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Keratoconus is an eye disease that influences the design of the cornea, bringing about loss of vision.
Keratoconus happens in roughly one out of 2,000 people, ordinarily starting in adolescence and advancing into the mid-30s.
Beginning phases can be treated with glasses, however with movement of the sickness into late adolescence and early adulthood, corneal transplantation might be expected to reestablish sight. Corneal collagen cross-connecting is a technique intended to stop the movement of keratoconus or dial i back. Keratoconus is a main source of corneal transplantation in the United States.
There is no known anticipation for keratoconus.
What is keratoconus?
Keratoconus is described by the diminishing of the cornea and inconsistencies of the cornea's surface. The cornea is the unmistakable, external layer at the front of your eye. The center layer is the thickest piece of the cornea, generally comprised of water and a protein called collagen. Collagen makes the cornea solid and adaptable, and helps keep its customary, round shape. This solid cornea shines light so you can see plainly. With keratoconus, the cornea diminishes and swells into a sporadic cone shape, bringing about vision misfortune.
Keratoconus by and large starts at pubescence and advances into the mid-30s. It is basically impossible to foresee how rapidly the illness will advance, or then again in the event that it will advance by any means. Keratoconus regularly influences the two eyes, with one being more seriously influenced than the other.
What causes keratoconus?
In spite of the fact that keratoconus has been read for quite a long time, it remains inadequately comprehended. The conclusive reason for keratoconus is obscure, however it is accepted that the inclination to foster the sickness is available upon entering the world. A typical finding in keratoconus is the deficiency of collagen in the cornea. This might be brought about by some irregularity among creation and annihilation of the corneal tissue by the corneal cells.
What are the danger factors for keratoconus?
The next may expand the danger of creating keratoconus:
Hereditary qualities. Patients with a family background of keratoconus or with specific foundational messes, for example, Down condition, are at a higher danger of creating keratoconus.
Ongoing eye irritation. Consistent irritation from sensitivities or aggravations can add to the obliteration of corneal tissue that might bring about creating keratoconus.Eye scouring. Ongoing eye scouring is related with creating keratoconus. It might likewise be a danger factor for infection movement. Age. Keratoconus is frequently found in the high school years. For the most part, youthful patients with cutting edge keratoconus are bound to require some type of careful intercession as the infection advances.
What are the side effects of keratoconus?
Numerous keratoconus patients are uninformed they have the sickness. The most punctual indication is a slight obscuring of vision or logically helpless vision that isn't effortlessly amended.
Different side effects of keratoconus include:
Glare and coronas around lights
Trouble seeing around evening time
Eye bothering or migraines related with eye torment
Expanded affectability to brilliant light
Unexpected declining or obfuscating of vision
How is keratoconus analyzed?
Notwithstanding a total clinical history and eye test, your eye care proficient may play out the accompanying tests to analyze keratoconus:
Corneal geology. This is the most dependable way of diagnosing early keratoconus and follow its movement. An automated picture is taken that makes a guide of the bend of the cornea.
Cut light test. This assessment of the cornea can assist with identifying irregularities in the external and center layers of the cornea.
Pachymetry. This test is utilized to quantify the most slender spaces of the cornea.
How is keratoconus treated?
Treatment of keratoconus centers around revision of vision and relies upon the phase of the infection.
Current treatment for keratoconus remembers glasses for the soonest stages to treat partial blindness and astigmatism. As keratoconus advances and declines, glasses are presently not equipped for giving clear vision, and patients need to wear a contact focal point, typically a hard contact focal point.
Moderate keratoconus can be treated by corneal collagen cross-connecting. This one-time, in-office methodology includes the utilization of a nutrient B answer for the eye, which is then actuated by bright light for around 30 minutes or less. The arrangement causes new collagen bonds to frame, recuperating and saving a portion of the cornea's solidarity and shape.
While the treatment can't make the cornea altogether typical once more, it can hold vision back from deteriorating and, sometimes, may further develop vision. The technique might require the expulsion of the slim external layer of the cornea (epithelium) to permit the riboflavin to all the more effectively enter the corneal tissue.
Cross-connecting was supported as a treatment for keratoconus by the FDA in April 2016, after clinical preliminaries showed that it halted or created a gentle inversion in protruding of the cornea inside three to a year after the strategy.
Corneal ring. With extreme keratoconus, a standard contact focal point might turn out to be too awkward to even consider wearing. Intacs are implantable, plastic, C-molded rings that are utilized to smooth the outer layer of the cornea, permitting further developed vision. They may likewise permit a superior contact focal point fit. The system requires around 15 minutes.
Corneal transfer. In a corneal transfer, a benefactor cornea replaces the patient's harmed cornea. Corneal transfers are frequently performed on an outpatient premise and take about an hour to finish. Vision typically stay hazy for around three to a half year after the transfer, and medicine should be taken to keep away from relocate dismissal. In practically all cases, glasses or a contact focal point are important to give the most clear vision after relocate a medical procedure.
Would keratoconus be able to be forestalled?
There is no known avoidance for keratoconus.
: Kenyan child killer escapes from police custody
- By Emmanuel Igunza
- BBC News, Nairobi
14 October 2021
DIRECTORATE OF CRIMINAL INVESTIGATIONS - KENYA
Masten Wanjala confessed to drugging and killing more than 10 children
A man who confessed to killing more than 10 children in Kenya has escaped from police cells in Nairobi.
Masten Wanjala was due to appear in court on Wednesday over the murders of at least 14 boys in the capital, and areas of eastern and western Kenya.
Police say they noticed he had disappeared during the morning roll call.
He was being detained during police investigations into the series of child killings that shocked the nation.
At a certain point in 2016, Raila Odinga had sustained attacks against the jubilee government by unleashing dossiers at press conferences at his Capitol Hill offices.
But the dossiers would hit a crescendo when he accused President Kenyatta of diverting public water from Murang’a to their vast Northlands Estate in Ruiru through the taxpayer-funded Northern Water Collector Tunnel, sparking a barrage of insults and rebuttals from the then jubilee henchmen now-turned UDA worship crew.
The next time he was scheduled to hold a press conference, a visibly agitated President, while addressing a Jubilee Delegates’ Conference at Bomas, preempted what Raila was set to bring to public limelight: the sleaze surrounding the construction of Itare Dam.
It was then that Raila sensationally claimed that his phone conversations were being tapped and movements trailed.
The incessant attacks would later force the president and his entourage to troop to his Mt. Kenya backyard and beg his kinsmen to shield him from a Muguruki – Raila – who had him in a chokehold.
These, among other ethnic clarion calls, would ignite smoldering fires in the bellies of Mt. Kenya voters, coming out en masse to vote, ostensibly, against Raila Odinga, and not for their man.
So, what exactly are the prospects of Raila Odinga in Mt. Kenya?
At any given point, history has shown that a majority of people from Mt. Kenya will hate Raila Odinga. On any side – whether in opposition or government – he will remain an omnipresent evil in their eyes.
In opposition, he was the bogeyman for 'sabotaging' the economy. And despite the economy nosediving pre-2018 due to Jubilee's voodoo economics, Uhuru remained the darling of the Kikuyu.
And now in government, by virtue of the handshake, the bogeyman suddenly ceased to exist. But because their hate for Raila is constant, the man who aided the extermination of the bogeyman – read Uhuru – effectively became yet another moving symbol of hate in Mt. Kenya.
But for Raila Odinga and his retinue, there is a deep sense of realization that to win Kenya’s presidency, you need a cocktail of support: the masses, corporate entities, diplomatic cops and government machinery.
Previously, Raila enjoyed the support of the former but dismally performed in courting the latter. To them, the time is nigh for a corrective surgery.
Often, it was fashionable for Raila to flash the ‘defendant of the downtrodden’ card. He has carried this tag for the general good of the public but to his personal detriment, costing him the presidency on the account of his radical approach to governance.
The truth is, in the long run, the business of politics is power. Yet, that power seems to abhor the idealism of leftist politics but cherishes the idea of pragmatic politics.
For the longest time, Raila Odinga has won the elections and he has done so without the support of Mt. Kenya. Unfortunately, he has been denied victory all through.
And now United Democratic Alliance (UDA) seems to revel, although pretentiously, in the glory of being the defendants of the rights of the people not knowing that Raila has been over that valley, and has seen those dry bones.
Fundamentally, the question that many people grapple with is, why is Raila Odinga placing so much premium on Mt. Kenya at the expense of his original support base?
I will attempt to answer in two-fold.
For the first time, Mt. Kenya is finding itself at a crossroads at a very critical juncture of our history: 2022 presidential elections.
With the lack of a formidable presidential candidate and a waning presidency of their son, the uncertainty of tomorrow is placing them on the menu when they are used to being at the table.
Effectively, Mt. Kenya is up for grabs!
But since William Ruto seems to be greatly attached to Mt. Kenya commoners, Raila Odinga has chosen to close ranks with the Mt. Kenya elite in a spectacular fulfilment of the phrase: If they go low, we go high! And if they go high, we go higher!
In short, Raila does not need the votes of Mt. Kenya commoners to win elections; he has done so numerously without them.
He only needs the backing of Mt. Kenya cabal to secure victory. For Raila Odinga and his circle, the presidency is the end, and the means will justify itself. Once they get there, they will explain how they got there.
Yet, in the fullness of time, won’t Mt. Kenyans in the lower cadres of the food chain be fed with a steady diet of hate and align themselves at the right time?
Komarock Estate, off Kangundo Road, Nairobi
Komarock Heights is a modern development with all the amenities to support the comfort and lifestyle of its residents. Comprising 1272 beautifully designed apartments nestled within Komarock Estate, the development will be implemented in 3 phases. Phase 1 comprises 480 residential apartments with a mix of 2 and 3 bedroomed apartments in 20 blocks.
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2 bedroomed 92 sqm - was KShs. 6,100,000, now KShs. 5,800,000
3 bedroomed 113 sqm - was KShs. 7,100,000, now KShs. 6,800,000
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