Does my child need retinal detachment surgery?

What you are reading right now is a product of the retina converting the light into signals that can be interpreted in the brain. It is the part of the eye where the first step in the vision process takes place. It is a light-sensitive sensory membrane that lines the inner surface of the back of the eyeballs. It is composed of several layers, which contain specialized cells called photoreceptors.

For instance, as we look around, light from the things we are looking at enters the eye, and the photoreceptor cells then absorb the light focused by the cornea and lens and convert it into chemical and nervous signals that are transmitted through the optic nerve to the visual centers in the brain.

The electrical stimulation is obtained and interpreted within the specific areas of the brain to allow us to see and comprehend what we are seeing or in other words, these impulses are transformed into images and visual perceptions.

 

What is a retinal detachment?

A retinal detachment is a serious condition of the eye that involves the separation of the retina from its attachments to the underlying tissue within the eye, through which it prohibits the retina from receiving oxygen. Since the retina can’t work properly when this happens, you could have permanent vision loss of you don’t get it treated right away. A retinal detachment surgery is needed to restore circulation to the retina and preserve vision. Those who have retinal detachment may experience these symptoms:

  • Flashing lights in your (photopsia)
  • Eye floaters (floating spots in your vision)
  • Darkening of peripheral vision

 

Can children my child have retinal detachment?

In children under 18 years old, retinal detachment can also occur although it is very rare. The occurrence of retinal detachments in children is very low compared to adults. Only 3.2 – 6.6% of reported retinal detachments occur in children. The major cause of retinal detachment in children is eye trauma. In some cases however, retinal detachment in children can be caused by associated conditions such as myopia, and retinopathy of prematurity (ROP). In very rare cases, retinal detachment in a child is caused by underlying health conditions such as uveitis (a form of eye inflammation) and Coats disease (abnormal development of blood vessels in the retina).

Does my child need retinal detachment surgery?

A retinal detachment surgery is an eye surgery that involves reattaching the retinal tissues back into its normal position and sealing any breaks and holes that it leaves behind.

Pediatric retinal detachment is usually addressed differently from adult retinal detachment. To know if your child needs surgery, a thorough eye examination will be conducted and it is up to the eye specialist to decide whether surgery is needed. Your child’s eye specialist will discuss with you the nature of the procedure as well as the associated risks so you can guide your child about the necessary steps to be undertaken to address his/her condition.

Surgery brings a certain risk especially in the young. And like any medical procedures, there’s no guarantee that it will be 100% successful. As a parent, you should be aware of this and weigh the benefits from the potential risks.

 

How is retinal detachment surgery performed?

Several forms of eye surgery exist to repair a detached retina. A simple tear in the retina may be treated with laser treatment or a freezing method called cryotherapy. Various forms of retinal detachment require surgery and may require varying degrees of anesthesia to complete the procedure.

Some operations may be required urgently based on the severity of your retinal detachment. For example, if the retina has just begun to detach, a procedure called pneumatic retinopexy can be performed to repair it.

  • Pneumatic retinopexy or a gas bubble placement is a retinal detachment repair procedure wherein the eye doctor administers a bubble of gas into the eye. Patients are then put in a position where the gas bubble is forced against the retinal cavity. To permanently seal the hole, the doctor uses a laser. This type of procedure is usually done in-clinic or as an outpatient procedure.

More advanced surgical procedures are required in severe forms of retinal detachments. The following procedures may include:

  • Scleral buckling is a method wherein a surgeon places a silicone or sponge on the white eye around the point of the retinal tear to indent the wall of the eye inward so that it meets the hole in the retina. The buckle is designed to heal the retinal detachment by moving the sclera against the retinal tear.

 

  • Vitrectomy is a procedure that utilizes very small devices inside the eye to release the tension on the retina. It is done to drain vitreous fluid that has become cloudy or bloody, or filled with floaters or clumps of tissue and allows the retina to move back into its proper position.

 

Takeaway

 

The retina is an integral part of the eye and is very essential to your child’s vision. It transforms the light gathered from the millions of photoreceptors inside it to allow us to see images and have visual experiences. Once it is disturbed or affected, there is a high possibility that it could lead to a permanent vision loss. Moreover, retinal detachments do not heal on their own so medical interventions are always highly recommended. Once your child exhibits the signs and symptoms of retinal detachment, you should schedule an eye check-up for him/her as soon as possible.

 

If you need an eye specialist here in Singapore, you can visit our clinic Asia Retina Eye Surgery Centre at #15-10 Paragon, 290 Orchard Road or you may call 6732 0007 to book an appointment. Our clinic specializes in the treatment and management of retinal problems and other diseases related to the eye. Feel free to reach out to us today so we can help you to better understand your child’s condition and guide you and your child in every step of the treatment process.

 

Asia Retina – Eye Specialist in Singapore
#15-10 The Paragon, 290 Orchard Rd,
Singapore 238859
+65 6732 0007

Know the acne scar removal in Singapore that’s just right for you

Our skin is one of the important parts of our body. Sometimes you are judged by other people just by looking at your skin. It is also one factor that can boost your confidence.

But not everybody is blessed with beautiful skin. Others suffer because of unflattering skin problems, especially on their faces. One of them is acne scarring. When you first hear it, it just sounds like a simple scar, but little do you know that it is one of the skin problems that bother many.

Some people think the acne scar is ok and do not care if they will have it on their face forever. Others get bothered by it that their everyday life is affected. You may be one of those who want to get rid of acne scars because you are reading this article. Don’t worry, 1Aesthetic in Singapore is more than willing to help you with your acne removal. Keep reading to know more about the treatments they offer and what acne scar removal treatment is right for you.

All about Acne Scars

Acne scars are the result of abnormal healing after the damage to the skin brought by acne. When the pores swell, the follicle wall breaks and infected material from the skin spill out and create deeper lesions to the tissues around it. Production of new collagen can help the healing but will not restore your skin to its original state.

Types of acne scar

  • Keloid scarring- this type of acne scars creates a lumpy red scar. Most commonly seen around the jawline, neck, chest and back area.
  • Boxcar acne scars– depressed scars that are shallow to medium in depth. Mostly located on the cheeks and temples. It can be stuck down to the deeper layers of the skin.
  • Ice pick acne scars- deep scars that reach the lower layer of the skin.
  • Rolling scars– It creates a wavy texture in the skin. Commonly fixed at the underlying Superficial Muscular Aponeurotic System (SMAS) layer.
  • Papular Scars– it is a soft skin-colored elevation around the hair follicles.
  • Post Inflammatory Erythema (PIE)- skin redness with inflammation which can result in scarring.

1Aesthetic for acne scar removal in Singapore

1Aesthetic offers safe and effective treatment for acne scar removal in Singapore. It is a premium boutique medical aesthetic clinic located in the heart of Singapore’s riverside lifestyle. They offer premium medical aesthetic services that are affordable and ensures a great treatment experience for all their patients. In the following section, know the different offerings from 1Aesthetic to solve your acne scarring woes.

Acne Scar Removal Treatments

Fractional Infrared Laser

Fractional Infrared Laser is more efficient and has shorter downtime compared to non-fractional treatments. It involves the disposition of a pixelated pattern of microscopic laser wounds surrounded by healthy tissue. This treatment can be divided into ablative and non-ablative. Ablative fractional lasers have longer wavelengths compared to non-ablative that have shorter wavelengths.

Fractional Picosecond Laser- Discovery Pico Plus

The scar is remodeled by highly concentrated energy produces laser-induced optical breakdown (LIOB). Discovery Pico Plus generates the highest peak power in the world because of its second-generation triple wavelength picosecond laser.

Fractional Bipolar Radiofrequency

It creates a pyramidal thermal injury zone, a large coagulation zone deep in the skin with minimal surface damage.

Fractional Microneedle Radiofrequency

It uses insulated microneedles so that the upper part of the skin will not be damaged. It delivers radiofrequency energy precisely up to 4mm deep in the skin, this results in fast recovery, safe and higher efficiency.

Vascular Lasers/ Intense Pulse Light

It targets hemoglobin in blood vessels. It destroys them to get rid of the acne scar. While intense pulse light is used with vascular filters, however, it is less powerful compared to other treatments.

CROSS (Chemical Reconstruction of Skin Scars)

It uses a highly concentrated chemical peel to lift the base of deep scars.

Subcision and Filler

Small needle punctures are inserted under the skin and tethered skin scars are released. The filler is inserted to prevent the two layers from sticking together again during the healing process.

Scar Excision

It removes the scar from the skin and closed it using sutures or a skin graft.

Intralesional Steroid Injections

It decreases the over-active inflammation and collagen synthesis by Corticosteroid injections.

According to Dr. Wan, the founder and medical director of 1Aesthetics, the treatment for acne scar removal in Singapore should be tailored according to the individual’s need. The patient’s skin type, scar configuration, lifestyle, and budget are important and must be considered that is why they offer several acne scar removal treatments in 1Aesthetics. Here is the list of suitable acne scar removal treatment for every type of acne scar:

  • Rolling Scars – subcision and fillers first to tethered scars. Fractional Radiofrequency, Fractional Lasers, Fractional Microneedling Radiofrequency will improve this type of acne scar.
  • Ice Pick Scars– CROSS, scar excision or CO2 laser can be used for this type of acne scar.
  • Boxcar scars– this needs subcision and fillers then you can pair it with CROSS or scar excision.
  • Papular Scar– ablative laser can flatten this type of acne scar.
  • Post Inflammatory Erythema-Fractional Radiofrequency, Fractional Lasers, Fractional Microneedling Radiofrequency can help improve this type of acne scar.
  • Hypertrophic/ Keloid Scars– vascular laser or fractional laser combined with steroid injections can improve this acne scar.

Prevention

The most common remedy to prevent an acne scar is to avoid popping your pimple and picking at scabs. Also, another home remedy is washing your face often using a face wash for oily skin or use face cleansers to clean your skin. Acne cream can be also of help in preventing the development of acne scars.

However, if your acne scar cannot be managed by these simple remedies you need to go to the next level and schedule for an acne scar removal treatment–all you need to do is just to get up, get ready and go to 1Aesthetics to begin your journey with acne scar removal.

 

 

1Aesthetics Medical & Surgery
#14-90 The Central,
8 Eu Tong Sen St, Tower 1,
Singapore 059818
+65 6612 5173

Your Ideal Nose: A Plastic Surgeon’s Point of View

Our definition of beauty

 

Each of us has his or her own definition of beauty. Attractiveness of the same object (or person) can vary from person to person as someone’s perspective of beauty can be different. Location, race, culture, and beliefs can greatly influence how you see beauty. Let us focus on how we see our own nose, for example. Some of us may want to have a more prominent nose because we are born to a have shorter nose which we find unattractive. Also, some people complain having a big nose that affects their appearance. That is why some people are opting to change the appearance of their noses to enhance their facial features through rhinoplasty.

Rhinoplasty, commonly called a ‘nose job’, is a surgical procedure that changes the shape and size and improves function of the nose. This procedure is done to correct injuries on the nose, breathing issues, birth defects or for appearance (nose) enhancements. Rhinoplasty is performed by plastic surgeons, facial plastic surgeons or otolaryngologists (ENT).

What can an ideal nose be?

It is said that an “ideal” nose is one that is in harmony with other favorable features on the face. Plastic surgeons of course have a guideline to the aesthetic ideal of the nose where they evaluate how the nose is in proportion with the other parts of the face. These guideline is composed of lines, measurements and numbers. Let us try to take the view of plastic surgeons on noses.

Before reading, try to imagine looking at your face in a mirror.

In front, full face, view, the (ideal) face can be divided by equal horizontal thirds that is dividing your face equally in three by horizontal lines and by equal vertical fifths by dividing your face in 5 equal parts with horizontal lines. Now with these imaginary lines as a guide, see where your nose is located. Ideally, the nose width must include a fifth of the face and a proper nose sized nose is located in the medial, one-fifth portion of the face. Try to also draw (downwards) vertical lines from the inner corners of your eyes, your nose must be located between these lines.

Now, try imagining your face in side view.

The nose height is the distance between your nose tip and your face. Ideally, the nose height must be equal to its width in side view. Drawing an imaginary line from the tip of nose tip and another line from nose tip to the face, the created angle must be between 30-45 degrees. The ideal angle is close to 36 degrees. The ideal lip and nose angles are 95-105 degrees for women and 90-95 degrees for men. Also, the distance from your septum to the line from your nose root to your nose tip should be 2 millimeters.

For this, try imagining your face or nose in coarser view (where your the nostrils are visible)

In the coarser view, you must see a triangle. And ideally, the nose vestibules, which is the front most part of your nasal cavity, should be two equal thirds of the height the triangle.

One must remember though that the above ideal criteria are just for aesthetics. The plastic surgeon also considers basic nose function such as breathing when performing rhinoplasty.

In Asian countries, rhinoplasty is really very popular. A typical Asian nose is rounder on the tip and plumper on the sides. Asian noses are also commonly termed short and are considered by some Asians as unattractive. That is why a lot of Asians undergo rhinoplasty to get that “ideal” nose. In fact, rhinoplasty in Singapore in particular is really very common. In Asian rhinoplasty, there are two types of effective approaches – Closed Rhinoplasty which can only be done for limited nasal cosmetic deformities and Open Rhinoplasty and the approach chosen for a patient will depend on how complex the requirement of the procedure will be. A consultation is required by plastic surgeons to get to know the patient and his or her expected outcomes. It is really very critical to trust highly trained and experienced plastic surgeons for the proper medical guide and get the best outcomes

In Singapore and planning to get a rhinoplasty

If you are in Singapore and wishes to undergo rhinoplasty, it is best to contact a top plastic surgeon. There are a lot of considerations before you should get that “nose job” and it will be best to have a very skilled and experience plastic surgeon to make sure you are best taken care of. For proper guidance in rhinoplasty in Singapore, you may contact TES Clinic to learn more on how their team can give you the “ideal” nose you desire. Set an appointment today and be assured that you are in good hands. TES Clinic will make sure you get the best possible results. 

TES Clinic for Face & Jaw
304 Orchard Road,
Lucky Plaza Suites #05-42, Medical Specialists,
Singapore 238863