Astigmatism is a condition whereby the front of the eye is not ideally round like a football. Instead, it is more oval like a rugby ball giving the front of the eye an asymmetric curvature. This shape defect causes light to focus asymmetrically as it enters the eye, creating blurred vision. Some people have astigmatism as well as long or short-sightedness. Fortunately, short-sighted and long-sighted don’t often happen together. However, some people, as they age, get one short-sighted eye and one long-sighted eye.
Laser eye surgery is an effective treatment for astigmatism if you want to be independent of glasses or contact lenses.
We can treat cataract patients who have astigmatism, with an implant.
Just behind the pupil of your eye is the lens. This lens focuses the light entering the pupils to make a clear image in the retina. The retina changes the image into a nerve impulse so that your brain can “see” it. Usually, the lens of the eye is crystal clear so that light passes through it easily. However, as you age, cloudiness can develop in the lens and start to block the light passing through. This is when your vision becomes blurred and clouded. We call this cataract or lens opacity.
Conjunctivitis is an inflammation of the conjunctiva. The conjunctiva is the outermost coat of your eye. It covers all of the white part and the back of the eyelids.
Conjunctivitis is a common, typically self-limiting, inflammation and has many causes.
Bacteria are a very common cause of conjunctivitis. They are usually quickly eliminated by the two antibiotics which occur naturally in your tear film.
Viruses are also common causes of conjunctivitis, but it takes longer for the body’s immune system to remove them.
Pollen, chemicals and other irritants can cause conjunctivitis. Allergens can cause allergic conjunctivitis.
If you have conjunctivitis, having the correct diagnosis is essential.
Once the cause is known, the treatment can commence. Examination and swabs of the tears are usually helpful. Special imaging of the tear film can show how well it is functioning, and infrared imaging of the oily Meibomian gland can also help us to diagnose.
We can successfully treat conjunctivitis with eye drops.
Dry eye refers to any condition of the eye in which you feel that the eyes are dry.
Many conditions can cause symptoms of dryness of the eye. However, actual dry eye is rare and occurs when tear production is deficient.
Your eyes tear film consists of three layers, each of which is equally important but can be affected differently in different conditions.
The innermost layer is a mucinous layer that is produced by special cells in the conjunctiva. The function of the mucin is to act as a wetting agent so that the middle layer of the tear film can evenly moisten the eye surface.
This middle layer of watery tears are produced by the lacrimal gland which is found up under the eyelid. It is this gland that produces tears when we are emotional.
The third and outermost layer of the tear film is an oily secretion from specialised skin glands which are found in a neat row along the edge of the lid just behind the eyelashes. These glands are called meibomian glands. One of the functions of this oil is to coat the surface of the watery layer of the eye, to slow its evaporation.
Meibomian glands can be subject to chronic infection leading to styes.
The tear film contains two antibiotics which the body produces naturally.
Dysfunction of any of the three layers of the tear film can lead to symptoms of dryness. The following can impair the functioning of the tears:
Contact lenses or eye drops
Some autoimmune diseases such as rheumatoid arthritis can attack the lacrimal glands
Eye makeup can compromise the quality of any of the layers and cause a sensation of dryness
A tiny bug called Demodex can live in the roots of the lashes and cause irritation
Correct diagnosis of the exact cause of the symptoms is essential for successful treatment.
Depending on the cause, treatment may consist of eyes drops, antibiotics, lifestyle adjustments, or in rare cases, the graft of new cells into the conjunctiva.
People with diabetes are prone to developing eye problems.
Diabetic eye disease is a group of eye problems that can affect people with diabetes. These conditions include:
Diabetic macular edema
The two main ways that diabetes damages vision is cataracts and retinal damage (retinopathy).
Often there are no early symptoms of diabetic eye disease. However, when symptoms do occur, they may include:
Blurry or wavy vision
Frequently changing vision
Dark patches or vision loss
Poor colour vision
Flashes and floaters
The first step to treat diabetic eye disease, is to manage your diabetes properly. We can treat more advanced eye problems such as cataracts and retinopathy with one or a combination of medicine, laser treatments and surgery.
Eyelid cysts, chalazion and styes are very common. Some people go through a period where they have repeated bumps on their eyelids. Usually, no intervention is necessary, and eventually, the problem will disappear.
Eyelid cysts, chalazion and styes occur when the oil glands in the lid margin become blocked. Sometimes it is due to an imbalance in the eye or an infection.
Most of these common eye problems disappear on their own within a few months at most. However, we can surgically remove large or troublesome ones.
The treatment for removal of a cyst is to anaesthetise the lid in the area of the cyst. We then drain the cyst, and within a few days, all should be normal.
Almost everyone will experience a floater at some point in their life, although many people never notice them. They are very common among shortsighted people and their incidence increases as we get older.
The vast majority of floaters are harmless bits floating about the jelly at the back of the eye. However, sudden onset of floaters with or without flashing lights can also be the first sign of a detached retina. In this case, an urgent examination is essential.
Also, you may find yourself seeing light spots that move around your vision. This is uncommon but can be a stress-related eye problem.
Glaucoma is a condition that causes damage to the nerve which transmits eyesight signals from the eyeball to the brain. It is commonly associated with high pressures in the eye and comes in two types; open-angle glaucoma (chronic glaucoma) and narrow-angle glaucoma (angle-closure glaucoma).
When people talk of glaucoma, they are usually referring to the open-angle type as this can cause loss of vision. Open-angle glaucoma is described as the silent thief of sight because the loss of vision is painless. Narrow-angle glaucoma can have no symptoms but can progress to open-angle.
In narrow-angle glaucoma, which is much less common, patients complain of seeing halos around lights and a dull eye ache. This may progress to severe eye pain, redness and blurring of vision associated with nausea and vomiting. If left untreated, glaucoma initially results in loss of peripheral vision then tunnel vision and eventually irreversible sight loss.
The treatment for open-angle glaucoma is to lower the eye pressure. We can do this with:
Keratoconus is an eye condition that affects the shape of your eye. Rather than your eye growing in a sphere shape, it grows in a cone-shape causing your cornea to progressively thin and bulge. The cornea is responsible for focusing most of the light that comes into our eyes. If there are abnormalities of the cornea, the way we see the world is affected and this can make simple tasks difficult.
The primary treatments to correct the vision impairments caused by keratoconus include:
Lazy eyes, also known as amblyopia, usually affects just one eye and occurs when your eyes do not develop properly as a child. The eye is often perfectly healthy; however, your brain does not recognise the eyes image and relies heavily on the “good” eye” to see. It is like the brain doesn’t have to correct software to load an image.
Treatment involves putting a patch over the good eye so that your brain is forced to upload the software to see with the lazy eye.
Treatment is only effective in children under the age of seven.
Myopia, also known as short-sightedness, is a condition where you can only see sharply close up. It is caused by the eye growing too long. The normal human eye is approx 23.5mm from the front of the cornea to the back of the retina. If the eye grows longer, you become shortsighted.
For each unit of myopia, there is a 40 fold increase in the risk of blindness later in life.
Presbyopia is the need for reading glasses as we get older.
Usually, between the ages of about 45 and 55, the autofocus mechanism in our eye gradually fails. When this happens, we have to increasingly rely on glasses to read computer screens or printed text.
Historically, the only way to overcome this was to wear reading glasses.
Recent advances in laser and lens implant technology have produced exciting new treatments to free people from the need to use reading glasses.
If you wear contact lenses, you can have them adjusted so that one eye sees far and the other sees near. This is called monovision.
Another option is lens surgery with a multifocal implant replacing the natural lens.
A third option is PRESBYOND laser vision correction. This treatment is safe and effective and provides the added bonus of correcting long-sightedness, short-sightedness and astigmatism; all at the same time.
Depending on the cause, the patient may need to wear glasses to control the squint. The glasses may refocus the eye to allow the brain to control it better. Sometimes the glasses may have a prism to control the squint.
My-iClinic is financially accessible to anyone who wants the best available treatment
We are proud to hear we make a meaningful difference to your life
Mr Bolger suggested having cataract surgery on both eyes on the same day and whilst I had concerns, I decided to go ahead. The day after I was able to remove the eye pads and I had perfect vision. I have told many people that it was the best thing I have ever spent my money on. I have needed spectacles or contact lenses since I was 9 years old and now have 20/20 vision with no assistance from spectacles. I would highly recommend the My-iClinic.
Mrs Penelope Carrozza
Double cataract removal in September 2018. The total experience from initial consultation to operation was most efficient. The result so far has been exactly as described in the brochure, I've never seen so well. I had glasses from just over 1 year old till now, (80+), what a difference!
Just discharged after having monovision cataract surgery in both eyes I am delighted with the outcome. I can see both near and far and have been able to dispense with my contact lenses and glasses. I have been well looked after from my first contact. Mr Bolger was very professional and reassuring and I felt at all times that I was in good hands. I cannot fault the whole experience including the charges, which having researched various alternatives, proved to be very reasonable.
I had high confidence in the team working at My-iClinic due to their attentive and thorough end-to-end service, from the reception desk to the operation theatre. I have recommended the practice already to multiple friends, family members and colleagues. (And my eyesight is better than I even hoped for!)
Absolutely fantastic. I was very nervous having my laser treatment for narrow angle glaucoma. The Consultant was wonderful, caring and very understanding. She talked me through the procedure and was extremely patient. Definitely recommend My-iClinic.
Book a consultation to see how we can help you
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About the experts
Meet the My-iClinic founders, Mr John Bolger and Ms Bola Odufuwa. Two consultant eye surgeons who made it their life goal to make your life better.
Consultant Ophthalmologist Clinic Director MBBS DO FRCS (Ed) FRCOphth MSc
Bola Odufuwa is a consultant ophthalmologist at The Royal Free Hospital and My-iClinic. Her specialities include cataract, glaucoma, paediatric, and laser refractive surgery. Bola has had extensive training at Moorfields Eye Hospital, London, where she gained expertise in the management of various eye conditions.
Bola Odufuwa’s special interests include optimal refractive outcomes following cataract surgery, non-penetrating glaucoma surgery, and assessment eyesight in children with special needs: particularly dyslexia and autism.
Mr John Bolger
Consultant Ophthalmologist Clinic Director FRCS DO FEBOS -CR
John Bolger is a Consultant Ophthalmologist and Clinic Director at My-iClinic. His specialities include ophthalmology, laser refractive surgery (SMILE, Presbyond, LASIK, PRK, PTK), refractive lens exchange (RLE), cataract surgery, glaucoma treatment and macular degeneration.
Over the course of his career, John Bolger has carried out over 35,000 cataract operations, 20 of which were for eye surgeons. He has also taught over 1500 young ophthalmologists worldwide as they begin their surgical careers.
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