Coastal Eye Surgeons

When Reading Becomes Difficult: Understanding Presbyopia

Coastal Eye Surgeons — Mon, 20 Oct 2025 02:03:31 +0000

Presbyopia represents one of the most common age-related changes, affecting most people by the age of 50. This natural decline in focusing ability makes reading, using smartphones, and performing detailed near work increasingly difficult, often prompting the familiar arm-stretching behaviour as people attempt to position reading material at a comfortable distance.

For Hope Island residents and workers across the North Gold Coast who lead active, engaged lifestyles, presbyopia can significantly impact daily activities and work productivity. At Coastal Eye Surgeons Hope Island, Dr Louise Robinson provides comprehensive presbyopia assessment and modern treatment solutions that restore comfortable near vision while maintaining distance clarity.

The Science Behind Presbyopia Development

Age-Related Changes in the Eye's Focusing System

Presbyopia develops as the eye's natural lens gradually loses flexibility with age, reducing its ability to change shape for near focusing. This process begins in childhood but becomes noticeable in the early to mid-40s when the lens can no longer accommodate sufficiently for comfortable near vision.

The ciliary muscle, responsible for changing the shape of the lens during focusing, also undergoes age-related changes that contribute to the development of presbyopia. Unlike other vision problems that may be correctable through surgical reshaping of the cornea, presbyopia stems from internal lens changes that require different treatment approaches.

Progressive Nature of Presbyopia

Presbyopia progression continues throughout the 40s and 50s, with most people experiencing gradual worsening of near vision until approximately age 65, when the lens becomes essentially inflexible. This progressive nature means that presbyopia treatments often require periodic adjustments to maintain optimal vision correction.

Dr Robinson's systematic approach to presbyopia management includes regular monitoring to ensure vision correction remains appropriate as the condition progresses, providing seamless adaptation to changing visual needs.

Early Warning Signs and Symptoms

The classic early presbyopia symptom involves needing to hold reading material further away to see clearly, often described as "arms becoming too short." Patients frequently report difficulty reading restaurant menus in dim lighting, struggling with smartphone text, or experiencing eye fatigue during prolonged near work.

Headaches after reading or detailed work, particularly in the evening, may indicate the visual system is working harder to achieve focus. Some patients notice improved near vision in brighter lighting conditions, as a smaller pupil size increases depth of focus.

Comprehensive Presbyopia Assessment

Detailed Visual Function Evaluation

Dr Robinson's presbyopia assessment includes a comprehensive evaluation of distance vision, near vision at multiple working distances, and intermediate vision for computer work. This detailed assessment identifies the specific visual demands most important to each patient's lifestyle and work requirements.

Accommodation testing measures the eye's remaining focusing ability, helping determine appropriate treatment approaches and expected outcomes. Her training at Sydney Eye Hospital has provided her with expertise in complex vision assessments, helping with accurate diagnoses and optimal treatment planning.

Lifestyle and Visual Demand Analysis

Understanding each patient's specific visual needs is crucial for the treatment of presbyopia. Dr Robinson evaluates work requirements, hobbies, recreational activities, and personal preferences to recommend treatment options that best match individual lifestyles.

Professional requirements may influence treatment recommendations, with different approaches suitable for computer-intensive work, detailed crafts, extensive reading, or outdoor activities that characterise the active Gold Coast lifestyle.

Existing Eye Health Assessment

A comprehensive eye health evaluation identifies other conditions that may influence presbyopia treatment options. Early cataract development, dry eye, or other age-related changes may impact treatment success and inform recommendations for specific correction methods.

The full diagnostic capabilities at Coastal Eye Surgeons ensure all factors affecting presbyopia treatment are identified and considered during treatment planning.

Modern Presbyopia Treatment Options

Progressive Addition Lenses

Progressive lenses provide seamless vision correction from distance to near, eliminating the visible lines associated with traditional bifocal lenses. Modern progressive designs offer wider intermediate zones crucial for computer work and improved adaptation for first-time progressive lens wearers.

Dr Robinson works with experienced opticians to ensure proper progressive lens fitting, frame selection, and patient education that maximise adaptation success. Proper fitting is crucial for progressive lens satisfaction and requires expert guidance throughout the adjustment period.

Multifocal Contact Lenses

Contact lens options for presbyopia include multifocal designs that provide both distance and near vision simultaneously. These lenses work through various optical principles, with some designs suitable for full-time wear while others optimise specific activities.

Presbyopic contact lens fitting requires expertise in lens selection and fitting techniques that differ significantly from those of single-vision contact lenses. Dr Robinson's comprehensive contact lens assessment determines candidacy and optimal lens parameters for successful presbyopia correction.

Monovision Correction Strategies

Monovision involves correcting one eye primarily for distance vision while correcting the other eye for near tasks. This approach can be implemented through glasses, contact lenses, or surgical correction, providing functional vision at multiple distances without the need for multifocal optics.

Successful monovision requires careful patient selection and often involves trial periods to ensure adaptation and satisfaction with the vision compromise associated with this approach.

Surgical Solutions for Presbyopia

Premium Intraocular Lenses During Cataract Surgery

When cataracts develop alongside presbyopia, premium intraocular lenses offer opportunities to address both conditions simultaneously. Multifocal and extended depth of focus lenses can reduce dependence on reading glasses while providing excellent distance vision.

Dr Robinson's surgical expertise includes careful patient selection for premium IOLs based on lifestyle requirements, existing eye health, and realistic expectation counselling. The modern medical facility at Hope Island provides comprehensive cataract surgery with advanced lens options.

Refractive Surgery Considerations

Various refractive surgery approaches may address presbyopia in appropriate candidates, though these procedures require careful evaluation of candidacy factors, including corneal health, existing refractive error, and lifestyle requirements.

Dr Robinson's comprehensive assessment determines which patients may benefit from surgical presbyopia correction while ensuring realistic expectations about outcomes and potential need for enhancement procedures.

Managing Presbyopia Progression

Regular Monitoring and Prescription Updates

Presbyopia progression requires regular vision assessments to maintain optimal correction as focusing ability continues to decline. Dr Robinson's systematic follow-up schedule ensures prescription changes occur at appropriate intervals, maintaining comfortable vision throughout presbyopia development.

Understanding presbyopia's progressive nature helps patients anticipate changes and maintain realistic expectations about long-term vision correction requirements.

Adaptation Strategies and Visual Hygiene

Proper lighting becomes increasingly important for comfortable near vision as presbyopia progresses. Task lighting, reduced glare, and optimal working distances can significantly improve visual comfort during detailed activities.

Dr Robinson provides comprehensive guidance about environmental modifications, reading techniques, and visual hygiene practices that support comfortable near vision throughout presbyopia development.

Technology Integration

Modern digital devices offer adjustability features including font size modification, screen brightness control, and high-contrast display options that can reduce visual demands for presbyopic users.

Understanding how to optimise digital device settings provides additional comfort and functionality for presbyopic patients who rely heavily on smartphones, tablets, and computers for work and recreation.

Expert Presbyopia Care at Hope Island

Presbyopia represents a natural but manageable age-related change that need not significantly impact lifestyle or work productivity. Dr Louise Robinson's comprehensive approach to presbyopia treatment, combined with access to modern correction options ranging from advanced progressive lenses to premium surgical solutions, ensures Hope Island residents receive expert care tailored to their specific visual needs.

The convenience of comprehensive presbyopia care at Hope Island eliminates the need to travel to multiple providers while ensuring access to the full spectrum of correction options when vision changes require intervention.

Schedule a comprehensive presbyopia assessment with Dr Louise Robinson at Coastal Eye Surgeons, Hope Island, to explore modern solutions for your changing vision needs. Her expertise in presbyopia correction, supported by advanced diagnostic capabilities and access to cutting-edge treatment options, ensures you receive personalised care that restores comfortable vision at all distances. Contact our team today to book your consultation and discover how modern presbyopia treatments can enhance your visual comfort and lifestyle.

Medical Disclaimer

This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor-patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide an appropriate referral.

The post When Reading Becomes Difficult: Understanding Presbyopia appeared first on Coastal Eye Surgeons.

Age-Related Macular Degeneration: Protecting Central Vision

Coastal Eye Surgeons — Mon, 20 Oct 2025 01:47:20 +0000

Age-related macular degeneration (ARMD or AMD) represents the leading cause of legal blindness among Australians over 50. The condition threatens the central vision, essential for reading, driving, recognising faces, and maintaining independence throughout later life. As Australia's population ages, cases of macular degeneration continue to increase, making expert care and early intervention crucial in helping to preserve sight.

At Coastal Eye Surgeons Hope Island, Dr Louise Robinson provides comprehensive care for macular degeneration, including modern diagnostic monitoring and intraocular injection treatments. Her extensive training and ongoing experience managing complex retinal conditions at Gold Coast University Hospital helps local residents receive qualified ARMD care without having to travel to distant specialist centres.

Understanding Age-Related Macular Degeneration

The Macula and Central Vision

The macula represents a small but crucial area at the centre of the retina responsible for sharp, detailed central vision. This highly specialised tissue contains the highest concentration of photoreceptor cells in the eye, enabling activities that require fine visual detail, such as reading, threading needles, and recognising facial features.

Age-related changes to the macula can significantly impact quality of life by affecting the vision most critical for daily activities. While peripheral vision typically remains intact with macular degeneration, the loss of central vision creates substantial challenges for maintaining independence and engaging in previously enjoyed activities.

Dry vs Wet Macular Degeneration

Dry macular degeneration can develop gradually as waste products accumulate beneath the retina, forming deposits known as drusen. This form progresses slowly, often over years, with vision changes developing gradually and sometimes going unnoticed initially.

Wet macular degeneration, though less common, causes more rapid and severe vision loss through abnormal blood vessel growth beneath the macula. These vessels leak blood and fluid, which can cause distortion of central vision and potentially lead to permanent scarring if left untreated. Dr Robinson's expertise includes prompt diagnosis and immediate treatment initiation for wet AMD cases.

Risk Factors and Gold Coast Considerations

Age represents the primary risk factor, with macular degeneration prevalence increasing dramatically after 50 years. Genetic factors contribute significantly, with family history increasing risk substantially. The Gold Coast's high UV environment may contribute to the development of macular degeneration, making sun protection particularly important for local residents.

Smoking represents one of the most significant modifiable risk factors, nearly doubling macular degeneration risk. Other contributing factors include cardiovascular disease, high blood pressure, and dietary factors, including low antioxidant intake and high saturated fat consumption.

Advanced Diagnostic and Monitoring Technologies

Optical Coherence Tomography Assessment

Dr Robinson utilises modern optical coherence tomography (OCT) to provide detailed cross-sectional images of the macula, enabling precise assessment of retinal layer structure and identification of early macular changes before symptoms develop. This technology enables the quantitative measurement of retinal thickness and the detection of fluid accumulation characteristic of wet macular degeneration.

OCT monitoring provides an objective assessment of treatment response in patients receiving intraocular injections, enabling treatment adjustments based on precise anatomical changes rather than subjective vision assessments alone.

Comprehensive Retinal Assessment

Digital fundus photography documents macular appearance and provides baseline images for future comparison during regular monitoring visits. Fluorescein angiography, when indicated, identifies abnormal blood vessel growth patterns and guides treatment decisions for wet macular degeneration cases.

Dr Robinson's diagnostic expertise, developed through her fellowship training and ongoing complex case management, helps to ensure accurate macular degeneration staging and appropriate treatment recommendations based on current evidence-based guidelines.

Visual Function Testing

A comprehensive visual acuity assessment includes both standard distance vision testing and near vision evaluation to assess the functional impact of macular changes. Contrast sensitivity testing identifies subtle changes in visual function that may not be apparent during routine vision testing.

Amsler grid monitoring enables patients to detect early changes in central vision between scheduled appointments, allowing prompt intervention when wet macular degeneration develops or progresses.

Cutting-Edge Treatment Options for Wet Macular Degeneration

Intraocular Anti-VEGF Injection Therapy

Dr Robinson provides intraocular injection treatments at the Hope Island facility, eliminating the need for hospital referrals and providing convenient access to advanced wet macular degeneration therapy. Anti-VEGF medications block vascular endothelial growth factor, reducing abnormal blood vessel growth and decreasing fluid leakage.

Regular injection protocols typically stabilise vision and often result in improvement for patients with wet macular degeneration. The in-room procedure should only take minutes and use topical anaesthesia for patient comfort during treatment.

Personalised Treatment Protocols

Treatment frequency and medication selection are tailored to individual patient needs based on disease severity, treatment response, and anatomical findings on OCT monitoring. Dr Robinson's experience managing complex retinal cases ensures optimal treatment protocols that balance efficacy with treatment burden.

Regular monitoring appointments assess treatment response and guide decisions about injection frequency adjustments, ensuring patients receive appropriate care intensity while minimising unnecessary treatments.

Long-Term Management and Monitoring

Wet macular degeneration typically requires ongoing treatment and monitoring to maintain vision stability. Dr Robinson provides comprehensive long-term care coordination, including regular assessments for disease progression and evaluation of treatment response.

Her dual role managing complex cases at Gold Coast University Hospital while providing private care ensures continuity of expert management throughout the treatment journey.

Management Strategies for Dry Macular Degeneration

Nutritional Interventions and Supplementation

The landmark Age-Related Eye Disease Study (AREDS) demonstrated that specific nutritional supplements may reduce the risk of advanced macular degeneration in patients with intermediate dry AMD. Dr Robinson provides evidence-based recommendations regarding appropriate supplementation based on individual macular degeneration stage and risk factors.

AREDS2 formulation supplements contain vitamins C and E, zinc, copper, lutein, and zeaxanthin in specific proportions shown to provide protection against progression to advanced macular degeneration.

Lifestyle Modifications for AMD Prevention

Dietary modifications emphasising foods rich in lutein and zeaxanthin, including dark, leafy greens, may help slow the progression of macular degeneration. Regular consumption of fish containing omega-3 fatty acids provides additional benefits for retinal protection.

Smoking cessation represents the most important modifiable intervention for macular degeneration patients, as continued smoking significantly accelerates disease progression and reduces treatment effectiveness.

UV Protection and Environmental Considerations

Quality sunglasses providing comprehensive UV protection may help slow macular degeneration progression, particularly important for Gold Coast residents with continued high sun exposure. Wide-brimmed hats provide additional protection for the delicate macular area.

Regular exercise and cardiovascular health maintenance support retinal circulation and may contribute to slower macular degeneration progression through improved overall vascular health.

Regular Monitoring and Early Intervention

Recommended Screening Schedule

Adults over 50 should undergo comprehensive macular assessment during regular eye examinations, with increased frequency recommended for patients with risk factors or family history. Dr Robinson's systematic approach ensures appropriate monitoring intervals based on individual risk profiles and current macular status.

Patients with diagnosed dry macular degeneration require regular monitoring to detect progression to wet AMD, enabling immediate treatment initiation when abnormal blood vessel growth develops.

Home Monitoring Strategies

Amsler grid testing at home enables the early detection of vision changes that may indicate the development of wet macular degeneration. Dr Robinson provides detailed instructions about proper grid use and when to seek immediate evaluation for vision changes.

Regular self-assessment of central vision helps patients recognise subtle changes that might otherwise go unnoticed between scheduled appointments.

Comprehensive Macular Degeneration Care at Hope Island

Age-related macular degeneration represents a serious but manageable condition when proper care and monitoring are implemented. Dr Louise Robinson's expertise in advanced diagnostic techniques and cutting-edge treatments, combined with convenient local access to intraocular injection therapy, ensures Gold Coast residents receive optimal macular degeneration care.

The combination of early detection through regular screening, advanced treatment options for wet AMD, and evidence-based management strategies for dry macular degeneration provides the best outcomes for preserving central vision throughout later life.

Schedule a comprehensive macular degeneration assessment with Dr Louise Robinson at Coastal Eye Surgeons, Hope Island. Her specialised expertise in retinal conditions, supported by advanced diagnostic technology and intraocular injection capabilities, ensures thorough evaluation and expert management of your macular health. Contact our modern medical facility today to book your consultation and take a proactive approach to preserving your central vision.

Medical Disclaimer

Recognising Eye Emergencies That Require Immediate Care

Coastal Eye Surgeons — Mon, 20 Oct 2025 01:34:45 +0000

A macular hole is the formation of an opening in the macula, the central area of the retina responsible for detailed central vision. These breaks typically occur as a result of the macula being stretched or pulled. Changes in the eye generally happen with natural ageing.

As the macula ages, the vitreous (the transparent gel that fills the space between the lens and the retina) can shrink, pulling on the macula and causing a tear or opening. Fluid can enter this tear, resulting in blurred or distorted vision. The macular hole can grow larger over time, resulting in increased vision complications. For this reason, while some may experience mild symptoms, in some cases, surgery may be considered to reduce the risk of further vision impairment.

A macular hole usually only occurs in one eye; however, the other eye has a 15-20% probability of also incurring this condition.

Two types of macular holes can occur: primary and secondary. Primary macular holes are the cause of natural degeneration, while secondary macular holes are the result of another disease, condition, or physical trauma.

Symptoms

Macular holes directly affect central vision, and the severity of its impact depends on the stage of the hole's development. Initially, a small tear in the macula will cause blurred and distorted vision. Straight lines may appear wavy, or reading small print may be troublesome. As the macular hole develops, the number of floaters (small moving strands within the vision) may increase, and eventually a blind spot can form in the centre of your line of sight.

Symptoms do have multiple alignments with other conditions, such as age-related macular degeneration (AMD), but they're different.

People with a high degree of near-sightedness (myopia), uveitis (eye inflammation), or eye trauma are more likely to develop a macular hole.

Treatment

The most effective treatment for a macular hole is usually a surgical procedure called a vitrectomy. In a vitrectomy, the surgeon extracts the vitreous and certain surrounding tissues from the macula's surface, then injects a gas bubble into the eye. This bubble acts as a temporary bandage, securing the edges of the macular hole and aiding in the closure of the opening. Outcomes may be better if the vitrectomy is performed earlier in the macular hole’s development. Possible complications of this treatment can include infection, bleeding, optical nerve damage (glaucoma), retinal detachment, and a reopening of the macular hole... or it never closes.

It is recommended to book an appointment if you are experiencing any of the symptoms listed above.

How to prepare for Macular Hole treatment

Preparing for macular hole treatment involves consulting with your retina specialist, providing a medical history, and undergoing diagnostic tests such as an OCT. Discuss the available treatment options, such as vitrectomy, with your doctor and ask questions to address any concerns you may have. Arrange transportation for the day of surgery and follow all preoperative instructions, including fasting and the use of eye drops.

Plan for postoperative care by securing assistance at home and adhering to prescribed medications and activity restrictions. Attend follow-up appointments as directed and be aware of the expected recovery time and potential changes to your vision during the healing process. Always consult with your eye care professional for personalised guidance based on your specific situation.

Recovery from Macular Hole treatment

After macular hole treatment, focus on a smooth recovery by following your eye care specialist's guidance. Adhere to prescribed medications, especially eye drops, and carefully follow postoperative instructions, including activity restrictions. Plan for temporary vision changes and arrange for assistance at home during the initial recovery phase.

Attend scheduled follow-up appointments to monitor progress and address any concerns. Prioritise rest and avoid activities that may strain the eyes. It's essential to be patient during the recovery process, as healing times can vary. Communicate any unexpected symptoms or changes in vision promptly to your healthcare provider.

Medical Disclaimer

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What Is a Macular hole?

Coastal Eye Surgeons — Mon, 20 Oct 2025 01:21:25 +0000

A macular hole usually only occurs in one eye; however, the other eye has a 15-20% probability of also incurring this condition.

Symptoms

Symptoms do have multiple alignments with other conditions, such as age-related macular degeneration (AMD), but they're different.

People with a high degree of near-sightedness (myopia), uveitis (eye inflammation), or eye trauma are more likely to develop a macular hole.

Treatment

It is recommended to book an appointment if you are experiencing any of the symptoms listed above.

How to prepare for Macular Hole treatment

Recovery from Macular Hole treatment

Medical Disclaimer

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Enjoying Gold Coast Waters Safely: Protecting Your Vision

Coastal Eye Surgeons — Mon, 20 Oct 2025 01:16:23 +0000

In the ever-evolving field of ophthalmology, innovation is the driving force behind improved vision care and better eye health outcomes. As technology advances and research progresses, new surgical techniques, treatments, and diagnostic tools continue to redefine the boundaries of what's possible in eye care.

At Coastal Eye Surgeons, we are committed to staying at the forefront of these advancements to provide our Australian patients with the best possible care.

We’ll explore some of the latest innovations in ophthalmology that are shaping the future of eye health in Australia.

Robotic-Assisted Surgery

One of the most exciting developments in ophthalmology is the integration of robotics into surgical procedures. Robotic-assisted surgery allows for unparalleled precision, especially in delicate eye surgeries like cataract removal. These systems enhance the surgeon's abilities, resulting in quicker recovery times and better visual outcomes for patients.

Advanced Intraocular Lenses (IOLs)

Intraocular lenses are no longer a one-size-fits-all solution. New IOLs are designed to address a wide range of vision issues, including astigmatism and presbyopia. These lenses offer patients the potential for decreased dependence on glasses or contact lenses after cataract surgery, providing newfound freedom and clarity of vision.

Artificial Intelligence in Diagnostics

Artificial intelligence (AI) is revolutionising the way eye conditions are diagnosed. AI algorithms can analyse retinal scans and identify signs of conditions such as diabetic retinopathy and age-related macular degeneration with incredible accuracy. This technology allows for earlier detection and intervention, potentially saving patients from vision loss.

Corneal Cross-Linking for Keratoconus

Keratoconus is a progressive eye condition that causes the cornea to thin and change shape, leading to distorted vision. Corneal cross-linking is an innovative procedure that strengthens the cornea, preventing further deterioration. This treatment can halt the progression of keratoconus, reducing the need for more invasive surgeries.

Minimally Invasive Glaucoma Surgery (MIGS)

Glaucoma is a leading cause of blindness, but MIGS procedures are changing the landscape of its treatment. These minimally invasive techniques reduce intraocular pressure, the main factor in glaucoma progression, with fewer complications and shorter recovery times than traditional surgeries.

Telemedicine and Remote Monitoring

Especially relevant in Australia's vast and remote regions, telemedicine is transforming eye care accessibility. Patients can receive expert consultations and follow-ups without the need for extensive travel. Remote monitoring of eye conditions is also becoming more sophisticated, allowing for proactive management.

Customised Treatment Plans

Personalised medicine is on the rise in ophthalmology. By tailoring treatment plans to each patient's unique eye characteristics and lifestyle, ophthalmologists can achieve more precise and effective outcomes. Customisation is becoming increasingly vital in refractive surgeries like LASIK and PRK.

The world of ophthalmology is witnessing a rapid evolution, driven by ground-breaking innovations in surgical techniques, treatments, and diagnostic tools.

At Coastal Eye Surgeons, we are dedicated to providing our patients with access to the latest advancements in eye care. These innovations are not just improving vision but also enhancing the overall quality of life for countless individuals across the country. If you are interested in exploring any of these cutting-edge advancements in eye care or have questions about your eye health, we encourage you to schedule a consultation with our experienced team.

Together, we can navigate the exciting landscape of ophthalmological innovation to ensure your vision remains sharp and your eyes remain healthy for years to come.

Medical Disclaimer

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How to keep your eye on the ball!

Coastal Eye Surgeons — Tue, 08 Nov 2022 23:10:41 +0000

Excellent vision is crucial for a comfortable and enjoyable round of golf. From seeing your target, the tee, where your ball lands, to being able to score your game, having your eyes checked annually ensures you are optimising the “sight” of your game.

As we hit the fairways this summer in search of the white ball, we should assess the quality of our vision. There are many small things that can improve your vision and game.

Sunglasses:

In our beautiful “sunshine” state, the need for sunglasses is paramount for sun protection, particularly when on the golf course. Sunglasses decrease the amount of UV radiation that the eyes are exposed to.

What type of glasses should I get?

Polarised sunglasses provide the best protection to UV rays, as they are designed to filter out this light. They also reduce glare, reflections and haze, as demonstrated in this photo.

The lenses in these polarised glasses come in different colours.

Which coloured polarised glasses are best for a good game?

Different coloured lenses block specific lights, and can be better suited for different activities or weather conditions.

Green tinted sunglasses provide high quality contrast and clarity, whilst allowing accurate colour transmission. They are ideal for both sunny and low light environments and reduce glare, whilst brightening shadows.

What is happening when I can’t see my golf ball land or see the flag properly?

One of the reasons for this can be the development of cataracts. Cataracts are a clouding of the lens of your eye. This lens is located behind your iris, or the coloured part of your eye.

People with cataracts commonly notice:

Blurred vision and loss of detail of the ball on the tee and or the flag on the green.
Not seeing where the golf balls lands.
When scoring, they require brighter lights or increasing screen brightness to see details on the scoring app.
Colours are faded, or appear more yellow.
Increase in sensitivity to light, most noticeable at night, where headlights can be glary and have halos.

Cataracts commonly occur when you’ve enjoyed a number of birthdays, and by the age of 60 most people experience some signs of having cataracts.

At Coastal Eye Surgeons, we can assess, monitor and provide surgical treatment for cataracts. At your visit, not only will the whole health of your eye be assessed, but with the use of our up-to-date technology, you will also be able to see what the Doctors see.

If our doctors deem cataract surgery appropriate, they will involve you in a thorough discussion of your lifestyle, hobbies and vision requirements to determine the intra-ocular lenses which best suit your needs – ideally, these will permit functional specular independence and improve quality of life.

The Coastal Eye Surgeons are Dr Louise Robinson and Dr Khoi Tran, who both are specialist ophthalmologist with advanced surgical training in cataracts and pterygiums. Dr Robinson also has sub specialised interest in glaucoma treatments, and Dr Tran in conditions of the vitreous, retina, and macula. Together, they provide a comprehensive suite of eye care services to the Northern Gold Coast, Hinterland, and surrounding areas.

Coastal Eye Surgeons are here to deliver you the best quality visual support and treatment options where and when it matters to you. We can help you with your vision, but your swing is up to you!

Ask your GP or Optometrist for a referral today.

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IDEAS initiative brings eye care to rural communities

Coastal Eye Surgeons — Mon, 17 Jan 2022 01:25:00 +0000

Dr Louise Robinson recently featured in RANZCO's Eye2Eye magazine about the wonderful rural community eye care work delivered by the IDEAS van in Central Queensland.

The IDEAS van visits remote areas, teaming up with local hospitals and leading ophthalmologists to prevent blindness, and reduce visual impairment.

Article Excerpt:

Dr. Robinson said, “I have been going to Gladstone to work in the IDEAS Van facility since it began in 2019. Through the van, the Eye Team and I can a service the population of Gladstone and its surrounds.

“Remarkably a whole eye clinic, except a couple of pieces of equipment, can neatly fit into an air-conditioned 19-meter trailer. This enables us, with the help of the local optometrist who helps us with visual fields, to provide a full service to the local community including YAG laser procedures, as well as anti-VEGF injections.

“The patients I see with blurred vision have ranged from 18 to 103 years old in age. The main reason for these patients’ blurry vision is predominantly cataracts. Many of the patients are unable to drive due to their vision. This can be very isolating in the remote areas they live in, as they then become dependent upon others for even simple trips to the shops. It is great to be able to improve these patients’ vision and therefore their quality of life.”

Click here to read the full article.

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How World War II helped modernise cataract surgery

Coastal Eye Surgeons — Mon, 10 Jan 2022 05:20:07 +0000

Cataract surgery is one of the most common and successful transplant procedures today. It has the highest quality of life improvement for the lowest cost, relative to hip, knee, or heart surgery.

Patient with mature cataract. Image courtesy: International Centre for Eye Health.

A cataract is the change in consistency of the eye’s natural lens, which sits behind the iris (the coloured part of the eye). The development of a cataract typically shifts a person’s perception of the colour spectrum: whites become yellows, blues darken, and subtle shades of colours are rendered indistinguishable.

Advances in technology and important observations, as well as human perseverance, have allowed us to enjoy two critical treatment technologies: phaco-emulsification – the use of ultrasound technology to break up the diseased lens – and implantable artificial lenses. However, this has not always been the case.

The value of eyesight has always been important. In 2250 BC, vision was a matter of survival, with hunting, gathering and combat being integral to life. At this time, it was thought a cataract was an abscess (infection) in the eye, presumably when the natural lens turned white and therefore the person had no vision.

At this time, the king of Babylon made a law: ‘that if a man opens an abscess (in the eye) of a man with a bronze lancet and saves that man’s eye, he shall receive ten shekels of silver.’ The bronze lancet was later replaced by a sharp needle, as first described in 800 BC by an Indian ophthalmologist.

Couching for Cataract. Image courtesy: Wikipedia

This method of ‘operating’ was known as ‘couching’ which comes from the French word coucher, meaning “to put to bed”. However, it was far from “put to bed”, as the operation was commonly fraught with infection, chronic inflammation and glaucoma, all of which result in blinding. If the patient managed to avoid these complications, the natural lens was not replaced with any form of glasses and their vision remained extremely blurry.

It wasn’t until 1268, when the average life expectancy edged beyond 40, that presbyopia (the loss of the natural lens’ ability to change shape in order to focus on near objects) became more commonplace. Roger Bacon, a monk who studied mathematics, physics and philosophy, discovered that a convex lens allowed people to focus on near objects. The first glasses were made in Murano, Venice, by the famous glass blowers of Italy.

A number of changes in cataract removal technique occurred soon after, the procedure involving ‘squeezing the mature lens’ out of a large incision in the eye which was not sewn closed. The patient was left bed-bound until the wound healed, head held in place with sand bags to prevent movement. Again, no lens was placed in the eye and the patient was left with permanently blurred vision.

A solution did not arise until the Second World War, when Dr Harold Ridley observed a Royal Air Force Hurricane fighter pilot whose plane’s windscreen had shattered in combat, leaving shattered pieces of plastic in his eyes. Ridley noted that the plexiglass-polymethylmethacrylate pieces of the windscreen did not cause inflammation and were not ‘rejected’ by the eye.

He then made the leap to use this material to fashion a lens that could be placed in the eye, avoiding the need for ‘coke bottle’ glasses.

Device used for modern day cataract surgery. Image courtesy: Alcon

In 1949, Dr Ridley performed the first intraocular lens implantation at St Thomas’ Hospital in London. In 1952, he presented his new surgical technique and use of his intraocular lens, receiving much criticism and opposition at the time. Thankfully, he was encouraged by the Europeans, Americans, and Russians, later receiving numerous awards for his pioneering advancements. It wasn’t until just before Dr Ridley’s death in 2001 that he was finally knighted in delayed recognition for his contributions to eye health.

Research and technological advancement have continued to improve cataract surgery, making it more efficient and effective whilst allowing for the implantation of lenses which can alleviate the need for spectacles in many patients.

Coastal Eye Surgeons, located at Hope Island, can assess your cataracts and help tailor treatment that would best suit your eyes and lifestyle.

This article was published in Cove issue 88 – December/January.

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Why is glaucoma more common in diabetes?

Coastal Eye Surgeons — Tue, 14 Dec 2021 23:23:10 +0000

Glaucoma is one of the most common eye conditions, affecting up to 1 in 8 Australians by age 80. However, not everyone is affected equally. Some patients – particularly those with diabetes – are at higher risk of developing it than others.

To understand why this is the case, we need to understand how glaucoma typically develops and how diabetes can affect the eyes.

How glaucoma develops normally

Glaucoma is not a single disease. The name refers to a group of eye conditions which can damage the optic nerve and lead to blindness. This damage can occur when the eye’s natural drainage system becomes blocked.

When fluid cannot leave the eye, it can build up and increase the eye’s internal pressure. This places extra stress on the optic nerve and can damage it, resulting in permanent vision loss. A variety of factors can influence this, including smoking and normal ageing.

The two main types are open-angle glaucoma and angle-closure glaucoma. People with diabetes are at particular risk of open-angle glaucoma, which can develop over a long period and may be exacerbated by some of diabetes’ effects.

What happens in diabetic patients?

Diabetic patients are at much higher risk of developing many eye conditions, including diabetic retinopathy.

Diabetic retinopathy may increase the risk of developing glaucoma as it damages the blood vessels inside the eye. This sometimes causes new blood vessels to develop in the eye, potentially growing over the eye’s drainage system and blocking it. This is known as neovascular glaucoma.

Other studies point to high blood sugar itself as a direct cause. High blood sugar may influence the production of the protein fibronectin, which can accumulate in the eye’s natural drainage system and damage it.

How do I prevent glaucoma?

If you suffer from diabetes, the simplest way to prevent glaucoma is with regular eye check-ups. A dilated eye exam at least once a year can allow your ophthalmologist to spot concerns and address potential vision loss before it occurs.

Managing your blood sugar levels is also essential to preventing damage. High blood sugar on its own does not usually cause damage in the short-term: It’s not uncommon to experience blurred vision for a few days or weeks after adjusting your diabetic care plan or medications, as changing glucose levels can cause temporary swelling in the eye’s tissues. However, high glucose levels over long periods can damage the eye’s blood vessels and needs to be avoided through medical management.

At Coastal Eye Surgeons, we have a wealth of experience and treatment options available to help manage diabetic eye disease and prevent lasting vision loss. We can work together with your GP and endocrinologist to tailor a management plan which works best for your eyes.

Seeking help

Glaucoma is sight-threatening, but it’s well understood and prompt treatment can go a long way in saving sight. If you think you may be affected, it’s critical to see your eye doctor straight away to start treatment.

Located on Hope Island (near the Gold Coast), Coastal Eye Surgeons is experienced in diagnosing and treating glaucoma and can provide a range of options.

You can learn more about how the eye works, glaucoma, and how it’s treated by following the links below

Glaucoma | Coastal Eye Surgeons
Learn about how Coastal Eye Surgeons diagnoses and treats glaucoma on Hope Island
Anatomy of the eye | Glaucoma.org
Learn more about how increased eye pressure causes glaucoma.
Glaucoma Australia | Glaucoma.org.au
Access more information on living with glaucoma and seeking treatment.

The post Why is glaucoma more common in diabetes? appeared first on Coastal Eye Surgeons.

Dr Louise Robinson in the news for all the right reasons

Coastal Eye Surgeons — Fri, 10 Dec 2021 01:16:20 +0000

Dr Louise Robinson is making a big difference in the lives of people from all walks of life, but it is her work with the indigenous community in Rockhampton that really pulls at the heartstrings.

The online newspaper Central Queensland Today, featured Dr Robinson, and the work she does for the Eye and Ear Surgical Support (EESS) program, an Australian Department of Health initiative.

Article excerpt:

Cutting back the amount of waiting times through her visits, the Rockhampton Hospital’s eye clinic saw 102 visits from indigenous patients in January – now the waiting list has been reduced to five people.

“The patients I see with blurred vision have ranged from 18 to 103 years old in age and the main reason for these patients’ blurry vision is predominantly cataracts,” Dr Robinson said.

“Many of the patients are unable to drive due to their vision, this can be very isolating in the remote areas they live in as they then become dependent upon others for even simple trips to the shops.

“It is great to be able to improve these patients’ vision and therefore their quality of life.”

Dr Robinson said while the surgical nature of her patients’ presentations could be challenging at times, she enjoyed meeting with them and family members to hear their stories.

You can read the full article here.

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