Transcript of Andrew Crawford Ophthalmologist Diamond Valley Eye Clinic.
- Slide 1
- Andrew Crawford Ophthalmologist Diamond Valley Eye Clinic
- Slide 2
- Slide 3
- Check your macula Take your vitamins Dont Smoke Do / Dont eat
margarine Do / Dont drink red wine What does it all mean, How can
we all help?
- Slide 4
- Slide 5
- Slide 6
- Slide 7
- Slide 8
- Slide 9
- Wrong Glasses / No Glasses
- Slide 10
- Cataract Diabetic Eye Disease Glaucoma Macular
Degeneration
- Slide 11
- Slide 12
- Slide 13
- Slide 14
- Slide 15
- Slide 16
- Slide 17
- Slide 18
- A Technological Success Story Artificial replacement of a
worn-out lens Surgery is suitable for all who have significant
symptoms Waiting to be ready/ripe is historic If youre fit for a
haircut, youre fit for a cataract operation
- Slide 19
- Slide 20
- Diabetes is a huge and growing numerical problem Uncontrolled
diabetes damages blood vessels
- Slide 21
- Diabetes is a huge and growing numerical problem Uncontrolled
diabetes damages blood vessels Uncontrolled Sugar Uncontrolled
Blood Pressure Uncontrolled Cholesterol
- Slide 22
- Slide 23
- Slide 24
- A slow, insidious process Course is over many months years
Generally few symptoms, unless/until macula is involved
- Slide 25
- Slide 26
- Primary Treatment Control Sugar, Blood Press, Cholest Secondary
Treatment Laser and/or Injections Management Strategy Control
Sugar, BP, Cholesterol 2-yearly checks for asymptomatic Disease
Report central visual loss without delay
- Slide 27
- A Constant Struggle Sugar, Blood Pressure, Cholesterol Help is
at hand, when needed Regular Checks to detect asymptomatic problems
Report major change in vision
- Slide 28
- Slide 29
- Gradual thinning of the optic nerve Precipitated, or worsened,
by high pressure in the eye Treated by lifelong lowering of eye
pressure Eyedrops, laser and/or surgery 2% of population Family
History is an important risk
- Slide 30
- Slide 31
- Slide 32
- Slide 33
- Slide 34
- Slide 35
- Slide 36
- The Sneak Thief of Sight Painless Few Visual Symptoms until
late stage
- Slide 37
- Treatment Generally aimed at lowering eye pressure Eyedrops
Modern drops are very effective Treatment is lifelong Laser
Surgery
- Slide 38
- Management Strategy Diagnosis If Family History, screen 10 yrs
earlier Screen everyone 2-yrly after 60yo Treatment Compliance
Eyedrops regularly, for life
- Slide 39
- Slide 40
- Slide 41
- Slide 42
- Slide 43
- Slide 44
- Early ARMD Macular Wear & Tear, The Old Bedsheet Slow,
gradual process Dry ARMD Wear & Tear runs into holes Increased
rate of deterioration Wet ARMD New Blood Vessels sprout, leak,
bleed Sudden and severe visual loss
- Slide 45
- Slide 46
- Injection Treatment Generally very effective Years of
treatment, 1-2 monthly Over $2000/treatment, $20,000/year/eye
Capacity and Funding are limited Financial, Political and Ethical
dilemma
- Slide 47
- 90% of ARMD is Dry
- Slide 48
- There is no highly effective treatment Diet may be a small help
Supplements are smaller help if good diet Experimental Laser in
Melbourne
- Slide 49
- Management Strategy Reduce Risk Dont Smoke Follow MD Diet Green
Leafy + Yellow Corn Check for Early ARMD If present, be alert for
sudden visual change and report this without delay
- Slide 50
- Slide 51
- Check your macula Take your vitamins Dont Smoke Do / Dont eat
margarine Do / Dont drink red wine What does it all mean, How can
we all help?
- Slide 52
- Cataract Check poor vision, surgery if disabling Diabetes
Encourage Sugar, BP, Cholesterol 2yr checks, Report major
deteriorations Glaucoma Check from 60yo Encourage and check eyedrop
compliance ARMD Dont smoke, Good diet 2yr checks, Report major
deteriorations
- Slide 53
- Questions...
- Slide 54