Rawatan Mata Kering

Memahami keadaan mata anda adalah perkara paling penting yang harus dilakukan sebelum merawat mata. Di Malaya Optical, kami sebagai pengamal penjagaan mata profesional akan sentiasa memastikan anda memberikan penyelesaian terbaik dan berkesan. Penilaian mata kering yang menyeluruh akan membantu kami memahami keadaan mata kering anda sepenuhnya dan ini akan memudahkan kami memberikan rawatan mata kering yang terbaik kepada anda.

Semua rekod penemuan anda akan dikumpulkan dan disusun dalam rekod digital sistem kami supaya lebih mudah bagi kami untuk memantau dalam lawatan anda yang seterusnya. Dalam masalah yang berlanjutan, kami juga dapat mendiagnosis pembacaan baru dan menunjukkan kepada anda tentang perubahan yang berlaku pada mata anda setelah merawat.

Pertama sekali, penyebab mata kering dan keparahannya akan dihadapi untuk memberikan rawatan yang sesuai. Penyakit yang berbeza atau penyebab mata kering mempunyai tahap rawatan yang berbeza. Bagi penilaian yang paling awal, kami akan mula membuat Pelan Rawatan dan Pengurusan Mata Kering untuk anda.

Rawatan mata kering

Salah satu rawatan yang paling biasa untuk kes mata kering adalah dengan menggunakan titisan air mata palsu. Terdapat dua jenis titisan air mata palsu. Salah satunya adalah titis mata berasaskan pengawet yang tinggal di rak untuk waktu yang lama tetapi ia akan menyebabkan kesan menyengat kerana ia mengandungi agen pengawet untuk menyingkirkan bakteria. Titisan mata bukan pengawet terdapat dalam beberapa botol sekali pakai yang anda gunakan sekali dan buang dan juga tidak menyebabkan sensasi pedih pada mata anda.

Titisan air mata tanpa pengawet
Titisan air mata tanpa pengawet
Titisan air mata dengan pengawet
Titisan air mata dengan pengawet

Semasa pemeriksaan slit lamp, jika ada bulu mata yang membalik ke dalam mata anda, kami akan cuba untuk mengeluarkannya. Bulu mata yang bercabang yang tumbuh ke arah mata anda boleh menyebabkan kerengsaan dan geseran pada permukaan mata anda. Pertumbuhan dan kedudukan bulu mata yang tidak teratur juga boleh menyebabkan mata kering. Penyumbatan kelenjar meibomian harus sentiasa dijaga supaya bersih. Kadang-kadang, mata kita mungkin mengalami penyumbatan ini yang mengandungi radang, minyak, air mata terkumpul dan sebagainya. Kerana ini, anda mungkin terasa tidak selesa.

Salah satu kaedah termudah untuk membersihkannya adalah dengan melakukan pemampatan hangat. Sekiranya kelopak mata anda dijumpai dengan benjolan kekuningan kerana penyumbatan kelenjar meibomian, sila bersihkan terlebih dahulu sebelum melakukan pemampatan. Pertama, basuh muka anda dengan air bersih. Kemudian gunakan syampu bayi yang dicairkan dan gosokkan bulu mata dan permukaan mata mengunakan putik kapas. Bilas mata anda dengan air bersih lagi. Selanjutnya gunakan tuala bersih, rendam dengan air suam, peras dan mula melakukan pemampatan hangat dengan menekan tuala dengan lembut pada permukaan mata anda.

Pemampatan hangat untuk mata

Dalam beberapa kes, penyelesaiannya mungkin mudah tetapi bagi orang tertentu akan ada susulan dan rancangan tindakan jangka panjang. Walau apa pun, tujuan kami sebagai optometris adalah untuk sentiasa memberi anda penjagaan optimum yang terbaik dan membuat anda lega dari masalah atau gejala mata kering anda. Sila hadir ke doktor atau optometris terbaik di bandar sekarang untuk mendapatkan penilaian dan rawatan mata kering anda.

Dry eye treatment

Dry Eye Treatments

Understanding your eye condition is the most essential thing to do before getting your eyes treated. At Malaya Optical we as an professional eye care practitioners will always make sure to provide you the best and effective solutions. The comprehensive dry eye assessments will help us to understand your dry eye condition completely and it will make us easy to provide you the best dry eye treatments.

Comprehensive Eye Examination

All your findings will be gathered and compiled in a digital record in our system so that it would be easier for us to follow up and monitor in your next visit. In further extended problems, we also could able to diagnose the new readings and show you the changes that happened in your eyes after the respective treatments.

History Taking Form

First of all, the causes of dry eyes and its severity will be encountered to provide a suitable treatments. Different diseases or causes of dry eye have different level of treatments. From the beginning of the assessments, we will start to create a Dry Eye Treatment and Management Plans for you.

One of the most common treatment for dry eye cases is by using artificial tear drop. There are two types of artificial tear drops. One is preservative-based eye drops which stay on the shelf for a long time but mat causes stinging effect as they contain preservative agent to get rid of bacteria’s. Nonpreservative eye drops come in several disposable vials that you use once and throw away and also does not cause any burning sensations.

During slit lamp examinations, if there is any eye lashes that flip inward of your eyes will be removed. Eye lashed that grow in inward direction towards your eyes may cause irritation to your eye surfaces. Irregular growth and position of eye lashes also may caused to dry eyes too. Blockage of meibomian gland required to be clean and clear. Sometimes, our eyes may have this blockage which contains inflammation, oil, accumulated tears and so on. Due to this, you may feel discomfort during the day.

One of the easiest way to clear this is by doing warm compression. If your eyelid was found with yellowish lump due to meibomian gland blockage, do remove it first before doing a compression. First, wash your face with with clean water. Then use a diluted baby shampoo and rub your eye lashes and surfaces with cotton buds. Rinse your eyes with clean water again. Next use a clean towel, soak with warm water, squeeze it and start to do a warm compression by gently pressing the towel on your eye surfaces.

In some cases, the solution may be simple but for certain people there would be a long-term follow ups and action plans. In any cases, our goal as an optometrist is always to provide you with the best optimal care and make you relief from your dry eye problems or symptoms. Do drop by to visit the best optometrist in town now to get your dry eye assessment and treatment.

FAQ*

1.How do you permanently treat dry?

The easiest way that we can do to treat our dry eye problem to blink frequently. Blinking your eyes can help tears to moisturise all over the eye surfaces. Eyelid should be cleaned everyday using sterile cotton bud with diluted shampoo and also remove make up before going to bed.

2.How to self-treat dry eye at home?

Allow your eyes to rest whenever you feel tired, wash your eyelids and lashes with clean water if its too oily, stop smoking, drink more water and get some vitamins and supplements.

3. What is the latest treatment for dry eyes?

Xiidra (lifitegrast ophthalmic solution) was approved by The U.S. Food and Drug Administration for treating dry eye signs and symptoms.

4. Does drinking more water help to reduce dryness in our eyes?

Due to a symptoms of dehydration, drinking plenty water do re hydrate our whole body. Yet, eye drops still the best help to alleviate the symptoms by lubricating the eye and washing away foreign bodies.5. What does dry eye look like?

Dry eye assessments

Dry Eye Assessments

At Malaya Optical, we as an optometrist have almost encounter dry eye patient everyday. With certain latest techniques and technologies we able to diagnose, assess and treat dry eye in more efficient way. Below are the few dry eye assessments that we usually apply at Malaya Optical.

This process is made easy by taking a history of patients symptoms, signs and complaints related to dry eyes. By accumulating the potential causes and symptoms of dry eye, eye care practitioner could able to determine the suitable management and treatment for it. Those who are suffering from dry eyes, it is important for you to make an appointment and visit our optometrist.

We will be running out few tests accurately according to your current eye conditions under dry eye assessments. Those who are not aware of having a dry eye syndrome, we also could able to diagnose it start from a comprehensive eye examination. Here, we use few number of strategies and skills to assess the causes and severity of your dry eye condition and from there we will develop a dry eye treatment appropriately.

The very first signs that we able to encounter before even a patient could able to complaint to us about their dry eye is by doing a NIBUT (non-invasive tear break up time) test. The cut off value to distinguish a normal patient and a dry eye patient is 12 seconds in NIBUT test (Vidas Pauk 2019). The easiest way to conduct this test is with auto refractor meter. Once their corneal miars is clearly visible on auto refractor meter, patients can start to blink and hold their blink until they could. Meanwhile, the eye care practitioner requires to count how many seconds does a patient can hold their blink or how many seconds does their corneal miars does not get distorted.

Coeneal miars in NIBUT test

The next clinical examination that an optometrist can do to assess dry eyes is with slit lamp examination. This exam allows our optometrist to screen our eyes in anterior and posterior level. This test is done at microscopic level, by examining the eye health include the eyelids, tear layer, conjunctiva, pupil, iris, lens, sclera, cornea, retina and also optic nerves. It is easy to assess the redness of patients eyes and its severity by using a slit lamp biomicroscopy.

 Any debris or dust may cause irritation while we blink and these small particles will move around our tear layer when we blink. Uneven tear layer may cause dry eyes, and moreover dust and debris which move around our tear layer causes additional discomforts.

Redness in the eye due to dry eye

 Evaluation of the tear film and cornea: by putting a drop of sodium fluorescein (a yellow dye) into the eyes which mixes with the tears to give a clearer indication of the quality of tear film, and any signs of corneal damage due to excessive dryness.

Other than that, slit lamp also will help us to measure the tear meniscus which forms as a pool and accumulates at the bulbar conjunctiva in the inferior lid margin. The normal height of tear meniscus is approximately 0.3 to 0.4mm. A measurement scale is done with an adjustable slit beam height.

Tear Layer Meniscus

Do visit your near by Malaya Optical optometrist to get your eyes tested with complete dry eye assessments and managements.

Eye Examination for Aviation Employee

Eye Examination for Aviation Employee is a requirement for the applicant (s) or workers based on the Civil Aviation Regulations. Medical requirement or occupational requirement is a preventive medicine in which the patients, pilots, aircrews or any person who involve working in flight who need to get a proper health examinations before they were selected to work.

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Children with Myopia and Amblyopia

Children with Myopia and Amblyopia

Nowadays, having healthy eye and clear vision are critical in children. We often came across with children with myopia and amblyopia. We as an eye practitioner recommend parents or guardian to get their children eye tested regularly, as many vision problem and eye diseases can be detected and treated in early phases. Mostly children with myopia and amblyopia has to get their eyes tested and get the proper treatment as soon as possible as this eye problem can be worsen after certain point of time.

Children Eyesight
Vision test for children

If your children has been diagnosed with myopia is means that they have nearsightedness. It simply means that near vision looks clearer than far vision. It might get worsen if myopia is not treated at early stage but it also can be corrected with visual managements such as corrective ophthalmic lenses, contact lenses, ortho-k, and LASIK surgery.

Eyes with short-sightedness
Animation of eye condition with myopia

Kids with myopia has longer eyeball length from front to back, which causes the light rays to fall at the back of retina. To make the image clearer children may sometimes need to shrink their eyes to reduce the light rays and glare around them to see the image clearer. This eventually will lead the eyeball to elongate day by day and increase in eye power.

Mostly, children may not understand their vision clarity, and some even may accept their blurry vision state as they think that is the best vision they can gain. They might adjust their blur vision status by moving forward to far images to focus it clearly. Eye examination for children can start at 6 months old, 3 years old and before first grade. Also if there is any abnormality found, your children should get their eye tested as soon as possible. Always do follow your eye specialist recommendations for the best advice to care your children eye health.

Signs of children vision problem

Whereas, amblyopia is an eye condition of where your eyes and brain does not work simultaneously as how it suppose to work. Amblyopia also known as lazy eye, of where kids will start develop good vision in one eye and poor vision in the other eye. Children are often get used to this problems, and might not informed to their parents. As a result their lazy eye vision may not be diagnosed for months or even years. Treatment for amblyopia works to correct our eye and brain to function equally and strengthen the vision to be more better. Using prescription lenses, eye patches, atropine drops and surgery are the available treatment for amblyopia.

Amblyopia
Eyesight with Amblyopia

Did your children with myopia and amblyopia get their eye tested completely? Do drop by to your nearest outlet and get the best optometrist in town to check your children eyesight now.

*FAQ

What is the most common eye problem in children?

Common pediatric eye problem includes lazy eye, nearsightedness, farsightedness, astigmatism, childhood tearing, cortical visual impairment, vision development abnormalities, genetic eye diseases, double vision and nystagmus.

Why do kids have bad eye sight?

The most common vision problem starts when children at school age. Due to refractive errors such as myopia, hyperopia and astigmatism your children will end up to have blurry vision.

How do you know if your children have eye problems?

If you found your children like to squint their eyes, try to move forward to read or see something clearly, rub their eyes constantly, having extreme sensitivities to lights, abnormal eye alignment, and severe red eye do bring your children and visit ophthalmologist or optometrist for further treatments.

At what age does vision fully develop?

Children eye sight will develop fully as they growing up. When they are at age of 4-5 years old their vision is not as perfect as adult. Eyesight will start to be one of the crucial element in our body when we have the ability to co-ordinate our full body movements.

How can I improve my eyesight? What is the perfect vision?

If you have bad eyesight, please do not hesitate to meet your eye practitioner to get the best consultation about your eye status. Perfect eye vision is considered as no vision aid’s is required to see better. Vision acuity with 20/20 or 6/6 known as perfect vision.

zeiss myokids

Zeiss Myokids Lenses

Zeiss Myokids is a specially designed progressive addition spectacle lens for children to control the accommodative lag during near vision tasks. The top half of the lenses correct the myopia, provide a clear and shape vision for distance while the bottom active zone simultaneously support near vision tasks.

Carl Zeiss Myopia Control Lenses
Carl Zeiss Myopia Control Lenses

Myopia is also known as short-sightedness, a common vision problem where you experience blur vision at distance but can see near objects clearly. It occurs due to long eyeball shape or the lens-cornea system of the eye is too strong. This causes the light rays focusing images in front of retina instead on your retina.

Myopic eye versus normal eye
Anatomical view of normal and myopic eye

According to World Health Organisation, in year 2020 it is expected more than 2 billion people is myopic over the world. This is predicted to rise to approximately 5 billion by year 2050. Xiang (2012) stated that the rate of myopic progression among 7 to 15 ages is -0.7 dioptre per year. Besides that, there is a risk for myopes to develop sight-threatening eye diseases such as glaucoma, myopic retinopathy and myopic maculopathy [Vongphanit et al 2002]

When myopic eyes look at near object with a standard lenses, often the eyes try to save energy and do not focus enough (accommodative lag) to bring the light ray back to retina. This will results in a false signal to our eyes to elongate which increase myopia progression. 

However, the Zeiss Myokids lenses bottom active zone (addition power) is very effective for near vision tasks by correcting this defocus. This will reduce in progression of myopia. According to Gwiazda (2004) the reduction of accommodative lag is known to result in a potential reduction of myopia progression. This new design, Myokids can reduce the lag of accommodation up to 30% compared to those conventional progressive lenses (Schilling et al 2017). Besides that, this special near vision design also supports the digital life of children nowadays to reduce eyestrain.

Difference between single vision lenses and Myokids lenses
Difference between single vision lenses and Myokids lenses

To optimise the function of the myopic control spectacle lenses, we as an optometrist do practice visual hygiene as well. Proper reading distance (not close than 30 centimetres), proper posture and lighting while reading or computing. Advise to take a 2 minutes break for every 30 minutes near vision tasks.

Essilor Myopilux-Myopia Control lens

Essilor myopilux is the all-in-one, ideal treatment for children’s myopia.

Myopia is a significant global public health concern since few decades, which were affecting 85% to 90% of young adults in some Asian countries such as Singapore and Taiwan. In a survey of school children in Malaysia, found prevalence of myopia was 42% Chinese and 15% Malay. The prevalence myopis or shortsightedness among Malaysians is said to have reached a ‘concerning’ level, mainly due to lack of public awareness on the importance of going for regular eye checks. (http://www.myhealth.gov.my/en/myopia-shortsighted-nearsightednes

There are currently several options available to manage shortsightedness. They can be classified according to their ability to correct and slow myopia progression during childhood as shown in the figure below:

Myopilux is the ideal treatment for children to correct myopia, besides controlling its evolution. Research has found that Myopilux successfully reduced myopia evolution by up to 62%. In addition, Myopilux is a trustworthy and safe, non-invasive solution that has been designed for myopic children by international experts of myopia.

Myopilux are specialized prescription lenses that help correct far vision and reduce strain for near vision. This lens corrects and controls Myopia, all at the same time. It is superior to single vision lenses, which only corrects far vision without helping to reduce strain on near vision.

Myopilux lenses are available in two designs – Myopilux Max and Myopilux Plus.

Myopilux Plus

Myopilux Plus is progressive lenses specially designed for kids, taking into account the eye anatomy, facial anatomy and ergonomics. These lenses offer a wide range of vision and provide posture comfort.

Myopilux Max

Myopilux Max is prismatic bifocal lenses recommended for exophoric patients. They provide the widest field of vision for a myopic child. The upper part of the lens caters to the prescription and the bottom part of the lens carries a prismatic reading addition power. There is a line separating the upper and bottom halves of the lens.

Benefits for using Myopilux lens:

  • Non-invasive
  • Stabilize myopia
  • Better social life

For more information drop by Malaya Optical as we have optometrists who are specialized in children eye care.

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