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…….