Ask an Ophthalmologist: Dr Ajeet Wagle from Mount Elizabeth (Orchard) Hospital & Farrer Park Hospital Singapore

Ask a Doctor Forum › Category: Ophthalmology › Ask an Ophthalmologist: Dr Ajeet Wagle from Mount Elizabeth (Orchard) Hospital & Farrer Park Hospital Singapore

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dr. Ajeet Wagle asked 2 years ago

I am Dr Ajeet Madhav Wagle, Senior Ophthalmologist based in Mount Elizabeth (Orchard) Hospital and Farrer Park Hospital. Ask Me Anything! I am Medical Director & Senior Consultant in International Eye Cataract Retina Centre at Mount Elizabeth Medical Centre Singapore and Farrer Park Medical Centre Singapore. I am also a Visiting Consultant at the Department of Ophthalmology & Visual Sciences at Khoo Teck Puat Hospital. Singapore. I was previously Consultant in the Department of Ophthalmology & Visual Sciences at Khoo Teck Puat Hospital, Alexandra Hospital and Jurong Medical Centre. I was also Associate Consultant, Vitreoretinal Service, Sankara Nethralaya, India; Clinical Senior Lecturer, Faculty of Medicine, Yong Loo Lin School of Medicine, National University of Singapore; Part-time Lecturer for the Bachelors Degree Programme in Optometry and Advanced Diploma in Optometry at Singapore Polytechnic Optometry Centre. I graduated from the University of Pune, India with a Bachelor of Medicine and Bachelor of Surgery in 1994 and obtained my Diplomate of the National Board of Examinations (Ophthalmology), India in 1999, the Fellowship of the Royal College of Surgeons of Edinburgh, UK in 1999 and the Fellowship of Academy of Medicine, Singapore in 2014. After completing my Basic and Advanced Surgical Training in Ophthalmology, I received hands-on clinical fellowship training in diseases and surgery of the vitreous and retina at the world-renowned eye hospital, Sankara Nethralaya, Medical Research Foundation in Chennai, India. During my fellowship training, I acquired vast experience in managing complex vitreoretinal diseases such as diabetic retinopathy, age-related macular degeneration, myopic macular disorders, retinal vascular occlusions, retinal detachment, eye injuries, eye inflammation and eye infections to name a few. My current areas of interest include retinal and macular diseases, modern micro-incision cataract surgery and comprehensive ophthalmology. I have a keen interest in teaching and research. I have published many articles in peer-reviewed local and international journals, and have a book and two book chapters to my credit. I was a principal investigator for three sponsored clinical trials at Khoo Teck Puat Hospital. I have also been actively involved in teaching medical students as a Clinical Senior Lecturer in the Faculty of Medicine, Yong Loo Lin School of Medicine, National University of Singapore as well as optometry students as a Part-time Lecturer at the Singapore Polytechnic Optometry Centre and Guest Lecturer at the Ngee Ann Polytechnic Optometry Centre. I have been actively involved in raising the awareness of age-related macular degeneration (AMD) in Singapore and have led the nationwide AMD Awareness Week campaign for six consecutive years from 2008-2011 as cChairman of the organising committee. I was awarded the Public Health Education Grant from the Ministry of Health, Singapore for the AMD Awareness Week campaign for six years. I have been instrumental in increasing the reach of the awareness campaign to the community by engaging many community centres, public libraries, senior citizen homes, nursing homes and places of worship across the country. I have won many awards including a Gold Medal for the Best Outgoing Student at Medical Research Foundation in India, Distinction in the Basic Science Assessment Test of the International Council of Ophthalmology, many named research prizes for best oral presentations and an outstanding published paper at the National Healthcare Group Eye Institute Research Day presentations. I have also won numerous service awards including the Health Services Excellence Silver Award in Alexandra Hospital, Meritorious Service Award from the eye care community and Service Champion Award in Khoo Teck Puat Hospital. I was also awarded a Travel Fellowship Grant at the First Singapore Eye Research Institute (SERI) – Association for Research in Vision and Ophthalmology (ARVO) meeting and the International Council of Ophthalmology Fellowship. I have been actively involved in many eye screenings programmes and have given many public health talks. I also regularly volunteer my time in at free eye surgery camps for needy patients in developing countries. Learn more about me here: https://patients.smarterhealth.sg/specialist-doctor/ajeet-wagle/ I am excited to be here to discuss Eye Conditions and Eye Health and I will be actively answering questions. Ask me anything! === Want to ask a question? Submit your question at the bottom of this page. Don’t forget to include your name and email address to get notified when the doctor answers your question.

16 Answers

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MM answered 2 years ago

Hi Doc, I had done laser surgery in India, around 26-27yrs back, I was 23yrs old then. With age & possibly an impact of the laser, my eyesight has deteriorated & I wear compromised glasses. During a recent visit to the optician, he suggested that my cornea isnt the greatest & hence a consulation with an opthomologist should be sought. I understand that this question should be raised after a thorough examination, but i have heard this suggestion (on a transplant) few times before hence asking, Is Cornea transplant an option at my age? How expensive is it in Spore? & How effective are these? What possibly could be the downsides to it? is there a waiting list that one is put on for donors?

dr. Ajeet Wagle replied 2 years ago

There can be a variety of reasons for deterioration of vision years after a laser surgery was done for the eyes. It is best to see an eye specialist for a detailed eye evaluation in order to understand the cause of deterioration of vision. As individual treatment recommendations are entirely based on the assessment, it is not possible to provide specific details of the surgical treatment option and its effectiveness.

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Siraj answered 2 years ago

I see floating black spots in my vision recently and feel like my eyesight is deteriorating. I am farsighted and 48 years old this year. The spots bother me a lot. Is this a normal condition for someone my age?

dr. Ajeet Wagle replied 2 years ago

Floating black spots in the vision can occur because of a variety of reasons. If the symptoms have appeared recently and the eyesight appears to be deteriorating, you are strongly recommended to have a detailed eye and retinal examination at the earliest. Floating black spots can be experienced by individuals of different age groups depending on the cause of the symptom. It is best to consult an eye specialist to understand the cause of the symptom in your case.

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Low B.G answered 2 years ago

Hello. My mother had cataract surgery two months ago. Now, why do her eyes always discharge a yellowish wax? We have to wipe her eyes regularly. Is this a sign of a problem?

dr. Ajeet Wagle replied 2 years ago

Yellowish discharge from the eye could indicate eye infection. Your mother may need antibiotic eye drops if she has infection. It is best to see your doctor to rule out eye infection at the earliest.

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Sarma answered 2 years ago

What is the most effective treatment for glaucoma? Is it laser therapy or surgery?

dr. Ajeet Wagle replied 2 years ago

Glaucoma is effectively treated with glaucoma medications/ laser therapy/ surgery or a combination of these options. The choice of the most appropriate treatment may vary for each individual based on the stage of disease, severity of disease, age of individual and type of glaucoma. It is best to have a detailed discussion about the most appropriate treatment option with your eye specialist.

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Gerald answered 2 years ago

I have ocular hypertension, above 23 mm Hg. Sometimes this gives me a severe headache. Could this lead to nerve damage?

dr. Ajeet Wagle replied 2 years ago

If you have been diagnosed to have ocular hypertension, it is very important to monitor the health of the nerve of the eye (optic nerve) and assess the peripheral vision (peripheral visual field) regularly. There is certainly a risk of nerve damage but this risk varies for each individual. Some of the risk factors for damage to the optic nerve are a strong family history of glaucoma, very high eye pressures and thin corneas. In such cases it is important to reduce the eye pressure with appropriate medication.

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Irene answered 2 years ago

My daughter is 19 years old and her degree is quite high at 700. She has been asking to go for LASIK surgery. Would you recommend she goes for it at her age or should she wait till she's older?

dr. Ajeet Wagle replied 2 years ago

The primary requirement for considering LASIK surgery to correct your daughter’s eye degree is that her eye degree should be stable at least for the past 6months to a year. If her degree is stable with no significant changes at her present age, she will have to undergo a detailed eye check to assess the cornea and the retina before she can be considered for a LASIK surgery.

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Lewis answered 2 years ago

How do we check for retinal detachment? I am 73 years old and I am now worried about my eye condition. I see flashes of light and my vision has become worse. I also feel pain. Does retinal detachment come with pain?

dr. Ajeet Wagle replied 2 years ago

Retinal detachment can only be confirmed after a detailed eye examination of the eyes using eyedrops to dilate the pupils. If you have experienced flashes of light and a drop in your vision, it is important that you see an ophthalmologist at the earliest as these can be symptoms of a retinal tear/ detachment and this may need urgent medical attention. Pain is not a symptom associated with retinal detachment. The pain could be due to other causes which can be ruled out during the eye examination.

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Jerri answered 2 years ago

Doctor, at the end of the day, I always have throbbing pain in my temples and sore eyes. When I close them, the pain increases. It happens every day. Does it mean my eyes are tired? How do I relieve this pain?

dr. Ajeet Wagle replied 2 years ago

Your symptoms suggest that you have eye strain. It is likely that this is related to fatigue due to a variety of causes. You can try giving your eyes rest at regular intervals if you tend to use digital gadgets for prolonged periods of time. You can also get your eye degree checked to ensure it is corrected as necessary. Lubricating eyedrops may help to reduce some of the discomfort and pain. Despite all of this if your symptoms persist, it is best to get a detailed eye check done.

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Eunice answered 2 years ago

I am undergoing treatment for my glaucoma. Is there any activity I should avoid or do carefully to prevent more damage? I heard that some exercises like yoga, could be dangerous. Is that true?

dr. Ajeet Wagle replied 2 years ago

You should avoid activities that have a risk of increasing your eye pressure. These include exercises which involve a head down posture for prolonged periods of time. Activities such as deep sea diving, snorkelling and bungee jumping are associated with significant eye pressure changes and should be discussed with your doctor. If you have undergone filtering surgery for glaucoma, activities such as swimming, snorkelling and deep sea diving are best avoided.

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Jamie answered 2 years ago

I get sufficient sleep but my eyes seem to be constantly irritated. The whites of my eyes are often red and the veins are visible. I also feel a throbbing pain in the back of my neck. Is this a common irritation or should I be worried that it’s something more serious?

dr. Ajeet Wagle replied 2 years ago

Your symptoms could be due to tired eyes. This can be a sign of eye dryness and needs further evaluation by an ophthalmologist.
The pain at the back of the neck can commonly occur due to postural issues and neck strain. This is best evaluated by an orthopaedic doctor.

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