Free State Eye and Laser

Free State Eye and Laser
Services at Eye and Laser Bloemfontein

Services we offer include:

Covering eye of patient
Ophthalmologists are trained to perform eye exams, diagnose and treat disease, prescribe medications and perform eye surgery.

Cataract surgery

In cataract surgery, the lens inside your eye that has become cloudy is removed and replaced with an artificial lens (called an intraocular lens, or IOL) to restore clear vision. The procedure typically is performed on an outpatient basis and does not require an overnight stay in a hospital or other care facility.

Lasik (Laser eye surgery)

In LASIK, PRK, and similar procedures, laser energy reshapes the curvature of the eye’s clear front surface (cornea) to alter the way light rays enter the eye. Artificial lenses surgically inserted into the eye also can refocus light rays to sharpen vision.

Vitreo-Retinal surgery

Vitreoretinal surgery refers to any operation to treat eye problems involving the retina, macula, and vitreous fluid. These include retinal detachment, macular hole, epiretinal membrane and complications related to diabetic retinopathy.

Diabetic eye screening

All people with diabetes are at risk of developing diabetic retinopathy. Diabetic retinopathy is caused when diabetes affects the small blood vessels in the retina, the part of the eye that acts similarly to a film in a camera.

Untreated diabetic retinopathy is one of the most common causes of blindness in the working-age population. It does not usually cause loss of sight until it has reached an advanced stage. Even sight-threatening retinopathy that is close to affecting your sight may not cause symptoms.

Diabetic retinopathy is treatable, especially if it is caught early. Screening means examining your eyes regularly to look for the specific changes of diabetic retinopathy as early as possible. Screening will detect whether you need to be treated in a hospital eye clinic for diabetic retinopathy. Laser treatment is very effective at reducing loss of sight from diabetic retinopathy.

Glaucoma screening

Glaucoma is the most common optic neuropathy in the adulthood. Glaucoma is defined as an optic neuropathy associated in most cases with elevated intraocular pressure (although pressure may be within the normal range), with or without anatomic predisposing factors in the anterior chamber (open angle vs angle closure). The American Academy of Ophthalmology has defined Glaucoma as ” a multifactorial optic neuropathy with a characteristic acquired loss of optic nerve fibers” which is usually (but not necessarily) identified in visual field exam and retinal fiber OCT. This cluster of diseases is progressive without appropriate treatment, and unfortunately the damage is irreversible.

 

Risk Factors

Glaucoma is a multifactorial disease and there are several risk factors that are associated with the development of this entity.

Age: age by itself is a risk factor. In the Baltimore Eye Studi, patients in their 70s had x 3.5 times the risk for developing glaucoma than those patients in their 40’s

Race: Black individuals have 3-4 times more risk than whites to develop glaucoma. The cause of this race variation is unknown.

Intraocular Pressure (IOP): Increased intraocular pressure is a risk factor for the development of glaucoma. It should be taken into account that the IOP has a diurnal variation, and so even if one measurement is within the normal range, high peaks of IOP may still be present causing optic nerve damage. And so it is recommended that the time of IOP measurement be recorded along with IOP. Most subjects have a peak of IOP during the night (because of the body position)

Family History: people with first degree relatives with glaucoma are at higher risk for developing glaucoma

Corneal thickness: patients with thinner corneas have a greater risk for developing the disease (besides the influence on the IOP measurement). It has been thought that thinner corneas may be related to increased biomechanical susceptibility of the lamina cribrosa and peripapillary sclera.

Myopia and Diabetes Mellitus: they are thought to be related but no hard evidences exists yet to show a relation.

Strabism surgery

Strabismus surgery (also: extraocular muscle surgery, eye muscle surgery, or eye alignment surgery) is surgery on the extraocular muscles to correct the misalignment of the eyes. With approximately 1.2 million procedures each year, extraocular muscle surgery is the third most common eye surgery in the United States. The earliest successful strabismus surgery intervention is known to have been performed on 26 October 1839 by Johann Friedrich Dieffenbach on a 7-year-old esotropic child; a few earlier attempts had been performed in 1818 by William Gibson of Baltimore, a general surgeon and professor at the University of Maryland. The idea of treating strabismus by cutting some of the extraocular muscle fibers was published in American newspapers by New York oculist John Scudder in 1837

Oculoplastic surgery

Oculoplastics, or oculoplastic surgery, includes a wide variety of surgical procedures that deal with the orbit (eye socket), eyelids, tear ducts, and the face. It also deals with the reconstruction of the eye and associated structures. Oculoplastic surgeons perform procedures such as the repair of droopy eyelids (blepharoplasty), repair of tear duct obstructions, orbital fracture repairs, removal of tumors in and around the eyes, eyelid reconstruction.
  • Eyelid surgery
  • Surgery involving the lacrimal apparatus
  • Eye removal
  • Orbital reconstruction

Services

  • Lasik eye services
  • Trans PRK
  • Secondary Intra Ocular Lens Inoantations
  • PresbLasik
  • Clear Lens Exchange
  • Glaucoma
  • Keratoconus
  • Cataract Removal

SECTION 51 MANUAL

Prepared in accordance with Section 51 of the Promotion of Access to Information Act, No. 2 of 2000.
This document serves as the Information Manual as required by Section 51(1) of the Promotion of Access to Information Act, No.2 of 2000 (the “Act”) for a Private Body.

 It provides information on the Records held, and the process that is to be followed to request access to such Records.

DR NIEL VAN WYK INCORPORATE

Free State Eye and Laser

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