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Life of Vocational Excellence Classification talk Advancement in Ophthalmology by Hernando Cruz, MD
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Advancement in OphthalmologyHernando L. Cruz Jr. MD
Recent Advances in Ophthalmology
Cataract
Refractive Surgery
Ophthalmic Plastic, Reconstructive and Lacrimal Surgery
Retina
Glaucoma
Strabismus and Pediatric Ophthalmology
Neuro-ophthalmology
Cornea and External Disease
Low vision
Uveitis
Eye Diagram
Cataract
Cloudiness of the lens
50 years of age
Symptoms: painless, progressive BOV
Blurry vision - Cataracts
Glaucoma vision loss
Retinal vision loss
Optic nerve vision loss
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
ECCE without IOL
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
Error of Refraction
Myopia – nearsightedness
Hyperopia – farsighthedness
Astigmatism
Presbyopia
Myopia
Myopia
Hyperopia
Astigmatism
Presbyopia
Loss of accomodation ( ability to focus at near objects)
Usually starts at age 40.
Treatment
Lens – spectacles …..Transition Lenses
Contact lenses….. monovision
Refractive surgery LASIK Laser assisted in situ keratomileusis
PRK photorefractive keratectomy
LASIK
PRK
Lasik vs PRK
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?
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
Stepping Stone 2008
Barangay Don Bosco 2009
Oplan Beterano 2009
Oplan Beterano 2009
Surgery at Fatima Medical Center
Piddig Ilocos Norte January 2010
RCMD – Transitions - FMC - GMA Kapuso 20/20 project – August 2010
Naujuan Mindoro Oriental
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
Our next Goal……..
Our own phaco machines
Our own slit Lamps, biometry, keratometer, AR
Maraming salamat at magandang gabi…….