Question: I have just turned 50 and reading is getting more difficult. Are there any permanent treatments for presbyopia correction?

Answer: Muscles that control the crystalline lens inside an eye automatically relax when we look at faraway objects and contract when we look at small objects close up. This enables the lens to provide the correct focusing power for far and near vision.

When a person is around the age of 40, the muscles within the eyes start to weaken in their ability to contract and expand the lens, losing focus for near objects.

Moving your reading material further away from your eyes can help as it adjusts the focus point of your eyes.

Around the age of 50, the lens starts to develop early cataract changes, becoming cloudier and inelastic.

The combination of weakened muscles and inelastic the lens makes reading glasses a requirement at this age.

Many people with presbyopia (" lao hua") still wish to enjoy all the five zones of human vision without spectacles.

The first option is mono-vision, using Lasik surgery to correct one eye's focus for far vision (Zones Four and Five) and correct the other eye's focus for near vision (Zones One and Two).

The brain then merges the two images, producing "blended vision" to achieve the intermediate vision (Zone Three), thus enabling you to see relatively well at all distances.

To make sure you can adapt to this kind of vision, you would experience mono-vision with simulation lenses at the clinic before having a more permanent surgical procedure.

Lasik mono-vision does not prevent cataract formation.

By the age of 60, everyone with or without past Lasik experience would likely face blurred vision caused by cataracts and may require cataract surgery

Normal cataract surgery can be performed in post-Lasik eyes and the new lens implant inserted during cataract surgery can correct presbyopia once again.

Your second option is cataract Singapore. and lens implantation. It is a one-time procedure without the need for repeat cataract surgery.

Refractive cataract surgery replaces a cloudy lens with a multifocal lens implant to correct presbyopia.

Associated short-sightedness, long-sightedness, and astigmatism are also treated completely, allowing you to be spectacle-free for all five zones of vision. This is a 15-minute, pain-free procedure.

Both options may cause a slight drop in the quality of distance vision, but it is not visually debilitating.

Many people feel it is a worthwhile trade-off in order to enjoy life without using spectacles and retain near vision after middle age.

Dr. Natasha Lim

Medical director at Dr. Natasha Lim Eye Centre at Mount Elizabeth Novena Hospital

Routine dental check-ups are essential for the assistance of your oral and general flourishing. Visiting the dentist at west coast will keep your gums and teeth solid correspondingly as perceive any early issues, for example, sorrows, gum illness, and oral mischief.

Standard dental visits differ from visits at ordinary between times to once a year relying on your oral success status. Different people possibly visit the dental professional when they experience an issue that is causing them trouble or is hazardous, at any rate, it ought to be viewed as that massive amounts of these issues could be defeated if the issue was recognized at a past stage.

Early completion of dental issues:

Taking off to the dental expert for standard check-ups and cleanings is one of the most vital factors in keeping up mind-blowing oral success. Commonplace dental check-ups can predict pits, root courses, gum disease, oral ailment, and other dental issues. Dr. Cheng a Thornhill dental ace from Bathurst Center Dental Care clarifies, "Adjusting action is superior to fix and as opposed to accepting that an issue will make, it is for every circumstance better to visit a dental ace for normal enlistment."

Avoidance and treatment of gum sickness (Periodontal contamination):.

Gum suffering is one of the colossal clarifications behind the loss of teeth in grown-ups and has moreover been related to coronary sickness. At whatever point apparent in any case time periods, gum disease can be overseen and tangled. On the off chance that treatment isn't played out, and intelligently guaranteed and prompted time of gum sickness, called Periodontitis happens, which circuits loss of bone supporting the teeth. Brushing multiple times every day, flossing every day, getting run of the mill dental check-ups by a dental ace and cleanings are the best killing movement against gum ailment.

Oral disease screening:.

When you go for your ordinary dental evaluation, your dental master in is besides checking for any indications of oral unsafe improvement. This is a credible dental ailment that relates to the mouth, lips or throat and is reliably treatable at whatever point apparent and treated at first periods. Visiting your Richmond Hill dental master for standard checkups and declining smoking are key factors in imagining oral contamination.

Dental issues essentially self-destruct without treatment:

Following confirmation and treatment plan by your dental ace for dental treatment that you need to be done, you should concentrate on getting your teeth treated as quick as time licenses. "Gaps will keep getting increasingly critical and on the off chance that they get gigantic enough to arrive at the nerve of your tooth, your lone decisions will be to have a root channel or have the tooth emptied," as indicated by Richmond Hill dental master, Dr. Chan.

Thusly, run of the mill dental visits is essential for the assistance of your oral success and general flourishing. This is through extreme aversion and early treatment of dentists at clementi.

Dr Tan Boon Eng graduated in 1990 from the National University of Singapore (NUS). Her first appointment was under Singapore General Hospital as a Dental Officer. After a short stint, she joined the Institute of Dental Health (IDH) for 2 years from 1990-1991 under the School Dental Services department.

Following on, she joined a private practice for 2 years from 1991-1993. She decided to open Ginza dental surgery in 1993 to better serve the needs of her patients.

In 1997, Dr. Tan also completed her Orthodontic Progressive Seminar course.

What is a Periodontist:

The periodontist is a type of Dentist who treats periodontology or periodontics which is a special gum disease treatment such as bleeding gums, swollen gums, and gingival gums. When it comes to the selection of Dentist, there are many experienced periodontists in Singapore who provides special treatment and care for your bleeding gums.

Periodontics include studies of a variety of supporting teeth structure, related diseases and conditions which affect them. Periodontal or gum disease is caused by plaque. Plaque is a soft sticky film that is formed on our teeth and contains countless bacteria. If not removed by regular brushing and floss, these bacteria can cause tooth decay and gums surrounding the teeth become inflamed which results in gum disease gingivitis.

A longer period of plaque building on gums will result in degeneration of the bone structure causing bone loss which is extremely harmful for our jaws. It may even result in tooth loss, heart disease or diabetes. The good news is, by keeping healthy teeth care habits, periodontal disease can be prevented.

There are a number of experienced teams of periodontics who specialize in periodontal treatment in Singapore. One such example is our very own Dr. Alex Chee, an NUS graduate, who possesses a Masters in Periodontics from the University of London, with more than 20 years of experience as a dental practitioner specializing in treatment and management of gum diseases and surrounding tissues as periodontics. Being an ex-president of Society of Periodontology Singapore, Dr. Chee has a professional and experienced team that is dedicated to providing you with quality services.

What do a Periodontists do:

For normal toothache, bleeding gums, and any tooth inflammation problems, we will go see the dentist as some of these basic periodontics problems can be managed by a dentist in our neighborhood. In case the dentist detects more complications in such gum diseases related to a complex medical history, then he will refer us to a periodontist. But as periodontal diseases are getting common in patients, the demand for periodontists is increasing in Singapore. Research has shown a higher rate of interconnection between chronic diseases such as aging and gum diseases.

The two main areas where Periodontics play a significant role in modern dentistry are dental cosmetics and implant dentistry. periodontics.com.sg specialize in a variety of treatments such as scaling and root planing which involves removal of damaged tissues and cleaning of the root surface. A few such periodontal treatments provided by our experienced periodontist are:

Bleeding Gums - Gingivitis Periodontal Disease:

Periodontist

Scaling & Root Planing

Surgical Periodontal Treatment

Receding Gum

Gum Recession

Loose Teeth

Gingivectomy - Gingival Overgrowth

Treatment for 'Gummy' Smile

Treatment of Bleeding Gums:

Bleeding Gums - Gingivitis Periodontal Disease: periodontists in Singapore  will start with an initial consultation by having a thorough check-up, monitoring the affected areas, followed by the recommended treatment, procedures, and finally with follow-up care provided.

Depending on the stage of the disease and patients responsiveness, dental implants provided by professional and experienced periodontist will provide a functional experience. Whereas, scaling and root planning is advisable to repeat every 3-6 months to maintain healthy gums.

Scaling: is done for careful cleaning of the teeth and gums in order to remove plaque and tartar.

Root Planning: is required to treat tartar (calculus) which has caused gum degeneration which results in tooth loss if left untreated. The patient will require to take local anesthesia to numb the gums in order to perform the day surgery.

Gum Surgery: A periodontal surgery is required by periodontist if there is a significant separation between teeth and gums. In this treatment, gums are carefully handled to clean, remove the tartar in deep pockets because of difficult access, and even the bone around the infection is amended to foster the healing process. In a more complicated procedure, periodontal areas are rebuilt through a Guided Tissue Regeneration process.

Gum Grafts: is a relatively advanced surgical level treatment in order to restore the periodontal gum tissue to its original form. Gum Grafting is done by collecting tissue from the palate area and securing in the required gum area which is as small as a size of hair. This procedure could take up to an hour depending on the area size and will require the local anesthesia.

Dental Implants: is the replacement of the missing tooth root by a man-made titanium surgical screws in the jawbones. It will require a period of 3-5 months in order for it to be fully functional.

Gum Treatment could cost you around $1,500 to $7,000 per tooth, depending on the treatment type such as Scaling and Root planing, Gum Surgery, Gum Grafts, and Dental Implants. Therefore it is absolutely essential that we develop healthy teeth cleaning and gum care habits starting at a young age.

Nonetheless, a variety of teeth and gum diseases are unavoidable because of excessive sugar, msg, fried food, and the tremendous popularity of tea and coffee in our daily lives. Fortunately, we have experienced Periodontics Singapore who is here to save us from catching chronic diseases such as heart, lung, kidney, and diabetes by treating our bleeding gums if we make an appointment without wasting further time.

A Miracle Baby: Grappling with Repeated Miscarriages

She had had 3 miscarriages for the past 4 years. Y, aged 35, came from a neighboring country. For her first pregnancy, she conceived within 6 months of her marriage. She thought that everything would be smooth-sailing. Unfortunately, she had a miscarriage at about 10 weeks of gestation. She felt upset and grieved over her loss for a while. 

It took her another year to conceive the second time. The pregnancy progressed smoothly until the fetal heart stopped beating at 12 weeks of gestation. She was devastated and suffered a short spell of depression. She had some blood tests done by her local gynecologist, who told her that all the results were normal and the miscarriage was due to "bad luck".

She moved with her husband to another town due to his work commitments. She was pregnant soon after. Again, the mishap happened at around 16 weeks of gestation. This time, she was told that the miscarriage was due to an abnormal wedge of tissue which was found to divide the upper part of her uterine cavity.

" Doc, can you please confirm this anomaly and help me solve the problem?" she asked. Y had a uterine septum which was confirmed by magnetic resonance imaging (MRI). A uterine septum occurs when a full or partial wall separates the uterus. It is a structural abnormality and is formed during Y's development as a fetus.

Cause of the septum:

During embryonic development, the uterus starts out as two small tubular structures. As the fetus develops, each structure moves downwards and towards the middle of the body where they fuse together to form a single organ. Normally, the wall where the two tubes join in the middle will break down completely resulting in a single triangular-shaped uterine cavity (fig 1). If the wall between the two tubes does not disintegrate completely, a septum will form (fig 2).

Figure 1

Figure 2

Prevalence:

About one in 10 to 15 women with repeated miscarriages have a uterine septum.

Symptoms:

Uterine septums increase the risk of a miscarriage by two to four times. It is suggested that if the fetus is implanted on the septum, the blood supply to the fetus may be compromised resulting in pregnancy loss.

Besides miscarriages, the uterine septum may increase the risk for:

· Preterm birth

· Abnormal fetal position e.g. breach

· Intrauterine growth restriction

· Premature detachment of placenta: Placenta abruption

· Stillbirths and neonatal deaths in the first week of life

Diagnosis:

Uterine septums are usually detected during an ultrasound examination, hysterosalpingogram (HSG) or magnetic resonance imaging (MRI). More recently, a modified ultrasound procedure, called sonohysterogram is used to provide better images and measurements of the septum. It involves instilling saline into the uterus and then looking at it with an ultrasound.

Treatment:

The septum can be removed with a simple surgical procedure using a hysteroscope. The uterus is distended with saline solution. The lighted telescope is inserted into the vagina, through the cervix, and into the uterus. The septum is then incised. The procedure is usually done under general anesthesia.

Outcome:

After removal of the septum, the patient is advised to wait for two to three menstrual cycles for healing to take place before trying to conceive. About 50 to 80 percent of women's clinic in Singapore will go on to have an uneventful pregnancy.

Y had successful removal of the septum. She returned for review six months after surgery and was pregnant the following month. The antenatal period went smoothly without complication and she delivered a healthy male baby weighing 3.2 kg by Caesarean section. When I saw her the next day after delivery, she looked at her baby in her arms and said" Doc, it's so surreal. I still can't believe that I have a baby! I look at him in wonder and will never forget the long and tough path I have traveled to bring him safely into the world. I am so lucky to have my little miracle baby".

Dr. Peter Chew is a gynae doctor based in Gleneagles Medical Centre, Singapore.

Head in addition to neck are the crucial part of our body which protect our finds taken advantage of by our eyes, nose, ear specialist, mouth along with throat. There are numerous conditions gotten in touch with head together with additionally neck which, if left overlooked can cause substantial issues to our sensation body organs, as a result of this, it calls for to not be neglected.

There are numerous suggested competent head in addition to neck experts Singapore, supplying in both the general public along with private sectors. As conditions, there are numerous favored around the globe head together with neck experts in our federal government teaching hospital such as Singapore General Teaching Hospital, National Teaching Hospital, KK Female's along with Kid's Teaching hospital, National Cancer cells Cells Centre Singapore, in addition to misdirecting specialist centers such as Mount Elizabeth, Gleneagles along with in addition Novena ENT- Head & Neck Surgical Treatment Specialist Centre in addition to Parkway East Medical Centre.

The experience in the professional medical diagnosis together with therapy of ear, nose, throat, in addition to additionally head & neck problems is called otolaryngology. ENT professional in addition called otolaryngologists is a doctor revealed both medicine in addition to therapy, that specialized to care for a range of ear, nose throat along with in addition head & neck condition such as cancers cells together with swellings. The majority of regular head & neck problems are Neck Lumps along with Thyroids. Otolaryngologists are educated to manage benign as well as additionally in addition to that harmful communicable trouble such as swellings care for the injury, as well as also in addition troubles of the face together with visual plastic in addition to plastic surgery. Checks out program that by 2030, the option of brand-new cancer cells situations yearly is prepared to rise to 23.5 million. As a result of that, our experience in addition to in addition to that professional head along with furthermore neck expert at Novena ENT more than likely to your solution to provide the born in mind right here head in addition to likewise on top of that neck therapy together with in addition procedures.

1. Thyroid Surgical treatment

2. Parotid Surgical therapy

3. Submandibular Gland Surgical Treatment

4. Neck Break down

5. Laryngeal Treatment

6. Phonosurgery.

7. Surgical treatment for Dental and also in addition to that Pharyngeal Tumours.

8. Tracking of Nasopharyngeal Cancer Cells.

Thyroid Surgical therapy: furthermore called a thyroidectomy, is utilized to take care of regular issues along with problems gotten in touch with the thyroid gland, development of swellings, hyperthyroidism, in addition, to also hypothyroidism because of the excess or scarcity of thyroid hormone representative reps. General anesthesia in addition to a little cut will most definitely be connected with the therapy, complied with the regular checks.

Parotid Operation: The saliva creating gland parotid lies near ear, neck, mouth together with additionally jawline location. Occasionally swellings can develop in these glands in addition to in addition additionally if left forgot for a substantial period of time, it might modify unsafely. So be vigilant of an ear infection, swelling, and likewise in addition pain of the parotid gland as a result of viral infection along with making an attend to see the ear specialist asap to remain without the type of kind of sort of hearing loss. In this therapy, Parotid Gland is operatively gotten rid of under normal anesthesia by making a lowered worrying along with likewise behind the ear place which is concealed behind the hairline.

Submandibular Gland Surgical Treatment: Matching to Parotid glands, an additional salivary gland that might be influenced by benign or deadly developments, called submandibular gland exists under the jawlines on both sides of the face. Submandibular gland has to be done away with furthermore when they are benign as a result of their quick treatment of becoming deadly in addition to furthermore maintain devoid of ending up being cancer cells by seeing our informed in addition to preferred throat specialist Singapore

Neck Break down: Lymph vessels are a network of tubes that affix to teams of lymph nodes throughout the body. A lot of head in addition to on top of that neck cancers cells together with growths have the capability to infect several other bodies eliminate the lymph nodes rather fast as well as furthermore conveniently. At Novena ENT, our otolaryngologists make sure to offer you sufficient outcomes by treatment of neck break down, by getting rid of some or each of the contagious components.

Laryngeal Surgical Therapy: Appropriate for individuals with Throat, generally called voice box cancer cells where a part or each of the throat is removed. Laryngeal Procedure could be recommended to be executed in renovation to radiation treatment or radiation therapies.

Phonosurgery: Matching to the Laryngeal clinical therapy, Phonosurgery is urged for those whose previous therapies have in fact truly revealed not to rely upon order to suggest the resource of the trouble for longterm treatment unlike trying to find momentary treatment.

Surgical therapy for Oral in addition to Pharyngeal Tumours: Throat along with likewise mouth are really a vital component for of our body as they permit us to absorb in addition to also ingest, as a result of this in order to handle advancements in the Mouth along within addition in addition to that Throat Specialist, a therapy will certainly be suggested by our experienced ENT expert, abided by the changing in addition to restructure of the mouth along with in addition to that throat location.

Tracking of Nasopharyngeal Cancer cells: Nasopharynx cancer cells is amongst one of the most regular cancers cells impacting the head along with in addition neck area. Radiation Oncologists as well as likewise moreover Professional Oncologists are encouraged for individuals taking care of Nasopharyngeal Cancer cells along with the coordinated with therapy in addition to furthermore regular follow up treatment.

Cancer cells are among the leading causes of death in the world yet with the development of medical clinical research it has in truth served to take care of cancer cells if it exists at a start. According to a research study, the option of cancer cells survivors are prepared on your own to boost to 20.3 million by 2025. So if you presume any kind of type of sort of swelling around your neck location, or assume any kind of type of kind of amongst the indicators, choose an analysis to consult your depended upon the head in addition to furthermore neck specialist in Singapore at Novena ENT,, in order to expose the cancer cells at a begin and additionally similarly to quit it from expanding soonest to be able to acquire the existing sophisticated treatment you must have.