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A rare cause of eye pain is a condition called scleritis. It is due to inflammation of the outer white coat of the eye(sclera). Most of the time, the eye is red and very tender to touch. There will be no eye discharge. Most patient describe the eye pain as one that awakens them at night with with an ache around the eye and head. As for uveitis, blood tests need to be done to determine the cause of scleritis which may be associated with autoimmune diseases like Systemic Lupus Erythemasosus , Rheumatoid Arhritis and Wegeners granulomatosis. Scleritis is an autoimmune condition and therefore is not contagious.

How is it treated?

Mild to moderate scleritis is usually treated with oral nonsteroidal anti-inflammatory drugs like Celebrex, Voltaren, Indocid and Ibuprofen together with steroid eye drops. In severe cases where there is thinning of the sclera as a result of inflammation, oral steroids may need to be given with other immunosuppressive drugs. In mild to moderate cases treatment may be tapered over 6 months.

Scleritis needs long term follow up

Scleritis often recurs and therefore patients need continued follow up, as early treatment will prevent complications such as sclera thinning and perforation. Sometimes, surgery is required to save the eye from leaking fluid and getting infected.

Cataract Surgery

What is a cataract?

A cataract is clouding of the lens in your eye. This is usually due to old age but can also occur due to trauma, diabetes, or due to medications.

Cataract surgery is done when the lens in your eye has become cloudy making it difficult for you to see well enough to carry out your usual daily activities. If the cataract is not removed, your vision may stay the same, but it will probably gradually get worse. Waiting for a longer period of time may make the operation more difficult. If you are considering surgery, please let the doctor know if you are taking the following medications: Flomax (Tamsulosin), Doxazosin, Asprin, or any blood thinning drugs like Warfarin, Plavix or Ticlid (Dipyradimole). These medications may need to be stopped before surgery.

You can listen to Dr Fong talking about cataract surgery.

Phacoemulsification surgery

The purpose of the operation is to replace the cataract with a plastic lens (implant) inside your eye. This usually done under local anesthesia. With a local anaesthetic you will be awake during the operation. You will not be able to see what is happening, but you will be aware of a bright light...

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