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Contact numbers:
Parramatta:02 9635 7077
Castle Hill: 02 9634 6364 Penrith: 02 4731 1811
Lasik Clinic: 02 9635 6964
Free Lasik
Consults are available. |
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2. PROCEDURES PERFORMED
Booking procedures
Your surgeon will fully explain the recommended procedure and obtain
your informed consent at the time of your consultation.
To assist in the smooth planning of your surgery, please contact our
bookings office as soon as possible after your consultation to;
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arrange a suitable day and time for your surgery |
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complete all the administrative arrangements in advance |
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obtain detailed instructions regarding what to do prior to and on the
day of surgery |
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receive an information sheet which gives you an overview of what to
expect during your time in the theatre |
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resolve any questions or concerns that may arise |
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Responsibilities:
Each patient has a responsibility to:
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provide accurate medical and personal information |
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follow all instructions given by the doctors and nursing personnel |
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respect the rights of other patients |
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respect the rights of staff |
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PROCEDURES PERFORMED at Marsden:
CATARACTS SURGERY
As the eye matures, the lens that is clear to begin with becomes cloudy and hardens.
It is this cloudiness that we call cataracts. As the lens becomes cloudy the vision out
of the effected eye is reduced. Patients often complain of a "film " across their vision
or "cloudy vision"
Other symptoms include extreme glare and difficulty with either near or distance vision.
Most often patients are in their 70s/80s when cataracts become a problem. |
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However younger patients, usually those who have a history of diabetes or who have had an
injury to the eye, are affected at a much earlier age. Patients are often apprehensive
that they may go blind. This of course is not going to happen and we need to
give the patient every assurance that cataract extraction is very a common and
simple procedure to restore sight.
The Marsden Eye Specialists use the latest technology to remove the
cataract under localised anaesthesia. A small 2.8mm incision is made
on the cornea to allow the removal of the opaque lens. A foldable
intraocular lens is then implanted and the incision is then allowed
to seal with the eye's natural mechanisms. There are no stitches
involved. Patients will spend less than two hours at the day surgery.
The procedure is quick, pain free, and performed in the day surgery
on an outpatient basis. Recovery is rapid and patients usually do
not report any discomfort during or after surgery. |
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Example of Lens Implants |
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GLAUCOMA SURGERY
The result of increased pressure within the eye which if left untreated will lead to damage
of the optic nerve. Glaucoma is often a painless and progressive loss of vision.
Whilst in most cases glaucoma can be treated with eye drops, glaucoma surgery may
be required if drops alone cannot control the pressure. Surgery involves making an
additional drainage channel for fluid to leave the eye and to lower the pressure.
Glaucoma is the overall name given to the condition in which the pressure in the
eye is not at the correct level for the eye to function normally. People of all
ages can get glaucoma, however people over 40 are usually more prone to this condition.
Why and how does this occur?
Each eye has its own "drainage" network, a plumbing network so as to allow the
fluid in the eye to drain through and filter to the right places. In some eyes
this network can become blocked and thus the fluid has difficulty flowing
through so we see a rise in the pressure. Or some eyes produce too much
fluid and again this will lead to a rise in the pressures. Each eye needs a
certain pressure to function, rather like the pressures in car tyres, for each
tyre to function correctly it must be kept at an optimal pressure, similar to our eyes.
Unfortunately for some, glaucoma can develop without the patients knowledge and
going untreated can often lead to blindness, is it therefore important to ensure
that if you have a family history of the disease that you get checked regularly,
people over 40 should also be checked as a matter of routine and on a regular two year basis.
Early detection is the key to controlled glaucoma damage caused by glaucoma most
often cannot be reversed.
Who is at risk?
Anyone can get glaucoma however some people are at a greater risk of the disease especially if
they have one of the following conditions:
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A family history of glaucoma |
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Blood pressure |
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Diabetes |
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Migraine |
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Short sightedness |
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Cortisone drug use either past of present (steroids) |
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Eye trauma |
People who find them selves in one of the above groups should be checked by the age of 35.
Who is at risk?
Anyone can get glaucoma however some people are at a greater risk of the disease especially if they have one of the following conditions:
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A family history of glaucoma |
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Blood pressure |
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Diabetes |
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Migraine |
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Short sightedness |
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Cortisone drug use either past of present (steroids) |
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Eye trauma |
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People who find them selves in one of the above groups should be checked by the age of 35.
www.visionsimulator.com |
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SQUINT/STRABISMUS SURGERY:
Strabismus (squint) is caused because of a lack of muscle
co-ordination between the eyes, causing the eyes to point in different
directions. The eyes are unable to focus simultaneously on a single point.
Most common types are:
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Exotropia- outward turning of the eyes |
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Esotropia- the eyes are "crossed" |
Strabismus may result from problems with the extra ocular muscles, blindness, mechanical problems in the eye, or mechanical obstruction to vision in one eye during early life. In adults, strabismus may be a symptom of various brain disorders or systemic diseases. Squint surgery aims at re-aligning the eye muscles.
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OCULO-PLASTICS AND EYELIDS SURGERY:
Oculoplastics is the term used for plastic surgery for the eyelid areas, either for cosmetic or functional purposes. Dr Raf Ghabrial is our oculoplastic surgeon here at The Marsden Eye Specialists. He is a fully qualified ophthalmologist, with advanced training and study, in Australia and overseas in the field of ophthalmic plastic surgery. He deals with reconstruction and repair of the eye lids, eye sockets, and tear duct systems.
The field of oculoplastic surgery is expanding and currently involves many different areas of ophthalmology including:
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Excision of skin malignancies and their repair. Complex reconstruction may be required after skin malignancies are removed to ensure that they do not return. |
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Eye lid mal positions including:
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PTOSIS - Drooping of the upper eye lid |
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ECTROPION - Drooping of the lower eye lid. |
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ENTROPION - In-turning of the lower eye lid with irritation from eye lashes. |
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Tear Duct Obstructions - may require bypass surgery. This can be performed from an internal or external perspective.
Currently Dr Ghabrial is involved in a trial involving laser surgery to repair tear ducts that are blocked. |
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Eye Socket Surgery - once the eye is removed, reconstruction may be undertaken to allow the artificial eye (prosthesis) to appear life like. Without complex socket surgery a lifeless appearance may occur and movement of the false eye will be minimal. |
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Orbital surgery - may be required for patients with problems in the eye socket such as thyroid eye disease. This is where excessive swelling of the tissues behind the eye occurs and the eye is pushed forward. |
Other sites to visit include: www.eyeplastics.com
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PTERYGIUM SURGERY
A pterygium is a wedge-shaped growth of thickened tissue that covers the white part of the eye. A pterygium typically starts growing near the inside of the corner of the eye. It often extends onto the cornea, towards the pupil. Both eyes can be affected. A pterygium may grow large enough to interfere with sight and can cause other annoying symptoms, it can safely be left alone.
Causes of a Pterygium: The exact cause is not know, although it is thought that it's more likely to develop in people who live in tropical climates, work outdoors and spends a lot of time in the sun.
Reasons for Surgical removal:
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Threat to normal vision |
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Irritation, tearing and discomfort |
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Development or increase of astigmatic error |
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Redness or appearance |
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Contact lenses interference |
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© 2006 Marsden Eye Specialists - all rights reserved.
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