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Behaviour modification in the management of chronic habits of abnormal eye rubbing

Objectives To describe how and why many keratoconus patients do not comply with strong advice to control chronic habits of abnormal rubbing. To outline a behaviour modification approach for controlling chronic habits of abnormal rubbing.
Methods Common reasons for chronic habits of abnormal rubbing have been reviewed as a basis for specifying a behavioural modification approach to habit reversal.
Results The methods described are organized into the classic behavioural modification structure of: (1) habit awareness, (2) competing responses, (3) development of motivation, and (4) social support. This structure is supported by the application of social influence principles to achieve optimum compliance....

Charles W. McMonnies
Contact Lens & Anterior Eye 32:2
55-63
Abstract | Full Article | PDF


FEATURED ARTICLE FROM OPHTHALMOLOGY

Frequency of Distinguishing Clinical Features in Vogt-Koyanagi-Harada Disease

Purpose To determine the frequency of occurrence of limited clinical features which distinguish patients with Vogt-Koyanagi-Harada (VKH) disease from those with non-VKH uveitis.
Design Comparative case series.
Participants We included 1147 patients.
Methods All patients with bilateral ocular inflammatory disease presenting to any of 10 uveitis centers in the 3-month period between January 1 and March 31, 2006 (inclusive), were asked to participate. The clinical and historical features of disease were obtained from the participants via direct interview and chart review. Patients were stratified based on whether they were diagnosed with VKH disease or non-VKH uveitis for statistical analysis....

Narsing A. Rao, Amod Gupta, Laurie Dustin, Soon Phaik Chee, Annabelle A. Okada, Moncef Khairallah, Bahram Bodaghi, Phuc Lehoang, Massimo Accorinti, Manabu Mochizuki, Tisha Prabriputaloong, Russell W. Read
Ophthalmology 117:3
591-599.e1
Abstract | Full Article | PDF


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