• Laser Vision Correction

    Find out more information about our consulting suites and cutting edge practices

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  • Cataract

    What is a cataract?

    A cataract is a clouding of the natural lens within the eye. It is not a growth, film or tumour and does not cause any pain or discomfort of the eye.

    Once a cataract starts to form, it will progressively continue to cloud over causing gradual loss of vision in the affected eye. The rate of progression varies from person to person.

    What are the symptoms of cataract?

    The most common symptom is gradual blurring of vision. Other symptoms may include: glare, change in colour perception, double vision (in the affected eye) and difficulty driving at night.

    When should a cataract be treated?

    Cataracts seldom require an emergency procedure. The most common reason to consider surgery is when the distance vision becomes hazy with your best distance spectacles. If your best corrected vision is insufficient for driving purposes, then cataract surgery is encouraged if it is likely that the vision will improve with surgery.

    What is cataract surgery?

    The aim of cataract surgery is to improve your vision. The surgery involves removing the hazy natural lens and replacing it with a small plastic lens. The procedure is usually performed under local anaesthetic and can take between 10-30 minutes surgical time.

    Is the procedure done with a laser?

    Traditionally, cataract surgery is done with a fine ultrasound probe which emulsifies the lens which is then aspirated. New laser technology is available which “pre-treats” the eye prior to proceeding with surgery. This makes the procedure slightly more precise and slightly safer. The visual results are the same as traditional cataract surgery. The eye surgeons at Armadale Eye Clinic have access to and use the laser during cataract surgery if requested.

    Will I need to wear glasses after the surgery?

    Prior to surgery, we measure the eye to see what would be the best lens to insert in your eye in order to provide you with perfect distance vision. This is achieved in the majority of cases. Most people require reading glasses after bilateral cataract surgery for fine print. New technology is available where the inserted lens allows you to see in the distance and near without glasses, however, these can result in haloes post surgery but are a good option to consider if you would lie to be “glasses free” after the surgery.

    What are he risks associated with cataract surgery?

    Like all invasive procedures, cataract surgery has risks. Any complication can have an affect on the final visual outcome. These complications include:

    Infection in the eye or endophthalmitis (Risk 1:1000 per operation)
    Loss of lens material into the back of the eye (would require a second procedure)
    Failure to achieve the desired refractive outcome (you may require spectacles to see perfectly in the distance)
    Retinal detachment.

    What does the procedure involve?

    After admission to the day surgery centre, you will be introduced to your anaesthetist who may give you some “calming medication”. Eye drops will be inserted in the eye to be treated. You will then have the laser pre-treatment if you have elected to o so. Then you will be escorted into the main theatre for the actual procedure.

    The eye will have a patch on after the procedure and you will have to leave the eye pad on until you are assessed by your surgeon the following day.

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  • Glaucoma

    Find out more information about Glaucoma and treatment options

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  • Macular Degeneration

    Find out more information about Macula Degeneration

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  • Retinal Conditions

    WHAT IS A CRVO? A vein occlusion is a blockage of one of the blood vessels that drain the blood away from the retina at the back of the eye. Blockage in a retinal vein causes a build-up of pressure in the vein, and this results in leakage of fluid into the retina causing swelling Continue Reading

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Newsletter-June 2013

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93 Kooyong Rd

Armadale

Tel: 9079 0888

Fax: 8692 1131

E: info@armadale-eye.com.au

 

Newsletter # 1: June 2013

 

Introduction:

Welcome to the bimonthly newsletter from the Armadale Eye Clinic.  The purpose of this newsletter is to provide patients and referring practitioners an update on some of the latest ophthalmic  health information and issues which we have learned from the  literature.

Feel free to make any comments via email: info@armadale-eye.com.au. We welcome any comments/criticisms which you would like to make.

Armadale Eye Clinic (AEC):

We are a newly established eye surgery consultant group in the Eastern Suburbs. We are located on the corner of High Street and Kooyong Rd in Armadale. We are a short walk from the Armadale train station and Tram stops on High street. There is ample parking at the Armadale station and on Kooyong Rd. Our contact details are above.

We provide a comprehensive ophthalmic service including: cataract surgery; glaucoma management; retinal surgery; management of macular disease and oculoplastic surgery. We will also be providing a refractive surgery service in the near future.

Our surgeons:

  1. Dr Anton van Heerden (General ophthalmic surgeon; retinal sub-specialist)
  2. Dr Edward Roufail (Retinal surgeon)
  3. Dr Sue Cochrane (General ophthalmic surgeon; retinal sub-specialist)
  4. Dr Phil Hoffman (General ophthalmic surgeon)

 

AREDS 2

The outcome s of the AREDS 2 study has just been published. This is particularly relevant to our patients suffering with AMD, who are at risk of developing AMD or who are taking expensive dietary supplements for AMD and would like to know their benefit.

The conclusions were the following:

  1. There is no benefit from taking Omega-3 fish oils . Although it must be said that other studies have shown some benefit in taking Omega-3.
  2. There is no benefit in taking beta-carotene and beta-carotene is associated with a high risk of lung cancer in patients who already smoke.
  3. The addition of Lutein and zeaxanthin did show some benefit in patients who had low-levels of lutein in their diet.

In summary, if you have a healthy diet, then there is little benefit in taking any supplements. If you have high risk disease then taking the AREDS formula with lutein/zeaxanthin is preferable to taking beta-carotene and there is little added benefit in taking additional Omega-3 supplements.

Update on Femtosecond assisted cataract surgery:  

Femtosecond assisted cataract surgery is very new, novel and exciting technology which promises slightly safer and more precise surgery. This obviously comes at an extra out of pocket cost to patients. The real question is whether there is a visual benefit to patients? To date, there have been a plethora of articles on the efficiency of this technology. It has been shown to reduce the time and energy used in the eye to remove the cataract. There also appears to be a reduction in the degree of corneal endothelial cell loss. Still, I could not find any evidence to indicate a visual benefit from this technology? The bottom line is that traditional manual cataract surgery is an excellent procedure which produces as good results as laser-assisted surgery.

The surgeons at AEC offer surgery with and without the femtosecond laser. We have access to the Catalys system at VPSC in East Melbourne.

CAPTIV8

We have acquired the new “Captiv8” software at AEC. This technology gives us the opportunity to show patients animations of common ocular pathology and surgical procedures. This is proving to be an excellent tool in patient management. Please let me know if you would like an example sent to you by email?

Conclusion:

I hope this newsletter has been informative and useful. Please feel free to contact me at Armadale Eye Clinic if you have any comments you would like to make.

Kind regards

Dr Anton van Heerden