matter whether i look at the retina through a natural or an artificial lens and i told you examine the retina was the thing you did on my eye today yes so what we do is we look at the optic disk for example that is the where the optic nerve starts that connects basically the eye and the brain in this area we can also observe all of the retina vasculature and we can look whether the retina as a teched are not the vasculature would be for example affected in diabetes and then we also look at the meckler area that is the area of sharpest vision and this is where reading as possible and in this area also a variety of diseases occurs. Out of these for example epi retina membranes that we can peer with surgery or age related Macular Degeneration this is very important disease there regularly generation. And what happens in this kind of disease age related Macular Degeneration of the name ted support it is it is a very slow occurring and slow progressing disease that probably starts much earlier in life and the genes that can be affected theres also environmental factors that help to help this disease in progressing. Initially the retinal pigment if you see this says this is the layer of pigment it says and the nice the retina is starting to degenerate and they are after if these sets already fail in doing their function then also the photoreceptors the light sensitive start degenerating the end result of this disease is that the patient cant read that he misses letters and that. When he wants to recognize faces for example he fails to do so and can even go blind well this is not the regular case usually you can. Move around in your known environment however if a large hemorrhage is bleeding or curse that can finally need to even darkness the treatment of regular generation is quite hard and not long ago surgery was the only option but nowadays there are different ways of treating it like injection therapy. Patients suffering from Macular Degeneration can now inject a new lease of life into their vision and the sooner and more frequently the injections are administered the better. The studies have shown that the condition is generally being treated to the rarely and too late of oil. It progresses in different ways for each patient but it is possible for someone to suffer massive impairment over night. In many cases treating it too late leads to the formation of scar tissue in the muck and then the scarring is irreversible even with medication. To get. Them out the shots had needed reading glasses for years but then her eyesight suddenly got worse. If the edges started to bend so definitely something was wrong i thought maybe ive been sitting at a computer screen too much. Up the molly just was unable to determine the cause after continuing to struggle with bent lines and grey patches in her field of vision were not to shoulder consulted a second doctor tomography of her retina solved the mystery she had wet Macular Degeneration. But a lot of valuable time had been lost. Her eyesight was significantly reduced the right eye was down to forty percent of normal vision the tomography revealed an advanced build up of fluid in the retina which wouldnt have been so extreme if the condition had been attempted earlier. Macular degeneration involves damage to the retina specifically the macular responsible for central. Abnormal blood vessels under the retina start leaking blood and other fluid into the retina. This in turn kills off photoreceptors and the center of vision suffers huge damage there is no cure for the disease although it is possible to at least halt its progression. With regular injections directly into the. And this medicine causes abnormal blood vessels to close up and stop leaking and the water is dispersed so theres no excess fluid. Called. Until recently it was common practice to administer injections only when acutely required. Patients would be examined regularly and then get an injection when there were changes in the new what Macular Degeneration. Splits. And approach with the risk of suffering sudden vision loss that cannot be remedied so now doctors have a different approach. Instead of being administered as required the injections are repeated at regular intervals when the retina is dry to maintain that condition. To improve their chances of preserving their eyesight patients should start treatment right away and continue want a regular basis. People with a higher risk factor should see a doctor immediately when they notice any loss of vision. That the risk of contracting this condition is greater in older people and smokers but also patients with diabetes or high Blood Pressure you know its. Not just shots never misses a night doctor appointment the injections are unpleasant but bearable when the alternative is suddenly seen worse or not at all. Not good crystal with me shes a patient generation. Today so how did you notice that somethings wrong with your eyes. Actually there so i went to the eye doctor who examined me and referred me to a specialist thats when i was diagnosed with Macular Degeneration. So dr what did you notice. We are observing. For five years now and initially she presented with a visual acuity of twenty thirty showing all these fluid here and an r. P. Detachment here and the whole retina. So those of those white spots here and this is. The ones where the fluid is underneath. The retina and if you then inject. This anti v. G. F. Medication that part well here dry out if you wait for a couple of weeks you would see this and this fluid back again and this shows you that there is recurrent activity of the disease so with our current treatments with the antibodies we are still in need of recurrent injections which are performed between every four to eight weeks so those injections dont cure the disease but the prevent from the acceleration of these yes they do but they also lead to an increase in visual acuity especially in the initial treatment face and later on the aim of treatment is to maintain it again let me ask a question to crystal again. So youre getting repetitive injections are they pain fool. You know everyones different when it comes to dealing with pain but im doing fine sometimes the disinfection procedure is im pleasant but its bearable otherwise im sometimes just a bit anxious beforehand but thats just how it is it would have. Other in eternity to those injections like surgery we only need surgery in the cases that suddenly show the arch haemorrhages this can happen for example when a patient is treated with anticoagulants and then a Blood Pressure together with these and equivalence leads to these huge damages that can cover or the area of the market or so if the patients are visually impaired what do you suggest if they like to watch television for like to read yeah so magnifying aids still infection and nowadays. We have for these Electronic Devices which i consider very helpful this for example is a magnifying glass an electronic one which can be used in different money for cation stages and you can order to turn the image and hence the contras and this device is quite handy you can forward it and take it with you another way of improving reading ability would be hughes the use of these electronic books the advantage is there you can increase the fun size and it basically gives you a very easy read thanks for any today and thanks for sharing this information and thank you christopher sharing your story with us today we are talking about good vision if you fancy Good Television this is the place to be in good shape. On an upcoming show well be looking at aging what can we do to live longer healthier lives if you have a question about this send it to in good shape at d w dot com just wait and see aging in the subject line we look forward to hearing from you. To our next topic the feds live or why are you might say its not my problem because i dont drink much or i dont drink at all but its not all of what ill call its about a complete lifestyle like exercising too little or eating too much like my patient look at or who had no idea how dangerous affect the liver is. Had never imagined that regular bike rides would be her road to a healthier life for years she suffered from a range of symptoms but with no diagnosis then yes catherine its been about five years since i first noticed that i was tired fatigued more aggressive. I had stomach aches got fidgety. I hardly slept at night i wanted to sleep more during the day i was getting very tired and. Just over a year ago doctors here at the University Clinic of mines found the course. She had a fatty liver and was suffering from hepatitis for years the mother of three had been eating too much fatty food and not exercising enough to. Fight it degeneration of the liver is one of the most common changes to the liver we see nowadays but every patient is badly affected its a smaller subgroup could develop an inflammation and display elevated level levels and the consequences can be disastrous over time the inflamed tissue of the bodys Detoxification Center can degenerate into use of scar tissue the resulting cirrhosis can result in fatal liver failure if theres no donor organ available for a transplant and one of the docs Liver Disease diagnosis is tentative and based purely on symptoms even the ultrasound were doing here wont provide conclusive proof its simply a pointer. Not bigger fetter had to have a tissue sample taken from her liver. It was the biopsy that made a definitive diagnosis possible in future these liver specialists hope to deliver solid diagnoses using just blood tests. And were developing special blood markers to determine things like the conditions tendency to progression and then using some new drugs perhaps well be able to see within maybe only a few days how effective the medication is in slowing the conditions advance. Besides reducing sugar and fat intake exercise is essential in helping a fatty liver to recover and begin functioning normally again. Bigger fatter is doing a series of physical performance tests normally used for professional athletes. The session is part of a study to find out how her new exercise patterns are affecting her body and liver. Further research is required to determine the types frequency and intensity of exercise required to stop and reverse fact deposits and inflammation and whole scar tissue formation. What does the liver respond to best is it in jordan straining training can we measure it and how quickly can we ascertain if someone is benefiting from sport therapy so we can motivate them with a feedback. The most difficult aspect i think is getting someone interested in sport has never considered it before and doesnt enjoy it either. It. Is on the road to recovery. Shes managed to shed fat but hasnt lost weight because the exercises build up the muscles of the same time. Her blood test results have improved dramatically plenty of reasons to keep up with their exercise and fight writing. So if you have elevated levels of liver enzymes a bloated feeling and an inch in is all over your body may suffer from a thirty liver but if the kitchen is just all on your head you might just have head lice and do you want to know how to get rid of them german scientists have found a new way. Up until now the only remedy for head lice has been washing with aggressive shampoos then removing the dead insects and the eggs of the niche by hand with a d. L. L. Sinko just came and in this you can imagine that combing out nits with a very fine tooth comb especially with children who are very full fick and maybe also long hair involves tugging and coming quite painful the kids dont enjoy it for them. And getting on research is a busy working on an all new weapon in the battle against headlights professor voice can viola and his team want to defeat them with passion. Plasma is a state of matter created when a gas is exposed to enough energy to be left electrically charged sounds kind of dangerous but it isnt the getting in team has developed this revolutionary plasma cone. Xenos you can see its shaped like a brush and then there are these teeth in a v. Formation through which we run a high voltage current from a battery that generates a plasma and the plasma kills the lights can be loyal to. You can only see whats happening when its dark. Now the fine plasma through. Between the visible homeless for humans that faith. Development and. What happened. He takes one of the little pests. About to see is how i stroke the call him once through the hair and then one of two things going to happen. We might see that allows is killed immediately or the second thing that can happen is that the louse is temporarily paralyzed but the fatal effect kicks in over the next few hours. Could. Easily even through. His fate is sealed it only takes a few. Kill all the rest of. The past also kills off the eggs. A completely chemical and pain free way of dealing with headlines. Thats it for today if you want to have more information about your health and fitness visit us on the internet see you again next week and until then lets all try to stay in good shape. Alabamas. High tech search for clues. And archaeological dig it doesnt the shuffle. Modern technology is used to explore historical sites and discover long lost cultures. Bringing the secrets of the past to life. Archaeology two point zero. In fifteen minutes on the job. And on demand. Cast language courses. Video and. Anytime anywhere. W. Media center. Live like a gentleman with a deli and any time any place. The news video nevada. They have at the back of those. Songs to sing along to download superstar combo from super. To do such. A varied course is funded into active exercise is the kind of thing about that deep down you dont come slashdot on facebook and the app store. And then gem info for a big w. Where the real trial it resides. I come from the loss of people in fact no the ability to do that was not just democracy thats one reason im passionate about people and aspirations and a consensus. In the region to put this Fried Chicken bun in after the for the fun in one i remember thinking at the time if the barley in vulcan would get happened if the. Could come together and unite for a while. But i do the news that often confronted difficult situations for conflict between does themselves i see despite my job to confront him but he does on policies and development to put the spotlight on issues that matter most congo to security oppression washing my face and. A notch has been achieved but so much more needs to be john and i think people have to be Accountable Solutions my name is on the fact shes not in albuquerque just a few. Play. Several hundred women have marched in hottest and other french cities hoping to reclaim from violent activists the socalled you know the first protest movement the photo speak on last year over a most still touch and the grown into a broader uprising against falling living standards. Thats right on u. S. National security adviser john bolton says his countrys withdrawal of troops from syria will be gradual so it signals a far less abrupt withdrawal