Moorfields Eye Hospital London and Moorfields Eye Hospital Dubai join forces for a professional medical symposium on children’s eye conditions

[:en]17 May 2015 (Dubai, United Arab Emirates): Leading eye experts from Moorfields Eye Hospital in London and Moorfields Eye Hospital Dubai are joining forces for a symposium on paediatric ophthalmology, covering some of the most serious children’s eye conditions, for eye care professionals in the Middle East. The symposium will take place at the Shangri-La Hotel Dubai on Tuesday, May 19th and will award CME (Continuing Medical Education) credits to participants. The symposium will be supported by Novartis, the healthcare solutions company.
The paediatric ophthalmology symposium will cover four main areas – external eye disease and corneal disorders, Uveitis, Cataracts, and Glaucoma.

  • External disease includes conditions relating to the outside of the eyeball, such as the cornea, iris and sclera (the tough outer layer of the eye).
  • Uveitis is inflammation of the middle layer of the eye (the uvea or uveal tract) resulting in a painful red eye and cloudy vision, caused by injury, infection or underlying disease. If untreated, eyesight can be seriously damaged. Intermediate uveitis tends to occur in children, teenagers and young adults.
  • Cataract is a common eye condition, in which the lens become progressively opaque, resulting in blurred vision.
  • Glaucoma signs and symptoms include increased pressure within the eyeball, which can cause gradual loss of sight, if left untreated.

Dr Melanie Hingorani, Consultant Ophthalmologist with a special interest in paediatric ophthalmology, strabismus & ocular motility, Moorfields Eye Hospital London, will participate in the symposium in collaboration with colleagues from Moorfields Eye Hospital Dubai – Dr Avi Gurbaxani, Consultant Ophthalmic Surgeon in Uveitis and Medical Retinal Diseases; Dr Sohaib Mustafa, Consultant Ophthalmologist and Glaucoma Surgeon; and Dr Darakhshanda Khurram, Consultant Paediatric Ophthalmologist.
Commenting on the paediatric symposium, Dr Darakshanda Khurram said: “Paediatric eye surgery can be much more complex than in adults because a child’s eye is smaller and weaker, with potential complications in recovery and post surgical visual rehabilitation. However, diagnosing and treating eye conditions at an early age can lead to very good results and allow the child able to recover and develop without any problems. Cataract surgery can be done on infants from as young as eight weeks old. Over the last 10 years, outcomes have improved for children undergoing treatment such as paediatric cataract surgery, for a number of reasons. Firstly, a better understanding of the physiology of the young eye, especially the infant eye; and secondly, the introduction of better surgical techniques which have enhanced safety and efficacy. As the new surgical techniques evolve and new tools become available, children with vision impairment now have the chance of improved sight and improved quality of life.”

Dubai-based glaucoma experts encourage regular Glaucoma screening in the UAE; link to Diabetes increases risk of Glaucoma

10 March 2015 (Dubai, United Arab Emirates): Marking the conclusion of World Glaucoma Awareness Week 2015 (March 8-14, held under the theme of BIG – Beat Invisible Glaucoma), the Glaucoma experts at Moorfields Eye Hospital Dubai is calling for continued and greater awareness of the risk of this disease and highlighting the need for regular screening for older citizens and residents in the UAE to prevent Glaucoma blindness. The World Health Organisation estimates that Glaucoma affects around 60 million people globally.

Glaucoma is the second leading cause of blindness worldwide and the number one cause of irreversible blindness. However, the disease is treatable and blindness can be prevented through early diagnosis. Although children and young adults can be affected by Glaucoma, high risk groups include middle aged and older people (with an increasing risk from 40 years of age up), uncontrolled diabetics and those with a family history of glaucoma.
Moorfields Eye Hospital Dubai (Moorfields) is highlighting the importance of Glaucoma awareness, and stressing the need for early detection. Screening for the disease and then compliance with the treatment regime are two important messages for the community. According to the World Health Organization, the number of people estimated to be blind as a result of primary glaucoma is 4.5 million, accounting for slightly more than 12 per cent of all global blindness. The primary risk factors that are linked to the individual and the onset of the disease are age and genetic predisposition. The incidence of some types of Glaucoma rises with age and its progression is more frequent in people of African origin.

Glaucoma is called “the sneak thief of sight” because there are no symptoms and once vision is lost, it is permanent. As much as 40 per cent of the field of vision can be lost without a person noticing. According to the Glaucoma Research Foundation, there are currently 2.7 million people in the United States over the age 40 with glaucoma. Experts estimate that half of these people do not know that they have the disease. The National Eye Institute projects that this number will reach 4.2 million by 2030, a 58 percent increase.

Are there symptoms?
“Unfortunately, many people with glaucoma are unaware that they have it until there is a large amount of irreversible vision loss,” said the specialists at Moorfields Eye Hospital Dubai, speaking on the sidelines of a Glaucoma symposium in Dubai, where he presented the latest advances in Glaucoma surgery. “Glaucoma has no symptoms in its early stages and up to 40 per cent loss of sight can occur before the sufferer notices any problem. This is why we are advising the community in the UAE – and especially those over the age of 40 – to undertake regular screening every year. It really could save your eyesight. We have a relatively young population in the UAE but with a high incidence of diabetes and so, as the population ages, there is the risk of an increase of Glaucoma.” Glaucoma is a group of eye diseases that cause progressive damage of the optic nerve. If left untreated, most types of glaucoma result (without any warning or obvious symptoms to the patient) in increasing visual damage and may lead to blindness. Once this has happened, the visual damage is permanent, which is why glaucoma is described as the “silent blinding disease” or the “sneak thief of sight”.

Is there a cure?
There is no simple cure for glaucoma yet, however it can definitely be treated and blindness can be prevented through early diagnosis and acceptance of treatment. Treatment with eye drops or surgery (conventional or laser) can halt or slow-down the disease and prevent further vision loss. Research aims to uncover the various mechanisms for the abnormal levels of intra-ocular pressure, nerve damage and the role of genes. Early detection is essential to limiting visual impairment and preventing the progression towards severe visual handicap or blindness. An eye-care professional can detect glaucoma in its early stages.

Screening
Screening for Glaucoma involves a mandatory eye pressure check, evaluation of the health of the optic nerve at the back of the eye by a specialist doctor and visual fields test if any changes are seen at the previous exams. All tests are pain free and easy to assess the disease when performed in proper ophthalmic hospitals or clinics. They should be done every 12 months as screening and can be accompanied by an optic nerve photo if needed. “In most cases, glaucoma appears after the fourth decade of life, and its frequency increases with age,” they added. “There is no clearly established difference in glaucoma incidence between men and women. Other risk factors include genetics and family history, and other health conditions like uncontrolled diabetes, which is very common in the UAE. There is a wide ranging spectrum of cases ranging from patients who have established early glaucoma and are compliant with treatment, to patients who have uncontrolled glaucoma and either non-compliant with medication or indeed as we have highlighted, don’t know they have the condition.”

Patients in the UAE need better understanding of laser corrective eye surgery, according to a Moorfields expert

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8 March 2015 (Dubai, United Arab Emirates): Laser eye surgery is one of the most common surgical procedures performed. In the UK, it is estimated that 15,000 people undergo laser eye surgery every year. It is quick, effective and life-changing for people who are able to stop wearing glasses and contact lenses, after surgery. In fact, it is now so safe, accessible and affordable that patients may not be aware of the need to understand the type of surgery and the options, the experience of the doctor performing the procedure, the expected quality of the results, and any possible side effects.
In the UAE, prospective candidates for laser surgery need to be better informed, if they are to get the best possible results, according to Doctor Mark Wilkins, Consultant Corneal Surgeon and Corneal Service Director, Moorfields Eye Hospital (London), who also leads the Corneal Service in Dubai.
How to choose the right laser corrective surgery
Patients plan to have refractive eye surgery only once in their lives and so they should make sure that they are getting the right treatment to get as close as possible to the desired result.
Alllaser vision correction surgeries work by reshaping the cornea, the clear window at the front of the eye, so that light traveling through it is properly focused onto the retina located in the back of the eye. There are two main types of surgery – LASIK and LASEK/PRK. Prospective patients need to be clear on what procedure would best suit their needs, give them the desired outcome and improved vision. They need to be sure that they are working with the right procedure, and the best technology in expert hands, before committing. Every patient should beassessed thoroughly with a comprehensive eye examination and a review of medical history to ensure they are appropriate candidates for the surgery.
“Laser eye correction is safe and complications are rare, as long as you are in expert hands,” says Doctor Mark Wilkins, Consultant Corneal Surgeon and Corneal Service Director, Moorfields Eye Hospital (London). “All laser surgeons should be trained, qualified and experienced in the selected procedure.
“Doctors must ensure that they help patients fully understand what improvements they can expect in their vision and whether they may still need to use reading glasses, for example. It is essential to agree the optimum outcome for the patient, based on age, vision, and lifestyle requirements (such as sports, working environment, need to read, or driving at night). The resulting vision for the patient should be an improvement on pre-treatment eyesight with glasses or contact lenses.”
The patient perspective
Asma, a 23 year-old journalist in Dubai who underwent laser surgery at Moorfields Eye Hospital Dubai, says: “I have been wanting to have corrective surgery since I was 16 but I was waiting for the right time. I did my own extensive research and looked at differentoptions. Moorfields recommended the PRK procedure because my cornea was notthick enough for a LASIK operation. I knew that it was a new type of operation and I read about the side effects and the results on the internet. The consultation process was very important because the doctor explained everything I needed to know to make a decision and was very open about the possible side effects and recovery process. I would recommend anyone who is tired of wearing glasses to consider corrective surgery. It changed my life.”
Advanced technology
Moorfields Eye Hospital Dubai uses the most advanced technology for laser refractive surgery for vision correction, providing improved performance for patients in terms of speed, precision, safety and comfort, and often allowing faster visual recovery. Moorfields is among the first private hospitals in the Middle East to invest in the Schwind Amaris 750S – the leading technology for laser treatment.
Dr Wilkins concludes: “Corrective eye surgery is a science and an art – the results are literally in the eye of the beholder. In order for patients to avoid problems and get the results they are expecting they should have a very clear understanding of the procedure and what outcomes to expect through discussions with a doctor experienced in the procedure.”
Moorfields is currently offering patients (minimum age 21) a free initial assessment and savings of up to AED3,000 on vision correction surgery – subject to terms, and the treatment administered – until 31st March 2015.[:ar]