The use of standard monofocal aspheric lens implants to replace a cataract and correct myopia or hyperopia is well established. In the past few years, Toric implants to correct pre-existing corneal astigmatism and multifocal lens implants to correct presbyopia (reading difficulty) have become established in an effort to reduce spectacle dependency after cataract surgery.
A new and exciting paradigm shift in cataract surgery technique has become increasingly popular in the last year. True laser cataract surgery is here now. Where 'standard' cataract surgery involves making incisions with blades and manually opening up the cataract capsule (capsulorhexis) with needles and forceps and breaking up the hard core (nucleus) of the cataract by ultrasound energy and a metal' chopper' , FLACS is now bladeless cataract surgery and the use of the laser to open up the cataract capsule and break up the nucleus is more precise and uses less ultrasound energy. This results in more precise outcomes and greater safety.
The 5th Congress of the Asia Pacific Vitreo Retina Society (APVRS) will be held from 19-21 November 2010 at the Marina Bay Sands Convention Centre in Singapore. The theme of the meeting is : The Science & Art of Managing Retinal Diseases.
Our surgeons are key members of the organising committee: Dr Adrian Koh is President of the Congress, Dr Ong Sze Guan is Honorary Chairman, while Dr Ang Beng Chong and Dr Ronald Yeoh are Honorary Advisors. They will also be chairing and moderating sessions, present lectures as invited speakers and participate in panel discussions and symposia. Dr Chan Wing Kwong will chair and speak at the symposium on Refractive Surgery.
Eye & Retina Surgeons sent a team of doctors to participate in this international meeting for cataract and refractive surgeons in Australia.
Dr Chan Wing Kwong spoke on various aspects of LASIK refractive surgery. He organized and coordinated the whole refractive surgery programme.
Dr Adrian Koh spoke on updates in age related macular degeneration in the retinal updates symposium.
A young person’s eye is able to focus light from both far and near objects to create a clear image at all distances. With increasing age, the eye’s natural lens is too stiff to focus up close. As a result, words and other near objects are blurry. The term for this loss of near vision is presbyopia. Most of us will experience this visual condition by the time we are around the age of 40.
Because part of ERS’ commitment to enhancing vision after cataract surgery, toric astigmatic implants are now very popular because implanting them during cataract surgery means that preexisting astigmatism can be significantly reduced. As can be seen from the picture, toric implants are directional and precise placement is crucial to good visual outcomes.
With immediate effect, the Ministry of Health, Singapore has increased Medisave withdrawal limits significantly for many eye operations including cataract and complex vitreoretinal surgery.
The 22nd Asia-Pacific Association of Cataract & Refractive Surgeons (APACRS) meeting was held in Tokyo, Japan from 26-28 June 2009. Dr Chan Wing Kwong and Dr Ronald Yeoh both attended the meeting.
Dr Chan’s involvement:
We are delighted to have just acquired the ‘gold standard’ Corneal Endothelial Cell Counter and Pachymeter from Konan, Japan. This piece of technology allows us to assess the overall health of a patient’s cornea and helps us decide whether cataract surgery is safe in patients with advanced, over-mature cataracts and whether the patient is suitable for the newer types of high myopia correction like Implantable Contact Lenses or Phakic Intraocular Lenses.
Drs Adrian Koh, Chan Wing Kwong, Ong Sze Guan and Ron Yeoh from Eye & Retina Surgeons Singapore all attended this large regional eye conference held in Bali, Indonesia. With nearly 4000 delegates, this was a large meeting in which our doctors both lectured and learnt about the latest techniques in ophthalmology.
Dr Ron Yeoh wins first prize for his educational video entitled 'Phaco Bloopers' at the 2009 American Society of Cataract & Refractive Surgeons (ASCRS) meeting. He was given the award in a glittering 'Oscar' like ceremony in the ASCRS Film Festival held in San Francisco on 7 April 2009. There was competition from 160 international entries.
Dr Ron Yeoh (right) with Prof Donald Tan (left) of the Singapore National Eye Centre with their awards at the 2009 ASCRS Film Festival Award Ceremony.
Dr Yeoh together with Dr Chan Wing Kwong and Dr Chee Soon Phaik attended the 2009 ASCRS meeting in San Francisco where they were instructors in 4 teaching courses on phacoemulsification of cataracts, complex cataract management and LASIK. At the same time they also acquired the latest information and updates on cataract and refractive surgery.
We are delighted that Dr Chan Wing Kwong, formerly Head of Refractive Surgery (LASIK) at Singapore National Eye Centre will be joining us as a full time member of our faculty from 1 November 2008. Dr Chan who is internationally acclaimed, brings with him a wealth of experience in refractive surgery and will expand the number of procedures that we in Eye & Retina Surgeons offer. Apart from the various LASIK modalities, Dr Chan has been a lead investigator/ practitioner for the newer techniques of vision correction. eg the VISIAN Implantable Contact Lens (ICL) and the AcuFocus corneal inlay for correcting presbyopia.
New equipment: In line with Eye & Retina Surgeons' commitment to on going investment in the latest and best equipment, we have recently acquired:
At the World Ophthalmology Congress in June 2008, Dr Ronald Yeoh from ERS was awarded the highest accolade given to teachers in ophthalmology, the ICO (International Council of Ophthalmology) Golden Apple Award for best teacher in Ophthalmology in the Asia-Pacific region.
A public forum was held by doctors from Eye and Retina Surgeons, in conjunction with Bausch & Lomb, a leading eye care provider. A crowd of nearly a hundred people attended and there was a lively question and answer session that followed.
28th January 2008 was the day when ERS had its official opening. Our partners in industry kindly placed a full colour congratulatory advertisement in the Straits Times for us. Bouquets from wellwishers overflowed to the corridors and provided a suitable welcome to the hundreds of guests from all walks of life who graced the occasion with their presence.
Oculoplastic and Aesthetic eyelid surgery
From purely aesthetic procedures like 'double eyelid surgery' to functional procedures like correcting ptosis(droopy eyelids).
We have recently acquired a new portable indirect ophthalmoscope which facilitates thorough retinal assessments for patients who are bedridden or unable to come to the clinic.
Standard small incision cataract surgery uses a wound about 2.6-3mm in size and uses a cartridge (C Size) to insert the foldable lens implant. Better results are gained from even smaller incisions; hitherto, we have been able to do the surgery using a 2.2mm incision but the injector cartridge (C ) was too big for the incision and significant force had to be used to squeeze the lens implant into the eye.
On Thursday 29 November 2007, Dr Ron Yeoh from ERS did the first case in Singapore using an even smaller (D size) cartridge allowing a smooth an uneventful implantation of an Acrysof Wavefront lens implant (SN60WF) through an unenlarged 2.2mm incision. The patient is doing very well.
This new cartridge and its appropriate use in conjunction with 2.2mm incisions herald a further advancement in state of the art cataract surgery in Singapore.
Eye & Retina Surgeons (ERS) opened its doors in #13-03 Camden Medical Centre to the public on 1 November 2007. Our first patients were delighted to be seen at our spanking new facility where they were comfortable and treated with the latest state of the art equipment.View Gallery of Grand Opening
Camden Medical Centre,
1 Orchard Boulevard,
Tel: 6738 2000
Fax: 6738 2111