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

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 Presentation Transcript

  • 1. Advancement inOphthalmologyHernando L. Cruz Jr. MD
  • 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. Eye Diagram
  • 4. Cataract Cloudiness of the lens 50 years of age Symptoms: painless, progressive BOV
  • 5. Blurry vision - Cataracts
  • 6. Glaucoma vision loss
  • 7. Retinal vision loss
  • 8. Optic nerve vision loss
  • 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. ECCE without IOL
  • 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. Error of Refraction Myopia – nearsightedness Hyperopia – farsighthedness Astigmatism Presbyopia
  • 13. Myopia
  • 14. Myopia
  • 15. Hyperopia
  • 16. Astigmatism
  • 17. Presbyopia Loss of accomodation ( ability to focus at near objects) Usually starts at age 40.
  • 18. Treatment Lens – spectacles …..Transition Lenses Contact lenses….. monovision Refractive surgery  LASIK Laser assisted in situ keratomileusis  PRK photorefractive keratectomy
  • 19. LASIK
  • 20. PRK
  • 21. Lasik vs PRK
  • 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. 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. Stepping Stone 2008
  • 25. Barangay Don Bosco 2009
  • 26. Oplan Beterano 2009
  • 27. Oplan Beterano 2009
  • 28. Surgery at Fatima Medical Center
  • 29. Piddig Ilocos Norte January 2010
  • 30. RCMD – Transitions - FMC- GMA Kapuso 20/20project – August 2010
  • 31. Naujuan Mindoro Oriental
  • 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. Our next Goal…….. Our own phaco machines Our own slit Lamps, biometry, keratometer, AR
  • 34. Maraming salamat atmagandang gabi…….