Focal Eye Centre / The Children's Eye & ENT Centre | Singapore | DocDoc

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Overview
Physician
Procedures

Focal Eye Centre / The Children's Eye & ENT Centre

Singapore
Overview

With Dr. Zena Lim at the helm, Focal Eye Centre has become a premier eye health service provider in Singapore. Conveniently located at Mt. Elizabeth Novena Hospital, it provides a wide range of eye services including treatment for myopia, hyperopia, presbyopia, astigmatism, cataracts, floaters, squints, glaucoma, the diabetic eye, age-related macular degeneration and eye trauma. Specialized eye care for children is also provided at The Children’s Eye & ENT Centre, an affiliated practice at the same location. Established in 2014, Focal Eye Centre’s services range from providing regular eye examinations using the most advanced technology and performing cataract surgery to state of the art surgeries such as Femto laser-assisted “bladeless” cataract surgery. It also offers squint surgery to correct misaligned eyes and eyelid surgery for droopy eyelids. The Children’s Eye & ENT Centre provides subspecialized treatment for childhood cataracts and glaucoma, as well as lazy eye and eye misalignment correction for children. Since its establishment, Focal Eye Centre has become a trusted provider of emergency care for any eye emergencies including trauma.

Languages Spoken
  • Mandarin
  • Cantonese
  • Bahasa Melayu
  • English
  • Hokkien
  • Bahasa Indonesia
Insurance
  • CIGNA
  • Fullerton Healthcare Network
  • Parkway Shenton
  • AIA
  • Prudential
  • Great Eastern
  • iXchange
  • AXA
  • Aetna
  • AVIVA
  • NTUC
  • MHC
  • Alliance Healthcare
  • Aon Care
  • Adept Health
  • BUPA
Physician
Dr. Zena Lim
Dr. Zena LimVerifiedOphthalmologist in Singapore
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Dr. Zena Lim is a highly skilled, US fellowship-trained ophthalmologist. She believes that every patient is unique, thus requiring treatment that is tailored to the individual. She understands that parents and their children can be apprehensive when seeking eye treatment for the first time, she is therefore committed to offering only the safest and most effective medical and surgical procedures available.

Dr. Dawn Teo
Dr. Dawn TeoVerifiedOtorhinolaryngologist in Singapore
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Dr. Dawn Teo, a board-certified Otolaryngologist, is highly trained in the diagnosis and treatment of conditions that affect the ears, nose, throat, as well as head and neck. Driven to address the needs of adults and children patients, her main goal is to provide individualised treatments that are clinically proven safe and effective.

Procedures
Ophthalmology
Age-related Macular Degeneration (AMD) Treatment
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Age-related macular degeneration, which is the most common cause of vision loss for patients aged over 60, is the breakdown or deterioration of the eye’s macula, a small area in the retina. There are two types of this condition; dry and wet form. The dry form is a chronic eye disease marked by the death of the cells in the retinal pigment. The wet form, on the other hand, occurs when blood vessels grow in the retina. Acute wet macular degeneration is treated using medications that prevent the growth of problematic blood vessels in the eyes. Laser photocoagulation may also be performed to destroy existing leaking blood vessels. Unfortunately, there is no available treatment for dry form macular degeneration. However, patients are encouraged to seek professional help from ophthalmologists to prevent the condition from worsening.

Cataract Surgery
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Cataract surgery is a procedure that aims to improve a person’s vision by removing the cataracts, which are cloudy changes in the eye’s natural lens. The procedure is commonly performed using lasers and ultrasound. The patient is first given a sedative and local anesthesia. The surgeon will then position the laser over the eye to create a small cut at the side of the cornea. An ultrasound probe is then used to break the cataract up into miniscule pieces, which are then removed using suction. The surgeon will then implant an artificial lens called an intraocular lens in the place of the cataract.

Diabetic Retinopathy Diagnosis and Follow-up
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Diabetic eye disease, an eye condition caused by diabetes, can result in partial or total loss of vision. It can also lead to glaucoma or early onset cataracts. Managing diabetic eye disease requires the management of the underlying diabetes. The patient needs to lose weight, maintain a healthy diet, exercise regularly, quit smoking, monitor blood glucose levels regularly, and take medications as prescribed by the doctor. Targeted eye treatments, such as intravitreal injections, laser eye treatment and vitreo-retinal surgery may be recommended in severe cases to restore vision.

Droopy Eyelid / Inturned Eyelid Correction
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Blepharoplasty is a common procedure performed to correct droopy eyelids. This aims to reshape the eyelid or repair droopy skin, which often develops with age. Droopy eyelid correction, which is performed under local anesthesia, involves making a surgical incision in the skin along the natural eyelid folds or lid crease to remove excess skin and tissue. It also involves tightening the remaining skin to achieve a younger-looking appearance. Swelling and bruising, which patients might experience after the surgery, subside in about two weeks.

Inturned eyelids can lead to eyelashes rubbing constantly against the cornea. The patient experiences eye discomfort and irritation. Correction of inturned eyelids is a simple and quick procedure with minimal downtime.

Eye Trauma / Removal of Foreign Body / Corneal Abrasion
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Eye trauma, regardless of severity, should be attended to as soon as possible in order to minimise further eye damage. Moderate to severe eye trauma must be treated by an ophthalmologist. Ophthalmologists are eye doctors who are capable of performing eye surgeries, should it unfortunately be required.

Eyelid Plastic and Reconstructive Surgery in Babies and Children
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Babies and children with abnormalities in the eyelids, which could either be present from birth or sustained due to an injury, can undergo eyelid plastic or reconstructive surgical procedures to correct the condition. Paediatric oculoplastic surgeons, who are highly experienced ophthalmologists trained in eyelid plastic surgery, perform these types of surgical procedures. The majority of eyelid plastic and reconstructive surgeries on babies and children are performed under general anesthesia so that the patient sleeps through the procedure. This can be done as a day case and often does not require overnight stays in the hospital.

Follow-Up Consultation
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A follow-up consultation with an Ear, Nose, and Throat (ENT) specialist is usually required when the doctor needs to monitor the progress of a treatment method, or when tests were taken and the doctor needs to discuss the results with you. Most follow-up consultations with an ENT will take around 15 to 30 minutes. However, if the doctor needs to discuss the condition further or requires more diagnostic tests, such as an x-ray, CT scan, MRI, or ultrasound, the consultation can take a few hours. The doctor will let you know in advance what will happen during the follow-up consultation so you can set aside the time needed to complete the assessment.

General Consultation
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Patients who are having problems with their eyes or vision are encouraged to schedule an appointment with an ophthalmologist, who is a specialist in medical and surgical eye problems. Ophthalmologists, unlike optometrists, are physicians that offer complete eye care services. They perform eye exams and provide medical and surgical eye care for various conditions including glaucoma, cataracts, and various retinal problems like retinal detachment, among others. During the consultation, the ophthalmologist will perform a thorough examination and review the patient’s medical history. Vision tests will be performed and symptoms will be discussed. Through this, a treatment plan can be customised.

Glaucoma Surgery
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Glaucoma is a condition wherein the optic (eye) nerves are damaged due to eye pressure, which can result in gradual loss of vision. The two main types of glaucoma are open-angle and closed-angle glaucoma. Treatment of both subtypes can include medications, such as eye pressure-lowering eye drops, laser eye treatment and glaucoma eye surgery. Regardless of the mode of treatment, the goal is to reduce and stabilize intraocular pressure. The two types of laser treatments commonly performed for glaucoma treatment are Trabeculoplasty and Iridotomy. In a trabeculoplasty procedure, the eye drainage function is enhanced while in the iridotomy procedure, a tiny hole is created in the iris so that the eye fluid can flow freely.

Squint Surgery
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Squint, a condition where a person’s eyes are misaligned, is typically corrected with surgery, although this is considered the last option when all non-surgical methods have been tried but failed to correct the condition. This is a subspecialised procedure, and only a surgeon trained in paediatric ophthalmology and adult squint surgery is well-placed to treat various forms of eye misaligment, medically termed “strabismus”.

Surgery for Correction of Tearing
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Epiphora, commonly referred to as tearing, is a condition characterized by excessive flow of tears. The condition can be brought about by a number of conditions, such as infection of the eyelids or eye, blocked tear drainage, or weakness of the orbicularis muscle (muscle surrounding the eyelids). Diagnosing a blocked tear duct will require the doctor to perform a simple outpatient syringing and probing test. If the tear duct drainage is patent, the patient should be able to taste the syringed saline. If not, there is a possibility that the tear duct is blocked. Tear duct obstruction may have to be corrected surgically via a dacryocystorhinostomy procedure in adults or a syringing and probing procedure +/- intubation in young children.

Vision Correction
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Myopia (nearsightedness), hyperopia (long-sightedness), astigmatism and presbyopia are conditions that affect a person’s vision. In some cases, the condition can be treated with eyeglasses or contact lenses. However, for those who no longer want to be bothered by using these corrective vision options, refractive surgery is the best option. This can either be in the form of LASIK or implantable contact lenses in young adults, or clear lens extraction in the older population.

Otorhinolaryngology
Allergy and Sinus Problem
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Sinus problems are sometimes caused by allergies to food, dust, and other irritants. The blood vessels in the nose dilate and cause swelling. Treatment of the condition includes avoiding the triggers and protecting the sinuses. Using a nasal spray or washing the nose with a salt-water solution also helps to improve the condition. Medications such as antihistamines and decongestants are recommended if a nasal wash or nasal spray cannot relieve the symptoms. In some cases, the doctor may recommend an allergy shot, also referred to immunotherapy. The last option is to undergo a minimally invasive surgical procedure called balloon sinuplasty. The procedure involves inserting a catheter with a balloon at the tip through the nasal cavity. Once the catheter reaches the sinuses, the balloon is inflated to remove any blockage.

Ear Deformities
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Ear deformities in infants are common. Studies have shown that one in four infants or 15 to 25 percent of newborns have an abnormally shaped ear. This condition can be treated through non-surgical means, such as ear moldings. The procedure is usually performed when the infant is a couple of weeks old. Rigid plastic molds are placed over the infant’s deformed ear to soften the curves and re-contour the cartilage. The procedure is non-invasive, as such the infant will not experience any pain. By using the ear molds, the infant’s ear deformities are corrected within a couple of weeks.

Ear Tubes
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Ear tubes, also called as tympanostomy tubes, or pressure equalization tubes, are small cylinders that are surgically inserted into the tympanic membrane so that air can flow into the middle ear. Ear tubes are made out of metal or plastic. An Otolaryngologist may recommend the use of an ear tube if there’s an infection in the middle ear, or the patient experiences hearing loss caused by the presence of fluid in the same area. Most of these conditions commonly occur in children, but teens and adults may also experience the same condition. The procedure to insert an ear tube is usually performed as a same-day surgery. The ear tube is inserted by creating a small hole using a small scalpel and microscope. Some procedures are performed with the aid of lasers.

Follow-Up Consultation
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A follow-up consultation with an Ear, Nose, and Throat (ENT) specialist is usually required when the doctor needs to monitor the progress of a treatment method, or when tests were taken and the doctor needs to discuss the results with you. Most follow-up consultations with an ENT will take around 15 to 30 minutes. However, if the doctor needs to discuss the condition further or requires more diagnostic tests, such as an x-ray, CT scan, MRI, or ultrasound, the consultation can take a few hours. The doctor will let you know in advance what will happen during the follow-up consultation so you can set aside the time needed to complete the assessment.

General Consultation
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 Read more...Read less...

Patients who are having problems with their eyes or vision are encouraged to schedule an appointment with an ophthalmologist, who is a specialist in medical and surgical eye problems. Ophthalmologists, unlike optometrists, are physicians that offer complete eye care services. They perform eye exams and provide medical and surgical eye care for various conditions including glaucoma, cataracts, and various retinal problems like retinal detachment, among others. During the consultation, the ophthalmologist will perform a thorough examination and review the patient’s medical history. Vision tests will be performed and symptoms will be discussed. Through this, a treatment plan can be customised.

Nasoendoscopy and Ear Cleaning
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Nasendoscopy and Ear Cleaning are procedures that are normally performed by Ear, Nose, and Throat (ENT) specialists. In a nasendoscopy, the doctor inserts a small microscope attached to a tube through the nose in order to find and remove blockages. The patient is administered a local anesthetic prior to the procedure. In an Ear Cleaning procedure, the doctor will use a microscope to see the ear canal clearly. Earwax is then removed using suction. The doctor may also perform a procedure called ear syringing or ear irrigation to ensure that all the wax has been removed.

Nose Bleed Treatment
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A nosebleed is a condition wherein the blood flows freely from the nose. Majority of nosebleeds are of the anterior type (blood originating from the front of the nose). These are easier to control than the posterior type, or when the blood originates from the back of the nose. The most common cause of nosebleed is trauma to the outside or inside of the nose. This is easier to treat than nosebleeds that happen due to a disease or abnormal condition, such as hypertension and liver disease. If the condition is accompanied by other conditions such as rapid heartbeats or breathing difficulties, you should seek immediate medical attention by going to a hospital’s emergency department.

Sleep Apnea/Snoring Device
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Loud and intense snoring is usually caused by a condition called Obstructive Sleep Apnea (OSA) or the less common form, Central Sleep Apnea (CSA), which is the disruption of airflow during sleep. Sleep Apnea occurs when a person’s airway collapses and the body fails to receive enough oxygen. When the brain detects the condition, it will automatically wake you up, which usually results in a loud snore while attempting to breathe again. Mild to moderate sleep apnea can be treated through weight loss and mandibular advancement devices while severe cases need to be treated using a nasal continuous positive airway pressure (CPAP) device.

Tonsillectomy
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Tonsillectomy and Adenoidectomy (T&A) are surgical procedures to remove the tonsils and adenoids. These are usually outpatient procedures as they only take between 30 minutes to an hour to complete. However, children under three years of age may need to spend a few days in the hospital, especially if they have difficulty taking in liquids. Prior to the procedure, the child is given a sedative to relax and an anesthetic to ensure that he or she sleeps throughout the surgery. The surgeon will then proceed to remove the tonsils and adenoids. After the surgery, the child will need to spend time in the recovery room. It is normal for the child’s throat to be sore after surgery, but this should be resolved by taking pain medications.

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