If you have been using nonprescription medicines to treat your symptoms for longer than 2 weeks, talk to your doctor. If you have gastroesophageal reflux disease (GERD), the stomach acid could be causing damage to your esophagus. Your doctor can help you find the right treatment. Making lifestyle changes is still an important part of the treatment of GERD when you are using medicine.
目前分類：醫學美容 (318)
- Feb 02 Fri 2018 22:29
Corneal signs aids to diagnosis capsule
- Jan 30 Tue 2018 18:14
Spring catarrh (Vernal kerato-conjunctivitis)
- Jan 27 Sat 2018 19:33
Phlyctenular Keratoconjunctivitis
- Dec 15 Fri 2017 17:04
Gastroesophageal Reflux Disease (GERD) – Medications & Surgery
NOVEMBER 14, 2017
Gastroesophageal Reflux Disease (GERD) – Medications & Surgery
- Nov 27 Mon 2017 15:44
Meibomian gland dysfunction (MGD)
Meibomian gland dysfunction
✍️✍️✍️✍️
Clinical stages of MGD with therapeutic options
✅ Stage 1 criteria and management
✍️ no symptoms
✍️ Minimally altered secretions
✍️ no ocular surface staining
✍️ Inform patient about MGD
✍️ management
• Alter diet
• reduce environmental stress
• Consider lid hygiene
• warm compresses and expressions
✅ Stage 2 criteria and management
✍️ Minimal to mild symptoms of discomfort, itching, and photophobia
✍️ Minimal to mild altered secretions
✍️ none or limited ocular surface staining and TFBUT( tear film break up time ) <10s
✍️ management
• Improve ambient humidity
• increase dietary omega-3 intake
• Lid hygiene and warm expression (minimum of 4min twice daily)
• Lubricants
• topical azithromycin
• liposomal spray
• Consider tetracycline derivatives
✅ Stage 3 criteria and management
✍️ Moderate symptoms with defnite limitation of activity
✍️ Moderately altered secretions
✍️ increased lid margin vascularity
✍️ telangiectasia
✍️ orifice plugging
✍️ Mild to moderate conjunctival and peripheral corneal staining
✍️ TFBUT around 5s
✍️ management as stage 2 Plus
• oral tetracycline derivatives
• Lubricant ointment
• Consider anti-inflammatory therapy for dry eye
✅ Stage 4 criteria and management
✍️ Marked symptoms with definite limitation of activity
✍️ Severely altered secretions with MG dropout
✍️ displacement Central corneal staining
✍️ conjunctival inflammation and hyperaemia
✍️ TFBUT < 5s
✍️ management the same As stage 3 treatment Plus
• anti-inflammatory therapy for dry eye
✅ MGD Plus-disease
✍️ Exacerbated inflammatory ocular disease surface disease
✍️ Mucosal keratinization
✍️ Phlyctenular keratitis
✍️ trichiasis
✍️ MG cysts or chalazion
✍️ Anterior blepharitis
✍️ management by all previously mentioned options with
• Pulsed steroid therapy
• therapeutic CL/scleral CL
• Epilation
• cryotherapy
• Intralesional steroid or excision
• topical antibiotic or antibiotic-steroid combination
• tea tree oil scrubs
- Nov 23 Thu 2017 15:05
Clinical notes on EOM
Clinical notes on EOM
- Nov 14 Tue 2017 11:01
Classification of antipsychotics drugs
NOVEMBER 13, 2017
Classification of antipsychotics drugs
Antipsychotic drugs were discovered in the 1950s and currently over 20 compounds are licensed. They vary in clinical effects and especially in unwanted effects. Antipsychotics are classified in a number of ways and this brief guide touches on selected aspects of classification.
- Nov 07 Tue 2017 09:36
Clinical Management of Insomnia Disorder
- Nov 07 Tue 2017 09:22
Melasma, Causes, Treatment & Prevention
NOVEMBER 4, 2017
Melasma, Causes, Treatment & Prevention
What is melasma? What are signs of melasma?
Melasma is a very common patchy brown, tan, or blue-gray facial skin discoloration, usually seen in women in the reproductive years. It typically appears on the upper cheeks, upper lip, forehead, and chin of women 20-50 years of age. Although possible, it is uncommon in males. Most of those with melasma are women. It is thought to be primarily related to external sun exposure, external hormones like birth control pills, and internal hormonal changes as seen in pregnancy. Prevention is primarily aimed at facial sun protection and sun avoidance.
- Nov 04 Sat 2017 18:38
15句精選的約爾．歐斯汀名言
素有「微笑的傳道者」美名的約爾．歐斯汀（Joel Osteen），是美國湖木教會的主任牧師。他的電視講道在全球每月超過2000萬人收看，並在100多個國家放送。
約爾．歐斯汀的講道風格簡單卻又實際，為人們帶來盼望和鼓勵。他曾說過無數句振奮人心的名言，相信透過閱讀這些激勵的話語，帶領我們將更加仰望、信靠上帝，明白祂的旨意，而我們的生命就能得著智慧和改變！以下便是15句精選的約爾．歐斯汀名言：
- Oct 27 Fri 2017 17:16
Stages of Kidney Disease
Stages of Kidney Disease
- Oct 27 Fri 2017 14:25
Shofar社區轉化報告：【耶洗別的禍害！】
Shofar社區轉化報告：【耶洗別的禍害！】
小編：
- Oct 26 Thu 2017 17:09
Retinal Lesion Differential Diagnosis
- Oct 26 Thu 2017 16:59
Double Vision (Diplopia) Differential Diagnosis
- Oct 26 Thu 2017 16:57
Tropias and Phorias
- Oct 16 Mon 2017 18:17
公告:請先矯正屈光不正.再進行雙眼皮手術.萬分感激.
公告:請先矯正屈光不正.再進行雙眼皮手術.萬分感激.
- Oct 05 Thu 2017 18:09
什麼是屈光不正？
什麼是屈光不正？
屈光不正的定義
從視光學上講，屈光是當光線從一種介質進入另一種不同折射率的介質時，光線方向會
發生改變，在正常的情況下，外界光線和物像在經過眼睛的屈光系統後，會聚焦在眼底
的視網膜上，再由此發出視覺衝動訊號傳導到大腦，我們就能清楚地看到東西了。
屈光不正的定義
從視光學上講，屈光是當光線從一種介質進入另一種不同折射率的介質時，光線方向會
發生改變，在正常的情況下，外界光線和物像在經過眼睛的屈光系統後，會聚焦在眼底
的視網膜上，再由此發出視覺衝動訊號傳導到大腦，我們就能清楚地看到東西了。
- Oct 05 Thu 2017 10:35
Medical treatment of Glaucoma
- Sep 22 Fri 2017 14:49
耶穌離世前的7句話》思想受難與十架真義
- Sep 13 Wed 2017 14:57
Important Antidotes List
