2010 Jan Feb GP Buzz

~ ...j'". .... ~.. ~.l!1I!j~.I' •... 1.1 .1 .... 11.-. III ..

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A

Start for

a Brand New Year ...

Welcome 1'0 til'H:~inaugural edi'l'f.on of 'tJhe GP Bul'X. 201 a and a Happy NI,~w Y€lCH to 0111

~'I' !glves me '9 rea I' pleQr~Uire to ~nrtroduce l'hie new~ revorn ped GP Bun. leil bT"moii1rlhly new~leil"ller brough'I' '1'0 you by '~h,e' rrsa Pwh'(Jlte P'hry~icjali1 Rer.o'I'ionls 1 eom sincs' 2006.

The fresh Ibok: Gf BUiZZ. is bur.!iting wH'h in'I',eres,'I"in 9 rnu st-rseds, leill'9:;'I' news' and happe.i1nngs, wM'hin l'he hosrpH',Lj I:. Otc'lllj'ijg as leil bridge '~ho'tJ 11'niKs the hos~p.n'all '1'0 I'he GP communUy.

lPior 'I'h~s 'yE!'Ll r's line up, we, Viii III 'be biingingl 'you neW!i from the hiospi'l'al such os new' cl1nic-o II services;, lo 'lie s:1' 0 dancement:S,in medica! 'I'ech iFlrolog~ end 'Ilr,~)(j j'm,enl op'Mom;;. n"l'r,ough 'I'he newsr,e'~ ~'€W, we olso hope '1'<0 k.el9p you a'bwleasl' of ,Ciln~l new' medicClli courses and O:P CMEs,.

~ n,o,pe tha'!' the UP lBillll wm ser.ve yc)'u weill and lbrdrtlg TISH cl)osel" '1'0 your heerts, We 10 alk. fO:MlCi.rd to vour 'teedback on till,le GP lBUlU and our's@Nh:es"

~ wlish you good h,eall'~ h c n.d success ,i i1 20 'I O! Lle'I':!;; 'Wo~k 'I'og,e'l'her '1'0 add yeol]; of heCiIl'hy nte' to the' peopl)e of Singiapare,.

A/P~o! C:hiaSi'n:gl ,JIQO Di;reclor (,II PJD'¥'Gie SelVl'c::es DrnlsIOOOI Chairman: jS!!Jrgery)! H900 ,s. S.e;nkw COf)S.lJllon~'

nSH [leporllil'll'1l1£!n't of IGel1.e\!'{Jj Stlirgeny

MiESSAGE FROM HEAn OF IDEPARlMiENi

The nSH Eye lDeporiment is very proud 1'0 klck U~ings on Inl 20 l 0., and w~ hope Itu:d'lhi's willi evolve to be, (] ,c:ruckJlllink be1w~en 'Ol.W hOSJJlh:;:ll~ one all 'kllmily phy.s~cions.

As the second largest eye unit in SIngapore" we, hOlve gJ"Ow~ ,expo.nenlially, e5peciolly over ~he' k:1l!;;1 hOll~ decode. 1'0, hi'!' 23,.1strong Ui,j's year, My' femQw COnSlJ U',olois end I now cover the ,ewlrHH~ spectrum 0], oph1hollmic sub",speck:dties.

'.' updcdes aboot ceFto~n odvOlnced 11f,eotmerrt optaons ovoilo'b1le ol nSH, such a5 m!jII'lij~oCClI~ le,rrs; iITl'plo i"'i'tslI, vi'suoll field retllobUli~ijollon for' s:trokJe po~uen~'S. Clnd '0 new ~a,~er modality tJrlH:;Jlt h(l~, revo~ultiOr1i$ed ~lr;eohTl'eri1' 'for diabetic re11!lfnopolhy' ond finoUy,

.' '50n:fiua LJse~LiI info,fmo1'loW] obou~' :SOITlJe 'Oi~ OUII" :servf,ces dedlool~'ed to famUy' phrysiciol1s '5lJCr;1 as our populalr' mob[le D~'P servNce,. 'os we,m (J'S; ~~erveiNjl: eye :screenlng pocko'g:es

no to ke yourtim,eto 'mup lhrolJJglh 'the (]rHch~is.and rnore impon'orlltiy'" le'~' U~ :know' how you 'fleel obout Ule content a Fld whalt' else woul:d you like 'to see 'f'or '~uitufe ijSSLf~:S.

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Dil" 'Womg Hlofli 'IVlml Head .& Sellior Consul'torill

nSf! IDep,)ofim€if1I~ o.f 'OphllholmaDogy

Emall: g:p@tI5h.com.~g

,p";'V\ote Physician l'eJ'afiolliS Office leI: 6357 2519 Fo:.:~ 6256 eo33

DIREC,T ACC:E,SS APPOINTMENT 'HO'TLIN,E (24 'H,'Q'U'R,S)

Can 96,616, 6619,81

yo

I. Spec~oli$~ Appointments

'. lDilrecf W'ord Admissions [2-4 Hours]

Y,o,ur IPo~:I:ents con Q'ed' 'folsf,=track odmi$s'i:on ,to 1he word (,subwec't to bed OlV'aiiabilli1yJ U' 'they F€H:;Juir'®' odmsslon to ,0 hosp'itat The ItlTJect Ward Adrnsslon serviee al~ows your pCl't'ienb, to' bypOiSS 'the A&E', thus sa~iing ilthemr precious 't'im'6 and A&E fees, :lrcllfietnfs s houlta be r'e:ferred tor diirEN:t word! odrnsslon onll¥ H 'thefy' are ln urg,ent' but' s:tolb:llS' m!~dicg'li c<)Ii,diifion.

Oc C'. .up .,0' rtlono II 'he~ra' ,-,-p:: ',,'

-_' - --- ----- -I,y

1D~:e't,eiml'cs &: Nuilri1mon

Spe ech 1111 etropy

Phy.si alherOI!py Podia'h)l Smo~d'ng Cessoflon Proglromm,e

We:j'QlhiIT Mano'gelment PlrOlgram;lm,e

Other oplions ai' 'y'OUlf 'fing'erlips, :

lei 6357' 8000

8am =, '9pml 'Man _, IFri) 80m -3pm [S(1)

6357 70'11 / 7'001 gp@t1s.h"com"sg

Fox EmaH

• Fie 0 se note iholf ihe' above 'OrppoTiFli~m enl Ilumb er appl&es.: for TlSHI por~e'nt~ Qnly" For ~ I\I!I oppointmeitlt$~ p~eoSi~' co 11'9637 9'718.,

• All enQuitJ1e,s 'It~rough emalfl" 'f(jl)i{ Qnd messo'Q!Tng ~erviQe,:s ViliU De repUed on~lhe next 'workJlng day.

N!EWS

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an Dck Seng Hos ital

EYE CENTRIE EIVEIINII _ IG CLII,NIC Ar'e the evenings more conveniend

To serve you be ter;

we have extends 0 r eye clinic

IMlandlay' ttD Frild,ay 'Ipml ~ 'Ipm

For enqui los and appointments

How No'l t o Missl

G A· .. ·'·' UC'" ""';0"'" -'--M' .' A"

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Signpos1s in your po·tienl;$ his.~·Qry ond excrmnotlon 1ho'l sh auld s Ef~' an alarm bells,

GfGUOCmo coniliIilUJ~~i ,to ftly 00 ne,[J·~hlhe· I'CdCir' of mod p'imt:llry heol'~11 OO'·~ p'nlY:!.icrarn i illicluding op,llholmologbro cmd op'lomelri~lt1 0'.1'11 Qccosio!1~, beceuse n i5rrequen1~v osymp1fom etle, Wfi~h rub~le ~g.,~,. Here· is, oqlJk:k i~.51'!10yld..Jl"!ol'-m~s!Y-fl'\e.se!· ·checkli~I' 0'1' 'Ihe sympl'O'm_s, and' slSJ"!S of glauooll"il"tC!:

~o.AG = ~ ~nsJ.e G-~~om-.;JCAi~~," 4r¢· c.~Ui'·e Gkll.icor:na)

Aliens ifIn the HiiStQry 'iiiiiiiiii~~~iiiii~i~!iii

MOfi'!' ,gra!!Jcoma 15 chronic andl m-ympl'offiOUC. IiI

BiiJ~ mpo,rh:::ul'l C1IJ,Jes. i'liI Ihe' hi~i(Jfy ~r'libe f'OU!rld, so enk. fOf tl'l~s.e- :!i~ilioaJly:

.. IEph~l',e.m~O:I'(IgnC\ClI 'Clues 1[IIU:;k FCiidr:us,:) - f(jilliiiily 111~;Q.ii)" of gtoUCOFnClI

_. His.tel'll of :selJet',e ooCulor 11e1Wi,mal or 5lJiiliiemy f.~e-Qondory gloU:'OOJ1loll

- lisa of :S!lero'~d eye dJ10ps:

• Severe ilMyopl~ fOAGI or ~evere hypefo',p:l;a,

IfACG),

- I&h:lel1iy T Onie.niej + fiEhmah;:'!, IA.ou ie ACGI

~ Cll)e~ ~'~m S'~wru)~oms

- S~I!;i~ng b~I,@i~ o~oi.md 1'o!lTlp~

_ li!)ecreclSeiCI vl!11Cln [only in very advanood' dise os e)

_ TrgrlI'dent ~1:YrwlJi!;9" 'Will"!! heQd~c:he ~lntermi'tJj\f!rd' hOG·1

, SeV\e,i!e' Oir:1e· .. sT;rdedl hea:da-cil1e 'wiltl v'omfililig. y;t~oll~~ gno aw porJi'J ol'td ~,~dlri~1'

IAcu~''eACGI .

AI.ens in th,e P'hysh: a'IIExoIM inatio m Any of th~· wmplo~ abov.~ 5i'ho~prOffl;p~' YO!) 'rr,,· IID:.Clooe 11!t8 '~'aIlOViiF!Q:

• Sh allow' amellior' chQmibe.r l'h~ .e,citpS1e:5'tgn ls ~5U~lly po5Slive· lin ACG· ~whe'lher (!cule or chronicl. palie,nl'$ 'WhO, 'hove :shCllow lont:eFior ch~i11Ib~i'$ $:'h~'I,;I1d Fi:Qt b~ d~Giled 'iiQr OiP~I'c di~;,;::' exomlna:lion. I Fi'gure· 'I)

··Ittio'flnee.' 101 'Dp~l" neNe dam,age.

_. RAPIl. G~C;jucgmo ii:li 'frequenl~Y' bilalh:nai burl' osymme1ficall, Ihoo 0 MliilJ'Ii;!!!!Ilf"GuJll~n pllilp1lli11loy be pJerer~t

_. Op1l~ D:Ds~ Signs: The hC!llma;r~ of gl'cnJcom(!!'~ous, diSIC damoge ~'$, dffr1.!!se or

fOr:Ci]lht[li1nt~liiIg ,m 'I~e 111m oif ~ I'\e oplrc esc .. ~lRiQ;u~e :n

•. C~ClJ5ilh: Slgns 011 A,clute Angte Cllo!SUfI!!!' I Fr~unll!' 3'J

- lrJ1~C;j ieral red, painllul ,eye'

- lrAid.-diiCl~ed', '~iif1iedi pupii

- P·asU~e edi·p.se S-1gn

-HMycomea

- Poliel'llJ is IJSIl.JClmy 'C1 n e!d~y Chinefiie I:.e.mole

- A :hurd eVJ~bC!11 ~g~l1~tv ;'00 01' both eyebclklhFough ,Clo~ed s'i"elid)j~ wIng

't~e tips 0'1' 001 hi your Ifllde}i iffingen'- tne e Uack. eye 1~ tliM.ioily pct1pabl:t hCf1d~r~hall"i~he leliow'eye)

- Inllhe' "',elY elderly OJ'(roij, wal'ch cui' 'lor :severe dehvdJolilon~!l'Qm vor:!"!~I[n91 5DI1'iIi oi'~l!4l1liittilllll!lJ'tN1i IfIUI".,. ~lII'iI'iN~Li~ ti UM~~1IKlfI ~1I'i 1i'I'~~.~ M~'

wlih c ~ell'G!w~h~p. ,0'1 MiXIiJIOij'J!I fyl3! Hl»PilriL 1I!t. Dr I,l'lIMg !'lOll CI! ~l')I)Ql~ ~ 'or- ~r~t h ep1!c i'fIE!i'!.'!I' heed moglng.. Hi!! Hoo'frm r'O!vr!'!tldi io, !leI up mJ-!J;~

. g,tlii! IJCQ!1I1Q ~.er'" lee QIlQ hoi :U~iI!' been Ti'III'i1ec1 ~i'etM[ii¢~, '0, !ru,i'nJC;i~ on ~hb- lQfJi';, lOr WQI1i.d ~ Q[w, D~~' Hecid .or NliG· lE.ye h'~~!'i'IjjI~o ,~~H Qj!"idl WO~. .;;: I'1JQlcliIy !nN:oi';··e.-;J In 'too ~!!31qj:rn e Ii 1 Ci I'd ,I!!!dit I'i (i oa !'M :s~~:c oMlMI.:urv 01 ~h Oh};;a~ PfQctiQe G~IIfi.@!; IOi' GbI!!c:ocoo,

SERVIC'iES.

Gokl fac keg. (j S -,1.15

• Vhu(l~ Ac:ul1y

TiEl' ie'lit dLsI'Cif'li' and neer vll1iuai oeully 01' 00111 €iye~ usrn~ ClISl'lIeaOO cOOn'.

iii tli1llrcoeutQr f'i,e~1iutTe Te~~

f'o ch!eok the eye p~~e 'Gl"ld de~e<;~' glouceme'. ~ polenliall;y blrnding iCClf1il.1iifoo.

.. Ai!Ji~f:r~C:lto[fi "I!\!$:t

V 0; CheCk 'l'he d&gr.e,e Ci'~' IOFig or. 'ifior~·~tgfi'edneM, ,one c;~1igma~l£m.

• Vi~~a~ ff,e!~t'g:51:

TQ afff,eell~Clt ~e V"kitM Ic~ ~ 9~uce~i~Qf oonlifd 'li'iriion [~S in rneeuler de~eMrcrl&:1F'1l!

• tbfl'na'lt f\M;glogrnp:h1

To check for d!aooil\; eYi:l4ireme' via phQ'~~rgpfitc BVGmitioDl otthe ifeUool erne mClcule!'.

II; ~~IOC~5; Che;e,1!:;

To chea the !=lowell" Qr: yO'Uf ~per;~\Ode~.

• tReoo.ri :~i!l (lr;ih:ih(lj~1gg:i~III~EVoe, POi;':*i)~

'fl.JOlju§; pho~o,.gf,'Cip~ CIifM:I CI ~C:ii@8rMng (lnol~I!!lIby' 'Ihe 9'f'9 ~pedClI~i '!'Ifi!Ibe Gw,I!!In"i! 1'0 ;rOlll.

Diamond Pecka e @ 5$201.77

'. \iblUllt ,A.c~l!I'lIV'

To 1\e$~' di~I!OniI ondl r,lecor vi~UOI OOi,ili1v o!' bo,1t!J e¥.f;!~ ~I (I Snellen ol':n:)tt -

'. IllilmQC,uIQl" f.!re~il:!1[r:e lliff!!I'

To. ohJ9ckihe aya pre!:Wl';e, and d9i'ec:'~ gt(:l!U~ !;:I po1liin1kily tiffndinQe:ondiiion.

'. "'l!litc~'C!iCtiQ:!lle.d'

To chec~ ~oo 'degr-e-~ ,of I'On~ Or :s'I!IO!i'.£i~iI'ilIOOfile::! 0i'!IdI

'JSllgl'!f!(litil5ofl1.

'. 'Vl~",Q'I: tjl~dll1!!i~j;

T~'~deteC!. ki~::, ,at' ~rde. Vi~lon {O~ fry 9h:J!WtOmcJ or cer'llli'{!~ vi!$lon fOli In r.no;cuior d'egeil"l;elOllof'lll.

.. tRe.ifIi!1~ PI1lQ't(lQmrqilh

TQ' check f'OF dicJhelic: ~ diseo:!i8 vl\!::i, p'hotogrop:hic i8NiEllooifoOn, ,of 1'I'IiI!t. reHnil:l ,001;] moJCulc.

'. S;pec~'Q)(::res, C'lfIe(:11i:

To. eJ'i;ee 1M, power 'O'f' yOUI' ~pe<;j'€lCle~.

,~ COiliVeQII'iI"'QJj!Q;gropl)y

A cOtlrilPi"ellie,riitve ,evalUC!trion 01 Ihe CO!ineOiI $l'iC.PEi Mel 1hltknei'~,

'. O,~n~!li'i: '{;;gh~(iiIi!I; 'W1Iii!:l'!og~'g~ ;[(!lC1!i)

To 6v(;:llll,t'oie' Itne heolih 'Q'f :1 he' r!!I:J~l.,.Iro" the' port 'Q'f '.he retina; J\OI! shorp vj5'ion_

'. "~~i~erg! RiJ!~f'I;.g! l,gJno(l!J;;jfQPFiY (ttRR' tiU)

Tel, de1'Grmirne 1M theal;h 01; i~~ -Cip~1c naN,e' n~

.' !!;l~i!'O,gr E~glll'l'il!!gt!~!f'!l gJldl tFil'O,PcQtli I~:V' 'QPbin~lm,Qlgg'~1

(Eye S;Ji;! OlClt(l1l ~Ij -. -

Our @p:hIIlQIi'ruJlog~1' win petl'!:ilm e de-toiled e:m;r.rnlnairon or your eye condition om (J full r9pOO wrlhFUndus pl:'iol~r{lp~, will 00, ~i\len I@ roo.

Advances in Cataract 'Surge,ry A.ch i evi ngl Pos'tD'lperative ISpe!lct'a,cle III ndepen dence

!1riI:r II'mll:bllla

lOr. rom con'lpleli!!li1 (] l:1i, moriillll 1'!:!liIa.v.!h1p h COOletJI ,it,. R'EI~I~ll!I' S!J!liil~ GlUm' IJn'lverih), o'r BriltlJl ac.lu~, YOIl!':.oiNer, Qaooda, II ~en~ C"finWJI'GIll ~ IIl'fifrOC IFe' SiJIlliiefY at KliG· Eye' m'lflute- ilTIiH, DIr f.am eu~en'l~ (l!!iO 11.eoCf& I~ N}[G E'i'1B. ~$Iil~re) C<!Ir>e!,!,}I;;,i. h't~!l:mi ~ AlfIl~ ~e9I'f1~l 5~e~ lOr, j:"l:;!m f:I; ·I;JCI~' ~~ k'! 'Ihe 1er;r.;~ 1:)1 rl!!i'rg>;B['i'e l;lnei cai'oc'OCi SUII~ery In ~1l:tB, legion. 'fifIh GI ptJrntuiO" 11ni~~ in oomil'llllopog!'Cl;ph:;" vlsual! opriGli 00td VI!'CI';'i31fm.n1i '5CIsnc!9:5. H@'b 000 M !nviJed' iWIe'llFlber o~ 100 lt1~OO'tCi~tofiUl tOL pO'\i'ief G100P'

UPD'ATES

IliliilrodiJi'G~ii!ln

CClI(!i'"CiIct $U'S,ery bes cetroln~ come (I to!'!!) w~ 'r~'!1 it$ ~1rrI.Q1 ifn;!'1!t;1ion of *,,-piy re$:i~!i9 c lortiy r ..wJith !If!;O!'e' fXllien~~ ncrw e;lIJ_pe:;:1in1g1~o ocfii6'Je lokl~ ~Peth:Joh3' indepeooence ,oller SU'gcry.

Th6 maTnractQI";i; [knifing unalLIed '!;'~Ion afi8f" coleroct ~!Jrgery ~' !Cl$li:SI!'i!"!iOlt1~ I[w~lli'Ier p!'~M'sling or svrg'iCQII,y~ ind'OOOOi. 00; or OCCOf'i"!!lfLoeiCi1io!"l. ;Ond ~~iicoj o'be!ltottor'!. A mOIil1E:i toW!Cfd'$ ~,educ:ed wtJ\llld ~e end! cJecr QClfnecl '#O'Ulid~ OO~ CA:inhiltru'l,@d '~riiliD!:mllV 10 r~ 5UfQit~. i!l'l(;l,l,iIot;;:d! 1tl~'Iigj'il"l:Olism I' M~iOJt'II.'h'il~. if'lIe'IN 9eth~r'Ci~'lo!"lS or i!'l'tl:(l'QCwkIJ .Ien:s~~ 11Cll;l:,1 (Ire cOIii~t~ni~ IOOlng de ..... ·ero,pedlo ocK1ress speciJi:c tlli:SliJG\i or recn"!Qifl.QI ~.PheriOO coerl"Cl1iOn5', tare<::lifrIa om01'r.1O'1~ <:'iM Pf!O",~aln:g oeeo~~~, fj~y •

.Monor'Ocal ~Ols

ThlI~ CfO ~till '1:h~mo~1 commonly iJ!OO I~ms~ ~r.::Nidif'ig ~@d ~1(!i"iC~ VII II 00 by de1w11 b-ul ~~tng 'PtiliClJ::IcJ'.e C.or;r'$CI[on tfQr ne!l;!lr V:i~ion. 'Be~'ide5 lhis." ,~pheri'oc1 ,i:lberrolr.ons oocuwl'iien Iigh1' oo~ are o\l\er-relTC!ded allltTie· periptlery of i~ ,~~, r~~lJljlogl rn'~ regiQ-n ClJ d'eibbV~e"d li9111 IFIog' 'II" CQri'li'l9 !"I!io:i1I1:)i mOf'llofQC(] 'IOl.$ IPO$~~ posiiiva ~phl9fkol '®-errolib!"l'O:~ QP,po~oo to' ~ile ne$J"'~Wte 5p'nenGQI '~JO!tQ!l O'f !he yOOPg' CI)P;i.'I~e, Le~. Com~irl!ed V\!i'liIiI !he cOi!'JleC!'~ pciirli'we; ~phericcl a'ber;rcIrOf'lI' lhi5 oQfltribule~ re hrgher>'Ofder '!:Ij:)hlarfooJ cb9m::i1lfom. eeus ing, riJ;duc9d con1rni!:t 5!!!lnsitM1y, glaf'Q. hQf.Qes. (:Inal ir:edU'C$d :SoCO!CoJ;)iC v.bion, in 'l;:mS\i'l'E!1 HiO Ihi~. o~ric IOU ho'o''e oeen de\loefQPed. ,;ene:r~' ~.ulri!"i9 ~f"i baHer cc.uiIV end 'ml1lmsl' ~engnri~y.

MulltT'IQC:~I~ IQ lSi

Mul!ifoCClI IOU; tl'\Oon:l.oro!e di.1ifereTIi! ~e!; lhai~ IPfOvid.e 0 rQnge q' di5itln'l:i!li!'. [ntelmBdleie end near'vi5iOn [fig 2.~. 'IiI"ffi; ecrJ"if'9B 1111'bOre d'ny·lo-day runelrona:nly {lool aDl1V€:nmnco 1'eN 'Ihe !:)olk;inl. h-eow.~~~r, t:Ii:!!~d\i{Jrr~og:a~ if:te!!,;id~ ~I01~. 1haI~ end som~ loS:t ,o.f c:onllr(i~~' :~eNifi;ji;y •. ~ zonOI !'e'lt,OC:li1ie mul1ifOt:cl tal. '1J15:e5 0 concentriC iimE:t~, ,Of teilse-ii, '000 ~

e~pecio;Y sood fOl d"1S1!:!ooe' 'yi:sio!'! ijn briQhl' light, In dilY!l ii9'hling'. H prQ';'td~ ',"ii'r I'e(ldif'lgl and 99:00 irnl~e<:Ik11l1;;! '!,I~iQ:l1l 1;;.1;,11 ls rolhElr'lPUpi-d~p~nt. 'l'Ih6 dmJ(JII::I~'I,Ii~' mutfi!ocaIIO:l..llFig:3}, on '1~'lII',li' Qih~r hand\, prQVidG;~ 9'000 noor 'l!lsion in normoj ishii' Oy~' IQU Sglis(\OiOi~ mle;rma-I1JOlt~, vi!I~n, and e!~o to'WfiIi c.onlr,~~1 ~enS-1iMI'f. l3io'lih IOU - ~wce mild '110' m'!:lcero1e glcilie' QIl!:II tK:!loes.

A};~CQnibod'Ofl'lfE! 10 b

'itnij' hKfQsr~d d'iWign ,of ~coam:rl'l~mi"'G IO~ '0110\'1$ IhQ W!"l~ 1'0 ~ dil:ploooo C!iilt.eri~y wi'rI'l"I ,:oi'O'iion .of I~ CilrOry ~0dY, 'thU5 5~nJ.I[Jling clrI::c.-ornmlJd:QiHorli o!: up 10' :2 dlupt'Bfii. However, beeause- or n~~ ffiQVeme.n~, 'tio'ia e:<Ge1' ~osiliM <:if '['ne ~en.s In 1M e~ukli' oog 1~ lli~~ly le~ ,~~:CIICI~ lEiria ~h~~rOt!@i !:tluld 1fE!i~!I' ii'I 0 leiss, predi¢IOb'l$ ~w~l;ome,. Ilni odCiilion. lhe ehdlh!:!li\;ge ofp03:I',e;tim c"gP'~i.J!m '~nj'cw:.en!n~. 'Iheteb;f ~T!'lG 'l'lhe' er'fic{lcy ,of 11he,!em. ever 'I!me. remoJm uareselved,

'ror1e ~.OLs,

'l"orrc KJl:S QI:"'E! de~!si"!ed 1'(1 OOi'fec~' ~~'!flgmOJi~m Clrnd r'r!Y!;'i' be preclSety cDgnedl mong ~lhe' required mi5~ '!heV mev Q'ff,er more pr.sdk:I'CbI0 cliligmc!k cafiiocHon 1ihcrn cccliffil)!e tcrallecromy qr !il'ir!-b(l! If(ljl~ iIiIcJslQlil~!. OJI1'~ntly criil'~lt;I~ ~iQric ~o,U or~ ~ to, c~t 'l.:'j) to 3.so of O$iigrnn;Ciitl$m 'WT'ltih hi'gher dS;gree~ 011 Cimmerian .~oon '1oce' Qitoil OlJle. Howeva. ~n the Ir,cus' 'Bv·aJVt ~ool 1W!Je oc)l j()~,gl'e~"QyI·Of po:~tlQil\ ij' w,oora: ne'j}@ 'ID 00 r,epO:SirtonM 5!:,J~rC(lIlV,.

'lhe!e leti!~S hOVee.:i!1I 'IrulY ,e~MlI PO~l'~ef,OJiVe ""i~WC!1 !':ehc~b:1liloi~(m Clnd YJ.Jjth cOnth!ul!"!~ odvenees the. real!!JrTIcl' palfgl'li' eon loot forward to iJ@1nghuly ~pillc:lact.B i~f'ldi3p!3nct>Bnt

SERVIC'iES.

EY'E ,AILI'GNMIEINT CLIINIIIC !C:H---D'RIEN'S E~,'" - C'EINTRE

T e n TOCk: Seng HQ$pifc'1 is pleo,~ed to in~roduce OWllot her 3Ip,e'c~·Clllis·t €!'ye ellnle QlriI level 11 deduc(d,e,a hl h'e~::rth"gtwo 3pecrolgmup'f) cd pa~~enf~:S_

E~e .Alliglnm.,efl1' Cllinlic eOl~!ers. '1'0 Ibol!1'aJdul'ls a Ftd dhildr:eFl~ pJ10~i[al'lFng comlprehemive dioglnQ3i~

. - - . ..!I .~. . - - II, -- - -~, - f .' - - -.. '.- - ~,. -"-.' - 'I'

anu Irea i men~ o r ,e'y,e fll"lISad@,nm,€n1

I~Slrabi3m LID),

A f lJ 111,_'[,1 e d'gl€ d [p,a e d i("ll'~ rle e p tI'l' ~,alllFfi(}1 09 Y $erv~ee i~ also e \lai~a bile (]'I' o.UW C f'i i!(:ll"enl'$ Eye Gelt'll'lre ~'c 'I're Oft ,eye [problems, wFi Tch el'fh~c'l babnes a Fid ehi~dr,et',

EYe Seree:I1IJnsrmr ChlkJ'r,en @ S$.6,O ,~ V~ChKt:

l'! e.yckil.gJJI'C~erlJ(JdrlOij) ~ O~'hoi:l11C A~£$OlIeffl.1

~ ~epi£jlrt by OiPhlihclfflrJIlagl~1 j~ ~p~[~ll:!iiJ

liuble '10 dEilI€lcl~

• 'llie eye P!'.J'lNef (If the ,~iITdD'eh •

~ Anv ~qUrni prob'erm; Clnl:l!or ~ &ya,

CloIC!JJr' VISion ,S-erewll'ng Oliasl'e:) @ :5'$&0

~ V~ cnec - - -

~ Colow Yidon '11'651 ~C1 :5,'

Ii Re~~ 'by OJ)hi~Ormo!GQI!~ l'Eye §f)ocflOhll,

5ui'oDte, !'C~:

'i PC!1 h::niiS ~ith, fomiY hif!1Oil' o~ ~r ~IQn

pr'Ob1errl$" - -

,~ Gor,EN3r GClJme!ling'_

,. MCpI.!l'reg oolocur. vlSIQIIlI PI~lI't!~. chiJS' to illl'!-e~$. ond dl!Ug~.

CoICIJJr' Vl5ilon Screwdng '[Ccmp;~e)!iJ' ® swm ~ \\'bictn ChK _

~ Coku Vl:if.cn ifed nOO IHYel

ii J!e[lQ!"t bv QplillMolfr'lolog1$J ItEy,e' S~&:ilis:IJ'

Suiiobte for.

~ Pcrfien't:s \M~h ml'lllily his lory or ~r viislon pdbt91T15_

• CG!1S'Br eel..! nSe'III'I"!QI.

~ Acquired odiour ¥isi.oil"illPfo.~e:fi"I$, due; '10 TIIMM C1Hid r:I'ItJgi.

L.9t1l'm1lng llh,tib:mHy' eye Se.ftnlrrn, @, .sS6-0 ~ Vi5iQ<fn Ch-e<:

ii Cyclo-ciUIOl~ff.~C'~ro!ll l'! arl'h!l;l!~dic A~ell5ment

Ii ~'l;eCQ!"t: by OpMlih!olmologld IrEye S;pe(,i[o~1J

S!lJil(JbIe f9!i ehiJdrelll wlltn $u$~ded ~Iifiiinel dirJftlCtJl1I~~ •

• ~!,.J!ft! m~ or GrSf D!Id . r·1tt. ~ wri'i'K!t!i'JlfIQl"oo.I'iCi!!_

11)9

UPD'ATES

_ _ _ _ " B:y IDr Yong Silao 'Q,rm

Th e p'IA ·S·' - C'-A'" L® p" h ·0 .. ·· - 0" 'C' -10' - .. a" 'g"-' u II a' to . r·'•

- _ .. ' .... _,1-\,1 --_ I , _ _I/- ~ I~_ I ._11 _ ;

F'· ··-'t-'· .-. . -.-. dl --' ... -. -. . . ,- nf '" rt . b"I . P'IR" '[Pl as -ile'r an_ more (,Iomror- a.··.· e '- .... -

for Diabetic Retinopathy

ILG~e~ pnoll'QCoogulolfal'l i$ In-e 'tIet:l1n11ienllC~ IQJi.'Jice fiOr m~n'( rellfKl~ dlIDild'efi rnoludln~ dil!JDe'ik re'l'lnop'll~hy. relfoo] I€lOB, (lg~et(]'hed mClO!!Jl(lr dle9lel"l~r,otiQill 01'10 certo1n $V"b~tl'-p.e$ of reuoo~ ¥i;]~I:IJ!'ar Oc:.oIU~I;lI15. Alfil eifffiC[e.rti1 ~!:)ser niach.'ineis 'iiilef-efol1e en~nlioi ~il'i! Ql#lf1ih~l'mlr:; iheu;~gelJ!k;:~,

lH~ef, Qoove'llllaniGl k:1i~er mac:l'lnGIs W'ef'€I' d~igned to Cl'e:lilo'cr QnIy Q ~~I(l; k;ii$~' II}!.m (i~ 0 ~Irn~, ~n :~1iiwl PMI~QOijlAOII'ion IIPi!!P JI for' diO'OOjjc re'tihO'PO~ l ~r-e p:::Ilien1~ {liF~€n ~ C11 lolal' of :~burru over (]! CW'W· Qf ,~OO!;"i1' J..4 ~wiQ"5l for Q:'lomF'10. lihh! Inmi1;gJI'iQfII oo~e~· 0 .~~i'!ilfioon" ~SICi':le !IO II1e e'~fir:~f"Ia.y Of 'the mochfrle~.. E"Clcl'ri ~moon can be 1inru&consumlng <:!OO poiflful. CJI!d ClCi~q!;J-Ocy QI' 'I'rOO'linnWTii i~ Q'~!en Ifmiie-dllby the p:ilienrs, '1Olerol\Ce o~ 'It\e ptOt::edi.!lr-e.

'me PASCAl.: ~ P'Q rlel1n SCt;;l!'l lQ5ierJ Photoco-ogiJIOlor jCl;cqul-ried: bylhe oOphthdlmo'lcgy IDep<:lrlmenl Tn ITSHI in :2OOiaJ b el r1Ay ilnliEl;gJ(l!led pot<i-ern seen, ICI~m ,[532r:rn, th;;:(.wnc"l"Ocubfed 1!" AGJ ::oyslGm, d'iSiS5gI"l'EllC 110 Irooi '!'9'tJinol Idi~eO~i!*- U~j"J9 (;I IPI'eoe-h;!l!'I"I:'IIif'1ed PO'tl'em ~ of VI) 1\01 ,5.6, 'SJ)gts., II' ulil[~~ [JI.5emi-culoma~ed,paliern gElfllEiFClion ~ysli3m 1~1' d~~ muft,lj}'l~, ~Mtl-d~~jOfi ,IQ~f PIJI~s in (i ropid '~l~I'&ffiIh~d :leQlJjgn.o~' moctlr-h5ble by lhe '!.l,III:;I:eon,

,B·e~efrt~ gf:the IP'AJ3iCAI~ln(,":lyd!e·:

~ Gr-egte, II;;.Q~f.o;rt dIJ.ring ,~~seJ f,J',e,~lme!"!rt

IRelitlQ.l phO'i'OCQ;QSliJIOliOn WiU'iCQn'i'en'~i"!O! arne!' rmJcti'i[fie~ CQri be' palnJul ~ (! cemmon 9!'OOi5le ,omQl1g!!ot poliBnl~ ~:om-B o~ whom defool 'hreonmlBnt for lihi~ F&05OFI. Cl'lheF!l. 'ho.f.Elllo:~e IF&l:Ii~me:nl~ poodly ond IMi'F.:'!:fore H3~,we more !'e'lreoli'i!'J.enl;s; in OfO'er 1-0 OO~le Ihe' Oout:!ie 0'1 theropy. The ~gl wHh ~h 5nori-duiOit,ign li;I~r pli,.ll~es in mp[d ~qulS'.riIGe rcrulh, iii ~5!ii pu[n und di!-CDmr:cwl' klrlliie ~ol~ni'.

ii' 'iedil"l(;edi be'glml;!'f!I1' Uf'JH~1 ,~:@mlPolI~d t,ot.g!'!v~nIlQr:! gl $r[1lG~'~~$Pot Il~!!le'il' dt".r.1'V1i;)WY ~y$l~m$

me PAStC.AL dl'Oi'i"Ioticoliy !'e<l\N:~, lfie IIc"I'i.e Il'iIeeded: 10 campl131.J3 PRf If!Bclmi3l1t:s m 9 'fm IbIte,ol8f number ![if 1ol5ef ~ 1i'I:'I00lI' be Ic~r1ed in CiI $hortet period 01' 'lM'ime OM ii'1l m~FlV liutonc;e~ .. lem UlC)fi [!"l0l1r or lhe ~ ~tion. Thl~ b cnologo!"l$ to (:~ering~he Ir'eOIlmenl creel wilt,j G "f.hol:glJJn blm roth1m' lOOn _slng'I~' i'ille ~hC!ih.·. Of ceurse, Ihg I{:!~-ffl'" i'li'!<;i.y ~I!II Ibtl· ~bc~d o~di; I~ ~ii"l~I~~<Q1' m~de' it gr.9{l~i!;!f (:I~Yrocv is: ~~oilfed_

~ iR!!9<dUiC'!e(ill iFii)fI"Ii'Ib~~ (ilr 'Ij\e(jlij'i"i!i;!'n~ !!i~$$r~!l!$. pi;!\V iP(lH'Einl IIAOre lOSe.' ~ho.IS, .@9!iv.ered per ~e$$to!'i lram!ole;$ int,1) .0 reduction in 'Ihe iltI..miJ,er 01 5ai5j'o:n~ requ,i',ed '~o.' ClOl'1I1pfeie 'H"IiJ3; OCRIC~e of Itmropy.

~, ;SIiliIb1Jhre:iiho~d bUJiflj, Ci:re pO~5!lblt!Ei' dlltelo 5hor'ii d'iil[ltrl1ono'!

Icu:e.r· J"'J~IJO\!:

'lhk f8dkIE-fI~ li1'r1~ rkk of CiVli3r-cfJ8C11rnsni which con FfIMJII In: mOCurt!F $CiQmng 0001 S.OOii' COO~

~e$e benelil$ '~OFi"ibLne te !f)IlO-v:i@e ~mpl:ovedj:)l-.eci!ion, $(ifel,. pciten~ ~i.,rnlofL and a :5ignJTwcnl red'\.K:iliOli ~'Fllre!;ltmerililme' OOf!'l_p(i.!'ea w~lfI conv-en!iDnal ~ingt~spc>l' pl'!@I~COO!dlKlltkln ~m<enif~11'h~i w'Quid b<e ";'!{€:h;:@med !by p{llillf;:ll't ,~ndI ~vr-aeQUi Cllil<:~,

FG I. !!i1Il<ib~ Qj' I!'ASCN, ~ Q""'~et1~ ~~I~. ~ ~j' ~,00tru,~.5i!I(I1'ffi r. ii'1~'~~~o;I' 1M r~li'I~ wJi~ ~i;$e)l;_lllJl.ffI:j ,'" iihOl'i1!I' i'! ~ mI~ iiiOi' or m~ ~I!'rm r~ Ol~jJf or ~fHijfi!l;;iiiI ilnl'Ml-e FIi;ir.iQI' file c.ro:J

sFQUGHT

O!"'Yciing ~'on A,5-Sociaie Comullcllll' TFI :HKG C'Y'8 ~mU~'6 @ mtli. I'rnkrWWIQ: t.ind'efg:-rGidooh~ m-Bdlcalllolntl"1ig in l.aOODn, 00 oomplsiod fif!; :S,~ciois1' Tirdnlng in Ophlh<:1rffloloID' In :SrngoJIO'I'8. liB ho~. bil::sn In~8d In UlE!

, . . .1 i''I'ir,o,dl!Jc'l [Ofll @f flew dhJ9no~tic ~fif'Y'ic,ft~

• ~.~~. 1''0 th8 di3parilml!inl. e.g" microp!3r1ml!dlY. l1Iis !1Ub.SpeCiloi~y lr:J~efficl!1 ill III ~kcl vr1r-eo-.Fft"llno.

SERVIC'IES.

OJQ be lie lE!ys dl:!i~()!'9 ~ Oint) 101 Ihe M05 ~ cornmor» co LJ:!'I9~, 01 irr,evenible bl'ndr111%;~ in s.ingapore, DioDe ILc ~e11nol FlllO lo-graphy I ORP ,Is on e:s.lablistied way of 5Cle:enlng 101' a d~eme 11'101' oller! di~pJo'iS no early wClmlflg sigr'ls, ond \JS1Jolly oHeds bolh eyes. 'll'1J1 h j Imffiy re.(efl'Ol ondrroo tmen I. II 90% of '~hosle, with d!C!be'tlc fiffli fii Cl pt:l'ltny c en b~ sa,md firoml ,going tlll'[fid.~·

Many palienlS USU Olby I,ove normal vL~lon In the ,eOJlier stage 01 dlcbetlc rslinapalihy. whsn Jmal' ilea.lmellll ts most elf~Ltive ln reducing [bu I no~ Ifemovlflg) Ilia rislt 0 r Io:~s 01 vls[on" lI"iSflC19. Ihe po'i'ierrt may no'! unaerslQl"\d 1 he i mporta nee of d"ab-ei'lc eve scr~lS!ning.

M,DRPS:ewi:(:le' ® Tan TQc'k Seng ~O\sipi[h;~!1

Our mobile DR P 'teom conslM5i 01' on l'mcg1ng s:pedoli~'t ,and 01 if1\l1f!$e: wnQ ''WI'll pI"-ovfde' Qf1'5~b~' fgee'ning! t!!Jrf:nglhe' ~olingilr,Qn.. e,t]ch poliani' W'ill be' dheckoo ~Qr 'Ih~ ~\!',;:!llQWiflgl::

'I. VT$!l.!(l~ oC1ul'Iy ond sho[lowOll"deriof chambers; ia drop otl '% 'lfOpiQomid~ will ~ '[]>Oriijni5'~~reel if 'th;~ pupil is ,3mm m ~mtll}er)

2. A. 'fundus, pho'logn:lJP h 'will be i'Q'ken ond an op.h~ hiolm.orogl'si' 'hom I\III~G 1~1f'~ IlI15tilhfre §l irollf,oc'k, :seng HD~P[i'al wili ill~erp~1' 'Ihe Tm cg€<s:. Within ell 'ii'it~ elk ~ me reecrt wl'lh ciOrr'espond~lllgl 'fU'oow, pool'Og.rolPny will be, $ent 1'0 your clinic,

~y bIi.Flg'iog~lh!tit MOfilP !jeMC12' 1'0 YOllr clinic. your diab~lic polfenls. viill iSlf'iloy c)QrT'!prehei'i~w,e CI nd accessibl'e cor.eII1!'O\JQih ':fOOl' Oilnic~

'IIoWlll'!I 'JI;'ffl'I ~!i'Jre l!iilrM~;;rN'i)'

HIQiW To B!o~'k1'

l, Stefl' by booking o MDIRIF" !S€S5rOn ¥Att! Us a:l' any oon,,-,eniii:i!'ll1tllme. Meanwhile. iSch.edule your dicd::!:e'lic pon~flt~ h:;" ~'~' us or. 'Ihe bOOik~d dQ'h~J"

Guide~ines fOt R'e,final Screening

FQlmi~y phy~~c:iglF1:.!i nmlllflClllly use 'I he' dired ,0 pll1~~ 011 fl'iIOSC,Op~ 1'0 ~or,e~1"'! 'fQJ' 1F1~I'i rlil::~,pClrt.lly, Howave r ,ina ~an~i'nvl~v re I e is liS per le,dl (lit 65~ wHh Ihig h erro r ~Q!'le51 eve n when perferrned by 'trOioed !ipec'io'lis'~s. 'The ClIll'r\l;ll'iJ'I F!!;ICQmm~ndolT(lIfi, I'~, for s.ingls' ,4,,5 degm'i9 retlnnl pilo'tJogmpih s '~o be taken Q1f Ihe poste~&o:r pole j macula ,Qlnd optic 111 erVII;Ii,' e Tlh ~ cl1r:ficol

pme Hce g liEdelinEis {3l9'9l fo r '~tJ e mOi"laQ,smenl 0,1 diGlbe'lk refin 0 p althy. pu blisl"led by the Mil!i~$lry {,'!,I; I!-I 190 II'tl [,0 e I' 119991. :s peU O'Ul~ 'I he recernme nded 'scree niing scheou te:

·I ore than _ teets the eyel

Tri e ks tOI k 1!!'l~J P 'y'lo U 01 ut of trou b ~ e in 0 Ipi h th a II ml Dill 0 9 y

iB}' i(J!rn t;rn'

AI Praf GcIl1I~n; YO:n;

A po'lierrl wrto Yi~i!',fi. tne ~arnily eeeior 'rOOf rnON1pedfic b~limng, of vis~ofl may adually horbour ~iniM\et probil~ms~hot co n b~' llilosary missleld iF We O~1i1' riot equfpf;Jed wnh ttH;)' necessorv skUls t'O d!e'li~ct thetFlil. ~ te'r€)' am 2' cosss Grid :2 1up~ tho I' I wIJUidilike 10 snore.

C;::l:lise 'n

A sa yetJF oIdl men CGlmDlclnOOi ()f nOfll·~~e!i;:lnc b'lwmne. c:lf ~n in both e'(e'~ 'QoI' 1he, peS1' year, He' wos Qll'\erlM.!e well, ii:J1Ierh.e QC~a~!JflI!JlI nendcche. C!i~l ~~mFnotlon revool!. g!Q(X:ISnellen ocfJi1y, Op h I h !:JIm!!!: ISiXCi rnl n(:llHon I$, 'Qr.QS:Sly norncl. Prg!I'ilfom;1'1 diagnotii'l, : ReFn;;:li:lwe eilfQr ? 0Iy 'E,l!~~ '1

A. IJ:S.eh.iI nlEiSI' 'r·o (1'0 n~1' i~ eon[ronlOIlQnOI ~I field K;reenhlg. A pi;]~renl '1Nflh b1lemp.ocol h~I~!"I~kl' I frQm ~, ~niJI1'(:1ilY h.mi;Wt} 01' 0 11':1I:)tI'llOOYriiQI,;I$ hemklno.pio lhoflill '0 ~1m'ke 'Ir"r\I'~ '!tie Wiudl pa~hwaIJ m-o,¥ InlllQmy CQmlO~iru 001 v{l~ue b'lulilnE) of V~1ll Ifloj' ~(Jn bee(J$ily ge'I\Sci$d wlltr. II~, ~'e d11i1kLli!B.

This ~il'lip~~\$'51 'Ii;lk:e~ I. thon ,~ IT,inule_ The lXl'ienl' ~il~ el eye Ifr¥eI v..rirhlhe ~~mher ~oo' ~ mked IQ i(4)\'Ii!iir 'ihe left eye' willl ltle polml of ~ IeI1l h[)r1ld., He 10011 rw.:c~e~ eli the, ;e~(]mrrJe,f'~, !en eye. 'fir1,e ,exomr~ ,[JJ~~!E:ftI~ I Qr2 finQ~ O~' e(Jcon qUOdr,arnl. o~Min9 lhe po~ien~' how ffUrJ!'lY ,mng,e.n ne can see, The [paitJent m~;' ~t,e' O~iM examln~~~ ~ve' o1i thIs lithe', lhi~ ~i'i'Iple ptoc:e"duue h re.peoled wfllh the olrer eye'.

ffi @··· ... I~-

'. fIj !iii,

,

, '

.. ". ... ..

ft9 1 ConJron't~1iI~n '~Jeld~ ~OIMngj i'!Jli1lmnru.a1 fll!ld Im.\

IF~ ;2 IHVf '!illDwlni!l b-_Itilmp.or~ 'noMnl~riopi:!i

r'" ~ i;III;I~l'I'DrOVIl/Jlb;'~Ctl;;gllb!;l ~(ji'itI'ip;'Jfwww.pPrtn~~~ i.

12'

lil'Il~hr~ POllent. cQnfrO'ili'tOIIIOIll Iileld cm§eS5!'i1lenl feYeWeo IMI' Ifte WrnQble' to !)Ou.rn~ fl!1:9CI'lJn lhe!' ~~ lhoNO'S. 'OVI ,QOfY Obl~IQ d~~~1 lhtcmd IT!.Ciji(ln$ n line f.eIillP'Df,dl halve;. ,af ,OOth ey~. 16 C! bUel11p~rd hem [{l ifiQ,P'1i:;!!, jFig!, ~,I

A l,IiQI'n ~'Ied Peri m'e Ilry \l'i~UiOll rgeld oon'lilrr1led IIliii. ~Hg. :il~ end an urgent MI?l ~e~i;:ld (Ii pli\iilory r:m:l~(l!lJ~efiQli1fIii:;II,

Alief th€l FefllIO'\I'dl Q~lhB'IIJJmO!!Jf, ihl~m~ld5 i1':~IUi!!fL~cd 'ro n~mOI.

Cale :2

A 6!i y;ecr Q!d Cl"lim::~~' JCdrv noll cedi o-r;:CO:~F1o! blvrnng' o-f ~ri ill 1'he right ayo for ,6 mo:nl~. She sow on opltami.:ilm.f ~ I"I'!' Wel$. vnclbiQ '110 tm pro'lili:i h f;l r '!I'i~ur;;!ll c>I;:u1ly v i!l;l ref1l'!:l'C~~o!'l, Cilrilt;ol e:mmlnall'o:n FBVttmad M'2~, ~on fn 100 rl'gh' iIlli'p't;:! cmd 6t9 vf;siQI"'I iln I~ '~j i (lYfl \'\lith 9Ii:;l~~e~, 'The red rer~)I; WO~ only 51fghlly d:mlnl~€!d In oolih eye~!

80°.-·.···

,

,. .

":"". . ....

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ff'OV~rOIliCll cliclgncni:l: C(lIOfClCts:1

AIflI ,elderly' pJ(]l[elillwirh olurri'ng iJlr '1~ian I"IlQ)I ~Iy hove OGh~ll(Jc11. HO'Wt;I'y\@~. in 'ihe pr~ce of CI r.'o~lfiy 9QQd Jed Irl;i~_;W; !Jul' ~oOtf voo~ oouily, olner COUliie'l; like opiic; nelW~,P'Qlhy rrrollim 9'h::~ucomel m on intr(lOIoniol d.Qmpr~e le~ion) OClJ':Jl1iof 00 IUed(;Iut

A 'Vitial <:Ii'nicc e.:«J'fI!1iincIiQJ'ilc per[tIfm virh.r<illl:f' rOt ,e ... 1efy lPo'liienl wi:to, hos lb&Jfflfitgl lOr ~n 'W'Oi;.IlC! be' CI .s ..... ~i!i!~ 'IOiChlighl' ~'e51. I Fig. 3]1

Thi;1i Jiieip$ u£ ~O:I:;h:1I' 0 MC!FO!.!!~ IGi'!.!l!1!l! pupil ~'IfIi!:]t ~~ ;e;:(]1,.I5ed b'y c n QP'I~;;::: neuro,pt:lItiYy Of CI crrrru!la r.eli:nc ,p;iObt&ffI_ 'r:n,e i9'XiOmino ~'VOI'I :F,QQ!1lI :i.nould, ibe ,aimmea and Ihe potlE1n1' a~d 10 look '01 IlJ didlfilnl obJaci 10 pjli!!Ivent: t)C~OdQl~e l'I1i'~. ~ ~l'1'OIi'l@ POifi'f ,01 IiQhi h ililen ,5"NlIrig [rom G;l!ni9' eye 10 1M tOIl nerr CIfIt:II back ogom, As accl:i pUPil ~~ i~~u~inOl'eiiJI, I t'1e, e'.l«Jmjn,elf .oD5BfVeil. Qlct~l'ely rOf'

,o,~ IhB ,relodiiv,g; b:i:d:,li'l9s~ of cCoait~tricflon

b) oon;;:iijO:-Mooi dikiiiioiiil ns:re<ld or 'GomlricHO'f'iI" te Mar'OO~1"I p!Jpil" This P<lltll!!n~ hcd c rl'~"rI1 M'(J eus Gunn pupil. ~OO!lOOi:iy~hoMl\ed Ii) 'C~i)M. !POle ,optic Cll:5c, 'J!he htr(l-ooular jpl'6!1MJ11'e' was ~,o!~d_fh0. Cfiu:!i{j W~ gki;iJCoi"i"lclclj~ OOlic n~(H:!!(;j~h'f. e po'ierr.1io~ IbiIrldiFi9 cOfldi; i on. In ,!hYH, b(!llihi thifl' C MfI'OJ1it'atkl-.n 11~ o~~~~m~nl onc:lltl"~'~ih9inQl liCifCMgh~ I~i ,Ofi@ ,$im~i~ 'ro perrOliTll alld eon hefp IdS' d'ele(lll' D'lTnding or ~¥€ln lir~-lhr~hll~1 ccmdi~iom. OM ~11(.'!lYidi inOOJ!pI::m;l i eo M"e i'n, wileII'!! ,j.:mm!iiJ'IfJ (;I pi,]Hm~ wi1h ret:llJ(:ed v [si OIl.,

s~ ... C!.·,· UG:-urr

. . - - .. ~ ~

- -

~'~'~I~q'~ ~k:@I h(Pror. GOO" SefiD Con.wll(!lnt ls cho {)I DeIiNi)! I~~or QI iill;' tiJi"lQ; eve [ni1i-llJlt.e end ~e.oo Ell IIlIe INlau.ro- Q -p;Mhci~ mologlV ~i!!l.

!~ <:~iee! !rslll I'~hl~ @b ~~0fI;l f'Grner I!:'(e 1rt5lltule" U~A !U~ Ille peQep~!D or R'ot~ G!05oeI' IIJOO S!:t!l;!j~ He liwIJ; beeo e({i'e!!l!l~' t!'iiotved! ~ i§Cj-ci~ ~ 'irt:!~ 'i'OY~ (lie.e'i'(IF~ ii'II In~ CI'IODeD'lli1IfliI;il 1olJ1:>'~101Ir,.. ~~ Oi fQUI1{'JIf19 memlDer or D~e' Mlion tJ~ur!,;!l·O;p~ilhQllTi!ollJ~V SlQche·I'Y. he hm QI~O, IcrQ'itfi e (;!1 @f1d menl'((Ired PellOiIN I'II!;!'I"lI'Q--QPI'I~ll~fsl~ in I~ ~~11., IHe ii ocllNelj( ~"iWJl'l'eci t'! tile ';!Wo:llehab!fl'(l_~ibn ~ lfX!1~1~ vAih :l:P'~e:l; IQlr].l!jl 1i;lrQ!!1i.{w~ uj.i~ II\eo N'e"'O'~ "'iiJO!'I ~~i~ 'Ih~.

SERVIC'IES.

f lEQUENTl't ASKED QU s r i o

Whut ~'!I, V R'II'?

~o'VQV1skl[:1 V~T V".sl'on Restoro:1ijon. 'line ro py is. a g rou i"I'dblieotililg m€:dic:al diff:"Ike, '!Ilia:!' olrns '10 repair domo~Jed' nauro rUil~~ Ibosed Oil ; he :se~nce of neufcplostlcily.,

Hlla;w dOles, VI]" Wior,r,(?

F'af;leillf~ 'wl'ilo hove ()I vi\; [OFlI de iii c;['!' re$\Jlling 'nr1O"ifI! $1i',ol\Je: Qr'ili'Q!l}l'l'la~~ Cr(j[i"il ~nll:}ry m~ b-e suilobie' eafildid(]~\e!!l es V~1i worts. by' :~lim!!JQting 'I~' Cfea~ Q~f,he' lP011ier;I "s lI"e~k:l'AJoi 'Y~~'j'aJ"'I-.

WIlQ't Iklnd rof vi's ual dl$Qlb'm~iei (;,Q ill be 'rre~af.ed wUh V RiIi?

VFH' is, 'Indloalh9d 1'0 'Iroo:1 v;lsuQ] dcelTdl>s (;iOIj~ by ne~rQ~oglcdl 0I50r'dGfS wet! O~ Silr'OK~, h.~od :In]wre:~, o,pllic nerve ilil]ui1e:~, OJ broi'rn 11l"ImOl.Jflli, OiOnn;gg:e frQ!'!I1Ilhe~e ,d"lSor'dGfS OIfta!1 'off~~$ ~,hQ ,,;i$\;Io1 pclj'h'wCliY '10 Ihe brain. 1 h.iJ:I: oCl!Jlsin,g delecl~ m ,th,.e field of vi~ibfl, Vli5-vol FwiJd d~ikHs 1!ilC;IUW hemi~ 1"!001'O fdtN::::reorsed orjoss '0'1 'vis:loiil In ene nol f of h~ V:i$U~llield~. ~uodl'Oi"itcrf'lO:rJiCi Id!llcf9wed Ollo.s:1 vision in ens 't4i!Jorter 01 the vlsu(j] lield,l QnG sco,flQrno fli~l-ol11d i~e !biind ,sp~~'I,

Wh'CI~ Is th e dU!r!JUor! ot' 'the 1 11, !! ria pr"?

l1e Iniilfclll'hBlQ.P¥ is ,clPp!cmJm::!'~eIY 6 to 7' monlihs. After this., ~he remits me mvi~'Ned 'wilh~h~ doct'or. Som~ po1lalilh, 'OOVl:!t c.onlinue:d l~ei1~py fo ... up '10 a year,

What i!l,~hlt!i, :!IIiJC ess FClte'!'

Over 8l)!J poNents mlhs Uniled St1crles and Gellnmany haiY'e ibeen,firect,edl wHh VR'W _ lin a rec§FI;l r€:'lrmpeetil:ve sludy" more rhOIrl! 6c§ percent of !pa~1en~:s 'WhO, cOrTflj)'leted VR:'if SifJowed If1IliemllJniJibJ~ Tmpro'!,liE:mll!lli1~:S in 'iheir vlsjo!1 tholl enihof!cedlheir ~u Gllily of ~if!Et._

II-h:)w III ave Ipaffiillents b ene~nedl fir'O m ,ttl elr i,mproved \l1l5w'OFf?

Pnimo.ri!, m05,i of 1'he iFiJ'iiro'\i'E::menl:5: l!'lVoliVe dOlY-'lo-d'.oy' t(;:rcl~viITI~S: sl;ch cs mading, dacrHOS9 ill riijor'~G, from roll:li; and bumps... il"liClreased mobilify etc,

AltJ'e. ~lli1e~e arMY paUents w~o are I.!!rMll,lJ.n~b~I'e 'for 'VRn

The' majorilY cd pOlltenll~ ore :suiito"bl:e of'ldl mOry b@FteiU' from VRfI_lHiQw¢.Ve~. Ihelle me :£peeldl oond]~iom where VlRf Ill'OY' lb~ 'CQI11~CI!ll1aK:iOlled. these

irWluoo@· ~n¢l~efllsil~ ~pl~e-MYi

ocular 1Fl'~tamnlG'lron~ gIG!JIcoma.,

m~OlJk:lf geQ;.enera~iol!1. arleriol 6eehJSol~i'lI. 00 rlioo i ~inc;l ness (li'rld si'gnif,Tccfilt cogi1ll~'\!'e' de;filcil$ Iha1' mOl' ltie Q hlndr,c:flce 1'0 e~r'ec~i.ve eorn,pre-lion of' "lin _ tp'a~~~Ii~ $ullri$'ri1'lg '[ram iOclJI'~e eenlrel flIeiN'om ~s'tem {)~ an'j!' eye di500~ are' lE;i!oCouroged 'IQ d'e~ol'f 1'her-cr'P¥ U:riim '~h~ Cicul'e pl"los€: ts ever,

Are' thsFie cutyside eRects to 'VHf? P~d'omrna!"llI~Y. 'fne ,palienl'S shou'ldi 11101' i~~pe:Fi~lliOe iIlny :5iglilirlG[]Ifi'~ ~id'e~frec·ll~t

IIsUmere tun age limi1lf(u ~h~

t l1erap"l1 -

There 15, rHO :S!i!11 ago£! ITmn as rOF'!.g as 'Ihe poljerl'i c'cr!llPerfQrm Itle iherqpy"

D'oe:!ii] ttl time lap!!I,Iili' aHi!tH ifili]'!.!iry rl~r!d~r Ie:! paH~ nt unsuitable, 'h,;u' VRm?

No., pcI~renf.s, lhave imprOVtsd ,even arle~ mClny yOOi':~ o:f l'he:ir in,iulY.

W hal '1:5, ~lhe fo~ I'O'W-!li! p hecdme.nt off elf the !nfrlia.!ltc;;ourse C!~ '1,1'1 empy?'

Addl11lono1 'li$olil'rlien1' mQy [i[~:wll II':! clQn'lill1ued v~suC!1 irnlPF'Q'Veme nb Nr' rn!:Qmmeooed by tni:: doc~m'. StQP'pTnglfJlh~ ~"'eolment would Fiol Cau.S9 you '1'0 lese n,e sighl you hav-e ~P::lI:ned em~er"

13

PROFILE

11)1' Wong HOili l;ym ~ad III Sci1ilu [omli'lw.t ta ~ aJi ru. G~ IJ!l! In.!!

Ii]Ir !";!Im IHJ!lm 8a:r §icl'liOJi'ICmI'lM~n(

(aliln~ (mme:i" Reft~allA1i SlJr~ {WIKl

Dr ,:law M'inn-Dln ~nror(~J'lMta»1t (Part~n1m!~1 C1J!d:raC~ 'll'iUM·[;Il?'lliUI

iiJr LHII1I,i!lflll "IiI, lor.i~u1~~fit

CI~m. GI.alDnN

Dr Sf_e,:liu:lIiil Trelii'b Co iilS"1fIhlnt

ca 1m rB.IUmilIt ViUt!t'ReTtjl'lQ

Dr Li'm!,N@iI!!! KJj:!lk (nru;'liltMt ~~t-lIrme'J i!1J!il;J1ctl,.lU~m.5

D" A~gIILI![tiJrIil.l!l, l!.a:1lld'l!! ~J:OOaN!"C_1Ii ru,ij It~JfI:

Calmm. 'I'1tm!11-R~1Y1

DiIr'Yong' S!h aa I[Uilili Am!ciaLe (oo;sulWl

Catillr:'lI~ 1(ilreoJ,Rf1h!

,A/Prof Urn 'ToC!k:MilHDI ~ij)J Ci)1lifulblil't &

IJl'mrulfj rtHG IENe ImU1W!' Cali!!'l!m, mrn:o-iRdm

,AJP,ro.f' Heng Wl!e Jilllli SeJlio:r ('Im&111 ram

(amrn1t (()w-a ,t RIlfr~~'iurgNY iWIX)

['I,r Vem on Yongl (ar.lSl!'tant

f~t~fltItS.. CI.la:lilmriil!J

D,f' J!1!!11m,es: Pam, (Clf]!iIJ~tal1l'

I~r.a~ Wmea' &. ~ef~ 5wg~r; (lA:5.I1ij

Dlf Mo':S1ll Uiii g ItQ.nMJI~IiI!,

(atilmitS.lJJwitfs

ll~' ~JIil!!W t"iilli1! CmMIJI1ii'll (.a1ai1m,.lllrreo-4teafna, fJ]nJcI~11i 6t'tt.anloor

Dr lb]e~hll~agDpainal!l ~ocblt fiw!i!lli\ln!' ~~f!!{I~,Ylt~(,'I~1f11iJ

Dill' Elli9i1Hilii!! Pol'ii A~odali!! Goru:l;IJbRi

(;jl~fiI~ Ilru~)'UI~

Mfie~ Gall KoHl Yoq :SClili!lr'C:GmliJlb!Jn~

Utaoos;.

~'tIJT1{l-Qplltha trmQ I OIDI

g,r' Lim IEI'DDn AlI'lL! SlillDr (~il5IIl:ill'll, ~FiI!ii:·ftii'll!ll~ (aM~ GI1Ltf!llma

.lor' iLeal :Seo Wei Co!m!JlClnt

Cn~mt1, ,~ljl'lC ~~~Jl~

D,f' INI kol~!!' TIl iii [J:i1nu t!(j rnl:

(~~~ V1!_I\'(I-~~dJJ.a

Dlr' 'LIm Su Iltli i111 ,C@n.w~~mllhfl:·'!fiml!'l

'C!tarD; ~~r.~,phIJu&mQlogy

Dt UBiJ¥IJ!i!llpil L~' ~!l (D.rmI1i1lnl,

(atll~. OooJ!Jl*st11!:S

n r' e:-SbDWiJlI G'I!!I:h Am!cl~1E (Ji!iru,Jlt'lr:J~,

lC3taams, @~~tll5

.. '<. CENTR

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15

NEWS

'CME SCH -:DULE201 0

'Organ~e~:: O€iPClI~\I1!1!€il"'itof O,Pt1!l'ooimogr¥ lliQ'ie :: i()'ii. :FebrtJal"y '2010

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