We have recorded steady-state visual evoked potentials (VEPs) from patients with vascular damage to their right brain hemispheres, some suffering from unilateral spatial neglect (n = 9), and some not (n = 7). VEPs were recorded in response to sinusoidal gratings of 0.56 cycle/deg contrast-reversed sinusoidally at temporal frequencies from 4-11 Hz. Stimuli were presented either to the left or to the right visual field, or to both. Confirming previous reports, reliable VEPs were recorded from stimuli in the left contralesional hemifield, of comparable amplitude to those of the ipsilesional hemifield and to those of both hemifields of brain damaged patients without neglect. However, analysis of apparent latency derived from phase data showed that the VEPs from the contralesional hemifield were systematically delayed by 30-40 ms compared with those of the ipsilesional hemifield, and compared with both hemifields of the nonneglect groups. This result suggests changes in neural processing in neglect patients.

Adult↗

PubMedDate not supplied

The triple classification of dry eye for practical clinical use.

PURPOSE: "Dry Eye is a condition produced by the inadequate interrelation between lacrimal film and ocular surface epithelium, and is caused by quantitative and qualitative deficits in one or both of them. It can be produced by one or combined etiologic causes, affecting one or several of the secretions of the glands serving the ocular surface, and producing secondary manifestations of different grades of severity". Clinicians need a practical classification to face diagnosis, prognosis and treatment. Dry eyes have many etiologies and pathogenesis, different affectation of the various dacryoglands and ocular surface epithelium, and diverse grades of severity. The specialists in xero-dacryology must know these three parameters to evaluate any case of dry eye, and to establish an adequate treatment. METHODS: To facilitate this, an open session in the 8th congress of the International Society of Dacryology and Dry Eye (Madrid, April, 2005) proposed modifying the Triple Classification of dry eye approved in the XIV congress of the European Society of Ophthalmology (Madrid, June, 2003). There was consensus of all conclusions. CONCLUSIONS: The following classification has been established: First, a classification of the etio-pathogenesis, distributed in ten groups: age-related, hormonal, pharmacologic, immunopathic, hyponutritional, dysgenic, infectious/inflammatory, traumatic, neurologic and tantalic. Second, a classification of the affected glands and tissues, which under the acronym of ALMEN includes the Aqueo-serousdeficient, Lipodeficient, Mucindeficient and Epitheliopatic dry eyes, and the Non dacryological affected exocrine glands (saliva, nasal secretion, tracheo-pharyngeal secretion, etc). And thirdly, a classification of severity, in three grades: Grade 1 or mild (symptoms without slitlamp signs), grade 2 or moderate (symptoms with reversible signs), and grade 3 or severe (symptoms with permanent signs).

Aging↗

PubMedDate not supplied

[Eledoisin eyedrops in the therapy of keratoconjunctivitis sicca].

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Adult↗