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Eye Care Center

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The Eye Care Center (Dr. Carlos L. Sevilla Center) is a diagnostic and laser treatment facility offering a comprehensive set of tests for holistic eye care. It boasts of the latest and most progressive diagnostic and treatment technologies, led by the expertise of the country’s finest Ophthalmologists. The Center aims to provide the most accurate diagnoses and the best care possible for various eye diseases, including glaucoma, cataract, diabetic retinopathy and other diabetes-related problems, dry eye disease, age-related macular degeneration, and diseases in the retina, among many others.


Most Common Conditions:

  • Cataract
This is the clouding of the natural lens of the eye, and the most common cause of vision loss among people over the age of forty (40). Cataract is the leading cause of treatable blindness in the country and throughout the world.


What are the risk factors?

  • Diabetes
  • Family history
  • High myopia
  • Hypertension
  • Obesity
  • Previous eye injury or inflammation
  • Previous eye surgery
  • Prolonged use of steroid medications
  • Significant alcohol consumption
  • Smoking
  • Ultraviolet radiation exposure from sunlight and other sources


What are the symptoms?

  • Clouding of vision
  • Difficulty in reading
  • Small dots or spots in vision
  • Sudden and significant decline of vision


How is it diagnosed?

An Ophthalmologist can assess a patient’s visual function by using a Visual Acuity Test and from there, can check for the presence of cataractous lenses of the eyes through a slit lamp biomicroscope. The Ophthalmologist may opt to dilate the pupils using medication to facilitate better visualization of the cataracts.


How is it treated?

For advanced Cataracts, the only effective treatment in surgery. The affected lens is removed and replaced with an artificial intraocular lens. Prior to the surgery, Biometry testing can be done using either Optical Coherence Interferometry or Ultrasound technology. This is used to measure the appropriate intraocular lens to be implanted.

 

  • Diabetic Retinopathy
People with diabetes can develop an eye disease called Diabetic Retinopathy. This is a sight-threatening condition that can occur when high blood sugar levels cause damage to the retinal blood vessels inside the eye. If the eyes were a camera, the retina can be thought of as the film which receives the images and sends them to the brain. Damage to the retina, including from diabetic retinopathy, can cause significant visual symptoms. Worldwide, it is the most common cause of blindness in the working age population, or people between eighteen (18) and sixty-five (65) years old.


What are the risk factors?

  • Elevated levels of fats (triglycerides) in the blood
  • High blood pressure
  • Poor blood glucose control
  • Presence of protein in urine
  • Prolonged diabetes


What are the symptoms?

  • Clouding of vision
  • Double vision
  • Eye pain
  • Floaters (shadows) in the field of vision
  • Sudden and significant decline of vision


How is it diagnosed?

Patients suspected to be at risk for Diabetic Retinopathy can be assessed by an Ophthalmologist through a Dilated Fundus Exam (DFE) using a slit lamp biomicroscope or an indirect ophthalmoscope to assess the retina. In addition, several diagnostic tests can be conducted including:

  • Fluorescein Angiography – using fluorescein dye injected into the blood stream, a special camera captures the retinal vessels
  • Fundus Photography – a special camera takes focused photos of the inside of the eye to provide a good view of the retina for disease monitoring
  • Optical Coherence Tomography (OCT) – a non-invasive procedure that takes a cross-sectional snapshot of the retina that can focus on the center of the field of view known as the macula


How is it treated?

The main goal of treatment is long-term blood sugar control. This helps to prevent the development and progression of Diabetic Retinopathy. Other treatment options are done depending on the stage of the disease, including laser treatments to the retina, injection of special medications inside the eye, and eye surgery in very severe cases.

 

  • Dry Eye Disease
This occurs when the eyes cannot produce sufficient tears or produce tears that are prone to evaporation due to different causes.


What are the risk factors?

  • Aging
  • Hormonal changes among women
  • Side effects of certain medications
  • Other related eye diseases


What are the symptoms?

  • Blurred vision
  • Burning sensation
  • Excessive tearing or watery eyes
  • Eye fatigue
  • Foreign body sensation
  • Itchiness
  • Redness
  • Sensitivity  to bright light


How is it diagnosed?

An Ophthalmologist can detect the causes by conducting an eye exam which includes a complete history of the patient’s overall health and the application of different dyes on the eye to check for tear evaporation patterns. An Osmolarity Test can also be prescribed to measure the salt and water content of the tears.


How is it treated?

Commonly, the symptoms of dry eyes can be easily treated with lubricant eye drops. Depending on the possible causes of these symptoms however, the Ophthalmologist can prepare a tailor-fit treatment regimen.

 

  • Glaucoma

This is an eye disease that can cause gradual destruction of the optic nerve, usually due to fluid buildup and increased eye pressure. The optic nerve is the structure that sends visual signals from the eye to the brain. Damage to the optic nerve, including damage caused by Glaucoma, can lead to blindness.

 

Because the loss of vision often occurs gradually over a long period of time, it has come to be known as the “silent thief of sight”. Symptoms often only occur when the disease has already advanced.


What are the risk factors?

  • Asian race
  • Diabetes
  • Family history of glaucoma
  • Forty-five (45) years old and above (but may still happen at any age)
  • History of steroid use
  • Previous trauma of the eye
  • Myopic and hyperopic


What are the symptoms?

  • Most cases have no symptoms
  • Blurred vision
  • Eye pain
  • Eye redness
  • Headaches
  • Narrowing vision (tunnel vision)
  • Nausea or vomiting
  • Seeing halos around lights or circular, dark frames around images
  • Vision loss


How is it diagnosed?

In the clinic, an Ophthalmologist can examine the optic nerve, measure the eye pressure, and view the anterior angle of the eye. Diagnostic tests can also be done to confirm the diagnosis of Glaucoma, including:

  • Perimetry/Automated Visual Field Test – measures the field of vision of an eye and is used to monitor glaucoma patients and some neurological disorders
  • Optical Coherence Tomography (OCT) – a non-invasive procedure that takes cross-sectional images of the optic nerve and anterior segment of the eye to determine the progression of glaucoma and other retinal diseases


Can it be treated?

There is no cure for Glaucoma and the visual damage is permanent. Treatment, however, can delay its progression. The earlier the detection, the greater the chance of preserving sight.


How is it treated?

Glaucoma can be treated with eye drops. More severe and lesser controlled cases can be treated with laser treatment or surgery, depending on the type and stage of the damage to the eye.


Services Offered:

  • Diagnostic
    • A-Scan and B-Scan Ocular Ultrasonography
    • Anterior Segment, Macular, and Optic Nerve Optical Coherence Tomography
    • Autorefraction
    • Contact and Non-Contact Biometry
    • Corneal Pachymetry
    • Corneal Specular Microscopy
    • Corneal Topography
    • Eye Osmolarity
    • Fluorescein Angiography
    • Fundus and Disc Stereophotography
    • Macular Pigment Optical Density
    • Octopus and Humphrey Visual Field Testing

 

  • Therapeutic
    • Diode Retinopexy
    • Diode Transscleral Cyclophotocoagulation
    • Endolaser Photocoagulation
    • Gonioplasty
    • Indirect Laser Thermotherapy
    • Panretinal Photocoagulation (PRP)
    • Post-Trabeculectomy Laser Suture Lysis
    • Trabeculoplasty
    • Transpupillary Focal Laser Photocoagulation
    • YAG (Yttrium Aluminum Garnet) and Argon Laser Iridotomy
    • YAG Laser Capsulotomy

 

Chairperson of the Department of Ophthalmology:
Sherman O. Valero, MD

Eye doctor checking a patient's eye

Overview

Location & Contact Details
  • Makati Medical Center - Makati City, Philippines,
    6th Floor Tower 2, Legazpi Village, Makati City.
  • +632 8888 8999
    locals 3610 and 3611
  • [email protected]
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    8:00AM – 5:00PM
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