Eye Treatment for Adults

Overview

Eye diseases and disorders can occur to anyone although those with old age and/or pre-exisiting health conditions such as hypertension and diabetes are of higher risk. Sunway eye centre not only focuses on prevention, awareness and early detection of eye problems, but also offers medical and surgical treatments with the latest technology.

Our eye specialists are experienced in treating a wide range of eye diseases and problems including but not limited to:

Cataract Surgery

Cataract surgery is safe; involving replacing the eye’s natural with artificial lens.

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Cornea And External Eye Diseases

Treatment for various corneal and external eye disease vary depending on the causes of infection.

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Customised Contact Lens Fitting

Contact lenses are not a ‘one size fits all’. Get fitted with the right pair by our specialist

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Diabetic Retinopathy Treatment

It is important for patients with diabetic retinopathy to control their diabetes, blood pressure, and cholesterol levels.

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Eyelid Reconstructive Surgery

Eyelid reconstructive surgery can achieve adequate eyelid function, globe protection, and provide aesthetic results.

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Glaucoma Treatment

Glaucoma has no cure, but early diagnosis, medication and treatment can control this disease.

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Neuro-Ophthalmology

Neuro-ophthalmology focuses on visual problems that are related to the nervous system, and not caused by the eye

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Prosthetic Eye Services

Implanting a prosthetic eye is always recommended after an eye is surgically removed due to damage or disease.

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Pterygium Surgery

Mild cases of pterygium generally do not require treatment, however it can be removed with a simple surgical procedure.

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Squint Surgery

Squint surgery and treatment options are effective to realign the eyes and restore binocular vision.

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Vitreo-Retinal Surgery

Vitreo-retinal diseases are a variety of conditions that affect the vitreous and retina that lie at the back of the eye.

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Cataract Surgery

adult-cataract

Cataract is the clouding of the lens of your eye(s) that develops due to ageing or caused by an injury. Usually, cataract slowly develops and it does not cause any vision difficulties until at a later stage, where a person’s vision is affected. For people with untreated cataract, looking through an affected lens is like looking through a foggy window.

vision-cataract

What are the symptoms?

  • check-mark-1Cloudy or blurred vision
  • check-mark-1Double vision in one eye
  • check-mark-1Seeing halos around lights
  • check-mark-1Sensitivity to light
  • check-mark-1Finding it difficult to see clearly at night

What are the risk factors?

  • check-mark-1Increasing age
  • check-mark-1Diabetes
  • check-mark-1Excessive exposure to sunlight
  • check-mark-1Smoking
  • check-mark-1Obesity
  • check-mark-1High blood pressure
  • check-mark-1Excessive drinking of alcohol
  • check-mark-1Prolonged use of steroid

How is it treated?

The most effective treatment for this condition is cataract surgery. Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens.

Cornea & External Eye Diseases

eye dieases

Cornea and external eye diseases are eye conditions that affect the ocular surface. Some of these conditions are:

Chalazion

adult-chalazion

Definition:
A chalazion is a small, slow-growing lump or cyst that develops within the eyelid. They are not usually painful and rarely last longer than a few weeks. Human eyelids consist of 30-40 glands in each of the upper and lower lids that produce oil to lubricate the surface of eye. These glands are called Meibomian glands. Chalazion develops due to the blockage or inflammation of Meibomian glands.

Risk Factors:
People with thicker oil secretion from Meibomian gland tend to have a greater risk of developing chalazion. Anyone who has history of chalazion, he/she has greater risk of developing another one in future. Individuals with acne rosacea, Meibomian gland dysfunction and seborrhea of eyelids are at higher risk of getting chalazion.

Signs & Symptoms:

  • check-mark-1Appears as a small, non-painful, red/inflamed lump in eyelid at early stage
  • check-mark-1Chalazion is more common to develop on the upper lid.
  • check-mark-1Although painless, chalazion may cause watery eye and some irritation. Sometimes it may lead to blurry vision.

How is it treated?

At early stage, warm compress and eyelid massage can effectively help to soften any hardened oil that blocked the opening of the gland. Irritation can be relieved once the excessive oil is drained out from the opened ducts. When there is inflammation, prescribed medication will be required to speed up the healing process. If you noticed a similar condition occurring, please consult our ophthalmologists for advice.

Conjunctivitis

adult-conjuntivitis

Definition:
Conjunctivitis, commonly known as “pink eye,” is an infection in the outer membrane of the eyeball (conjunctiva). The blood vessels in conjunctiva become inflamed and giving the eye a red or pink colour appearance. The common causes of conjunctivitis are virus, bacteria and allergen. Sometimes, it can be associated with contact lens wear, air pollution and chemicals.

Signs & Symptoms of 3 common types of conjunctivitis:

  • check-mark-1Viral Conjunctivitis – highly contagious, usually occurs suddenly and commonly caused by adenovirus. Symptoms include irritation, sensitive to light, and watery discharge. In severe cases, it may leave scars on the cornea even after conjunctivitis has resolved
  • check-mark-1Bacteria Conjunctivitis – more common in kids than adults and can be easily spread. The main symptoms of bacteria conjunctivitis include pink or redness of the eye, burning, itching, sensation of grittiness, mild pain or discomfort in the eye, thick and sticky discharge from the eye, swollen lids
  • check-mark-1Allergic Conjunctivitis – Allergens such as pollen can stimulate our body to create more histamines, which cause inflammation as part of our body’s response to what it thinks is an infection. If anyone has allergic conjunctivitis, he/she may experience intense itching, tearing

Treatment & Prevention

The treatment for conjunctivitis depends on the cause of it. Antibiotics eye drops or ointment are usually prescribed for bacterial conjunctivitis. Viral conjunctivitis is self-limiting, lasting 1 week in mild cases to up to 3 weeks in severe cases. It requires only cool compresses for symptomatic relief. However, patients who have severe sensitive to light or whose vision is affected may benefit from topical corticosteroids. To treat conjunctivitis caused by an allergen, your healthcare provider will probably prescribe an antihistamine to stop the inflammation. Practicing good hygiene is one of the best ways to avoid and stop the transmission of conjunctivitis. Try to avoid touching eyes with hands, and wash hands thoroughly and often. It’s also a good idea to wash and change pillowcases frequently. For people who wear cosmetics, it is important not to share the cosmetic products, especially eyeliner and mascara with other people. Anyone should practice proper cleaning and frequent replacing of contact lenses, in some cases, doctor may advise to completely stop contact lens wear. If anyone is diagnosed with conjunctivitis, it is important to avoid transmission of the condition by avoiding sharing towel, replace eye cosmetic products and follow doctor’s instruction on medication as well as contact lens care. If symptoms are severe or vision is impaired, it is important to contact a doctor without delay. It is also extremely important to see a doctor if any signs of bacterial conjunctivitis are present in a newborn baby.

Dry Eyes

adult-dry-1500

Definition:
Dry eyes is a common condition that occurs when the tears aren’t able to provide adequate lubrication for the eyes and causing discomfort, in some cases, it can cause vision problems. Tears can be inadequate for many reasons such as poor quality tears and insufficient tears production.

What are the signs and symptoms?

  • check-mark-1Scratchy feeling in the eye
  • check-mark-1Stinging or burning sensation
  • check-mark-1Red eye
  • check-mark-1Sensitive to light
  • check-mark-1Blurry vision
  • check-mark-1Difficulty in wearing contact lens
  • check-mark-1Watery eye

Who are at risk?

  • check-mark-1Age 50 or above
  • check-mark-1Female
  • check-mark-1Contact lens wearer
  • check-mark-1Smoker
  • check-mark-1Having certain autoimmune diseases (such as Sjogren’s syndrome)
  • check-mark-1Under certain medication such as antihistamines, decongestants, birth control pills, antidepressants
  • check-mark-1Refractive surgeries increase the occurrence of dry eye, but usually temporary
  • check-mark-1People with eyelid problems for example ectropion (eyelid turn outward) and entropion (eyelid turn inward)
  • check-mark-1Low blinking rate after long hours of computer use, reading, or driving a vehicle
  • check-mark-1Wind and dry climate

How is it treated?

Treatment aims to keep the eyes well lubricated, but the approach depends on the underlying cause. The usual approaches are using artificial tears and reducing tear drainage. Oculoplastic surgeon may advise eyelid reconstructive surgery for those who have eyelid problem. Having changes in lifestyle can also help in reducing the dry eye symptoms. These lifestyle changes include but not limited to avoid air blowing in the eyes, add humidifier in house, wearing wraparound sunglasses to block wind and dry air, take breaks in between reading or computer work and stop smoking.

Keratoconus

adult-keratoconus

Definition:
Keratoconus occurs when the outer layer at the front of the eye (cornea) thins and gradually bulges outward leading irregularities of the eye surface. It causes blurred vision and may cause sensitivity to light and glare. Keratoconus can only be detected by a corneal topography scan, as the eye will look normal. This condition is suspected in cases of high astigmatism. Keratoconus usually affects both eyes and generally begins to first affect people ages 10 to 25. The condition may progress slowly for 10 years or longer.

keratoconus

What are the signs and symptoms?

  • check-mark-1Glares and haloes around lights
  • check-mark-1Night vision difficulty
  • check-mark-1Sensitive to bright light
  • check-mark-1Reduced vision
  • check-mark-1Increasing astigmatism

Risk factors:

  • check-mark-1Having family history of keratoconus
  • check-mark-1Having certain systemic disorders such as Down syndrome
  • check-mark-1Chronic eye rubbing

How is it treated?

Treatment depends on the severity of keratoconus. Glasses or rigid gas permeable contact lenses maybe prescribed for patients at early keratoconus stage to provide clear vision. Intermediate stage may require corneal collagen cross linking procedure to strengthen corneal strength and shape with the application of vitamin B solution and activation using ultraviolet light. For advanced stage, corneal ring or transplant surgery may be the most effective method to provide clear vision. Our corneal specialist are highly skilled at diagnosing and treating this condition.

Corneal Transplant

corneal transplant

Corneal transplant, often referred to as keratoplasty or corneal graft, is a surgery to remove damaged / diseased cornea and replace it with healthy donor tissue. It is a treatment to improve eyesight, restore corneal integrity or as a treatment for uncontrolled corneal infection. The common indications for transplant include advanced keratoconus, Fuchs’ corneal dystrophy, corneal scars and ulcers.

Types of corneal transplant are:

  • Penetrating keratoplasty (PK)
  • Deep anterior lamellar keratoplasty (DALK)
  • Descemet Stripping Automated Endothelial Keratoplasty (DSAEK)
  • Descemet Membrane Endothelial Keratoplasty (DMEK)

How is it treated?

This surgery generally takes 1-2 hours and is carried out with either general or local anaesthesia. The outcome of a corneal transplant is generally good with the modern surgical technique. However, the healing process varies from patients to patients, some may enjoy improved vision within few weeks whilst, others may require longer to regain good vision. After surgery, patients will be monitored over time for signs of graft rejection, removal of sutures or recurrence of primary problems. Glasses or contact lenses are still needed after corneal transplant surgery.

Customised Contact Lens Fitting

lens fitting

Get fitted with the right pair of contact lens because finding the perfect fit is important to ensure your comfort as well as safety. During your contact lens fitting, our experts will conduct a series of eye examinations that are typically not part of a routine eye exam for eyeglasses. These additional tests will help in finding the comfortable and proper contact lens parameters as well as the correct prescription.

Why do you need a customised fitting?

1) Eye health and condition

A comprehensive eye examination ensures that your eyes are healthy and there are no developing eye conditions. During this examination, our ophthalmologist will also be able to identify any possible causes that could interfere with your comfort when wearing contact lenses.

2) Lifestyle and health choices

There are a wide variety of contact lenses available in the market but do you know which would be best for you? During the contact lens consultation, our ophthalmologist will discuss with you the ideal options available while taking into account your lifestyle and health

3) One size does not fit all

When it comes to contact lenses, one size does not fit all. Our ophthalmologist might take your eye measurements to help you find the perfect pair of contact lenses. Wearing an ill-fitted pair of contact lenses can lead to blurry vision, discomfort and even damage your eyes.

Diabetic Eye Treatment

Diabetes can damage the blood vessels in your eyes and cause a condition called Diabetic Retinopathy. Also known as the ‘mother of all diseases’, diabetes also increases one’s risk of developing glaucoma and other eye conditions.

What are the symptoms?

During the early stages of diabetic retinopathy, you may not experience any symptoms. As this eye condition progresses, you may experience the symptoms below, which typically affect both eyes:

  • check-mark-1Blurred Vision
  • check-mark-1Dark or empty areas in your vision
  • check-mark-1Spot or strings that are floating in your vision, also known as floaters
  • check-mark-1Vision loss

How is it managed?

If you have diabetes, a careful management of your blood sugar levels is the best way to prevent vision loss. Diabetics are encouraged to have an eye examination every 1 to 2 years by a trained eye specialist who will be able to assess your eye health.

We understand the importance of delicate eye care and treatment among diabetics. As part of a multi-disciplinary hospital, our specialists and trained staff will guide you during your visit with us. Our eye centre is equipped with modern medical technology that will help with identifying and diagnosing an eye condition.

Eyelid Reconstructive Surgery

adult-eyelid-1500

Sunway Eye Centre has a team of highly skilled oculoplastic surgeons who are specialized in plastic and eyelid reconstructive surgery that involves the periorbital and facial areas such as the eyelids, eye socket and lacrimal (tear duct) system.

Our list of services includes but is not limited to eyelid ptosis surgery (to address droopy eyelids); eyelid reconstruction surgery (in the event the area around the eyes are affected due to trauma); and as tumour or growth removal.

What are the conditions that can be treated?

Conditions that can be treated but not limited to are:

  • check-mark-1Droopy eyelids
  • check-mark-1Eyelid Malposition (eyelid turns “inwards” or “outwards”)
  • check-mark-1Eyelid tumour
  • check-mark-1Complex ocular facial tumour
  • check-mark-1Lacrimal system blockage
  • check-mark-1Bulging eye
  • check-mark-1Eye Socket Reconstruction (for ocular prostheses fitting)
  • check-mark-1Eye Evisceration and Enucleation

Glaucoma Treatment

Kuala Lumpur skyline overlook, Malaysia

Glaucoma is a general term for a series of eye diseases that are caused by optic nerve damage. These nerves are vital for good vision. Glaucoma, one of the leading cause of blindness among those above 60, is typically caused by abnormally high pressure to the eye. If left untreated, glaucoma can lead to permanent vision impairment which can affect daily activities including driving.

Vision loss due to glaucoma is permanent. Therefore, it is important to have regular eye examinations that include checking the pressure of your eyes. When detected early, vision loss can be effectively prevented or slowed down with appropriate treatment.

vision-glaucoma

What are the symptoms?

For many forms of glaucoma, there are no warning signs and symptoms until the condition has progressed to an advanced stage. This is why regular eye examinations are encouraged. Nonetheless, it is still important to be aware of the possible symptoms which are:

  • check-mark-1Severe headache
  • check-mark-1Nausea
  • check-mark-1Halos around lights
  • check-mark-1Blurred vision

What are the conditions that can be identified?

This condition can be easily identified through a series of eye tests that are conducted by our specialists, which are:

  • check-mark-1Eye pressure check
  • check-mark-1Visual field test
  • check-mark-1Glaucoma imaging tests
  • check-mark-1Dilated eye examination
  • check-mark-1Lacrimal system blockage
  • check-mark-1Cornea thickness test
  • check-mark-1Angle test

How is it treated?

Our specialist will discuss with you the treatments that are currently available to manage glaucoma. Treatment options include eye drops, oral medication, laser treatment and surgery or a combination of these treatments.

Neuro-Ophthalmology

adult-neuro

Our neuro-ophthalmologist offers services on visual rehabilitation and cerebral visual impairment. Neuro-ophthalmology focuses on visual problems that are related to the nervous system, i.e. visual problems that are not caused by the eye. Our neuro-ophthalmologist works closely with a team of neurologists, neuroradiologists, neurosurgeons and paediatric neurologists to deal with a myriad of ophthalmology cases.

Sunway Eye Centre’s neuro-ophthalmologist also deals with visual rehabilitation to take care of patients with stroke and traumatic brain injury. Patients with these conditions most times are unable to see either on their right or left side. This rehabilitation technique enables patients to improve their quality of life tremendously.

What are the Neuro-ophthalmology services?

Neuro-ophthalmology services are recommended to patients with conditions such as:

  • check-mark-1Optic Neuritis (of any demyelinating or infective causes)
  • check-mark-1Optic Neuropathies (due to drug toxicity, congenital causes, Leber’s Hereditary Optic Neuropathy, compressive)
  • check-mark-1Cavernous Sinus Fistula and Arterio Venous Malformations
  • check-mark-1Optic Neuropathies secondary vascular causes (diabetes, hypertension)
  • check-mark-1Unexplained causes of optic disc swelling (pseudopapiiedema, pseudo Foster Kennedy syndrome)
  • check-mark-1Ocular Myaesthenia Gravis (muscular disorder)
  • check-mark-1Cranial Nerve Palsies (various etiologies, ischaemic and non- ischaemic
  • check-mark-1Bleharospasms and Hemifacial Spasms (CP angle tumors, idiopathic)
  • check-mark-1Unexplained vision loss (Congenital retinal dystrophies and optic neuropathies)
  • check-mark-1Benign Intracranial Hypertension
  • check-mark-1Headaches, migraines
  • check-mark-1Stroke visual rehabilitation
  • check-mark-1Traumatic brain injury visual rehabilitation

Prosthetic Eye Service

ocular pros

Losing your eyes after an injury or illness can be devastating and damaging to your confidence. Getting fitted with a prosthetic eye helps you to regain confidence and move on with daily activities. Plus, it also creates a balance in your facial appearance and improves the comfort for your affected eye socket.

Prosthetic eyes are available in various options including ready-made and customised to individuals. A custom prosthetic eye, which will be created by our ocularist, will have a better fit and a more natural colouring to match the other eye.

Creating a prosthetic eye is a very meticulous process involving a myriad of details. The damaged eyeball will be removed and replaced with an implant. After the eye socket has healed, you can visit our ocularist to get fitted with your prosthetic eye. Our ocularist will discuss with you the types of implants available before recommending the best option for you. Generally, a prosthetic eye can last up to years or even decades with proper cleaning and care. Professional polishing to effectively remove surface scratches will be advised by the ocularist.

Did you know?

4 interesting facts about prosthetic eye(s)

  • check-mark-1You’re still able to shed tears while wearing prosthetic eye(s)
  • check-mark-1Prosthetic eyes can be worn for daily activities including swimming and during shower
  • check-mark-1Not to worry, after being fitted with a prosthetic eye, both eyes will be able to move in sync
  • check-mark-1You’re able to sleep with your prosthetic eye in place

How is it treated?

We are dedicated to helping people from all walks of life regain their confidence by getting fitted with prosthetic eyes. Sunway Eye Centre’s ocular specialist will help you find the perfect fit and guide you through every step you take as you journey towards regaining your confidence and quality of life. With proper care and hygiene, the prosthetic eye can last for years or even decades. However, periodical eye check-up will be advisable by our ocularist for monitoring the wear and tear as well as polishing procedure.

Pterygium Surgery

1ptergyium v3-2

Commonly known as ‘surfer’s eye’, the pterygium is a growth of the conjunctiva that covers the white area of the eye and cornea. It usually forms at the corner of your eye, towards the side closest to your nose and will grow toward your pupil. The growth can occur in either one or both eyes. This growth can be hazardous to your safety as it can interfere with your vision.

Although pterygium is a benign tissue growth, it can be annoying and limiting to your vision. It can induce astigmatism and change the refractive power of your eye. People with pterygium may experience decreased vision and foreign body sensation. This condition is commonly seen in sunny, hot and dry climates.

How is it treated?

Artificial tears can be prescribed to ease the foreign body sensation. The best way to treat pterygium is a surgical removal followed by graft. This surgery, which is typically conducted under 60 minutes, will be conducted by our trained specialists.

Squint Eye Surgery

strabismus-qa-1200x630

Strabismus or commonly known as squint, affects not only your self-esteem but vision too. Squint is a condition whereby the eyes point in different direction such as downwards, upwards, inwards or outwards while the other eye looks forward. If left untreated, squint can cause a series of other eye conditions such as amblyopia (lazy eye) and double vision.

What are the symptoms?

The most prominent feature of squint is the misalignment of the eyes. Besides that, there are several other symptoms that are associated with squint too, such as:

  • check-mark-1Double vision
  • check-mark-1Blurry vision
  • check-mark-1Tired eyes
  • check-mark-1Difficulty in reading

What causes squint?

  • check-mark-1The loss of vision in one eye that can cause an outward deviation
  • check-mark-1A dormant or latent squint that becomes more prominent during adulthood
  • check-mark-1Caused by health conditions such as thyroid disorders, trauma, tumours and stroke
  • check-mark-1Excessive exposure to UV rays from the sun

How is it treated?

Squint eye surgery is one option to correct squint. This procedure is conducted to tighten or adjust the eye muscles to correct the eye position.

If squint is your concern, make an appointment with one of our specialists to discuss your treatment options.

Vitreo-Retinal Surgery

Vitreo-retinal diseases cover a large variety of conditions that affect the vitreous and retina that lie at the back part of the eye. Conditions such as uveitis, retinal detachment or tear, macular holes, etc. can be sight-threatening without immediate medical attention.

How is it treated?

Our ophthalmologists are highly skilled at treating vitreo-retinal diseases medically and surgically. Treatment options include but not limited to anti-VEGF (Vascular Endothelial Growth Factor) therapy, laser photocoagulation, vitrectomy and scleral buckle.

Sunway Eye Centre at Sunway Medical Centre and Sunway Medical Centre Velocity is located within hospitals that provide 24-hour emergency services and this makes it possible for you to seek immediate treatment from our specialists at any time of the day in the event of a vitreo-retinal emergency.