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Treatment of non infectious uveitis

Almost all cases of uveitis require treatment. The treatment choice will vary depending on the location of the uveitis ie whether it’s located in the front or the back of the eye. Steroids are the  main treatment for non infective uveitis. These can be given either as eye drops, tablets or injections into the eye. Most cases of anterior uveitis require only eye drops to control the disease. This is usually tapered off over 2 months. The common misconception is that drops can be stopped once the patient feels better.Although symptoms may improve dramatically after a week of treatment, abrupt stopping of drops can cause the disease to flare up. If you are using steroid eye drops remember not to use  contact lenses as the risk of infection increases.

Eye drops are not enough for posterior uveitis

When the uveitis is located at the back of the eye (posterior uveitis) eye drops alone are insufficient as a treatment. In these cases either steroid tablets or injections may be used. The advantage of tablets are that they work very fast and can treat both eyes at the same time.

Steroid tablets have many side effects

However steroid tablets may have a range of side effects if used for a long time.  Side effects include weight gain, diabetes, cataracts, and osteoporosis. Steroid injections into the eye have the advantage of eliminating the side effects of the tablets to the body. However they may cause a rise in eye pressure (glaucoma) and patients need to be regularly checked for this effect. The medicine that is injected into the eye  can be seen as a  floater. This steroid injection effect  is not permanent and may wear off after 4 months. This injection is a simple procedure that is done in the eye clinic and takes less than 5 minutes to perform.

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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Food For Your Eyes Food For Your Eyes

Food For
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aims to educate the public about the prevention of AMD through diet.

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