![]() Retinal detachment and endophthalmitis after outpatient cataract surgery. National outcomes of cataract extraction. Javitt JC, Street DA, Tielsch JM, Wang Q, Kolb MM, Schien O, et al. Hyaluronic acid content in the developing and aging human liquid and gel vitreous. Relationship between floaters, light flashes, or both, and complications of posterior vitreous detachment. Synchysis senilis and posterior vitreous detachment. Incidence estimates for lens changes, macular changes, open-angle glaucoma and diabetic retinopathy. In North America, most retinal detachment surgeries are performed by retinal specialists. These patients may benefit from direct referral to a retinal specialist to avoid the delay associated with additional examination by a general ophthalmologist or optometrist. Thus, patients with extramacular detachment require more urgent management, even though they may present with excellent central visual acuity. When the macula detaches, the potential to maintain normal vision is often lost. If the patient exhibits acute visual field loss, whether subjective or demonstrable by confrontation, immediate referral is recommended. If the patient has additional risk factors (e.g., myopia, previous cataract surgery, trauma, retinal detachment in the fellow eye, family history of detachment), suspicion of retinal detachment is heightened. All patients with acute onset of flashes or floaters should be referred to an ophthalmologist ( Table 4). Prompt referral and evaluation of patients who are suspected of having retinal tears are important because treatment of retinal tears is highly effective in preventing retinal detachment, and because progression of retinal detachment into the macula typically results in permanent visual loss. Fixed field defects of variable size occur in patients with retinal vascular occlusion these patients often have hypertension or other atherogenic diseases, lack acute flashes, floaters, or other risk factors for retinal detachment, and may exhibit flame hemorrhage or arteriolar plaques by ophthalmoscopy. Visual loss from a transient ischemic attack may be unilateral, but is episodic, not persistent or progressive as in cases of retinal detachment, and may be accompanied by other neurologic symptoms. Even in patients with severe field loss caused by cerebral disease, the macula is spared and central vision persists. Visual field loss caused by retinal detachment begins suddenly, usually in the periphery, and progresses toward the central visual axis over hours to weeks patients may describe this as a dim “shadow” or “curtain.” Field loss caused by stroke or other central nervous system processes is always bilateral, stable, and homonymous, due to crossing of nasal retinal projections at the optic chiasm. However, in 10 to 15 percent of patients with symptomatic posterior vitreous detachment, a retinal flap tear or hole forms as the vitreous pulls away from the retina, especially in the periphery where the retina is thinner ( Figure 2c). 4 Posterior vitreous detachment is harmless by itself, though bothersome floaters (blood or retinal pigment epithelium cells) may develop and persist. Approximately one in four persons develops a posterior vitreous detachment between 61 and 70 years of age, and nearly two thirds have posterior vitreous detachment after 70 years of age. 3 Eventually, the vitreous partly separates from the retinal surface, which is known as posterior vitreous detachment ( Figure 2b). As persons age, this macromolecular network begins to liquefy and collapse, the vitreous shrinks, and vitreo-retinal traction develops. The vitreous humor is a hydrated gel whose structure is maintained by a collagenous and mucopolysaccharide matrix ( Figure 2a). ![]() The key pathogenetic steps of rhegmatogenous retinal detachment are illustrated in Figure 2. The third and most common type is rhegmatogenous retinal detachment.
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The previous Powerball grand prize winner before that was on Saturday 06/05/21 for a $286 million jackpot. There were two winning tickets-one each in California and Wisconsin-that split the prize. The previous grand prize ticket before that was won on 01/05/22 for a $630 million jackpot. That ticket was purchased in Connecticut. The last grand prize ticket before that was sold on 02/14/22 for a $183 million jackpot. The previous winner before that was 04/27/22 for a $473 million jackpot with one lone ticket that was sold in Arizona. The previous winner before that was 06/29/22 for a ticket sold in Vermont. The last grand prize winner was on 08/03/22 for a $202 million jackpot. In addition, there were another 49 tickets sold nationwide that won at least $100,000, and another 189 tickets that hit $50,000 in winningsĪ Powerball ticket sold in Texas during September 2019. Those were sold in Arizona, California (2), Colorado, Georgia (2), Maryland (2), Minnesota, North Carolina, New Jersey (2), New York, Oregon, Texas and Virginia. The other 16 tickets are worth $1 million each. Three of those tickets, sold in Arizona, Montana and New Jersey, are worth $2 million each since they purchased the Power Play for an extra $1. There was no grand prize winner on Wednesday but there were a whopping 19 tickets sold that matched the first five white balls, and minus the red Powerball, for the game's second prize. The winning numbers on Wednesday (11/02/22) for the $1.2 billion jackpot were: 02-11-22-35-60 with a Powerball of 23. The total jackpot could increase depending on the number of tickets sold around the country prior to the drawing. Saturday night's 11/05/22 Powerball jackpot was worth $1.6 billion, with a cash-value option worth $782.4 million. "We would like to remind players that it only takes one ticket to win. "There's a lot of anticipation and excitement leading up to Saturday's drawing," noted Svitko. The last Powerball jackpot was won in Pennsylvania, and Svitko added that the game is a form of entertainment. "We are witnessing history in the making with this $1.6 billion jackpot! What's also exciting is that this run has already created millions of winners, including nearly 100 players who have won prizes worth $1 million or more." "This Powerball game is delivering exactly what our players want," said Drew Svitko, the Pennsylvania Lottery Executive Director. The game's previous largest jackpot prize of $1.586 billion was won on Jan. It's only the second time Powerball has reached the $1 billion mark. The game since had two more drawings with no jackpot winner. The Powerball jackpot rolled over to $1 billion after last Saturday night's drawing produced no grand prize winners. Here are the winning numbers from Saturday night's drawing. 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Microsoft Band - dedicated to Microsoft Band fitness oriented smart watch, Microsoft Health platform and fitness activities. Xbox One - dedicated to Xbox One console and its peripherals, news and discussions. EdgeView 2 is a cutting-edge image viewer for MacOS X. Windows Mobile - dedicated to Windows Mobile news and discussions about it. Download EdgeView 2 for macOS 10.12 or later and enjoy it on your Mac. ![]() Under Settings, do any of the following: To change appearance, select Appearance and make the changes you want to your default theme, zoom, toolbar, and fonts. ![]() ![]() Browse the web anywhere with one seamless experience from your phone to your computer and other. Blogspam, URL shorteners (such as tinyurl or bit.ly) are not allowed. At the top corner of the browser, select Settings and more > Settings. Microsoft Edge is your AI-powered browser, built in with AI-powered features that enhance your browsing experience, including the new Copilot in Edge that helps you find, create and do beyond what you thought possible with a smarter browser.Comments or posts that are disrespectful or encourage harassment of others (including witch-hunts of any kind) are not allowed. ![]() You will have to manually install these updates by clicking on the notification or visiting System Preferences > Software Update.Ĭhoosing to "Install macOS updates" or "Install app updates from App Store" will install system and app updates automatically. You don't need to worry about installing the wrong thing since Apple only provides updates that are relevant to your Mac.Įnabling "Download new updates when available" will download any available system updates and notify you when they're ready to install. These updates make changes to the core operating system, including first-party apps like Safari and Mail, and they may include firmware updates for hardware and peripherals. These patches are referred to simply as updates and recorded in the version number, with 13.3 being the third major update to macOS 13. In between major updates, supplemental patches are deployed to fix bugs, patch security holes, and sometimes add new features and support for new products. How to Install macOS UpdatesĪpple releases a new major version of macOS each year, usually around October. You can automate much of this process so that your Mac updates everything automatically without bothering you, too. Apple and app developers patch security holes when they're found-and they add helpful new features to macOS and your applications, too.īeyond the usual security patches and app updates, Apple offers shiny new versions of macOS to Mac users every year-for free. 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Detain a person who is committing a crime (citizen’s arrest). ![]()
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