1
00:00:00,800 --> 00:00:03,640
Speaker 1: Five Double A Knights with Matthew Pantellas.

2
00:00:04,080 --> 00:00:07,120
Speaker 2: Tracy Yean is here as well the Green Dispensary at Sterling.

3
00:00:07,160 --> 00:00:10,920
Speaker 2: We talk health on a Wednesday night at this time. Hello, Tracy, Hi, Matthew,

4
00:00:10,920 --> 00:00:13,800
Speaker 2: how are you? Thank you? You've brought a guest in

5
00:00:13,840 --> 00:00:14,120
Speaker 2: with you?

6
00:00:14,440 --> 00:00:18,560
Speaker 3: I have I brought a guest tonight? I'm so impressed. No,

7
00:00:18,720 --> 00:00:21,079
Speaker 3: I've brought with me tonight, and I think I promised

8
00:00:21,079 --> 00:00:24,319
Speaker 3: this a few weeks back. Doctor Neiladri Saha, he's a

9
00:00:24,360 --> 00:00:29,639
Speaker 3: consultant ophthalmologist and vitrio retinal surgeon. So we're very privileged

10
00:00:29,680 --> 00:00:33,159
Speaker 3: to have him here tonight. But also he's been so

11
00:00:33,280 --> 00:00:35,880
Speaker 3: wonderful to donate his time and done talks for us

12
00:00:35,920 --> 00:00:38,920
Speaker 3: with the mitchmand Hills Wellness both at Blackwood and Mitcham

13
00:00:39,560 --> 00:00:43,519
Speaker 3: So Doctor Neiladre Saha currently holds the positions as senior

14
00:00:43,600 --> 00:00:48,440
Speaker 3: consultant ophthalmologist and vitrio retinal surgeon at Kingswood Eye Center

15
00:00:48,560 --> 00:00:52,760
Speaker 3: and Flinda's Medical Center. So tonight's guys, if you've got

16
00:00:52,840 --> 00:00:56,080
Speaker 3: any questions about eyes tonight, you need to bring in.

17
00:00:56,160 --> 00:00:59,120
Speaker 2: So I Health Vision all that sort of thing. How

18
00:00:59,160 --> 00:01:00,000
Speaker 2: many fingers are my whole.

19
00:01:00,120 --> 00:01:06,360
Speaker 4: Oh I think six from there. Okay, welcome, Thank you,

20
00:01:06,400 --> 00:01:07,559
Speaker 4: thank you, Matthew, thank you, Tracy.

21
00:01:07,840 --> 00:01:10,360
Speaker 2: Now let's start with the very first question on eye

22
00:01:10,400 --> 00:01:12,039
Speaker 2: health to get us going, and if people want to call,

23
00:01:12,080 --> 00:01:14,280
Speaker 2: of course eight double two three double O double oh

24
00:01:14,520 --> 00:01:17,120
Speaker 2: ie health and health in general. Tracy can take those

25
00:01:17,160 --> 00:01:20,880
Speaker 2: calls as you always do, but specifically Ie health. What

26
00:01:21,040 --> 00:01:23,200
Speaker 2: happens to our site as we age.

27
00:01:23,160 --> 00:01:25,080
Speaker 4: Well, I mean a lot of things gonna happen, Matthew.

28
00:01:25,160 --> 00:01:28,760
Speaker 4: I mean, first of all, as we're young, you know,

29
00:01:28,800 --> 00:01:30,640
Speaker 4: we might get more short sighted, and you know the

30
00:01:31,760 --> 00:01:34,480
Speaker 4: kind of the old wives tale of bookworms, you know

31
00:01:34,480 --> 00:01:36,800
Speaker 4: it end up wearing glasses is quite true. Actually, you know,

32
00:01:36,840 --> 00:01:38,520
Speaker 4: you do get short sighted if you do a lot

33
00:01:38,560 --> 00:01:41,280
Speaker 4: of close work. And then, as you know, as we

34
00:01:41,319 --> 00:01:43,520
Speaker 4: get to our forties, we have that problem with our

35
00:01:43,560 --> 00:01:47,039
Speaker 4: phones where we're holding them further and further away from

36
00:01:47,080 --> 00:01:50,920
Speaker 4: our heads until we run out of arms. Same in restaurants.

37
00:01:50,920 --> 00:01:53,400
Speaker 4: You see that happening in restaurants, and that's called presby opian.

38
00:01:53,440 --> 00:01:55,840
Speaker 4: That's when we lose the ability to the auto focus

39
00:01:55,840 --> 00:01:59,400
Speaker 4: of our camera. Okay, stops working, and then we're prone

40
00:01:59,400 --> 00:02:04,080
Speaker 4: to other things like cataract and glaucoma, and then diseases

41
00:02:04,400 --> 00:02:07,280
Speaker 4: you know, which hopefully most of us won't get, but

42
00:02:07,360 --> 00:02:09,800
Speaker 4: you know, unfortunately they are a fact of life. Unfortunately

43
00:02:09,840 --> 00:02:11,799
Speaker 4: some people, as you get older, quite uncommon when you're

44
00:02:11,800 --> 00:02:14,160
Speaker 4: young life, tend to be diseases of old age. The

45
00:02:14,200 --> 00:02:19,520
Speaker 4: peripheral one, yeah yeah, affect you peripheral vision. Yeah yeah,

46
00:02:19,560 --> 00:02:22,600
Speaker 4: but once you know it's once you notice it's too late.

47
00:02:22,800 --> 00:02:23,160
Speaker 5: Yeah.

48
00:02:23,240 --> 00:02:26,240
Speaker 2: Well, that's the thing, isn't that you don't realize so much.

49
00:02:26,520 --> 00:02:27,760
Speaker 4: That's right, absolutely right.

50
00:02:27,680 --> 00:02:29,280
Speaker 2: Because you don't tend to look over there while you're

51
00:02:29,320 --> 00:02:30,239
Speaker 2: facing straight ahead.

52
00:02:30,320 --> 00:02:31,680
Speaker 4: Absolutely absolutely.

53
00:02:31,760 --> 00:02:36,040
Speaker 3: And people are often good at ignoring signs and symptoms

54
00:02:36,040 --> 00:02:38,680
Speaker 3: that their body is giving them and brushing them off

55
00:02:38,680 --> 00:02:42,280
Speaker 3: as it's nothing big at this point, or not causing

56
00:02:42,360 --> 00:02:45,280
Speaker 3: too much of a problem, and we're coping, don't worry

57
00:02:45,280 --> 00:02:47,720
Speaker 3: about that. And then it gets worse and worse to

58
00:02:47,760 --> 00:02:49,840
Speaker 3: the point it becomes hard to manage.

59
00:02:50,120 --> 00:02:53,119
Speaker 4: And I think a lot of elder people feel that,

60
00:02:53,520 --> 00:02:55,640
Speaker 4: you know, they should get poor sight as they get older,

61
00:02:55,800 --> 00:02:58,360
Speaker 4: and there's there's no need to for most people. You know,

62
00:02:58,400 --> 00:03:01,200
Speaker 4: a lot of things are preventable or treatable nowadays.

63
00:03:00,760 --> 00:03:03,520
Speaker 3: Which is fabulous, but you know, we need to know

64
00:03:03,560 --> 00:03:05,640
Speaker 3: what to do, and hence that's why we come and

65
00:03:05,680 --> 00:03:08,079
Speaker 3: see Yeah, well we probably would come and see you

66
00:03:08,120 --> 00:03:09,280
Speaker 3: if we had an issue.

67
00:03:09,400 --> 00:03:10,520
Speaker 4: You want to get to me normally.

68
00:03:10,600 --> 00:03:13,480
Speaker 2: No, no, you don't want to see any specialists normally,

69
00:03:13,840 --> 00:03:14,200
Speaker 2: do you.

70
00:03:15,080 --> 00:03:18,600
Speaker 3: So in that respect, would you encourage people to have

71
00:03:18,720 --> 00:03:21,800
Speaker 3: their annual check up with their optometrists?

72
00:03:21,800 --> 00:03:24,960
Speaker 4: Absolutely, I mean, and it's not just the optician or optometrists,

73
00:03:24,960 --> 00:03:26,880
Speaker 4: which is the same thing. You know, to be honest,

74
00:03:26,919 --> 00:03:28,720
Speaker 4: your eyes are part of your greater health. You know,

75
00:03:28,720 --> 00:03:31,760
Speaker 4: if the rest of your works, your eyes are probably

76
00:03:31,760 --> 00:03:34,360
Speaker 4: going to work. So you know, the key thing is

77
00:03:34,360 --> 00:03:37,520
Speaker 4: actually your general health, not necessarily just your eyes. You know,

78
00:03:37,960 --> 00:03:41,560
Speaker 4: you need to manage your diabetes, you know, your blood pressure,

79
00:03:42,320 --> 00:03:44,640
Speaker 4: all those things. Get exercise to your GP, and your

80
00:03:44,640 --> 00:03:46,720
Speaker 4: GP is going to be in charge of managing those things.

81
00:03:46,760 --> 00:03:49,400
Speaker 4: And then the optician can obviously pick up more specific

82
00:03:49,480 --> 00:03:53,040
Speaker 4: eye problems. But you know, it's all about keeping fit generally.

83
00:03:53,600 --> 00:03:57,080
Speaker 3: The service and tune like the Carnes doesn't work without one,

84
00:03:57,520 --> 00:03:58,840
Speaker 3: neither do we our bodies with it.

85
00:03:59,240 --> 00:04:01,880
Speaker 2: So fitness, I mean, it all plays a role, doesn't it. Health?

86
00:04:02,120 --> 00:04:06,160
Speaker 4: Yeah, yeah, he badly. You know, don't exercise.

87
00:04:05,920 --> 00:04:08,440
Speaker 2: Yeah, and diabetes is a factal with eyes too, isn't

88
00:04:08,440 --> 00:04:08,880
Speaker 2: it massive?

89
00:04:09,240 --> 00:04:12,800
Speaker 4: Especially nowadays it's an epidemic, you know, happening or waiting

90
00:04:12,840 --> 00:04:13,280
Speaker 4: to happen.

91
00:04:13,720 --> 00:04:17,000
Speaker 3: Well, it's funny because tomorrow, I think the fourteenth is

92
00:04:17,080 --> 00:04:21,440
Speaker 3: World Diabetes Day, and we actually spoke about diabetes last week, Matthew.

93
00:04:21,480 --> 00:04:24,600
Speaker 3: And you know, one third of people don't actually know

94
00:04:24,880 --> 00:04:28,320
Speaker 3: they're walking around with diabetes and haven't been diagnosed or

95
00:04:28,400 --> 00:04:31,880
Speaker 3: managed at that point. So that's when diseases can occur.

96
00:04:32,080 --> 00:04:36,599
Speaker 4: Yeah, yeah, blase, even when diabetes, A lot of people

97
00:04:36,760 --> 00:04:39,160
Speaker 4: become blase, but they don't feel like they have a disease,

98
00:04:39,560 --> 00:04:41,839
Speaker 4: and then when they feel they've got disease again, it

99
00:04:41,839 --> 00:04:42,520
Speaker 4: can be too late.

100
00:04:42,839 --> 00:04:46,000
Speaker 2: Yeah, all right. I went to an optometrist. I can't believe.

101
00:04:45,960 --> 00:04:48,160
Speaker 2: I was just thinking how long ago when we started chatting,

102
00:04:48,200 --> 00:04:49,840
Speaker 2: and it was twenty five years ago, when I was

103
00:04:49,880 --> 00:04:51,839
Speaker 2: about thirty five, and I think, my god, where's that

104
00:04:51,920 --> 00:04:53,920
Speaker 2: time gone? Anyway, he said to me, at the time,

105
00:04:54,080 --> 00:04:58,040
Speaker 2: I noticed the first little things, you know. Just for instance,

106
00:04:58,080 --> 00:05:00,360
Speaker 2: I remember and I said this, if a I was

107
00:05:00,400 --> 00:05:03,080
Speaker 2: coming towards me at I don't know, fifteen hundred meters

108
00:05:03,080 --> 00:05:05,080
Speaker 2: whatever it was I'd be able to read the number plate.

109
00:05:05,200 --> 00:05:07,600
Speaker 2: Now it's got to be a lot closer to read

110
00:05:07,600 --> 00:05:10,240
Speaker 2: the number plate. And he said, think of it as

111
00:05:10,320 --> 00:05:12,520
Speaker 2: when you were born, you've got one hundred units in

112
00:05:12,560 --> 00:05:15,200
Speaker 2: your eyes, and from about age thirty you lose one

113
00:05:15,320 --> 00:05:17,680
Speaker 2: unit per year. Now, I don't know, no, And that

114
00:05:17,800 --> 00:05:19,640
Speaker 2: was his example, his way of doing it. But I

115
00:05:19,640 --> 00:05:22,120
Speaker 2: imagine that's probably as a rule of dumb.

116
00:05:22,800 --> 00:05:24,560
Speaker 4: Yeah, I mean, I think I think that there are

117
00:05:24,800 --> 00:05:26,880
Speaker 4: It depends what's going on with your eyes. I mean,

118
00:05:26,880 --> 00:05:29,960
Speaker 4: if you've got normal aging normally, the thing that affects

119
00:05:29,960 --> 00:05:32,919
Speaker 4: your vision is is actually cut racked, which is clouding

120
00:05:32,960 --> 00:05:35,599
Speaker 4: of the lens. And it's just like having a dirty

121
00:05:35,600 --> 00:05:40,160
Speaker 4: camera lens which gets dirty and dirtier over time. And

122
00:05:40,200 --> 00:05:43,240
Speaker 4: that's that's inevitable. Yeah, in everyone, everyone gets cut up.

123
00:05:43,320 --> 00:05:45,919
Speaker 4: The contract isn't really a disease as such.

124
00:05:47,000 --> 00:05:49,719
Speaker 2: How old should you beat a tackle a cataract? I mean,

125
00:05:49,760 --> 00:05:52,120
Speaker 2: if you if you've told well you've got cataracts, you're

126
00:05:52,120 --> 00:05:54,960
Speaker 2: fifty or sixty, do you wait for them to get worse?

127
00:05:55,000 --> 00:05:57,719
Speaker 2: Do you do them? Then? What's the story?

128
00:05:57,839 --> 00:06:00,760
Speaker 4: Right? So I think the point here is that my

129
00:06:00,880 --> 00:06:03,559
Speaker 4: personal view is you shouldn't do anything to have a problem. Okay,

130
00:06:04,880 --> 00:06:07,760
Speaker 4: you know, somebody may tell you your optician rightly may

131
00:06:07,800 --> 00:06:09,719
Speaker 4: say you've got a bit of contract. But the point is,

132
00:06:10,800 --> 00:06:13,400
Speaker 4: so what often you know, if you haven't got a problem.

133
00:06:13,440 --> 00:06:15,240
Speaker 4: And I see people they've got been told they have

134
00:06:15,240 --> 00:06:16,480
Speaker 4: some cantrup But I say, you know, do you have

135
00:06:16,560 --> 00:06:18,599
Speaker 4: a problem, and they go no, They go, well, don't

136
00:06:18,600 --> 00:06:22,080
Speaker 4: worry about it until a time where you are having

137
00:06:22,120 --> 00:06:24,600
Speaker 4: some kind of problem. But I think the opposite is

138
00:06:24,640 --> 00:06:26,479
Speaker 4: also true. You don't want to wait too long, so

139
00:06:26,560 --> 00:06:29,680
Speaker 4: don't Nowadays you shouldn't wait till the cant tract is

140
00:06:29,760 --> 00:06:32,040
Speaker 4: what we used to call ripe. In other words, it's

141
00:06:32,120 --> 00:06:34,479
Speaker 4: ready to do when you feel it's.

142
00:06:34,360 --> 00:06:37,840
Speaker 3: Ready, or that it's impacting more impact.

143
00:06:37,600 --> 00:06:39,920
Speaker 4: On your driving, impacting on your site.

144
00:06:40,000 --> 00:06:44,159
Speaker 2: Yeah, absolutely, should we start taking questions because the starving

145
00:06:44,200 --> 00:06:47,640
Speaker 2: to mount up at the moment. So let's go Chris

146
00:06:47,640 --> 00:06:51,480
Speaker 2: at Surrey down. So, like Chris, me, I.

147
00:06:51,640 --> 00:06:55,760
Speaker 6: Had weird glasses I have most of my life. Went

148
00:06:55,800 --> 00:07:00,720
Speaker 6: into the optometrist. We discussed a few things, took Ketter

149
00:07:00,960 --> 00:07:03,400
Speaker 6: X both eyes and no classes anymore.

150
00:07:05,000 --> 00:07:07,520
Speaker 4: Yeah, well that's a that's an excellent result. So so

151
00:07:07,560 --> 00:07:09,920
Speaker 4: you probably were referred by your optician, I suspect and

152
00:07:09,960 --> 00:07:13,040
Speaker 4: then saw an ophthalmologist or an eye surgeon down your

153
00:07:13,080 --> 00:07:16,200
Speaker 4: way and had the cart track surgeon. And that's and

154
00:07:16,240 --> 00:07:18,400
Speaker 4: to be honest, that's what you should expect from cartrat surgery.

155
00:07:18,400 --> 00:07:21,960
Speaker 4: It's such a great, such a great operation nowadays, you

156
00:07:21,960 --> 00:07:24,160
Speaker 4: know it's you're probably know, Chris, you know, you're probably

157
00:07:24,200 --> 00:07:26,600
Speaker 4: just in for a few hours, maybe what two three hours,

158
00:07:27,000 --> 00:07:28,880
Speaker 4: and the surgery took twenty minutes.

159
00:07:30,160 --> 00:07:35,360
Speaker 6: I went in there and the morning virtually just you know,

160
00:07:35,560 --> 00:07:37,760
Speaker 6: you can either get knocked out a little bit or

161
00:07:37,760 --> 00:07:39,760
Speaker 6: something like that, and you go in and you're back

162
00:07:39,800 --> 00:07:42,160
Speaker 6: here again. You just don't realize that the tigger should

163
00:07:42,200 --> 00:07:44,680
Speaker 6: stay there for a while and then go home and

164
00:07:44,720 --> 00:07:47,000
Speaker 6: then went in a week later and got the other

165
00:07:47,040 --> 00:07:47,360
Speaker 6: one down.

166
00:07:47,520 --> 00:07:50,040
Speaker 4: Yeah that's right, Yeah, that's that's that's how it should be.

167
00:07:50,440 --> 00:07:50,640
Speaker 7: Yeah.

168
00:07:50,680 --> 00:07:52,280
Speaker 4: So I'm glad you got a good result. Yeah, but

169
00:07:52,320 --> 00:07:53,400
Speaker 4: that's that's how it should be.

170
00:07:54,600 --> 00:07:57,040
Speaker 2: Good on you, Chris, thank you, thanks for the story.

171
00:07:57,160 --> 00:07:59,680
Speaker 2: Lighton in the Philippines, Hello Layton.

172
00:08:01,000 --> 00:08:09,600
Speaker 8: Good make you crazy? And doctor hill Ight, well thanks doctor.

173
00:08:09,920 --> 00:08:14,200
Speaker 8: About twenty years ago, I had an operation on my

174
00:08:14,320 --> 00:08:21,560
Speaker 8: eyes forward trigium, which I'm sure you're familiar with. But

175
00:08:22,120 --> 00:08:28,280
Speaker 8: lately I'm almost feeling as if I keep saying little

176
00:08:28,280 --> 00:08:32,080
Speaker 8: black bus as I look around, like fly sort of

177
00:08:32,120 --> 00:08:34,920
Speaker 8: flying around. Maybe is there anything to worry about?

178
00:08:35,400 --> 00:08:38,959
Speaker 4: Yeah, So, first of all, that's related to your trigium.

179
00:08:39,040 --> 00:08:41,480
Speaker 4: So the trigion, as you've probably owned for your listeners,

180
00:08:41,559 --> 00:08:44,520
Speaker 4: is a growth on the surface of the eye, on

181
00:08:44,600 --> 00:08:48,040
Speaker 4: the white part of the eye, very common in sunny climates.

182
00:08:48,960 --> 00:08:52,360
Speaker 4: What you're describing is actually sounds more like something floating

183
00:08:52,400 --> 00:08:54,720
Speaker 4: around in the jelly in the back part of the eye,

184
00:08:54,720 --> 00:08:56,720
Speaker 4: in what we call the vitreous, which is the jelly,

185
00:08:57,200 --> 00:08:59,920
Speaker 4: and that's typically what you know, what you're describing sounds

186
00:08:59,920 --> 00:09:04,000
Speaker 4: like that. Now, that can just be a normal aging phenomenon,

187
00:09:04,920 --> 00:09:07,439
Speaker 4: but it can sometimes be related to certain you know,

188
00:09:07,480 --> 00:09:10,120
Speaker 4: a whole load of different diseases which can give you

189
00:09:10,200 --> 00:09:12,960
Speaker 4: particles floating in the jelly. And that could be blood,

190
00:09:13,440 --> 00:09:17,439
Speaker 4: that could be inflammation, It could be a tear in

191
00:09:17,480 --> 00:09:19,360
Speaker 4: your record. So there could be many, many things. But

192
00:09:19,400 --> 00:09:22,439
Speaker 4: the most likely thing is it's just a normal phenomenon.

193
00:09:22,440 --> 00:09:25,360
Speaker 4: But it's certainly worth getting checked out and having what

194
00:09:25,400 --> 00:09:28,400
Speaker 4: we call a dilated examination, so your pupils dilated and

195
00:09:28,440 --> 00:09:30,440
Speaker 4: someone have a good look at the back of the eye.

196
00:09:30,320 --> 00:09:31,400
Speaker 3: That says yacky drunk.

197
00:09:31,840 --> 00:09:34,880
Speaker 4: Yeah, yeah, yeah, so it's worth getting checked out. But

198
00:09:34,920 --> 00:09:35,760
Speaker 4: nothing to panic about.

199
00:09:37,920 --> 00:09:39,720
Speaker 8: Thank you very much, Thank.

200
00:09:39,600 --> 00:09:44,400
Speaker 2: Good on you late. Thank you Laurel, Laurel, Hello everybody.

201
00:09:44,679 --> 00:09:48,680
Speaker 9: That's just a quick question regarding why how immaculate degeneration.

202
00:09:48,840 --> 00:09:51,920
Speaker 9: I don't know that's correct, that's right, And I was

203
00:09:52,000 --> 00:09:55,400
Speaker 9: just one asking the doctor if if it would have

204
00:09:55,440 --> 00:09:59,119
Speaker 9: hurt for me to take I think they're called.

205
00:10:01,080 --> 00:10:05,480
Speaker 4: God Yeah, yeah, so I think you're probably referring to

206
00:10:05,480 --> 00:10:11,000
Speaker 4: one of these macular supplements. And so the answer is

207
00:10:11,040 --> 00:10:14,000
Speaker 4: it depends, which is answered to lots of questions, but

208
00:10:14,720 --> 00:10:16,880
Speaker 4: generally speaking, if you've got what you know, do you

209
00:10:16,960 --> 00:10:19,520
Speaker 4: know what type of macular dey generation you have for Laurel,

210
00:10:19,600 --> 00:10:21,120
Speaker 4: is it dry macular or wet?

211
00:10:21,280 --> 00:10:21,520
Speaker 2: You know?

212
00:10:25,160 --> 00:10:27,600
Speaker 4: Yeah, so if it's the dry one, there are certain

213
00:10:27,679 --> 00:10:30,200
Speaker 4: number of patients who do benefit have been shown in

214
00:10:31,120 --> 00:10:34,199
Speaker 4: quite big clinical trials to benefit from some of these

215
00:10:34,240 --> 00:10:38,640
Speaker 4: macular supplements, you know, taken once daily, and they're an

216
00:10:38,640 --> 00:10:41,320
Speaker 4: over the counterproduct. As you know. The main thing to

217
00:10:41,360 --> 00:10:45,320
Speaker 4: probably stress is the brand name doesn't matter. What matters

218
00:10:45,480 --> 00:10:48,880
Speaker 4: is that it's what's called the Arid's two formulation. So

219
00:10:48,920 --> 00:10:51,120
Speaker 4: if you look on the packet, if it says a

220
00:10:51,440 --> 00:10:54,520
Speaker 4: R E D S two on the packet, or if

221
00:10:54,520 --> 00:10:56,760
Speaker 4: you ask a pharmacist, if that's what it is, then

222
00:10:56,760 --> 00:10:58,720
Speaker 4: that's the one to take. That's the one the evidence

223
00:10:59,000 --> 00:11:01,080
Speaker 4: is therefore, but there can be any brand as long

224
00:11:01,120 --> 00:11:03,960
Speaker 4: as it's that are e EDS two formulation.

225
00:11:04,960 --> 00:11:11,040
Speaker 9: Oh right, And I know overseas get a news question

226
00:11:11,120 --> 00:11:13,920
Speaker 9: now and again that they're working on it. Do you

227
00:11:14,000 --> 00:11:17,880
Speaker 9: think it will come? They can cure a lot of things.

228
00:11:18,320 --> 00:11:20,120
Speaker 9: Do you think we'll ever get a cure from my cure?

229
00:11:20,400 --> 00:11:24,000
Speaker 4: Well, for dry macular degeneration, prevention is going to be

230
00:11:24,000 --> 00:11:26,160
Speaker 4: better than cure. Now we can't do that either yet,

231
00:11:26,320 --> 00:11:30,480
Speaker 4: but we know that. You know, certain lifestyles don't help.

232
00:11:30,600 --> 00:11:33,480
Speaker 4: Certainly smoking is terrible for macular degeneration.

233
00:11:33,440 --> 00:11:35,600
Speaker 9: But they ever did smoke, never drank.

234
00:11:35,840 --> 00:11:38,440
Speaker 4: Yeah, but and I think the things people are living longer,

235
00:11:39,040 --> 00:11:41,640
Speaker 4: so you know that's why people getting macular degeneration. And

236
00:11:41,679 --> 00:11:46,079
Speaker 4: the other thing is there are certainly treatments becoming available.

237
00:11:46,080 --> 00:11:48,199
Speaker 4: The problem is a lot of them are highly impractical.

238
00:11:48,600 --> 00:11:51,200
Speaker 4: So there is actually a treatment for dry macular degeneration

239
00:11:51,440 --> 00:11:53,560
Speaker 4: certain types, but it has to be given as an

240
00:11:53,559 --> 00:11:54,920
Speaker 4: injection every month forever.

241
00:11:55,679 --> 00:11:56,360
Speaker 10: I do have that.

242
00:11:56,720 --> 00:11:59,320
Speaker 4: I do an So you've got wet macular degeneration. It

243
00:11:59,320 --> 00:12:01,079
Speaker 4: sounds like I have got Yeah.

244
00:12:01,120 --> 00:12:03,400
Speaker 9: Sorry, I thought, yeah, definitely have an injection.

245
00:12:03,679 --> 00:12:05,880
Speaker 4: You know, that's wet mac of the degeneration. That's slightly difference.

246
00:12:05,920 --> 00:12:10,079
Speaker 4: That's more aggressive disease. So whether that supplement helps or not,

247
00:12:10,120 --> 00:12:12,320
Speaker 4: it's a bit difficult for me to say. But the

248
00:12:12,360 --> 00:12:14,559
Speaker 4: injections sound like you're having treatment for wet mack of

249
00:12:14,600 --> 00:12:15,320
Speaker 4: the degeneration.

250
00:12:15,880 --> 00:12:18,679
Speaker 9: I did get good news last time win, so I

251
00:12:18,800 --> 00:12:21,080
Speaker 9: go every I think it's better every three months. And

252
00:12:21,679 --> 00:12:24,840
Speaker 9: when I went last time, he said, oh, Laurel, you

253
00:12:24,880 --> 00:12:27,400
Speaker 9: may not have to have an ejection next time you count.

254
00:12:28,200 --> 00:12:29,080
Speaker 9: That's sounded promo.

255
00:12:29,280 --> 00:12:29,480
Speaker 5: Yeah.

256
00:12:29,640 --> 00:12:31,800
Speaker 9: I don't think he meant forever. But I mean I

257
00:12:31,880 --> 00:12:32,840
Speaker 9: was just going to have a break.

258
00:12:33,040 --> 00:12:35,840
Speaker 4: Yes, there are certain people, sorry Lurid, Yeah, there are

259
00:12:35,840 --> 00:12:39,839
Speaker 4: certain people who can have a break from from injections.

260
00:12:41,120 --> 00:12:43,480
Speaker 4: But to put a perspective, I mean twenty five years

261
00:12:43,480 --> 00:12:46,319
Speaker 4: ago or thereabouts, you know, we didn't have any treatment

262
00:12:46,360 --> 00:12:48,160
Speaker 4: for wet mackla the degeneration. And if you had wet

263
00:12:48,200 --> 00:12:51,760
Speaker 4: mac of the degeneration. You went blind. True, so you

264
00:12:51,800 --> 00:12:54,760
Speaker 4: know that's within my you know, with well within my life.

265
00:12:54,840 --> 00:12:58,600
Speaker 9: Yeah, all right, well I'm ninety four and I can't complain,

266
00:12:58,679 --> 00:13:02,640
Speaker 9: I suppose. But that was good news when he says

267
00:13:02,679 --> 00:13:05,960
Speaker 9: the first he said, he said, Laura, he said, next

268
00:13:05,960 --> 00:13:08,080
Speaker 9: time you come, you may not have to have an injection.

269
00:13:08,640 --> 00:13:11,320
Speaker 9: So I thought we'll work to stay on a bit promising.

270
00:13:13,000 --> 00:13:13,760
Speaker 9: He just made.

271
00:13:13,559 --> 00:13:15,520
Speaker 4: It sounds like you're seing a good guy or girl,

272
00:13:15,640 --> 00:13:16,520
Speaker 4: depending on what he's saying.

273
00:13:16,840 --> 00:13:18,880
Speaker 2: Good on your Laurel, Thank you, thank you for the call.

274
00:13:19,920 --> 00:13:21,600
Speaker 2: Yeah about that. Now, I don't know I can put

275
00:13:21,679 --> 00:13:24,720
Speaker 2: up with injections. I can't imagine an injection to the eye.

276
00:13:24,920 --> 00:13:27,240
Speaker 4: No, And everyone says that. When I tell a patient

277
00:13:27,320 --> 00:13:29,440
Speaker 4: you're going to need an injection in the first look

278
00:13:29,600 --> 00:13:33,280
Speaker 4: is of absolute horror. Inject horror. And it's like anything

279
00:13:33,280 --> 00:13:36,040
Speaker 4: in this field, you know, it's all in the understand.

280
00:13:36,080 --> 00:13:38,439
Speaker 4: It's all with the reassurance and explanation. You know, a

281
00:13:38,520 --> 00:13:41,360
Speaker 4: lot of things you're fearful of until you understand. Same

282
00:13:41,400 --> 00:13:43,880
Speaker 4: with these you know, we do them there and then

283
00:13:44,720 --> 00:13:49,680
Speaker 4: or I do anyway, and honestly you feel little to nothing.

284
00:13:49,880 --> 00:13:52,600
Speaker 3: Okay, well I have to say, I became a whole

285
00:13:52,600 --> 00:13:56,120
Speaker 3: bunch more fearful about cataract surgery after your awesome slide share.

286
00:13:57,559 --> 00:14:00,640
Speaker 4: But yeah, but yes, it's actually everyone has done and

287
00:14:00,679 --> 00:14:02,120
Speaker 4: they'd go off. Was that it?

288
00:14:02,440 --> 00:14:05,600
Speaker 2: Okay? All right? Yeah, there we go. You'd have to

289
00:14:05,600 --> 00:14:08,520
Speaker 2: have also, as an eye surgeon, a very steady hand,

290
00:14:08,559 --> 00:14:09,520
Speaker 2: I imagine.

291
00:14:10,040 --> 00:14:11,000
Speaker 4: Well, yeah, it does help.

292
00:14:14,840 --> 00:14:17,160
Speaker 2: All right. We will take a break with, of course,

293
00:14:17,200 --> 00:14:20,600
Speaker 2: Tracy Yeend and doctor Nilandri Saha, who is He is

294
00:14:20,640 --> 00:14:25,680
Speaker 2: an ophthalmologist and a specialist in the eyes, and here

295
00:14:25,680 --> 00:14:27,400
Speaker 2: happy to take your calls. Eight double two to three

296
00:14:27,440 --> 00:14:29,520
Speaker 2: double o double oh Jenny, hot on there, we'll be

297
00:14:29,520 --> 00:14:31,320
Speaker 2: back right after these words.

298
00:14:31,360 --> 00:14:34,840
Speaker 1: Five double A nice with Matthew Pantalas.

299
00:14:34,480 --> 00:14:38,080
Speaker 2: To nine on five double A. We have ophthomologists doctor

300
00:14:38,160 --> 00:14:41,760
Speaker 2: Nilaundrie Sahi Saha in the studio with us. He is

301
00:14:43,000 --> 00:14:47,680
Speaker 2: a reginal surgeon and can help with any eye related

302
00:14:47,760 --> 00:14:50,560
Speaker 2: questions Jenny at Allen B. Gardens. Of course, Tracy Yend

303
00:14:50,640 --> 00:14:52,600
Speaker 2: is here as well for general health advice. If you

304
00:14:52,640 --> 00:14:54,800
Speaker 2: have any questions for Tracy, you're welcome to call through

305
00:14:54,840 --> 00:14:55,240
Speaker 2: as well.

306
00:14:55,320 --> 00:15:00,280
Speaker 7: Hello Jenny, Oh, hello, Matthew and Tracy and je I

307
00:15:00,440 --> 00:15:07,800
Speaker 7: sound quite, that's okay, no problem. Hi, I'm old and silly. Anyway,

308
00:15:08,120 --> 00:15:14,600
Speaker 7: Now my arcecost is doctor Frankele growing frankl and I

309
00:15:14,840 --> 00:15:18,760
Speaker 7: have had glasses all my life and I have a

310
00:15:18,840 --> 00:15:25,520
Speaker 7: character Cartonis. It diseased and also had stigmatisms and oh

311
00:15:25,600 --> 00:15:29,240
Speaker 7: you know what everyone has. Anyway, he took that did

312
00:15:29,320 --> 00:15:33,480
Speaker 7: the cataracts over a period of time when they were ready,

313
00:15:34,080 --> 00:15:39,680
Speaker 7: and now it's a miracle. I only need glasses for

314
00:15:39,880 --> 00:15:45,680
Speaker 7: reading because I couldn't see a thing before, and it's

315
00:15:45,840 --> 00:15:49,960
Speaker 7: like a miracle. Seriously, I was almost jumping for joy,

316
00:15:50,040 --> 00:15:55,880
Speaker 7: and I thought, oh, because I was seventy eight. But

317
00:15:56,080 --> 00:16:02,400
Speaker 7: he's concerned about the chacter Katona's yea, which I don't

318
00:16:02,400 --> 00:16:05,840
Speaker 7: even really know what he did explain to me, but

319
00:16:06,480 --> 00:16:11,560
Speaker 7: at the moment he was telling me what symptoms I'll

320
00:16:11,600 --> 00:16:15,040
Speaker 7: have with that. But at the moment, I really only

321
00:16:15,080 --> 00:16:18,880
Speaker 7: need my glasses for reading. Even TV and not that

322
00:16:18,960 --> 00:16:22,240
Speaker 7: I watched much, but I don't need it for that,

323
00:16:22,520 --> 00:16:25,920
Speaker 7: because you know I did before I couldn't say anything.

324
00:16:26,920 --> 00:16:29,840
Speaker 4: I can ask you, Jenny, how old you are? I'm

325
00:16:29,880 --> 00:16:35,000
Speaker 4: ser yeah, to be honest. So kerat conus uh is

326
00:16:35,520 --> 00:16:39,120
Speaker 4: is basically irregular curvature of the front window of the

327
00:16:39,200 --> 00:16:42,400
Speaker 4: eye right. And to be honest, if you've got c

328
00:16:42,560 --> 00:16:44,400
Speaker 4: t A and it's not bothering you too much, I

329
00:16:44,400 --> 00:16:46,760
Speaker 4: think you're going to be absolutely fine. It tends to

330
00:16:46,800 --> 00:16:48,960
Speaker 4: be people who are much much younger whove got kerat

331
00:16:49,080 --> 00:16:52,360
Speaker 4: conas who have real trouble. If you've got to your point,

332
00:16:52,560 --> 00:16:55,640
Speaker 4: you'll be absolutely fine. If you're seeing well without glasses

333
00:16:55,640 --> 00:16:59,200
Speaker 4: and just reading glasses, I think you'll be You'll be

334
00:16:59,360 --> 00:17:01,880
Speaker 4: just fine. And Graham's a very good surgeon, so you're

335
00:17:01,880 --> 00:17:02,360
Speaker 4: in good hunt.

336
00:17:02,520 --> 00:17:06,439
Speaker 7: Oh thank you, that's really good and well, I like

337
00:17:06,640 --> 00:17:12,560
Speaker 7: some tenuous Tracy. Sorry, oh, Tracy was saying after the

338
00:17:12,680 --> 00:17:16,040
Speaker 7: catocts came off. I'm not sure what you did, but

339
00:17:17,000 --> 00:17:19,200
Speaker 7: I didn't need my glasses anymore.

340
00:17:19,320 --> 00:17:21,240
Speaker 4: It took your cloudy lens and put a new lens

341
00:17:21,280 --> 00:17:22,800
Speaker 4: in your eye. That's what he did.

342
00:17:23,440 --> 00:17:28,240
Speaker 7: Oh, yes, that's he did. Explain that drama a bit weird.

343
00:17:28,320 --> 00:17:32,400
Speaker 3: So now you're not at all Jenny, And my best

344
00:17:32,400 --> 00:17:35,920
Speaker 3: friend also said exactly the same story as you. She

345
00:17:36,200 --> 00:17:40,119
Speaker 3: all her life has worn quite thick lensed glasses or contacts.

346
00:17:40,520 --> 00:17:43,800
Speaker 3: She's had both her cataracts done, and now she doesn't

347
00:17:43,800 --> 00:17:44,800
Speaker 3: need glasses at all.

348
00:17:45,560 --> 00:17:48,320
Speaker 2: Can people be born with cataracts or do they develop

349
00:17:48,359 --> 00:17:49,200
Speaker 2: at an early age?

350
00:17:49,320 --> 00:17:51,040
Speaker 4: Yes, so a good point. Yeah, people can be born

351
00:17:51,080 --> 00:17:53,600
Speaker 4: with cut yeah, and there's actually lots of causes of

352
00:17:53,640 --> 00:17:55,120
Speaker 4: cut up, so we think of it as an age

353
00:17:55,119 --> 00:17:58,600
Speaker 4: related condition. But you can be born with what we

354
00:17:58,680 --> 00:18:02,000
Speaker 4: call congenital cutter rapt and that's an entirely different disease

355
00:18:02,359 --> 00:18:05,120
Speaker 4: and managed differently. But there are other calls of contract.

356
00:18:05,119 --> 00:18:07,280
Speaker 4: For example, if you're on steroids, you know, so you've

357
00:18:07,280 --> 00:18:11,960
Speaker 4: got asthma and more or mainly asthma actually, and you're

358
00:18:11,960 --> 00:18:14,880
Speaker 4: on pretnisula or even on inhalers that can actually cause

359
00:18:14,880 --> 00:18:19,240
Speaker 4: cat rat yeah, and things like radiotherapy if you've got it,

360
00:18:19,320 --> 00:18:22,919
Speaker 4: you know, it's in that vicinity that can cause catrack electrocution.

361
00:18:23,040 --> 00:18:27,160
Speaker 4: I've seen someone in factory Burglar who was hiding out

362
00:18:27,160 --> 00:18:29,280
Speaker 4: on top of a train, electrified train and it got

363
00:18:29,280 --> 00:18:32,600
Speaker 4: switched on in the morning, got electrocuted and developed bilateral

364
00:18:32,600 --> 00:18:33,520
Speaker 4: cattract straight away.

365
00:18:33,960 --> 00:18:38,880
Speaker 2: Now there's a storytrocution can lead to other affixed not

366
00:18:38,960 --> 00:18:42,240
Speaker 2: just carects. That's amazing. So it survived un till the tail,

367
00:18:42,320 --> 00:18:45,640
Speaker 2: all right, Our babies checked for it. When they're bought.

368
00:18:46,320 --> 00:18:49,440
Speaker 4: Should yes, yes, they are to a degree. I mean,

369
00:18:49,440 --> 00:18:52,160
Speaker 4: basically check for what's called a red reflex, so they

370
00:18:52,200 --> 00:18:56,199
Speaker 4: think of the camera flash red eye. Essentially, that is

371
00:18:56,240 --> 00:18:59,199
Speaker 4: the light reflected off the retina, and if you have

372
00:18:59,200 --> 00:19:02,200
Speaker 4: a catrut, you can't see that reflection right. So often

373
00:19:02,240 --> 00:19:04,800
Speaker 4: it's picked up, you know, either on screen or by

374
00:19:04,880 --> 00:19:07,720
Speaker 4: parents you know who notice, or a wandering eye, you know,

375
00:19:07,760 --> 00:19:10,679
Speaker 4: and that's drifting in the wrong direction. Now, they're the

376
00:19:10,680 --> 00:19:14,600
Speaker 4: things to look out for in babies, and it's important

377
00:19:14,600 --> 00:19:17,600
Speaker 4: to get on top of those things before really at

378
00:19:17,600 --> 00:19:20,560
Speaker 4: a young age, because once you're about seven, your actual

379
00:19:20,640 --> 00:19:23,320
Speaker 4: vision is pretty much fixed in terms of developmentally, okay,

380
00:19:24,000 --> 00:19:27,399
Speaker 4: so you know, if you have a wondering eye and

381
00:19:27,440 --> 00:19:29,600
Speaker 4: it's not something's not done before that age, you can

382
00:19:29,720 --> 00:19:32,120
Speaker 4: end up with what's a weak eye or lazy eyes

383
00:19:32,400 --> 00:19:33,040
Speaker 4: people call it.

384
00:19:33,240 --> 00:19:35,639
Speaker 3: And parents do pick up things quickly because you spend

385
00:19:35,680 --> 00:19:37,439
Speaker 3: so much time looking at your new.

386
00:19:37,280 --> 00:19:39,239
Speaker 4: Ball and you have to take them seriously, you do.

387
00:19:39,880 --> 00:19:42,840
Speaker 3: My son I picked up I thought that one of

388
00:19:42,880 --> 00:19:45,320
Speaker 3: his eyes dilated too much, but it turned out he

389
00:19:45,359 --> 00:19:49,160
Speaker 3: had congenital Horners syndrome and one didn't dilate enough.

390
00:19:51,240 --> 00:19:53,679
Speaker 4: Quite benign. I think the main thing is correct, is

391
00:19:53,680 --> 00:19:56,360
Speaker 4: somebody telling you yet that's nothing to worry about, or oh,

392
00:19:56,440 --> 00:19:58,320
Speaker 4: this is something to worry about. But the fact is,

393
00:19:58,720 --> 00:20:03,240
Speaker 4: you know, young people generally, oh well, you know, diseases

394
00:20:03,240 --> 00:20:05,000
Speaker 4: of the young are relatively not.

395
00:20:06,920 --> 00:20:09,359
Speaker 2: Yeah, all right, we will take a break for news

396
00:20:09,520 --> 00:20:12,439
Speaker 2: and if you've got any more questions in terms of

397
00:20:12,680 --> 00:20:15,159
Speaker 2: ie health eight double two three double O double oh,

398
00:20:15,280 --> 00:20:18,520
Speaker 2: Tracy Yen dot Nilardri Saha here as well.

399
00:20:19,200 --> 00:20:22,760
Speaker 1: Five double A nice with Matthew Pantellas.

400
00:20:22,359 --> 00:20:25,639
Speaker 2: Here with Tracy Yeen from the Green Dispensary at Sterling

401
00:20:25,920 --> 00:20:30,480
Speaker 2: and doctor Nilardri Saha who is an ophthalmologist. So I

402
00:20:30,520 --> 00:20:34,080
Speaker 2: can answer any questions you have on eye health. And Tracy,

403
00:20:34,119 --> 00:20:36,520
Speaker 2: we've got an inquiry about dry eye.

404
00:20:36,960 --> 00:20:39,080
Speaker 3: We did, we got to and do you know what.

405
00:20:39,240 --> 00:20:42,040
Speaker 3: It's a very common condition and a lot of people

406
00:20:42,080 --> 00:20:45,480
Speaker 3: come in to ask what they can do, and I'm

407
00:20:45,480 --> 00:20:47,080
Speaker 3: gonna let Niladri answer this.

408
00:20:47,760 --> 00:20:50,960
Speaker 4: Yeah, it's very common, very common, especially if you get older,

409
00:20:51,359 --> 00:20:54,640
Speaker 4: and especially in our climate, you know, dry low humidity.

410
00:20:55,440 --> 00:20:57,120
Speaker 4: You know, we have a lot of air con on.

411
00:20:57,200 --> 00:20:59,080
Speaker 4: So even people who don't really have dry eye get

412
00:20:59,119 --> 00:21:02,040
Speaker 4: dry eye because we're living in the environments. A lot

413
00:21:02,040 --> 00:21:04,439
Speaker 4: of is environmental and when the pollens come out, you know,

414
00:21:04,520 --> 00:21:07,679
Speaker 4: that can make it worse. Computer use, yeah, I mean

415
00:21:07,720 --> 00:21:09,960
Speaker 4: extended if you're not blinking very much. So you know,

416
00:21:10,000 --> 00:21:11,919
Speaker 4: there are people who, you know, if they're reading for

417
00:21:11,960 --> 00:21:14,600
Speaker 4: a long time, they actually just don't really And it's

418
00:21:14,640 --> 00:21:16,840
Speaker 4: like having the windscreen wipers. You know, you need a

419
00:21:16,840 --> 00:21:18,680
Speaker 4: bit of a wipe across the eyes from time to time,

420
00:21:18,800 --> 00:21:21,520
Speaker 4: clean them up. Yeah, so pretty common. A couple of

421
00:21:21,560 --> 00:21:23,560
Speaker 4: commoner as you get older. I mean, there are diseases

422
00:21:23,600 --> 00:21:26,399
Speaker 4: that give you dry eye, but that's slightly separate.

423
00:21:26,520 --> 00:21:31,320
Speaker 3: And some medications would obviously medication. I'm always on about

424
00:21:31,400 --> 00:21:34,680
Speaker 3: hydration on the show, So stay well hydrated, because being

425
00:21:34,720 --> 00:21:37,399
Speaker 3: dehydrated everything gets dry, including your eyes.

426
00:21:37,840 --> 00:21:40,960
Speaker 4: Yeah, certain autoimmune conditions can give you it. That's quite uncommon.

427
00:21:41,160 --> 00:21:44,120
Speaker 4: But yeah, you're you're right. I mean, these again sensible things.

428
00:21:44,200 --> 00:21:47,360
Speaker 4: You know, do you keep hydrated, you know, don't sit

429
00:21:47,440 --> 00:21:49,120
Speaker 4: under a fannel day, you know, don't wait if you've

430
00:21:49,119 --> 00:21:51,200
Speaker 4: got the car windows wide open, blowing in the face,

431
00:21:52,960 --> 00:21:53,600
Speaker 4: wind in the hair.

432
00:21:53,680 --> 00:21:56,800
Speaker 2: Yeah, and I suppose hate you or cold, it wouldn't matter,

433
00:21:56,840 --> 00:21:58,320
Speaker 2: wouldn't necessarily.

434
00:21:58,119 --> 00:21:59,880
Speaker 4: Yeah, well, wind cat. I mean, it can be cold

435
00:22:00,000 --> 00:22:01,119
Speaker 4: and you go out in the wind to take the

436
00:22:01,119 --> 00:22:02,960
Speaker 4: dog for a walk, and sudden your eyes are streaming

437
00:22:03,080 --> 00:22:06,720
Speaker 4: actually because they're dry. Okay, So the tears of crying

438
00:22:06,880 --> 00:22:09,639
Speaker 4: are not the same as the tears that keep your

439
00:22:09,640 --> 00:22:13,359
Speaker 4: eyes moist. So people kind of kind of they when

440
00:22:13,400 --> 00:22:15,280
Speaker 4: they come with sometimes of water eyes that act you've

441
00:22:15,280 --> 00:22:17,120
Speaker 4: got dry eye. They kind of look at you like.

442
00:22:17,640 --> 00:22:18,240
Speaker 2: Let's not dry.

443
00:22:18,680 --> 00:22:20,840
Speaker 4: Yeah, yeah, that's right.

444
00:22:21,640 --> 00:22:24,360
Speaker 2: Okay, all right, let's go to cals almost a full

445
00:22:24,400 --> 00:22:29,160
Speaker 2: board again. Meredith at Campbelltown, Hi, Meredith, how are you?

446
00:22:29,200 --> 00:22:29,280
Speaker 11: No?

447
00:22:29,560 --> 00:22:32,360
Speaker 12: I could be better because I can barely hear when

448
00:22:32,400 --> 00:22:34,800
Speaker 12: they talk because it goes up and down all the time.

449
00:22:34,880 --> 00:22:36,840
Speaker 12: So you're right to speak up, well.

450
00:22:36,720 --> 00:22:39,320
Speaker 2: The Meredith, Yeah, yell at your Meredith.

451
00:22:40,000 --> 00:22:41,119
Speaker 12: Yeah, I want to speak to.

452
00:22:41,160 --> 00:22:46,240
Speaker 4: Your Yeah, I'm here, Meredith, leak you listen to me.

453
00:22:47,400 --> 00:22:49,800
Speaker 12: I've had a serious couple. Well, I've had a lot

454
00:22:49,840 --> 00:22:53,600
Speaker 12: of troubles since I've been nineteen. I've had three cornel

455
00:22:53,680 --> 00:22:58,040
Speaker 12: brass right one on my right eye six weeks before

456
00:22:58,040 --> 00:23:01,720
Speaker 12: I got married m hm. And I had two in

457
00:23:01,760 --> 00:23:05,320
Speaker 12: the eighties on my right eye. The first time it

458
00:23:05,520 --> 00:23:11,440
Speaker 12: rejected on my right eye. Uh, I left it silsh

459
00:23:11,560 --> 00:23:14,159
Speaker 12: so that made that cornea reject, so I had to

460
00:23:14,160 --> 00:23:16,840
Speaker 12: wait for another donus and a couple of months later

461
00:23:17,000 --> 00:23:19,040
Speaker 12: it started to get all gritty and that started to

462
00:23:19,080 --> 00:23:24,879
Speaker 12: reject and they won't touch it again. And you know,

463
00:23:25,080 --> 00:23:29,000
Speaker 12: the more time's ever done, the less successful of my thing. Anyway,

464
00:23:29,119 --> 00:23:31,160
Speaker 12: what I'm trying to get at, I've got no sight

465
00:23:31,200 --> 00:23:33,600
Speaker 12: in my right eye at all now because I've been

466
00:23:33,640 --> 00:23:37,119
Speaker 12: back to the ophthalmologist at the Adelaide and they won't

467
00:23:37,200 --> 00:23:39,720
Speaker 12: touch it. And they found out I've got a detached

468
00:23:39,760 --> 00:23:42,720
Speaker 12: retina eye right in.

469
00:23:42,680 --> 00:23:43,200
Speaker 2: The same.

470
00:23:44,600 --> 00:23:47,240
Speaker 4: Sorry, in the same eye that die with the Cornell graf.

471
00:23:48,040 --> 00:23:49,840
Speaker 12: Yeah, I can Billy hear you. I'm sorry.

472
00:23:50,000 --> 00:23:54,160
Speaker 4: What so in the same you've got to retal detachment

473
00:23:54,200 --> 00:23:57,080
Speaker 4: in the same eye as the graph.

474
00:23:57,119 --> 00:24:01,520
Speaker 12: But my left eyes got apart from having a restitch

475
00:24:01,600 --> 00:24:06,720
Speaker 12: because my eye was bolding stitch. That's fine. The left

476
00:24:07,680 --> 00:24:08,760
Speaker 12: goes cloudy.

477
00:24:08,400 --> 00:24:09,160
Speaker 10: Every now and again.

478
00:24:09,320 --> 00:24:12,840
Speaker 12: Sure, But I was wondering, I'm not worried about my

479
00:24:12,960 --> 00:24:15,920
Speaker 12: rod because they won't they won't touch it. Yeah that

480
00:24:16,359 --> 00:24:20,080
Speaker 12: hurts me, But I was just wondering, what do you recommend?

481
00:24:20,200 --> 00:24:21,960
Speaker 12: Because I used to be on pread sal and all

482
00:24:22,040 --> 00:24:24,679
Speaker 12: that sort of stuff from the left of because it

483
00:24:24,720 --> 00:24:28,160
Speaker 12: goes cloudy because I used to still use pred sal

484
00:24:28,320 --> 00:24:31,080
Speaker 12: in that buy because I haven't used top for ages.

485
00:24:32,960 --> 00:24:34,439
Speaker 4: Well, I think you've got it. It sounds like you've got

486
00:24:34,440 --> 00:24:42,360
Speaker 4: a very complicated problem, obviously, Meredith. I said, it's like, yeah,

487
00:24:42,400 --> 00:24:44,480
Speaker 4: I mean I think that understand to do your question

488
00:24:44,520 --> 00:24:47,080
Speaker 4: about the pred soul is I can't really answer that

489
00:24:47,160 --> 00:24:50,040
Speaker 4: question because I haven't seen you. I mean, I think

490
00:24:50,080 --> 00:24:53,520
Speaker 4: the thing is, if you're talking about graft rejection, pread

491
00:24:53,560 --> 00:24:56,560
Speaker 4: sol or preed niculine, which is a steroid, is a

492
00:24:56,640 --> 00:25:00,560
Speaker 4: very common medication to try and prevent corneal graft rejection,

493
00:25:01,280 --> 00:25:05,760
Speaker 4: and that's maybe the angle that you're coming from. That's

494
00:25:05,840 --> 00:25:07,760
Speaker 4: really probably the only thing I can suggest. I mean,

495
00:25:07,760 --> 00:25:10,160
Speaker 4: when are you seeing your eye doctor again?

496
00:25:11,119 --> 00:25:13,400
Speaker 12: Well, I haven't been to him for the last months

497
00:25:13,720 --> 00:25:16,600
Speaker 12: since you said, yeah, I.

498
00:25:16,520 --> 00:25:18,920
Speaker 4: Think the left eye. You probably obviously, if he's only

499
00:25:18,920 --> 00:25:21,200
Speaker 4: seeing with the left eye, you probably need to get

500
00:25:21,240 --> 00:25:23,679
Speaker 4: in touch with someone because you're relying obviously on that

501
00:25:23,760 --> 00:25:25,679
Speaker 4: left eye. And the last thing you want to do is,

502
00:25:26,200 --> 00:25:28,560
Speaker 4: you know, miss a corneil in a graft rejection or

503
00:25:28,600 --> 00:25:30,440
Speaker 4: something you know bad in the left.

504
00:25:30,200 --> 00:25:33,680
Speaker 12: Eye were just a seriod.

505
00:25:34,240 --> 00:25:34,439
Speaker 5: You know.

506
00:25:34,680 --> 00:25:36,479
Speaker 4: Yeah, I think you probably need to see someone man.

507
00:25:36,680 --> 00:25:38,240
Speaker 4: I would get in touch with the Royal Adelaide.

508
00:25:41,240 --> 00:25:41,800
Speaker 2: Yeah, I would do.

509
00:25:41,880 --> 00:25:42,840
Speaker 4: I would do definitely.

510
00:25:43,080 --> 00:25:45,959
Speaker 2: Good luck, Mirrordorth. Thank you for the call. Thank you

511
00:25:46,000 --> 00:25:46,560
Speaker 2: for the call.

512
00:25:47,280 --> 00:25:52,200
Speaker 3: Jill, Hello, Jill, Hello, thank you for the excellent segments.

513
00:25:54,200 --> 00:25:58,560
Speaker 3: Our pleasure. I feel very privileged to bring Ductor and Ladrian,

514
00:25:58,880 --> 00:26:01,240
Speaker 3: so I'll let you him answer your question.

515
00:26:01,359 --> 00:26:03,120
Speaker 7: Jill, Thank you.

516
00:26:03,280 --> 00:26:03,600
Speaker 3: Doctor.

517
00:26:03,720 --> 00:26:08,119
Speaker 5: I'm just curious as an oxthalmologist, what your opinion of

518
00:26:08,600 --> 00:26:12,919
Speaker 5: LASAC surgery is. It seems to be you know, I

519
00:26:13,080 --> 00:26:17,960
Speaker 5: like say, all the rage, but it's increasingly popular. And

520
00:26:18,160 --> 00:26:20,600
Speaker 5: as a surgeon, what is your opinion?

521
00:26:20,960 --> 00:26:22,639
Speaker 4: Yeah, so, first of all, yeah, as you say, it's

522
00:26:22,800 --> 00:26:25,080
Speaker 4: very very common and just for the rest of the audience,

523
00:26:25,560 --> 00:26:29,840
Speaker 4: Lay six surgery or operations of that group are basically

524
00:26:30,080 --> 00:26:33,320
Speaker 4: correct essentially for the short or long sight that you

525
00:26:33,320 --> 00:26:35,360
Speaker 4: have with glasses, so to get rid of your glasses,

526
00:26:36,560 --> 00:26:39,120
Speaker 4: predominantly for people probably under the age of fifty generally.

527
00:26:41,680 --> 00:26:43,000
Speaker 4: I mean, the fact is, I mean it's not a

528
00:26:43,000 --> 00:26:45,119
Speaker 4: procedure I do. This is not within my area of

529
00:26:45,200 --> 00:26:49,639
Speaker 4: sub specialization, but it is a good procedure. It's very safe,

530
00:26:50,400 --> 00:26:54,520
Speaker 4: very low risk, works very well. It's been refined now

531
00:26:54,560 --> 00:26:57,639
Speaker 4: over you know, several decades. So the point is that

532
00:26:57,760 --> 00:27:00,600
Speaker 4: statistically speaking, it's a good operation, you know, low risk.

533
00:27:01,040 --> 00:27:03,600
Speaker 4: But and this is the this is always the butt.

534
00:27:03,800 --> 00:27:07,240
Speaker 4: Nothing is risk free. And that's the key thing that

535
00:27:07,600 --> 00:27:10,040
Speaker 4: you know, if you're speaking to your surgeon, you know,

536
00:27:10,160 --> 00:27:12,520
Speaker 4: nothing is risk free. And the question is are you

537
00:27:12,560 --> 00:27:16,080
Speaker 4: willing to take the risk benefit balance? And often the

538
00:27:16,160 --> 00:27:19,040
Speaker 4: risk is very low and the benefit is potentially very high,

539
00:27:19,119 --> 00:27:21,119
Speaker 4: in which case you'd go for it. So you know,

540
00:27:21,160 --> 00:27:24,800
Speaker 4: if you're a swimmer or do other sports and you

541
00:27:24,800 --> 00:27:27,520
Speaker 4: know you really couldn't wear glasses or contact lenses, it

542
00:27:27,600 --> 00:27:30,000
Speaker 4: might be a great option for you. But then if

543
00:27:30,040 --> 00:27:32,160
Speaker 4: you're just doing it, I don't know, for some other

544
00:27:32,440 --> 00:27:35,240
Speaker 4: smaller reason, you know, maybe you don't want to take

545
00:27:35,280 --> 00:27:39,840
Speaker 4: that risk or cost. But the risk is is certainly

546
00:27:39,880 --> 00:27:42,800
Speaker 4: small nowadays. It's a good procedure general, although I don't

547
00:27:42,800 --> 00:27:43,080
Speaker 4: do it.

548
00:27:44,720 --> 00:27:47,800
Speaker 7: All right, Jill, fantastic, thank you.

549
00:27:47,640 --> 00:27:48,960
Speaker 4: No, Jim, good on you.

550
00:27:49,000 --> 00:27:53,800
Speaker 2: Faye, Hello, Faye, Yes, honestly.

551
00:27:53,960 --> 00:27:54,400
Speaker 3: Hi, Fay.

552
00:27:54,880 --> 00:28:00,919
Speaker 11: Here we are. I have congenital care for it, which

553
00:28:01,000 --> 00:28:05,440
Speaker 11: means the word congenital in itself means that you're born

554
00:28:05,640 --> 00:28:10,320
Speaker 11: with it. I was born with mine, and because mine

555
00:28:10,720 --> 00:28:17,240
Speaker 11: was inoperable. In fact, my parents found that I wasn't

556
00:28:17,280 --> 00:28:21,280
Speaker 11: walking straight and took me to the I specialist at

557
00:28:21,280 --> 00:28:24,760
Speaker 11: the time. I'm seventy six now, of course, But the

558
00:28:24,840 --> 00:28:29,800
Speaker 11: point is my cataracts were embedded in the pupils and

559
00:28:30,520 --> 00:28:34,120
Speaker 11: what caused that. We think also that in our family,

560
00:28:34,200 --> 00:28:38,640
Speaker 11: because I've got a history of vision impairment, well not

561
00:28:38,760 --> 00:28:44,160
Speaker 11: quite vision impaired, but one of my sisters has glaucomer.

562
00:28:45,000 --> 00:28:50,240
Speaker 11: I have glaucoma, and because my mother before she passed on,

563
00:28:50,840 --> 00:28:56,600
Speaker 11: she had glaucoma, and I have to take drops every night.

564
00:28:57,320 --> 00:29:01,360
Speaker 11: But I'm so great for the fact that for what

565
00:29:01,520 --> 00:29:05,400
Speaker 11: I've got, even though I've got some vision, but I

566
00:29:05,560 --> 00:29:09,280
Speaker 11: haven't got all of it. You'll always find someone else

567
00:29:09,360 --> 00:29:14,040
Speaker 11: so much worse off than yourself. But I'd be interested

568
00:29:14,440 --> 00:29:19,160
Speaker 11: to know of the new treatments for people that are

569
00:29:19,240 --> 00:29:22,320
Speaker 11: born with it in this day and age, you're compared

570
00:29:22,400 --> 00:29:25,960
Speaker 11: with what happened with people in our time.

571
00:29:27,080 --> 00:29:29,480
Speaker 4: Yeah, thanks for the question. They I mean things have

572
00:29:29,520 --> 00:29:31,960
Speaker 4: moved on a lot, you know since you know, since

573
00:29:31,960 --> 00:29:34,160
Speaker 4: you were a baby seventy five seventy six years ago.

574
00:29:35,080 --> 00:29:38,400
Speaker 4: And certainly, you know, congenital catchact surgery is fairly routine

575
00:29:38,440 --> 00:29:42,040
Speaker 4: now for a pediatric ophthalmologist. So again that's another different

576
00:29:42,640 --> 00:29:46,239
Speaker 4: area of specialization. And now they are specific ophthalmologists who

577
00:29:46,280 --> 00:29:50,680
Speaker 4: are trained to do pediatric ophthalmology, so they developed those

578
00:29:50,760 --> 00:29:55,240
Speaker 4: skills required to do these kinds of operations. So I mean,

579
00:29:55,720 --> 00:30:00,280
Speaker 4: so congentle country is eminently treatable nowadays. You know, every

580
00:30:00,920 --> 00:30:04,280
Speaker 4: it's certainly very well treatable nowadays, and certainly every public

581
00:30:04,320 --> 00:30:10,920
Speaker 4: hospital will be doing pediatric or congentle catract surgery fairly routinely,

582
00:30:12,320 --> 00:30:14,120
Speaker 4: so it certainly can be treated. The main thing is

583
00:30:14,120 --> 00:30:15,920
Speaker 4: to picking it up, you know early.

584
00:30:17,200 --> 00:30:23,960
Speaker 11: Yeah, because like I said before, having headed as a child,

585
00:30:24,120 --> 00:30:26,360
Speaker 11: I've lived with it all my lives. And if I

586
00:30:26,400 --> 00:30:30,040
Speaker 11: had an operation now in the hope of gaining more vision,

587
00:30:30,840 --> 00:30:34,400
Speaker 11: I was told that I would lose what I've got nowhere.

588
00:30:34,440 --> 00:30:37,480
Speaker 11: And if I didn't have the operations when I was little,

589
00:30:38,040 --> 00:30:41,360
Speaker 11: I wouldn't be able to tell you what color what

590
00:30:42,240 --> 00:30:45,120
Speaker 11: color at my table is that I'm sitting at right

591
00:30:45,160 --> 00:30:46,200
Speaker 11: now as we're speaking.

592
00:30:46,280 --> 00:30:50,040
Speaker 4: Yeah, yeah, i'd say, yes. Unfortunately, the things I've moved

593
00:30:50,080 --> 00:30:51,880
Speaker 4: on and you know, we can treat a lot of

594
00:30:51,920 --> 00:30:53,400
Speaker 4: that nowadays very well, very.

595
00:30:53,320 --> 00:30:55,640
Speaker 11: Successfully, and that's going to be a good thing.

596
00:30:55,920 --> 00:30:57,560
Speaker 4: Yeah, I'm sorry to hear about your situation though.

597
00:30:58,160 --> 00:31:02,520
Speaker 11: That's all right, there's worse than that.

598
00:31:03,760 --> 00:31:06,280
Speaker 2: Good on your faith. Thank you for the cold, Doug, Hello, Doug.

599
00:31:07,200 --> 00:31:12,000
Speaker 13: Yeah, I'd like to ask the doctor. So maybe five

600
00:31:12,120 --> 00:31:17,120
Speaker 13: years ago, I had what I thought was conjunctivitis, but

601
00:31:17,200 --> 00:31:21,640
Speaker 13: I went to an ophthalmologist and they said I had

602
00:31:22,960 --> 00:31:25,640
Speaker 13: I can't remember the exact term, but basically a cold

603
00:31:25,720 --> 00:31:34,160
Speaker 13: saw in my eye. It's like ocular herpes. Not that

604
00:31:34,240 --> 00:31:39,200
Speaker 13: I not that I've got herpes, but but they said

605
00:31:39,200 --> 00:31:42,160
Speaker 13: there's a risk that it may come back. He put

606
00:31:42,200 --> 00:31:47,680
Speaker 13: me on some anti viral drugs and Barossi clinic there.

607
00:31:47,680 --> 00:31:51,880
Speaker 13: I found him really good and and it cleared up

608
00:31:51,880 --> 00:31:55,240
Speaker 13: fairly well without any damage. But he said they can

609
00:31:55,360 --> 00:31:57,640
Speaker 13: come back, and if it is does come back, you've

610
00:31:57,640 --> 00:32:00,000
Speaker 13: got to get onto it really quickly because he called

611
00:32:00,400 --> 00:32:07,320
Speaker 13: criminal vision damage. So I'd just like to ask how

612
00:32:07,560 --> 00:32:09,360
Speaker 13: likely is it to come back. I'm money in my

613
00:32:09,560 --> 00:32:11,240
Speaker 13: early forties, so yeah.

614
00:32:12,360 --> 00:32:15,760
Speaker 4: Yeah, So so first of all, I think we're probably

615
00:32:15,800 --> 00:32:18,280
Speaker 4: talking about not we're not talking about the shingles virus.

616
00:32:18,680 --> 00:32:20,520
Speaker 4: We're not talking about shingles, are We're talking about the

617
00:32:21,080 --> 00:32:24,960
Speaker 4: nice Yeah. So the cultaal virus which can give you

618
00:32:25,000 --> 00:32:27,520
Speaker 4: an infection in the eye, which is actually on the

619
00:32:27,560 --> 00:32:32,160
Speaker 4: window of the eye, on the cornea. Yeah, that can. Certainly,

620
00:32:32,400 --> 00:32:36,160
Speaker 4: that can come back. It's it's not that common for

621
00:32:36,360 --> 00:32:41,760
Speaker 4: actually that virus to reactivate, but it certainly can. I

622
00:32:41,840 --> 00:32:43,640
Speaker 4: think the thing is there's no real way of saying

623
00:32:44,120 --> 00:32:48,760
Speaker 4: how likely it is, but most people have it treated

624
00:32:48,760 --> 00:32:53,200
Speaker 4: successfully don't have recurrences, although it can occur, So don't

625
00:32:53,240 --> 00:32:57,480
Speaker 4: assume it's going to happen. That's actually less likely than likely.

626
00:32:58,800 --> 00:33:01,760
Speaker 13: I must admit most retirements, you know, I don't think

627
00:33:01,760 --> 00:33:04,560
Speaker 13: about it, but we're not. Here's something like I was

628
00:33:04,640 --> 00:33:07,360
Speaker 13: driving home today from the shops and I heard or

629
00:33:07,440 --> 00:33:10,520
Speaker 13: tonight from the shops and I heard you're radio. Well

630
00:33:10,800 --> 00:33:13,080
Speaker 13: maybe you'll ring up? And can I ask can I

631
00:33:13,120 --> 00:33:18,080
Speaker 13: get greedy? And asked another question? What makes someone decide

632
00:33:18,240 --> 00:33:21,160
Speaker 13: to become an eye specialist because it's not like a

633
00:33:21,240 --> 00:33:25,320
Speaker 13: farm and I'm sure it's not something you decide that

634
00:33:25,360 --> 00:33:27,120
Speaker 13: you want to do when you're six years old.

635
00:33:27,240 --> 00:33:31,920
Speaker 4: No, No, well, I think the thing is so so

636
00:33:31,960 --> 00:33:35,320
Speaker 4: I come from a kind of a science medical family background.

637
00:33:35,360 --> 00:33:39,680
Speaker 4: I think that's pretty common. And then and then I think,

638
00:33:39,720 --> 00:33:41,920
Speaker 4: you know, if you're kind of smart at school, you're

639
00:33:41,960 --> 00:33:44,160
Speaker 4: either going to be a lawyer or a doctor. And

640
00:33:44,320 --> 00:33:46,960
Speaker 4: certainly in the UK, and especially if you're Asian, it's

641
00:33:47,760 --> 00:33:49,200
Speaker 4: you're going to be a lawyer or a doctor. So

642
00:33:49,200 --> 00:33:51,520
Speaker 4: you've got to pick. You can't be anything else. So

643
00:33:51,600 --> 00:33:54,160
Speaker 4: I picked medicine. And then, you know, when I got

644
00:33:54,200 --> 00:33:57,280
Speaker 4: through medical school, you know, you quickly realize that, you know,

645
00:33:57,280 --> 00:34:00,400
Speaker 4: if some people don't like blood and pooh and and

646
00:34:01,080 --> 00:34:04,280
Speaker 4: you know, then you go for the eyes and and

647
00:34:04,520 --> 00:34:06,600
Speaker 4: if you're like a good night's sleep, you know, so

648
00:34:06,840 --> 00:34:08,600
Speaker 4: you know, I said, just get a pretty good night's sleep.

649
00:34:10,640 --> 00:34:12,799
Speaker 4: So I think I think the thing is And as

650
00:34:12,800 --> 00:34:15,960
Speaker 4: a consequence, in these specialties like eyes and plastic surgery,

651
00:34:16,080 --> 00:34:20,279
Speaker 4: you know, with relatively good out of hours hours, you know,

652
00:34:20,640 --> 00:34:23,440
Speaker 4: are more competitive, you know, and and they tend to attract,

653
00:34:23,920 --> 00:34:27,640
Speaker 4: you know, the kind of the cream of medical schools

654
00:34:27,680 --> 00:34:31,439
Speaker 4: and medical trainees. Mm hmm.

655
00:34:32,160 --> 00:34:34,319
Speaker 13: And that's a Reasonvhir I chose to be a bottomized

656
00:34:34,360 --> 00:34:37,240
Speaker 13: because we just work business sales. But the only problem

657
00:34:37,280 --> 00:34:39,120
Speaker 13: with that is I've heard spots.

658
00:34:41,000 --> 00:34:44,840
Speaker 4: Yeah, that's right, that's right, that's right. I mean, obviously,

659
00:34:44,960 --> 00:34:47,400
Speaker 4: you know a lot of some people have a vocation.

660
00:34:47,440 --> 00:34:50,120
Speaker 4: You know, some people just want to do you might

661
00:34:50,160 --> 00:34:53,440
Speaker 4: be rectal surgery, cola rectal surgery, or you know, whatever

662
00:34:53,480 --> 00:34:57,719
Speaker 4: it might be. And there's there's great people in every field,

663
00:34:57,800 --> 00:35:00,200
Speaker 4: you know, whether they be orthopedics or eyes or all

664
00:35:00,239 --> 00:35:01,600
Speaker 4: smart guys, all gals.

665
00:35:03,360 --> 00:35:04,279
Speaker 13: Good on you.

666
00:35:04,520 --> 00:35:07,640
Speaker 2: Yeah, great question. All right, we will take a break

667
00:35:07,680 --> 00:35:10,880
Speaker 2: twenty four to twenty five past nine on five double A,

668
00:35:11,080 --> 00:35:13,960
Speaker 2: and we'll be back to wind up any last questions

669
00:35:14,040 --> 00:35:19,160
Speaker 2: you might have for doctor Saha. He's here with Tracy Yeen.

670
00:35:19,480 --> 00:35:22,320
Speaker 2: Questions for Tracy as well on that number.

671
00:35:22,239 --> 00:35:25,080
Speaker 1: Five double A. Nice with Matthew Pantellas.

672
00:35:25,480 --> 00:35:30,239
Speaker 2: Tracy Yeen is here Green Dispensary, Sterling doctor Nalandri Saha

673
00:35:30,280 --> 00:35:32,960
Speaker 2: as well, op themologist, and we were talking during the

674
00:35:32,960 --> 00:35:36,880
Speaker 2: break guys about floaters and just the little specks you

675
00:35:36,960 --> 00:35:39,479
Speaker 2: sometimes see. Made the comment if you rub your eyes

676
00:35:39,520 --> 00:35:42,200
Speaker 2: really hard, you can see floaters. But that's not the

677
00:35:42,239 --> 00:35:42,960
Speaker 2: same thing, is it.

678
00:35:43,040 --> 00:35:45,560
Speaker 4: No, that's right, So, I mean the true floaters are

679
00:35:45,880 --> 00:35:48,640
Speaker 4: basically things floating around in the jelly in the back

680
00:35:48,640 --> 00:35:52,239
Speaker 4: of the item, and you know, again very common and

681
00:35:52,480 --> 00:35:56,360
Speaker 4: most most cases it's just the just agent and you

682
00:35:56,480 --> 00:35:59,279
Speaker 4: just get some bits and pieces floating around. So most

683
00:35:59,320 --> 00:36:01,480
Speaker 4: people nothing to worry about. But if you get a

684
00:36:01,520 --> 00:36:04,440
Speaker 4: shower of floaters, So if you're sitting minding your own

685
00:36:04,480 --> 00:36:06,880
Speaker 4: business and you think, oh my gosh, somebody's poured a

686
00:36:07,400 --> 00:36:09,400
Speaker 4: kind of ants into my vision or a squid has

687
00:36:09,440 --> 00:36:12,360
Speaker 4: squirted into my vision, that's that's a problem.

688
00:36:12,440 --> 00:36:12,720
Speaker 2: Okay.

689
00:36:12,760 --> 00:36:15,000
Speaker 4: If you get that and you get said to get

690
00:36:15,000 --> 00:36:18,440
Speaker 4: some flashing lights like little bolts of lightning and the

691
00:36:18,440 --> 00:36:21,480
Speaker 4: peripheral vision, that's when you need to worry. So they're

692
00:36:21,520 --> 00:36:22,960
Speaker 4: the floaters you need to worry about.

693
00:36:23,320 --> 00:36:24,920
Speaker 2: What are they? What's going on?

694
00:36:24,960 --> 00:36:27,120
Speaker 4: Yeah, well it could be blood, okay, yeah, so anything

695
00:36:27,200 --> 00:36:29,960
Speaker 4: floating about, so blood, it could be inflammatory cells. But

696
00:36:30,000 --> 00:36:33,759
Speaker 4: in a retinal detachment or you know, the the floaters

697
00:36:33,800 --> 00:36:36,040
Speaker 4: you get when you get bleeding from the retin flashing

698
00:36:36,120 --> 00:36:39,840
Speaker 4: lights that can be be blood as a consequence of

699
00:36:39,880 --> 00:36:42,160
Speaker 4: the retin are being torn. So that's a that's an

700
00:36:42,280 --> 00:36:42,840
Speaker 4: urgent problem.

701
00:36:42,880 --> 00:36:44,240
Speaker 2: How does that even happen?

702
00:36:45,800 --> 00:36:48,319
Speaker 4: Yeah, No, that's actually very uncommon. So yeah, so the

703
00:36:48,360 --> 00:36:52,359
Speaker 4: common misconception is trauma or an injury is actually cause

704
00:36:52,400 --> 00:36:54,440
Speaker 4: of retinal detachment. That's actually very uncommon.

705
00:36:54,520 --> 00:36:54,880
Speaker 2: Okay.

706
00:36:55,080 --> 00:36:58,359
Speaker 4: The most common cause again, unfortunately is getting older, right

707
00:36:58,440 --> 00:37:02,239
Speaker 4: and well, the jelly in the eye comes away from

708
00:37:02,320 --> 00:37:04,600
Speaker 4: the camera film of the eye as a natural thing.

709
00:37:04,640 --> 00:37:08,160
Speaker 4: Everyone gets that. But sometimes it goes wrong and it's

710
00:37:08,200 --> 00:37:10,320
Speaker 4: like taking sellotape off paper. Sometimes you can get the

711
00:37:10,320 --> 00:37:13,560
Speaker 4: sellar tape off the paper cleanly, sometimes it rips, and

712
00:37:13,560 --> 00:37:15,759
Speaker 4: if it comes off and it rips, that can then

713
00:37:15,880 --> 00:37:19,080
Speaker 4: lead to retinal detachment. That's that's a problem. But even

714
00:37:19,120 --> 00:37:22,120
Speaker 4: if you have floaters that age related that you know

715
00:37:22,239 --> 00:37:24,640
Speaker 4: are really bothering you, you know, they can actually be

716
00:37:24,680 --> 00:37:28,359
Speaker 4: removed nowadays quite easily with small operation. So even if

717
00:37:28,360 --> 00:37:30,040
Speaker 4: you haven't got a disease, but you just have floaters

718
00:37:30,040 --> 00:37:32,360
Speaker 4: that are really bothering you, you can have a you know,

719
00:37:32,400 --> 00:37:36,040
Speaker 4: a fifteen minute procedure day surgery to actually remove them nowadays,

720
00:37:36,040 --> 00:37:37,160
Speaker 4: which we didn't couldn't do before.

721
00:37:38,400 --> 00:37:43,600
Speaker 2: You know, we know about glaucoma and diabetes related issues.

722
00:37:43,640 --> 00:37:45,600
Speaker 2: I reckon, I'd hate to find out how many eye

723
00:37:45,680 --> 00:37:48,239
Speaker 2: diseases there are. There's a lot.

724
00:37:48,360 --> 00:37:51,080
Speaker 4: Yeah. People often say I've got macula, and what they

725
00:37:51,120 --> 00:37:53,279
Speaker 4: mean is macular degeneration. But the macular is part of

726
00:37:53,280 --> 00:37:55,560
Speaker 4: your body, not a disease. And there's actually a thousand

727
00:37:55,560 --> 00:37:58,640
Speaker 4: diseases or more that can just affect your maculaw. But

728
00:37:58,680 --> 00:38:01,120
Speaker 4: people kind of say, I've got macular, but that's not

729
00:38:01,200 --> 00:38:01,680
Speaker 4: the disease.

730
00:38:02,440 --> 00:38:03,160
Speaker 3: More information.

731
00:38:03,320 --> 00:38:08,640
Speaker 2: Hey, ye scary all right. The importance of eye health

732
00:38:09,080 --> 00:38:09,880
Speaker 2: should start.

733
00:38:09,680 --> 00:38:13,360
Speaker 4: Early, absolutely, And I think, you know, I wish, you know,

734
00:38:13,400 --> 00:38:15,520
Speaker 4: I wish we could have these chats with people when

735
00:38:15,520 --> 00:38:19,000
Speaker 4: they're teenagers, you know, when they're about to start smoking

736
00:38:19,080 --> 00:38:21,880
Speaker 4: or vaping or you know, eating a lot of rubbish

737
00:38:22,880 --> 00:38:27,080
Speaker 4: increasingly now so available, you know, poor diet, cheap, poor diets,

738
00:38:27,680 --> 00:38:29,440
Speaker 4: and they're the people we need to be talking to,

739
00:38:29,560 --> 00:38:31,839
Speaker 4: you know, the kids, twenty year olds, twenty five year

740
00:38:31,840 --> 00:38:34,120
Speaker 4: old saying you know, now is when you need to

741
00:38:34,120 --> 00:38:36,760
Speaker 4: get on board because you know it's a bit late. Sometimes.

742
00:38:37,880 --> 00:38:41,000
Speaker 2: Brian's called in, just made the cat Brian, Brian from Goodwood.

743
00:38:41,000 --> 00:38:45,520
Speaker 10: Hello, oh, thank you. Just a quick question. I've got

744
00:38:45,560 --> 00:38:49,560
Speaker 10: poor cohn one eye. The other eye is okay, but

745
00:38:50,200 --> 00:38:54,600
Speaker 10: the color right dazzl's me. Should I be wearing dark glasses?

746
00:38:56,040 --> 00:38:56,279
Speaker 2: Yeah?

747
00:38:56,320 --> 00:38:59,560
Speaker 4: So, Brian, good, thanks for calling. There's so. I think

748
00:38:59,600 --> 00:39:01,600
Speaker 4: the first thing is just to go to the glaucoma point.

749
00:39:01,640 --> 00:39:06,000
Speaker 4: There's actually hundreds of types of glaucoma, so so it's

750
00:39:06,040 --> 00:39:08,719
Speaker 4: a bit difficult to not just from your question, but

751
00:39:09,760 --> 00:39:12,120
Speaker 4: I think the fact is if you're gangle of glare symptoms,

752
00:39:12,120 --> 00:39:16,640
Speaker 4: which sounds like what you're describing that dazzle, and you're

753
00:39:16,680 --> 00:39:19,560
Speaker 4: helped by dark glasses, particularly the wrap around kind, there's

754
00:39:19,560 --> 00:39:22,399
Speaker 4: actually no reason not to wear them, you know, if

755
00:39:22,400 --> 00:39:25,160
Speaker 4: they help, you know, wear them, they're certainly not going

756
00:39:25,200 --> 00:39:25,880
Speaker 4: to do any harm.

757
00:39:27,040 --> 00:39:30,080
Speaker 10: I just wondered why.

758
00:39:30,640 --> 00:39:32,640
Speaker 4: Yeah, Well, it can be many reasons. I think the

759
00:39:32,680 --> 00:39:34,840
Speaker 4: thing is, you know, I don't know the background in

760
00:39:34,880 --> 00:39:38,760
Speaker 4: your situation, but you know, for example, cataract can cause

761
00:39:38,760 --> 00:39:43,600
Speaker 4: glare inflammation, Inflammatory conditions in the eye can give you

762
00:39:43,680 --> 00:39:47,920
Speaker 4: dazzle or photophobia, you know, fear of light. So I

763
00:39:47,920 --> 00:39:50,400
Speaker 4: think the constense is it's I can't really tell you

764
00:39:50,480 --> 00:39:54,080
Speaker 4: why you're getting it because there's so many potential causes.

765
00:39:54,280 --> 00:39:56,720
Speaker 4: But if it, I mean again, if you've seen someone

766
00:39:56,760 --> 00:39:59,520
Speaker 4: and they've ruled out anything serious and it's helped by

767
00:39:59,640 --> 00:40:01,359
Speaker 4: darklas as you know, I would just go for that.

768
00:40:02,600 --> 00:40:09,719
Speaker 10: Yeah, the optomis prescribed jobs, so I think they could condor.

769
00:40:11,480 --> 00:40:15,080
Speaker 4: Are they for glouckomer, are they I think so?

770
00:40:15,560 --> 00:40:15,799
Speaker 2: Yeah?

771
00:40:15,880 --> 00:40:19,239
Speaker 4: Probably not condor might be Combigand does that ring a

772
00:40:19,280 --> 00:40:22,680
Speaker 4: bell or yeah? Yeah, that sounds like it's a drop

773
00:40:22,719 --> 00:40:24,759
Speaker 4: for gloucom to reduce the pressure in your eye. But

774
00:40:25,040 --> 00:40:27,440
Speaker 4: have you seen an optomologist as well or just your optician?

775
00:40:28,440 --> 00:40:29,840
Speaker 10: I see the optimologist.

776
00:40:30,520 --> 00:40:32,279
Speaker 4: Okay, that's good, that's good. Yeah, you should be under

777
00:40:32,280 --> 00:40:33,880
Speaker 4: the oversight of an optomologist.

778
00:40:33,960 --> 00:40:39,760
Speaker 10: Really, yeah, yeah, I see the spacialist on the street. Okay,

779
00:40:39,800 --> 00:40:40,480
Speaker 10: thank you very much.

780
00:40:41,600 --> 00:40:45,040
Speaker 2: Just on on the dark glasses. Sunny's good for your eyes,

781
00:40:45,080 --> 00:40:47,320
Speaker 2: bad for your eyes. I mean they're helpful with glear obviously.

782
00:40:47,560 --> 00:40:50,640
Speaker 2: Is there a position on some he's from a night specialist.

783
00:40:50,960 --> 00:40:54,239
Speaker 4: Yeah, I mean I think anything that blocks UV is

784
00:40:54,360 --> 00:40:59,040
Speaker 4: not a bad idea because it's not just the eyes,

785
00:40:59,120 --> 00:41:01,719
Speaker 4: it is the skin around you. Okay, you know, so

786
00:41:02,680 --> 00:41:06,320
Speaker 4: you know a lot of people get small skin cunters

787
00:41:06,360 --> 00:41:10,480
Speaker 4: around their eyes, you know, UV related, particularly in Australia,

788
00:41:10,560 --> 00:41:14,279
Speaker 4: you know, quite uncommon in the UK. So yeah, I

789
00:41:14,320 --> 00:41:19,440
Speaker 4: mean sunglasses certainly, there's no downsides, no downsides, only upsides.

790
00:41:20,040 --> 00:41:23,360
Speaker 3: And you mentioned before just normal glasses because we know

791
00:41:23,600 --> 00:41:25,200
Speaker 3: UV doesn't go through windows.

792
00:41:25,360 --> 00:41:26,080
Speaker 4: Yeah, exactly.

793
00:41:26,239 --> 00:41:27,800
Speaker 3: Normal glasses will also help.

794
00:41:27,600 --> 00:41:29,839
Speaker 4: Pretty absolutely to a degree. As you say, can't get

795
00:41:29,880 --> 00:41:33,200
Speaker 4: a tan to a car windscreen, and because it blocks

796
00:41:33,239 --> 00:41:36,480
Speaker 4: the UV absolutely and often contact lenses you know, can

797
00:41:37,040 --> 00:41:38,080
Speaker 4: block UV as well.

798
00:41:38,600 --> 00:41:41,239
Speaker 2: Yeah, excellent question here from man on the text line.

799
00:41:41,400 --> 00:41:44,600
Speaker 2: We've talked before about flashing lights being a form of migraine.

800
00:41:44,719 --> 00:41:46,640
Speaker 2: Is this not the case? Yeah?

801
00:41:46,680 --> 00:41:49,319
Speaker 4: So the so Yeah, that's a good question. So the

802
00:41:49,360 --> 00:41:52,439
Speaker 4: devil is in the detail, and this is where they

803
00:41:52,600 --> 00:41:54,759
Speaker 4: taking the history and talking to the patient is really

804
00:41:54,800 --> 00:41:58,279
Speaker 4: important because not all flashing lights are the same. You know.

805
00:41:58,320 --> 00:42:00,960
Speaker 4: You might say, you know, ad dipped on a car

806
00:42:01,040 --> 00:42:03,040
Speaker 4: is a flashing light. Might say lightning is a flashing light.

807
00:42:03,080 --> 00:42:05,160
Speaker 4: You might say camera flashes a flashing light. But they're

808
00:42:05,160 --> 00:42:07,799
Speaker 4: all different. It's the same with these flashing lights. The

809
00:42:07,880 --> 00:42:11,480
Speaker 4: flashing lights you get in migraine are very very different

810
00:42:11,520 --> 00:42:15,360
Speaker 4: in character to the flashing you typically get in retinal diseases,

811
00:42:15,360 --> 00:42:20,879
Speaker 4: particularly retinal detachment. And the key is differentiating between those

812
00:42:20,880 --> 00:42:21,840
Speaker 4: by talking to the patient.

813
00:42:22,000 --> 00:42:25,239
Speaker 2: Yeah, yeah, okay, there we are. Thank you so much

814
00:42:25,280 --> 00:42:29,040
Speaker 2: for coming in. Vascinating discussion and obviously quite the one

815
00:42:29,040 --> 00:42:32,520
Speaker 2: that appealed to listeners this evening. Who caught up in droves.

816
00:42:32,719 --> 00:42:34,000
Speaker 4: Yeah, thanks, thank you.

817
00:42:34,040 --> 00:42:35,560
Speaker 2: Lovely meeting it, Tracy, thank.

818
00:42:35,400 --> 00:42:38,000
Speaker 3: You Its bit of pleasure and thank you. Yeah, no

819
00:42:38,040 --> 00:42:42,680
Speaker 3: problem for coming in. It's been amazing and I love

820
00:42:42,800 --> 00:42:47,960
Speaker 3: being able to share excellent you know, doctors practitioners with

821
00:42:48,320 --> 00:42:48,800
Speaker 3: the public.

822
00:42:48,920 --> 00:42:51,200
Speaker 2: Absolutely now if people want you, Tracy at the Green

823
00:42:51,239 --> 00:42:52,560
Speaker 2: Dispensary at Sterling.

824
00:42:52,320 --> 00:42:55,600
Speaker 3: YEP on Wednesday's nine till three Green Dispensary, Sterling. I

825
00:42:55,640 --> 00:42:58,600
Speaker 3: know the address and now it's Shop one forty one

826
00:42:58,640 --> 00:43:02,120
Speaker 3: Mount Parker Road, Sterling, and give us a call if

827
00:43:02,120 --> 00:43:04,319
Speaker 3: you can't get in on eight double three nine one

828
00:43:04,400 --> 00:43:05,440
Speaker 3: three four seven.

829
00:43:05,239 --> 00:43:09,960
Speaker 2: Okay Tracy yean Green Dispensary, Sterling and doctor Nalandri Saha

830
00:43:10,200 --> 00:43:14,880
Speaker 2: who is with the Flinders Medical Center, Universe Center and

831
00:43:15,000 --> 00:43:18,239
Speaker 2: kings Would Center. There we go. Good on you, thanks

832
00:43:18,280 --> 00:43:19,240
Speaker 2: for coming in once again.

833
00:43:19,880 --> 00:43:22,719
Speaker 1: Five double a nice with Matthew Pantellas