While prepping a 67yearold female patient for routine cataract surgery at Englands Solihull Hospital, physicians noticed a strange bluish blob in one of her eyes. Linux Fans GNOME 3. Manchester Desktop Environment Now Out. Horrified Surgeons Discover 2. Contact Lenses in Womans Eye. While prepping a 6. Englands Solihull Hospital, physicians noticed a strange bluish blob in one of her eyes. On closer look, the blob turned out to be 1. Dungeon Defender 2 Enhanced Hacked Iphone' title='Dungeon Defender 2 Enhanced Hacked Iphone' />Another 1. The surgeons have never seen anything quite like it. As reported in the British Medical Journal, the unnamed patient was unaware that the contact lenses were missing. Incredibly, the 2. She figured her dry eyes and periodic discomfort were just a product of old age. None of us have ever seen this before, noted surgeon Rupal Marjaria, who filed the BMJ report, in Optometry Today. It was such a large mass. All the 1. 7 contact lenses were stuck together. We were really surprised that the patient didnt notice it because it would cause quite a lot of irritation while it was sitting there. The Solihull Hospital surgical team decided to postpone the cataract surgery due to the increased risk of endophthalmitisinflammation of the inner eye. This condition can lead to vision loss and even loss of the eye itself, and is a rare complication of cataract surgeries. The surgeons were concerned that a build up of bacteria in the clump might trigger it. The patient had been using monthly disposable contact lenses for about 3. Whats more, she didnt mention any symptoms during her pre operative assessment. Marjaria thought it important to write a case report about the incident, showing that its possible for a person to retain lots of contact lenses without experiencing too much discomfort. She was quite shocked, Marjaria told Optometry. Today. When she was seen two weeks after I removed the lenses she said her eyes felt a lot more comfortable. She thought her previous discomfort was just part of old age and dry eye. This case is obviously extreme most people experience significant discomfort and redness, as well as an increased risk for infections, when contacts get stuck in their eyes. Its not immediately obvious why this patient was so asymptomatic, but it may have had something to do with her deep set eyes, according to the BMJ report. Wearers of contact lenses know how frustrating and unsettling it can be to displace a lens. Heres how you get a contact lens out from the top of your eye, according to the American Academy of Ophthalmology The first step is to be sure the contact lens is still on the eye. The contact lens can fall out of the eye and it may be assumed that it has merely moved under the eyelid. It is important to note also that the contact lens can only go as far as the crease in the conjunctiva under the upper eyelids and it cannot go behind your eye. To remove the lens you should first wash your hand carefully and relax the eyelid and see if you can feel the lens through the eyelid. It may help to apply some sterile saline or artificial tears to help float the contact lens out from under the eyelid. If a corner of the lens can be visualized in a mirror you can use a finger to slide it back down over the cornea where it can be removed normally. If the lens is suspected to be under the upper eyelid, it may also help to bring the lens in to view by looking downward as far as possible. Another technique is to gently massage through the eyelid down towards the cornea or you can try to lift or flip the eyelid to make the lens visible. Lastly, if you cannot retrieve the lens or if the eye is bothersome, you should call and schedule an appointment to see your ophthalmologist as soon as possible. The last sentence is the critical one. If at any point you feel this is beyond your abilities, just go see your eye doctor. As this bizarre case study shows, dont just leave it in there. Update As an interesting update, we heard from Dr. Kevin D Hinshaw, an eye specialist in West County, PC, who says his record for one eye is five contact lenses. So this is actually a thing that happens, but 2. I would not say it is common, and 1. Typically people think that their contact has fallen out so they put another one in on top of the previous lens. Usually these folks have relatively small corrections so their vision is not terribly affected until the stack gets fairly tall, Hinshaw told Gizmodo. We commonly will use two contacts in pathological states such as keratoconus. In that case it is usually a gas permeable on top of a soft lens. Gas permeable and polymethylmethacrylate PMMA lenses are well known to become enveloped in tissue patient thinks it fell out only to appear as a lump in the eyelid a decade or two later. The lump is surgically opened and there is the contact lens. Often the lenses are still usableCorrection An earlier version of this post referred to endophthalmitis as a common complication of cataract surgery. As a Gizmodo reader pointed out, the condition is actually quite rare, affecting anywhere from one in 2,ooo to one in 1. British Medical Journal. A Thrilling Game Where You Can Impact The Course Of Art History. Check your balances of wool and linen. Will you sell them to the merchant from Milan or the one from Venice Oh, also, the church wants you to buy some of their overpriced alum. Do you accept These are the questions that ART Mecenas asks while you try to build your banking empire during the Italian renaissance. Develop your reputation as a banking boss and eliminate other competing families, and also, change the course of art history by choosing what works to commission, all within a turn based strategy game. You play as a member of the Medici family who is starting a bank in Florence. You can check the map to see your standing with other city state governments, and you can purchase items from the market to sell. Each turn, youll be presented with three messages, asking you to sell something, buy something, or commission an art piece. Itty Bitty Actions For Adobe Photoshop. Occasionally, you will get special events that can significantly impact your reputation. You have to balance your relationship with merchants, various governments, and the Catholic Church in order to keep your business afloat. As you play the game, you need to watch your reputation level, which represents your standing in the community, and your soul level, which represents your piousness. If your reputation level depletes to 0, you will be exiled, and if your soul level depletes to 0, you will be excommunicated from the church so failure to maintain high levels of both means game over. This game definitely taught me more about economics and finances than it taught me about art history. In the beginning of my playthrough, I was making poor buying and selling decisions. I found that by checking the market price for items and comparing it to the desired buyingselling price of the merchants, that I could determine what was a good decision or not. But even if you manage to avoid bad buying and selling decisions, this still may impact your reputation. For example, choosing to trade with Milan but not Venice may impact your relationships with those city states. My playthrough was challenging from the get go. By the end of Level 1, it wanted me to have a soul and reputation of 4. This goal was a tad overwhelming for Level 1 of the game, and I had to retry several times in order to progress. I tried to keep up my reputation and soul meters in Level 2, but after I was exiled from Florence by some business rivals, I was unable to recover. When I was exiled, my reputation took a significant hit, and the citizens of Florence continued to hurt my reputation even after that. I replayed Level 2 over and over again, unable to advance despite my best attempts. Despite that, I still enjoyed the game. I liked being able to manage my resources, make money, and also manage my business relationships with other merchants and city states. Turn based games usually dont hold my attention for very long, but I was glued to this game for a few hours. The games were designed to be supplemental material for college level art history courses to teach students about the relationships between local and international economies, and how those economies influenced the arts during this time period. As a recent college graduate, I can definitely say I wish that part of my learning had involved interactive content like ART Mecenas. Triseum also has an open world exploration game called Variant, which seeks to teach students calculus through solving puzzles. You can only play the game if youre a student affiliated with a university that has purchased the game. In August, Triseum will launch a new store where any individual can purchase any of their games. ART Mecenas will be available for both Mac and PCs, and can also be played in a Google Chrome browser. You can check out the companys full list of games here. Update August 2. ART Mecenas along with Variant Limits are now available for direct purchase on Triseums online store.