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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

Cyclophosphamide for Ocular Inflammatory Diseases

Purpose To evaluate the outcomes of cyclophosphamide therapy for noninfectious ocular inflammation.
Design Retrospective cohort study.
Participants Two hundred fifteen patients with noninfectious ocular inflammation observed from initiation of cyclophosphamide.
Methods Patients initiating cyclophosphamide, without other immunosuppressive drugs (other than corticosteroids), were identified at 4 centers. Dose of cyclophosphamide, response to therapy, corticosteroid-sparing effects, frequency of discontinuation, and reasons for discontinuation were obtained by medical record review of every visit....

Siddharth S. Pujari, John H. Kempen, Craig W. Newcomb, Sapna Gangaputra, Ebenezer Daniel, Eric B. Suhler, Jennifer E. Thorne, Douglas A. Jabs, Grace A. Levy-Clarke, Robert B. Nussenblatt, James T. Rosenbaum, C. Stephen Foster
Ophthalmology 117:2
356-365
Abstract | Full Article | PDF


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