LATEST PROPHYLACTIC TREATMENT FOR DRY MACULAR DEGENERATION
1. rejuvenation laser (NEW and latest)
Contact us for this innovative treatment for dry macular degeneration. Post hoc analysis in phase 3 study showed a 4 fold reduction in 75% of patients within the study.
2. YAG laser is available EMEG. This can be used for capsulotomy, which is removal of the scarring that develops following cataract surgery. It’s a painless quick procedure3. SLT laser
We have SLT laser which is used to stimulate the drainage angle. It’s a very gentle laser for the treatment of glaucoma
4. Retinal laser
A retinal laser machine is available for patients with retinal tears or proliferative diabetic retinopathy. This treatment is done in the clinic with local anaesthetic
5. Intravitreal Injections
This procedure is done in our clinic under local anaesthetic. There are several drugs that can be used for certain conditions such as wet -age-related macular degeneration, diabetic macular oedema and vein occlusions. We have access to the latest PBS approved medications and involved in research with some of these drugs to provide patients with the latest treatment. The injection importantly is painless.
6. Fluorescein angiography
We have the Heidelberg fluorescein angiogram, which aids in diagnosis and helps plan treatment regimen in certain conditions. This technology is very sophisticated and allows for ICG which looks at choridal vessels in more detail if required.
7. Optical Coherence Tomography (OCT)
We have OCT which uses light and is non-invasive in taking cross-sectional photographs of the macula as well as the anterior segment of the eye.
This is a very sophisticated machine that looks at the surface of the cornea and helps plan cataract surgery with accuracy
- Cataract surgery
All our surgeons perform the latest techniques in cataract surgery. This is a day surgery procedure where the cataract is removed via tiny corneal incisions and the latest intraocular lenses are inserted into the bag and usually remains there long term. Stitches are rarely required.
2. Vitrectomy surgery Rescan OCT microscope
Vitrectomy surgery is usually day surgery. We use the latest technology with the finest instrumentation so that most patients are comfortable without the need to suture the wounds. Vitretomy surgery is used for conditions such as epiretinal membrane, full thickness macular hole, diabetic retinopathy and retinal detachment. Dr Ojaimi is fellowship trained in vitrectomy surgery with lots of experience in the latest techniques. His research interest includes innovative instrumentation in vitrectomy surgery.
- Keratoconus and cross-linking
Assoc Prof Mark Daniell is a highly experienced corneal surgeon. He is the head of corneal department at Royal Victorian Eye and Ear Hospital and trains fellows in corneal surgery. This cross linking technique is available to patients. Corneal transplantation is also offered in conditions that require it.
- Latest glaucoma surgery including Stents
These stents can be placed at the time of cataract surgery to reduce intraocular pressure. They are placed in the anterior chamber angle.
Traditional trabeculectomy surgery is also offered and required in certain situations . Drainage implants can also be utilised for certain patients with severe glaucoma below.
- Pterygium surgery
These growths are benign and can be excised with a conjunctival graft placed in the area to reduce the risk of recurrence. Tissue glue can be used or sutures to keep the graft in place.
Eyelid surgery is usually performed under local anaesthesia with or without sedation. The aims of eyelid surgery are:
- To correct eyelid malpositions that can occur from ageing or disease processes. Eg. ectropion, entropion.
- To improve hooded, droopy or baggy eyelids. Eg. ptosis, brow ptosis, dermatochalasis (“baggy eyes”).
- To remove eyelid cysts, scars and tumours. Eg. chalazion / styes, papillomas, tarsal cysts, BCC (basal cell carcinoma), SCC (squamous cell carcinoma), SGC (sebaceous gland carcinoma).
- To reconstruct eyelid defects following eyelid trauma or tumour removal.
General steps in eyelid surgery are:
- Local anaesthetic injection.
- Making a skin incisionalong the crease or natural fold of the eyelid.
- Removingexcess skin, fat or muscle.
- Placing internal sutures to support eyelid muscles or tendons.
- Closing up the skin incision. The scar is generally hidden in the natural eyelid fold.
- Removing skin sutures 1 week later.
Blocked tear duct
Tear drainage anatomy
Tears are produced continuously and are drawn into a small hole in the inner corner of each of the upper and lower eyelid known as a punctum.. They lead into small tubes known as the canaliculi, which in turn drain into the lacrimal or tear sac. This lies between the corner of your eye and your nose and has a duct at the bottom (the nasolacrimal duct), which drains into your nose.
Why does ‘blocked tear duct’ (lacrimal obstruction) occur?
Most cases of lacrimal obstruction occur for unknown reasons. However, a few identified causes are:
- Congenital malformation of the lacrimal drainage system, i.e. a small number of children are born with blocked tear ducts (see Paediatric Lacrimal Obstruction information sheet)
- Severe forms of conjunctivitis
- Some chemotherapy agents and eye drops
- Surgical or traumatic damage to the drainage system
What are the symptoms?
If the nasolacrimal duct is blocked the eye becomes watery, and sometimes sticky. Some people develop a painless swelling of the lacrimal sac at the inner corner of the eye and in a few people this swelling becomes infected, causing a red, tender lump or abscess.
How do I know if I have a need an operation?
In the eye clinic you will see an eye doctor who will examine you and perform some tests which might include syringing water through the tear ducts to see whether there is a blockage. Sometimes, various scans of the tear drainage pathway (eg. dacryocystogram, dacryoscintillogram, MRI) are needed to help assess your watery eye and plan your treatment.
What is the treatment for lacrimal obstruction?
Most cases of confirmed obstruction will require an operation to relieve symptoms once they occur. The primary aim of treatment is to either unblock the system, or to bypass any obstruction. Some causes of lacrimal obstruction can be treated with putting silicon tubing into your lacrimal system. Your doctor will discuss this with you.