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Our Lady of Lourdes Hospital Eye Care Center

By :Basilio R. Borja, Jr., MD, DPBO, FPAO *

* About the Author: Dr. Borjais the Head of the OLLH Section of Ophthalmology& Eye Care Center. He is a Fellow &Diplomateof the Philippine Academy of Ophthalmology, with sub-specialization training in Cornea, Refractive & External Ocular Diseases, completed at the University of British Columbia, Canada. He is also a Member of the Cornea Club of the Philippines, and an International Member of the American Academy of Ophthalmology.

The best way to prevent blindness is to diagnose eye diseases early enough in order to start appropriate treatment. The earlier the detection, the greater the chance of saving sight. The new OLLH Eye Care Center is focused on this one guiding light-that of preserving and enhancing our most precious faculty - our sense of vision.

The OLLH Eye Care Center was established to serve as one of the hospital's new centers of excellence. Located on the ground floor of the Medical Arts Building, the OLLH Eye Care Center is a specialized 7-room facility specifically designed to house modernout-patient ophthalmic diagnostic and therapeutic instruments.It is manned by two full-time ophthalmic nurse technicians. It boasts of the latest, world-class digital imaging equipment that is second to none. This includes the Zeiss Cirrus 5.1 Optical Coherence Tomography (OCT) and the Zeiss Visucam 500 Fluorescein Angiography (FA). As of this time, the OLLH Eye Care Center is the first in the country to have the newestversions of these two machines. Among the othermajor acquisitions are the updated third generation of Zeiss Yag III and 532 nm lasers, incorporating state-of-the-art technology forthe various types of laser treatments performed by the center's ophthalmologists.

The excellence of the diagnostic and therapeutic facilities is complemented by the Eye Care Center's roster ofeye specialists from the OLLH Section of Ophthalmology, which at present consists of 5 active staff and 12 visiting staff. This also includes the 6 consultants who are currently holding clinics at the M.A.B. Majority of the staff have underwent fellowship training in their respective fields of sub-specialization, such as cornea & external diseases, glaucoma, medical retina, surgical retina, neuro-ophthalmology and pediatric ophthalmology. Their training, coupled with years of experience, assure you of a high level of expertise.

The OLLH Eye Center offers the following diagnostic and therapeutic procedures :

1. Early Detection and Monitoring of Glaucoma.The new Humphrey HFA II 745 Automated Perimetrydocuments and analyzes the nature of visual field defects that affect the optic nerve and retina, useful not only in glaucoma but also for other neurological diseases that affect the pathways from the eye to the brain.

2. Biometry. The new SonomedPacScan A-Scan with Pachymetry is used to determine the correct power of the intra-ocular lens implant for patients who are candidates for cataract surgery.

3. Ophthalmic Ultrasonography. The new Sonomed Master Vu 5600 B-Scan uses sound waves to assess the inside of the eye and provide an image of the posterior segment, particularly when an opaque cornea, blood or cataract prevents direct visualization of the retina.

4. Fundus Photography &Fluorescein Angiography. The new Visucam 500 FA provides a detailedview and mapping ofthe retinal structure, function and circulation, particularly helpful in patients with diabetes and hypertension. Two retinal diseases of increasing prevalence affecting individuals worldwide are Diabetic Retinopathy and Age-Related Macular Degeneration (ARMD), which are among the most common causes of blindness in the elderly today.

5. Optical Coherence Tomography. The new Cirrus HD 5.1 OCTallows a very high-resolution imaging of the optic nerve, aiding in the evaluation of the progress of treatment.

6. Photodisruptive Laser Treatment. The VisulasYag III Laser is used to create openings in ocular tissue without the need for surgery. When used on the iris, it facilitates the flow of aqueous fluid in the eye for the treatment of certain types of glaucoma and for suturelysis. It is also used to perform capsulotomy in post-cataract extraction patients, and can also be used formembranectomy in those with inflammatory conditions.

7. Retinal Laser Treatment. The Visulas 532s Laser is used to burn or coagulate diseased eye tissue such as retinal tears, as well as for focal and pan-retinal photocoagulation (PRP) in advanced diabetic retinopathy. It is also used in the treatment of infants with retinopathy of prematurity (ROP) using the included laser indirect ophthalmoscope delivery system.

These laser treatments offer many obvious advantages: there is no external wound, there is very minimal pain or discomfort, and are usually done on an out-patient basis, thereby allowing patients to return to their normal daily activities much sooner than with conventional surgery.

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