Life of Vocational Excellence Classification talk Advancement in Ophthalmology

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Life of Vocational Excellence Classification talk Advancement in Ophthalmology by Hernando Cruz, MD

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Life of Vocational Excellence Classification talk Advancement in Ophthalmology

  1. 1. Advancement inOphthalmologyHernando L. Cruz Jr. MD
  2. 2. Recent Advances inOphthalmology Cataract Refractive Surgery Ophthalmic Plastic, Reconstructive and Lacrimal Surgery Retina Glaucoma Strabismus and Pediatric Ophthalmology Neuro-ophthalmology Cornea and External Disease Low vision Uveitis
  3. 3. Eye Diagram
  4. 4. Cataract Cloudiness of the lens 50 years of age Symptoms: painless, progressive BOV
  5. 5. Blurry vision - Cataracts
  6. 6. Glaucoma vision loss
  7. 7. Retinal vision loss
  8. 8. Optic nerve vision loss
  9. 9. Cataract Treatment : lens extraction – 1748 Couching /ICCE – 1800 -1900 ECCE without Intraocular lens -1900 to 1945 ECCE with intraocular Lens -1949 – 1980 Small Incision catract surgeries – 1985 Phacoemulsification 1980 Phacoemulsification with foldable Intraocular lens- 2000 Phacoemulsification with multifocal intraocular lens - 2004 Laser in cataract surgery …….. In the works
  10. 10. ECCE without IOL
  11. 11. Advancement in Cataract surgery Better and Intelligent Phaco Machines, efficient fluidics Smaller Incisions – sub 2 mm incisions Better biometric calculations Intraocular lens  Monofocal IOL’s  Multifocal IOL’s  Toric IOL’s Combination of LASIK and Phaco with Multifocal IOL’s
  12. 12. Error of Refraction Myopia – nearsightedness Hyperopia – farsighthedness Astigmatism Presbyopia
  13. 13. Myopia
  14. 14. Myopia
  15. 15. Hyperopia
  16. 16. Astigmatism
  17. 17. Presbyopia Loss of accomodation ( ability to focus at near objects) Usually starts at age 40.
  18. 18. Treatment Lens – spectacles …..Transition Lenses Contact lenses….. monovision Refractive surgery  LASIK Laser assisted in situ keratomileusis  PRK photorefractive keratectomy
  19. 19. LASIK
  20. 20. PRK
  21. 21. Lasik vs PRK
  22. 22. FAQ’s What is the best time to have cataract surgerry? What is the success rate of cataract surgery? What is the complications of cataract surgery? Who are the candidate for LASIK and PRK? How about regression in LASIK and PRK?
  23. 23. Project Mulat Mata of RCMD Stepping Stone 2009 – free refraction and glasses to down syndrome Oplan Beterano 2009 GMA 7 kapuso Foundation and Transistions Sight saving Month Project 2009 Free Screening Rotary Club Canterbury 2010 to present Barangay Don Bosco 2009 Piddig Ilocos Norte 2010 Naujan Mindoro Oriental 2011 Inauguration Bahay Mulat Mata October 2011 Dolores Eastern Samar 2012
  24. 24. Stepping Stone 2008
  25. 25. Barangay Don Bosco 2009
  26. 26. Oplan Beterano 2009
  27. 27. Oplan Beterano 2009
  28. 28. Surgery at Fatima Medical Center
  29. 29. Piddig Ilocos Norte January 2010
  30. 30. RCMD – Transitions - FMC- GMA Kapuso 20/20project – August 2010
  31. 31. Naujuan Mindoro Oriental
  32. 32. Partnership with RCMD 10 surgeries without PHIC every 4th Thursday of the month  Sponsor responsiblities  15 k for the 10 surgeries payable to RCMD  Transporatation to and fro bahay mulat mata on surgery day and 1 follow-up day  Food for the day 3 Nurses and 3 MD’s
  33. 33. Our next Goal…….. Our own phaco machines Our own slit Lamps, biometry, keratometer, AR
  34. 34. Maraming salamat atmagandang gabi…….

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