Hurts has the defensive end, Christian LaCouture, bearing down on him and, while on the run, he somehow rifles the ball into a tight window surrounded by four LSU defenders. He keeps rolling to his right, but he keeps his eyes downfield. With the pressure incoming, Hurts takes off. Arden Key is going up against right tackle Matt Womack, and he beats Womack pretty quickly. ![]() Cam Sims (#17) and Ridley are on the left. This allows him to fire a dart to Ridley for a 15 yard gain and a first down.ģrd and 9: Alabama hurries to get set up on the ensuing play. LSU gets some pressure, and Hurts scampers up into the pocket but, again, he keeps his eyes downfield instead of tucking the ball and trying to make something happen with his feet. Hurts is in the gun with Bo Scarbrough (#9) to his left. You can look back at my entire breakdown, but I’ll include a couple plays here.ģrd and 11: Bama is deep in its own territory facing another third and long. I still feel this was a solid performance by Hurts, stats notwithstanding. ![]() Hurts steps up into the pocket and drills it to Ridley, who’s wide open past the first down marker. Damien Harris stays in and does a nice job picking up the blitz from the nickel back. Bama has trips left with Ridley as the #3 receiver (#1 is the farthest outside, and you count your way in). Hurts sees it and throws it, but it lacks the right touch and sails yards past Ridley.ģrd and 10: Of course, Hurts’ performance wasn’t all bad. Ridley releases to the outside and immediately gets a step on the cornerback. Cam Sims (#17) motions right to left, leaving Calvin Ridley (#3) as the sole wideout at the bottom of the screen, though TE Hale Hentges (#84) runs a little out route. Hurts is in shotgun with Damien Harris (#34) on his right hip. Florida Stateġst and 10: Hurts’ first pass of the season is just 1 out of 254 passes, but it’s emblematic of some of his issues. The consistency just wasn’t there, and that showed up again in 2017. There were times Hurts stepped up into the pocket or put the ball right on the many. Receivers could have separation only to see a pass fall incomplete because the ball didn’t have the touch it needed. Too often he turned to scramble and run if his first read wasn’t open or if he felt some pressure. His diffidence when throwing intermediate or deep balls was often still there. That said, many of his freshman struggles reared their heads again his sophomore year. His passer rating improved from 139.12 to 150.75, which was 20th in the country. His completion did drop a bit, but that stat wasn’t as padded by the jet sweep “passes” as it was in 2016. In 2016, he averaged 7.3 yards/attempt in 2017, he averaged 8.2 yards/attempt. In addition to limiting his turnovers, Hurts was more efficient passing the ball. His fumbles - total, not just lost ones - dropped from 11 to 3. His interceptions plummeted from 9 to just 1. There were several areas were Hurts unquestionably improved. ![]() ![]() With a full season and an offseason as the #1 quarterback, the hope was that Hurts’ passing skills would take a step forward - it did not have to be a leap, really - but improvement was needed. A couple weeks ago, Erik revisited Jalen Hurts’ freshman film, referencing the excellent work of Seth Galina.īut, more importantly were the conclusions that he arrived at: Hurts is a transcendent athlete with modest passing skills and, the types of errors that Hurts made as a first-year player are usually wrinkled out by the next season.or they never are.
0 Comments
![]() *Views expressed are my own and do not necessarily reflect those of any organization*. Thanks for reading my first post, please share any thoughts and comments below :) I’m positive my morning workouts will help me to do so, especially when we got the brand new gym coming up at campus in Block A! I’m super excited about what the next six months has to offer, I have to stay sharp and perform well in order to successful at Oracle. Fast delivery, full service customer support. Bust- 18.5 across Length- 20 Sleeve Length- 17 B22. Description: This is a gently used Wildfox If You Snooze You Lose Long Sleeve Top. As you all know there is a lot of new information to absorb while starting at a new position. Shop Womens Wildfox Gray Pink Size XS Blouses at a discounted price at Poshmark. I’m currently in the second week of my graduate program at Oracle. The only problem you will have is to find out what to do with all that free time of yours in the afternoon… For me it became a habit quickly, but some of us needs more time, so try out a few weeks at least and see the results. The phrase draws an analogy to the act of snoozing or sleeping, which suggests inactivity or delay. Its usage grew popular with the cultural emphasis on seizing opportunities swiftly and staying alert in competitive environments. Be sure to give it enough time to create a habit of it, because once you have, you will do it automatically. The expression 'you snooze, you lose' is believed to have originated in the United States during the mid-20th century. I have the biggest smile on my face while biking to the gym in the morning. If you have never tried out morning workouts, give it a try! I’m certain you will enjoy it. ![]() The only pain is that first minute getting out of your bed, but once you have, the rest is like a fairy tale. ![]() “Good habits are as addictive as bad habits, and a lot more rewarding”- Harvey Mackay Walking into the office with a workout under your belt makes you feel like you are one step ahead. On top of that I was way more alert at work throughout the day. After leaving the office after 6 o’clock I would head straight to the gym, then to be back home after 8pm cook dinner and there goes the day… Like many people I value my free time, and by moving my afternoon workout to the morning I got several hours to do whatever I wanted in the afternoon. Perfect, by getting up earlier that you normally would, you create your time to exercise! When I started my first work full time job after college I realized that my free time basically vanished from my weekdays. It’s the one of the most obvious ways to get a head start in life- wake up earlier than the rest.ĭwayne "The Rock" Johnson, the king of AM cardio. To me, there is no better way to kick-start your day than by waking up and crushing that AM cardio. What’s the best way to start your day? Morning workout is easily the best life hack I have come across over the last few years. ![]() Season – You’ll pay more during busier seasons, such as during the summer or at Christmas.The number of guests – Expect to pay more if you have a large guest list.For example, London hotels will generally be more expensive than hotels located outside the capital. The location – Where the hotel is will influence the cost.The size and star rating of the hotel – The larger and more luxurious the hotel is, the more they’re likely to charge. ![]() So, bear these in mind when planning your hotel wedding: While the average cost of a hotel wedding might be £7,324, this cost can be higher or lower depending on many different factors. What factors can affect the cost of a hotel wedding? Photo © Claridge’s Hotel | See their Bridebook profile
![]() Andy and April's flirting becomes so blatant and fun (playing with food, sweater-swapping) that even Andy finally recognizes what's going on here. When Ann and Mark pose as a happy couple for the summer catalog cover, Mark looks believable and Ann looks miserable. ![]() (*) Played by classic '80s sitcom dad Michael Gross, kind of taking the Steven Keaton character to his natural conclusion.Īnd what also made the picnic disaster story work was that it came in the middle of an episode where all the characters got a new look at the picture of their lives. But Leslie recognizes how wrong she was almost immediately with each man, and it's clear by the end that this is another one of those instances where Leslie's right and the world is wrong: the Parks Department should be run by someone with as much passion for the parks and can-do spirit as Leslie Knope, not by any of these jerks (or even by Ron, who lets Leslie do all the work for him). Leslie assumes that all the previous heads of the Parks Department view the job as the same noble calling she does (even though she has ample evidence in Ron F'ing Swanson that not all holders of the job share her worldview), and is disappointed to learn that Ron's three predecessors are a stoner(*), a smug careerist and a sexist jerk. "Summer Catalog" told us a story about the world not matching up to one of Leslie's beliefs, but it was one about an illusion, not a delusion. ![]() Season two has very smartly recalibrated things (less in the way Leslie herself is written than in the way other characters respond to her) so that her enthusiasm becomes something to be admired, not pitied. When "Parks and Recreation" started, one of the show's big problems was that Leslie's exuberance for her job made her come off as sad and delusional (and/or like a female Michael Scott). A review of last night's "Parks and Recreation" coming up just as soon as I do a photo shoot about the dangers of undercooked chicken. ![]() In a statement made by the retailer, the facility will create milk products using ingredients sourced from local farmers throughout the Southeast region under Walmart’s Great Value and Members Mark brands. The new fluid milk processing facility is scheduled to begin operations in Valdosta in late 2025 and could employ up to 400 people. Currently, the peach state only has two commercial milk processing plants located in Atlanta and Lawrenceville. Georgia produced 235 million gallons of milk in 2022, the largest of any southern state. Georgia Milk Producers, a dairy farmer trade group, reports Georgia currently has 89 dairy farms, with 92,000 dairy cows, more than 1,000 cows per farm. But some critics have warned Walmart buys milk from only a handful of large farms, putting smaller farms under further pressure. The products from the facility will serve more than 750 Walmart stores and Sam’s Clubs in the Southeast.Īccording to the Associated Press, the retail giant is following the lead of other large grocers such as Kroger, which has long run its own dairy processing facilities. The new facility will process and bottle a variety of milk options including gallon, half gallon, whole, 2%, 1%, skim and 1% chocolate milk for Walmart’s Great Value and Sam’s Club’s Member’s Mark brands. Walmart opened its first fluid milk processing facility in 2018 in Fort Wayne, Ind. However, over the last decade, the retail giant has built a series of milk processing plants to control production of one of the most price-sensitive grocery commodities. 4 cups powdered sugar, 4 tablespoons meringue powder. In the past, Walmart has purchased its great-value branded milk from other dairy cooperatives. With more than 4,600 stores located throughout the U.S., the Arkansas-based company says the new plant will provide milk to more than 750 Walmart and Sam’s Club stores in Georgia along with neighboring states.īruce Heckman, Walmart’s vice president of manufacturing, said in a statement that the company wants to do more to ensure its milk supply, saying the company wants to provide “high-quality milk for our customers that we can offer at the everyday low prices they rely on.” ![]() ![]() America’s largest retail store has announced its plans to build a $350 million milk processing plant in Valdosta, Ga. November 28, 2023by Yatin Cookie Run Kingdom Toppings guide& cookie builds: best toppings builds for all the cookies featured in Cookie Run Kingdom game Build Contentsshow 1List of Toppings In Cookie Run Kingdom Game & Their Set Effects 1.1Cookie Run Kingdom Toppings Chart Image 1. ![]() Louis to first place in a no-holds-barred race over competitors such as Chicago. Vast sums of capital fed into the city in an effort to propel St. Louis’ marquee location made it a potential gatekeeper for westward expansion. Situated at the westernmost industrial portion of the country, St. Louis, like many other cities, grew by leaps and bounds. And with the anti-competitive fostering of state and federal government, the Pennsylvania Railroad would grow into the largest corporation in the world, Kruger writes. With government largesse the Transcontinental Railroad was completed in 1869. The government offered lucrative public land grants, contracts and subsidies, passing the Pacific Railway Acts of 18. The railroad industry would lead the way, linking city and country together, birthing and-in objective terms-uniting a restive working class.Īll the growth was not the work of the “invisible hand” of the market. Between 18, industrial production grew by more than 75 percent. ![]() Kruger sets the stage with discussion of the trends of industrial development and its depressions, the poverty and oppression of the working class, the vileness and corruption of the rich, and the growth of the massive railroad industry.Īmerican capitalism entered into unprecedented expansion. Out of the destruction of chattel slavery in the Civil War a new era emerged. It should find a working class audience at a time when socialism’s popularity is on the rise, capitalism is increasingly becoming a dirty word, and with the first strike wave in decades gathering force, uncorked by the COVID pandemic and the ruling class’s criminal profit-over-lives policy which has killed over 800,000 people in the United States and millions across the world. Kruger’s success is placing it within this broader context: the 1848 revolutions in Europe, the First International and the Paris Commune, all of which had profound influence on American politics and society. ![]() The American working class, though ethnically and racially diverse, bitterly fought to raise its living standards, and for basic workplace rights, against the bourgeoisie.īut the Commune cannot be entirely understood separated from the international influence of socialism and the revolutionary uprisings of the mid-19th century. Just one decade after the Civil War, socialism found fertile soil in America as workers were thrown into massive, and often bloody, struggle against the capitalists. Kruger’s book is a rebuke against the most basic lie of American history: that there has been no class struggle or socialism in the United States. The entire strike wave was covered by Robert Bruce in 1877: Year of Violence (1959) and Philip Foner in The Great Labor Uprising of 1877 (1977). Louis Commune since David Burbank’s Reign of the Rabble, published in 1966, a meticulous blow-by-blow narrative. Louis Commune of 1877: Communism in the Heartland, written by Mark Kruger, a retired professor who lives in the city. This rich history is found in a new book on the subject, The St. ![]() Its scope and spontaneity rocked the very foundations of capitalist rule and ushered in a new epoch, with the working class stepping forward as a powerful force. Ruthless wage cuts, unsafe working conditions, and unprecedented inequality triggered the uprising, which swept across the United States, coast to coast. Louis Commune of 1877 formed the revolutionary center of gravity of the spontaneous Great Railroad Strike, which started at the beginning of July and ended in September 1877. Louis workers elected an Executive Committee to direct the functions of government and oversee the economy for a brief day or two until the leadership vacillated and caved in the face of capitalist repression. Led by the Workingmen’s Party of the United States (WP), a descendant of the First International, St. Louis launched a general strike and seized power in the city, establishing a short-lived proletarian dictatorship. One of the most revolutionary events in American history is also one of the least known: In July 1877, the working class in St. Louis Commune of 1877: Communism in the Heartland, by Mark Kruger. ![]() But keep in mind that it is more important to have a case that can accommodate all of your components than actually looking cool. This is where you decide on the visual identity of your PC. Seasonic Focus Plus Series is a great 1kW PSU, while EVGA Supernova 859 G2 is a great alternative. The best and quietest PSUs come from Seasonic and EVGA. Let’s say for example you bought all of the components that are suggested, you will need a PSU of 850W-1000W to power all of them properly. This is where power supply or PSU comes into play. None of these selected components will do their job if they don’t get enough power to keep them running. Hard Drives for projects don’t need to be an SSD, but they should be fast enough, something around 7000 RPMs like Western Digital Caviar Black. The others are for samples and your projects. One is for your system (C partition), and it should be around 256-500 GBs. ![]() Kingston, Verbatim and Samsung are the brands to look out for. They used to be rather expensive, but nowadays you can get them rather cheap with a lot of storage space. If you are working on films, then a little less powerful ones from the GTX series will do. If you are a working game composer you might want to invest in a good graphics card in order to test your music to unoptimized game build, so something like Nvidia Geforce GTX 1600 Ti series or AMD Radeon RX 580 series will do the trick. It all comes down to personal choice as both brands make some amazing cards. Graphics Card (GPU):Īnother infinite battle is between Nvidia or AMD. Plus it is built for Intel CPUs and natively supports USB 3.0 and 3.1. MSI Gaming Series X99 can support up to 128 GB of RAM DDR4 which is quite enough. MSI has Gaming Series, Asus has ROG and TUF. This is the hub for all of your components. The best motherboard option for you is something that’s heavily marketed for gaming because it can take a lot of RAM and a very powerful CPU. Some of the big names out there are Asus, Gigabyte and MSI. You choose your motherboard based on your choice of CPU. The number of RAMs in your PC depends on your motherboard and how much it can support, so keep that in mind. There are also more affordable options from Kingston Hyper X series. The more RAM you have, the better your PC will work with all of those heavy-weight sample libraries like Spitfire, EastWest and Orchestral Tools.ĭDR4 is the latest and greatest and the best ones come from G. RAM memory is probably THE MOST important thing for a music production PC. Thermaltake Engine -2500 RPM at an excellent 13-25 dBA noise. Thermaltake and Noctua make awesome coolers with really low noise ratio. Imagine you are recording an acoustic guitar and you can hear hum from the fan on the recording. The best solution is to find a fan that is really quiet because you don’t want any noise coming out of your computer while working. The CPU fan stops your CPU from overheating with a lot of help from the thermal paste you get with it. The best solutions from AMD are Ryzen 5 2400G and Ryzen Threadripper 2950. The best solutions from Intel are i7 5960x, i7 6700k and i7 7700k. This is all based on personal experience. AMD is a lot more affordable but the processing power sometimes just isn’t enough to push your big orchestral template smoothly. Personally, I would always go with Intel as it is an industry-standard for music production due to its greater processing power. If you don’t know anything about PC components, these are the important ones:Ī question as old as “Mac or PC”, do you choose Intel or AMD. I built my PC for a little under $2500, and I can still upgrade it if I want, because everything can be replaced. The price tag doesn’t guarantee quality, trust me. One thing I learned is that buying the most expensive components will not give you the best results. ![]() Let’s say you’re a working composer willing to invest a whole lot of money, because this is your main workstation PC it needs to last at least 5 years. Budget Options:įirst things first, how much are you willing to invest in your PC? PCs can range from $400 to $5000, it all depends on what you want and how big your budget is. But even though there are some amazing music PC builders out there, this post will focus on helping you build your own music making PC. Whereas Macs come pre-built to the spec based on your order, PCs are usually built based on a choice of components. What matters the most here is your personal choice and what you are used to working on. PC vs Mac, the never-ending battle of music making computers. Guide To Building A Music Production PC 2019 ![]() ![]() The method through which the rainbow is formed is also described in detail. Hopefully, now you have got the answer that what are the colors of the rainbow and its pattern. For good perceptual reasons, we recognize discrete bands. We have described briefly about the rainbow. While you are unlikely to see all of these colours in a given rainbow, their order does not change. In the air, there must be a number of water droplets that will make the rainbow. Some researchers have shown that the sun should be at 42 degrees from the horizon so it will be easy to build the rainbow and definitely, you will get more chances to see it after every rain. Without sunlight, rainbow can’t be formed. The sun should not also hide under the clouds because in the rainbow construction there is a great contribution to sunlight. It is important that the sun should be quietly lower than its position. It will only appear in the areas where there is no obstacle or things to restrict the appearance of a rainbow. Some of them are:Īfter the rain, if there will be clouds in the sky and the high mountains in the area where you live, the rainbow will not appear and you will not see it with your eyes. There is a number of things that matter in the construction of the rainbow. Some people also consider it as a combination of several colored things that will be appearing in the sky.Īll these definitions of a rainbow are correct and have their own importance and worth. It is the spectrum of seven colors that will be formed due to the dispersion of light of the sun. The spectrum will be between red and violet color and the different colors between these two will shoe because of the angles that will form. The only red color will be visible through your eye for the maximum time because of its highest wavelength. In the droplets, some light is moved forward in the air and some will be reflected in the backward direction. This process will be fully dependent on their frequency.Shades will start to varnish when the sunlight will move from the air to the water.Colors will appear on the sky when the water droplets will be hit by the sunlight.Seven colors that you will see in a rainbow every time when it will appear in the sky.Please bookmark and sign up for our newsletters here.All the colors of the rainbow are admiring and will fresh your soul when you will see them in the sky after a rain. Our website is the place for the latest breaking news, exclusive scoops, longreads and provocative commentary. We perceive that world through the medium of eyes and brains, he said, “and for me it’s trying to answer the questions that came to me even as a child: why do things look the way that they do?” ![]() “If I say purple to somebody, or I say indigo, they’ll know exactly what that colour is.”įleming calls this area “one of the oldest and most profound questions” about our relationship with our surrounding world. It’s a cold colour, but people are drawn to it because it’s not black, but it’s the next best thing to black because it’s still dark. It’s definitely a colour because there are a lot of garments that use it. What we call colour is something that’s perceived by the mind Ottawa designer Frank Sukhoo knows it’s real, because it’s hanging right there in his showroom, and it has an individual character: deep, rich and dramatic. ![]() You may have noticed that you see a rainbow only when you look away from the sun. They even shift from one country to another, changing with the eye of the beholder. Rainbows are produced by a combination of refraction and reflection. Rather than a fixed number of absolute colours, “there’s potentially an unbounded number” of things we can call colours - fuchsia and vermilion and ochre and so on, he notes. HandoutĪnd it also illustrates how all colours defy easy definition. They are concepts we generally agree on, but they are not strictly defined by anything in the nature of light itself.Īt Justus Liebig University Giessen in Germany, psychologist Roland Fleming studies how we see objects around us.Īrticle content GEOFF ROBINS/AFP/Getty Images It turns out that the question of which colours are in the rainbow is less about scientific accuracy at Gay Pride parades, and more about how one colour never belonged there in the first place. Pink Floyd’s classic album cover for Dark Side of the Moon also has the same six colours. Someone forgot to check a physics textbook before sewing a flag, which isn’t exactly a shocker. The Gay Pride flag eschews indigo in its representation of the rainbow. Indigo has vanished, leaving three primary and three secondary colours. But if you look closely, you’ll see it’s missing a Newtonian colour. The multicoloured banner seen at Gay Pride events is a rainbow of sorts. Modern portrayals of the rainbow have reduced the number of colours to six. Red has the longest wavelength and the lowest frequency, where as violet has the shortest wavelength and. The order of the colors is not arbitrary, but instead is determined by the physics of light. These colors are often remembered as the acronym ROYGBIV. Three centuries after Newton, you can still read about them anywhere. The seven colors of the rainbow are red, orange, yellow, green, blue, indigo, and violet. ![]() The first game, Double Dragon, was released in the arcades in 1987. The franchise is now the property of Arc System Works, the company that ported the original Double Dragon to the Master System console in 1988. A 1993 animated series and 1994 live-action film adaptation were produced these adaptations were widely-panned by critics and audiences. The original Double Dragon was a hit arcade video game, ushering in a "Golden Age" for the beat 'em up genre, resulting in a flood of beat 'em ups during the late 1980s to 1990s that followed the conventions set by Double Dragon. The series features twin martial artists, Billy and Jimmy Lee, as they fight against various adversaries and rivals. It began with the release of the arcade game Double Dragon in 1987. I will continue to wait for a true follow up to the Budokai series but it may be a long wait if not never.Arcade, NES, Master System, Atari 2600, Atari 7800, Game Boy, Mega Drive/Genesis, Lynx, Game Gear, Super NES, Jaguar, Neo Geo, Neo Geo CD, PlayStation, PlayStation 3, Game Boy Advance, Xbox 360, PlayStation 4, PlayStation 5, PC, iOS, Android, DOS, Windows, Amiga, Commodore 64, Atari ST, ZX Spectrum, Amstrad CPC, MSX, Zeebo, Nintendo Switch, Xbox One, Xbox Series X/S, iiRcadeĭouble Dragon Gaiden: Rise of the Dragonsĭouble Dragon ( 双截龍 ( ダブルドラゴン ), Daburu Doragon - Sō Setsu Ryū) is a beat 'em up video game series originally developed and published by Technōs Japan. However, game developers are more interested in making a quick buck off a new DBZ title with the same old story and just doing things a little bit different from the last DBZ game. Kind of like the one used in Infinite World. What DIMPS or Arc System really needs to do is make an updated version of Budokai 3 minus the Dragon Rush mode and a revised capsule system. Budokai 3 came with over 40 characters, included transformations and fusion with Potara earrings out of the box. You can get the base forms of characters like Goku and Vegeta, but you have to buy them. The only time Goku goes super saiyan 3 is during his ultimate, and it's one of the weakest supers of the game at that. Nope, you go super saiyan at the start of the fight and will not transform back to base, go super saiyan 2, or super saiyan 3. Even worse, you can't power up through the levels of super saiyan. For example, Adult Gohan will only do his Super Kamehameha if you pick Gotenks as a member of your team. In addition, characters lack good super moves. Super moves and Ultimates aren't easy to pull off in the heat of combat either. Dragon Ball Fighterz really punishes the player. It was easy to break being locked in a combo in Dragon Ball Z Budokai 3, Raging Blast and Xenoverse. Being able to move and get out of the counter or block will spell your untimely demise. An experienced player who has mastered the controls will keep you locked in a corner. An inexperienced fighter needs to merely button mash to get the upper hand while you are still trying to pull off a proper combo. You earn Zeni to buy costumes for you Chibi character. ![]() Anway, you can play matches 1v1, co-op, story mode, and various other modes. This is kind of cheesy because the multi-player lobby in Xenoverse was a lot cooler. There's a multi-player lobby where you run around as a little Chibi character. However, the story mode isn't the bread and butter here, it's multi-player. This seems to be something they'll never get right in a Dragon Ball game. The voices are not synchronized with the animation of the characters mouths. While its nice to see the Z fighters back in action together, the story is rather dull. ![]() Android 16 is back and the new Android 21 joins the fray. The Z fighters have lost all of their power and have to regain it by fighting clones of themselves. The music is entertaining but not as good as it was in Budokai 3. Arc System made the right choice when they went back to cell shaded animations instead of the disgusting manga style animation we had in Ultimate Tencrapchi and Raging Blast 2. This time it's Dragon Ball Fighterz as in Fighters not Fighter Z. Every year we wait for another Dragon Ball game. ![]() But two of the patients had their holes reappear after stopping the drops, only to have them close again when they re-started the drops regimen. She says it's possible that some holes would have closed on their own without being treated with the drops. Skondra hopes to begin a multi-center randomized trial in the future to further study the treatment's effectiveness. "In this patient's case, it was life changing." "I'm glad we could help a patient remotely," Skondra said. After consulting with Skondra using PinnacleCare Virtual Connect, UChicago Medicine's remote consulting service, the patient's hole closed after two weeks of Skondra's treatment. Three different retinal surgeons recommended surgery to repair it. "I can see and I can drive now," said Lavizzo, though she does have to wear sunglasses on sunny days.Īnother patient in California developed a macular hole in her left eye seven months after retinal detachment repair surgery. Skondra started her on the drop regimen the hole closed without needing more surgery, and her vision improved. Lavizzo first had surgery for the hole, but it reopened about a year later. Her blurry vision meant her husband had to drive her when going out. Sheila Lavizzo, a retired special education teacher in Calumet Heights, had a macular hole in her left eye. ![]() Patients are weaned off the drops once the holes have closed for those whose holes didn't close, surgery was successful. The three medications being studied are already FDA-approved and routinely used for other eye conditions. "If the hole is much bigger than roughly 250 to 300 micrometers, even the swelling going away from the drops isn't going to change the gap," she said. For those patients, Skondra usually recommends the traditional surgery. The bigger the hole, and the more that scar tissue or gel pulls on the edges of the hole, the less effective the drops seem to be. The average size of the holes that closed was 185 micrometers-about 0.007th of an inch. Skondra says the treatment is most effective on patients who have already had retinal surgery and whose holes are under 200 micrometers. "We believe the treatment works by reducing the swelling around the hole," Skondra said, theorizing that when the rim of the hole flattens, the edges come closer together and eventually close. They hope to publish the study by year's end. Since then, the team has drafted a retrospective case series study of 18 patients whose holes successfully closed during the medicated drops regimen. Three years ago, Skondra began working with Ron Gentile, MD, from the New York Eye and Ear Infirmary of Mount Sinai to see if a three-drug regimen of prednisolone, ketorolac and brinzolamide would help dehydrate patients' retinas, decrease their swelling and allow the edges of their macular holes to creep back together. Even then, a small percentage of patients have holes that can't be successfully closed-and for some, the holes may reopen later or develop other complications, such as a cataract, retinal detachment, scar tissue or peripheral vision loss. Much like a temporary bandage, that bubble helps the edges of the hole approach each other and eventually close. "You're operating on the retinal surface, a very delicate space."Īfterwards, patients must maintain a face-down position for several days and nights while the gas bubble inserted at the end of their surgery floats to the back of their eye. "Retinal surgery is always serious," Skondra said. It's a fairly straightforward operation, but it still carries risk. Traditionally, treatment for macular holes has involved a vitrectomy, an invasive eye surgery in which the transparent gel from the middle of the eye is removed the eye is then filled with a gas bubble. Even a small unraveling in this light-sensing tissue can cause distorted and blurred central vision. Our maculas provide us with the sharp central vision we need to see read, drive and see fine details. Since 2016, she's been researching whether medicated drops can help close macular holes, a common vision problem in people over the age of 60. Skondra, a retina specialist, focuses on treating retinal, macular and ocular gel problems. Terry Ernest Ocular Imaging Center at the University of Chicago Medicine. ![]() "Our experience shows that the macular holes in some patients respond to a course of prescription eye drops and end up closing," said Skondra, the director of the J. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |