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Comments Off on Case studies: Bilateral Proliferative Diabetic Retinopathy

Case studies: Bilateral Proliferative Diabetic Retinopathy

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I saw a patient, who presented to his optometrist initially due to a floater in his left eye.

On examination today, his unaided acuities are right 6/12+ and left 6/6, the right improved to 6/9- with a pinhole. His intraocular pressures were right 16mmHg and left 14mmHg with Goldman applanation tonometry. Dilated fundus examination revealed bilateral proliferative diabetic retinopathy. He has pre-retinal haemorrhages on the right. See pictures. There were no signs of retinal tears

This patient has bilateral proliferative diabetic retinopathy. Given he did not have a diagnosis of diabetes, we checked his sugar level, which was 20mmol/L. He has been sent to his GP for systemic assessment. Meanwhile a combination treatment of intravitreal injections and retinal laser has been advised for his eyes.

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Comments Off on Lasers in ophthalmology —live patient workshop

Lasers in ophthalmology —live patient workshop

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You are invited to attend a small group interactive live patient workshop, hosted by Dr Jay Yohendran and Dr Andrew Kaines. The theme of the night will be ”lasers in ophthalmology” focusing on cataract, retina and glaucoma lasers. You will witness various laser treatments being performed on live patient’s in our clinic.

Observe what the patient experience is like.

Topics:

Dr Jay Yohendran demonstrating how various lasers are performed:

•  YAG Capsulotomy
•  Laser Peripheral Iridotomy (LPI)
•  Selective Laser Trabeculoplasty (SLT)

Dr Andrew Kaines discussing the state of retinal laser in 2016:

•  Nanosecond laser for dry AMD
•  In the age of intravitreal therapy, what is the role of retinal photocoagulation for retinal vein occlusions and diabetic retinopathy?

Laser invite fin V2

DATE
Monday 20 June 2016

TIME
Arrival at 6.00pm
Presentations start at 6.30pm, evening will conclude at 8.30pm

WHERE
Northern Sydney Cataract | Retina | Glaucoma, 124 Sailors Bay Road, Northbridge

RSVP
By Monday 13 June 2016

Contact Dorota Opiela on 9958 0552 or 0414 444 396 or dorota@northernsydneycataract.com.au

Dinner and refreshments will be provided.
Please advise of any dietary requirements.
Numbers will be capped at 20.

Limited spots still available.

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Comments Off on Multi-Specialty GP Educational Dinner

Multi-Specialty GP Educational Dinner

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You are invited to join us on Tuesday 31 May at 6:45pm. Limited spaces still available, book now.

We are committed to providing high quality learning experiences that benefit our local GP community. We have listened to your colleague’s requests, and our next event will focus on five speciality areas — ophthalmology, rheumatology, oncology, endocrinology and orthopaedic surgery. Six local specialists will be presenting.

Speakers:

Dr Jay Yohendran | Ophthalmologist
Your patient’s experience – cataract surgery, pterygium surgery and intraocular injections.

Dr Chelsea McMahon | Endocrinologist
Fat chance…. advances weighing in against Diabetes.

Dr Herman Lau | Rheumatologist
Joint swelling, skin rash and curly hair.

Dr Matt Sherlock | Orthopaedic Surgeon
Rotator cuff – diagnosis, treatment and when to refer?

Dr Andrew Kaines | Ophthalmologist
An ophthalmology glossary for GP’s

Dr Jeremy Hsu | Breast Oncoplastic Surgeon
When should I refer a patient to an oncoplastic surgeon?

Date
Tuesday, 31 May 2016

Time
6:45pm

Where
MANTRA CHATSWOOD
10 Brown St, Chatswood

RSVP
By Wednesday, 25 May 2016

Contact Dorota on 9958 0552 or 0414 444 396 or email
dorota@northernsydneycataract.com.au

GP Multi specialty event 31 May 16Specialists

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Comments Off on Case studies: Synchysis Scintillas

Case studies: Synchysis Scintillas

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Synchysis-scintillans2

A 61 year old female presents for a review of drusen in her right eye.

With glasses her visual acuity is right 6/12 improving to 6/7.5 with a pinhole, and left 6/9, improving to 6/7.5. Her intraocular pressures were 14mmHg bilaterally. Retinal examination revealed no drusen however we found Synchysis Scintillans in her right eye.

Synchysis scintillans is a vitreous disorder that is usually compared with asteroid bodies in the vitreous. These are extremely rare cholesterol crystals that move around freely in the vitreous and falls to the floor of the vitreous due to gravity. No treatment is required.

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Comments Off on Case studies: Macroaneurysm

Case studies: Macroaneurysm

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I saw a patient, who had right sided cataract surgery under my supervision at Royal Prince Alfred Hospital earlier this month.

He presented today with unaided acuities of right 6/9+ and left 6/12. Everything appeared as planned with normal intraocular pressures, clear corneas and a well centred intraocular lens. Dilated fundus examination however, revealed an intra-retinal and pre-retinal haemorrhage along the infero-temporal vascular arcade, consistent with a macroaneurysm. Thankfully his fovea and central macula is unaffected.

In this patient’s case, I will send him back to his GP for monitoring of his blood pressure, as hypertension is the most common risk factor here. Review is planned for 3 weeks’ time.

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Comments Off on Multi-Specialty GP Educational Dinner 17th of November

Multi-Specialty GP Educational Dinner 17th of November

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You are invited to join us on Tuesday 17th of November at 6.45pm.

We are committed to providing high quality learning experiences that benefit our local GP community.
We have listened to your colleagues and our next event will focus on five speciality areas — ophthalmology, ENT, orthopaedic surgery, gastroenterology and urology. Six local specialists will be giving a total of ten talks.

The presentations will be in a rapid-fire format, and case-based. There will be time for questions at the end of each talk. The event will be held at Martha’s Restaurant, a stylish and rustic French bistro at Castlecrag.

Topics
Jay Yohendran | Ophthalmologist
• An approach for the patient presenting with a red and sore eye.
Andrew Kaines | Ophthalmologist
• An approach for the patient presenting with acute painless visual loss.
Jonathan Kong | ENT Surgeon
• Demystifying the magic of grommets, and their problems.
• “I can’t hear you!” – the changing world of ear and cochlear implant surgery.
Stephen Tattersall | Gastroenterologist
• Bowel cancer screening: who, when and how.
• Minimising the risks of immunosuppression in primary care.
Mohan Arianayagam | Urologist
• Is partial nephrectomy the gold standard for the small renal mass?
• Get it up! — Current ED treatments.
Benjamin Gooden | Orthopaedic Surgeon
• Recent advancements in joint replacement surgery.
• An approach for the patient presenting with a painful knee.

Click here to download details of Multi Specialty GP Event and the Invitation

DATE
Tuesday 17th of November 2015

TIME
6.45pm arrival for 7.00pm start

RSVP
By Wednesday 11th of November
Contact Dorota Opiela on 9958 0552 or 0414 444 396
or email dorota@northernsydneycataract.com.au

WHERE
MARTHA’S RESTAURANT
83 Edinburgh Rd, Castlecrag NSW 2068
Parking is available — across the road, under the Quadrangle Shopping Village.

Reserve your spot, numbers will be capped at 40.

4 CPDpoints

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Comments Off on Case studies: Optic Nerve Pit with sub retinal fluid

Case studies: Optic Nerve Pit with sub retinal fluid

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Optic Nerve Pit OCT

This is a photo of a 17 year old female I saw last week. This is an Optic Nerve Pit with sub retinal fluid. It is a congenital condition. She presented with a 3 day history of blur and distortion in the right eye, with the blurring and distortion moving to the central part of her visual field 1 day ago. She presents acuities of the right 6/90, no improvement with pinhole and the left 6/6.

Normally, an isolated optic nerve pit would not call for any treatment. However, due to the sub-retinal fluid, this patient will require a vitrectomy. I’ll keep you updated on his progress.

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Comments Off on Case studies: Vitreomacular Traction

Case studies: Vitreomacular Traction

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This is a photo of a 65 year old male I saw last week. This is vitreomacular traction however, he presents with excellent vision – 6/4.5 bilaterally.

At this stage he doesn’t require treatment, but he has been advised to return in a few months. Meanwhile, he will self-monitor with an Amsler Grid and knows to come back if his vision changes or he notes any distortion. I’ll keep you updated on his progress.

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