A case of aneurysmal subarchnoid haemorrhage and superficial siderosis complicated by prospagnosia, simultagnosia and alexia without agraphia.

A 42-year-old lady presented with acute aneurysmal subarachnoid haemorrhage and developed difficulty recognising faces (prosopagnosia), inability to process visual information in busy environments (simultagnosia) and difficulty to read (alexia). She was subsequently found to have superficial siderosis on MRI.

The experience of specialist inpatient treatment for anorexia nervosa: A qualitative study from adult patients' perspectives.

This qualitative study aimed to explore experiences of women currently undergoing specialist inpatient treatment for anorexia nervosa. Interviews were carried out with 21 women with a diagnosis of anorexia nervosa from a specialist adult inpatient eating disorder unit. Five master themes emerged using thematic analysis: (1) shifts in control, (2) experience of transition, (3) importance of supportive staff relationships, (4) sharing with peers and (5) process of recovery and self-discovery. Findings suggest that patients experience a process of change and adjustment in relation to levels of perceived personal control, attachment to the treatment environment and a sense of self-identity.

Myopia reduction using corneal refractive therapy contact lenses.

PURPOSE: The Paragon corneal refractive therapy (CRT) lens provides a temporary reduction in myopia by molding the cornea while sleeping. This study presents our initial experience in 20 patients fit with the CRT lens. METHODS: Myopic patients with a spherical correction between -1.00 and -7.75 diopters (D) and astigmatism less than 1.62 D were fit and followed for an average of 5.1 months. RESULTS: Patients whose initial refraction was between -1.00 and -3.00 D achieved an average of 1.50 D myopic correction; those between -3.25 and -6.00 achieved an average of 2.9 D myopic correction; and those greater than -6.00 D averaged 5.8 D of correction. Uncorrected visual acuity improved an average of 7.7 lines. One hundred percent achieved 20/40 or better vision, and 55% achieved 20/20 vision. Fifty-five percent were within 0.50 D of plano, and 84% were within 1.00 D of plano. There was an overall 80% success rate. CONCLUSIONS: The CRT lens is an effective modality for temporary myopic correction for a restricted subset of myopic candidates. Those with a spherical manifest refraction between -1.00 and -6.00 D and up to 1.50 D of astigmatism can expect a good outcome with these lenses.