MQ Health - Macquarie University

Ophthalmology Clinic

Conditions and treatments overview

At MQ Health Ophthalmology Clinic, we provide general and specialist ophthalmology care for a wide range of eye diseases and disorders.

Our compassionate, patient-centred team of ophthalmologists and orthoptists have extensive subspecialty experience in eye care.

We combine excellence in clinical care with unique learning experiences and the latest breakthroughs in medical research to deliver optimal outcomes for you and your family.

Integrated care model

As Australia’s first integrated healthcare and research clinic, we provide the best possible treatment and outcomes through collaborative clinical care, research and training.

Our service encompasses:

  • A specialist team at the forefront of research – many of our ophthalmologists also teach and conduct research at the University, keeping them abreast of the latest advancements in eye care
  • Co-located service partners – you can be referred, diagnosed and treated in the same location, saving you time and hassle
  • Cutting-edge technology – our specialists have access to the latest advances in imaging, enabling us to provide a complete and detailed diagnosis

If you need surgery, you can be booked into hospital on the same day as your diagnosis if your condition is urgent. As our clinic is part of the Macquarie University Hospital, you can have your surgery next door to your appointment.

As an MQ Health Clinic patient, your experience is one seamless journey.

Conditions, tests and treatments

We diagnose and treat the complete spectrum of eye diseases and disorders, including:

  • Cataracts – a clouding of the normally clear eye lens, often treated with surgery
  • Corneal diseases – diseases affecting the cornea, the outmost layer of the eye
  • Electrophysiology testing – a range of tests that record electrical signals from the eye, optic nerve and brain
  • General ophthalmology – comprehensive eye examinations and treatments for common eye diseases and complications
  • Glaucoma – a group of eye diseases causing vision loss from optic nerve damage
  • Uveitis – inflammation affecting different parts of the eye
  • Neuro-ophthalmology – complex systemic diseases involving subspecialty neurology and ophthalmology care
  • Oculoplastic surgery – ‘plastic surgery’ of the eye, including a variety of surgical procedures concerning the eye socket, eyelids, tear ducts and face
  • Paediatric eye concerns –specialty eye and vision care for babies and children
  • Vitreoretinal and medical retina – concerns involving the retina, macula, and vitreous fluid, such as retinal detachment, macular hole, epiretinal membrane and complications related to diabetic retinopathy and aged-related macular degeneration

Make an appointment

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

General ophthalmology

MQ Health Ophthalmology Clinic’s general ophthalmologists offer comprehensive eye examinations and surgical assessments. We see children, teenagers and adults with a wide range of eye health concerns.

What is ophthalmology?

Ophthalmology is the branch of medicine which diagnoses and manages eye and vision diseases and conditions. Ophthalmologists are medical specialists with extensive training in eye care and surgery.

Ophthalmologists are different to optometrists. Optometrists are primary eye care providers whose focus is  on testing for eye diseases and prescribing glasses.

You may need to see a general ophthalmologist for eye concerns which an optometrist can’t treat, such as:

  • Blepharitis – inflammation of the eyelid, affecting the eyelashes and tear ducts
  • Dry eyes – a condition that causes a range of symptoms, from discomfort and irritation to vision problems
  • Eye pain – a common concern, pain can also cause irritation, burning, scratchiness, grittiness, dryness and a feeling that there is something in your eye
  • Foreign body removal – removing an object such as metal, glass, wood, plastic or sand that may be embedded in the cornea
  • Infections – corneal and contact lens-related infections, as well as severe cases of conjunctivitis
  • Pterygium – also known as ‘surfer’s eye’, pterygium is a growth that starts on the clear tissue of the eye and can spread to the cornea

General ophthalmologists can also provide comprehensive eye examinations, care, and tests to check your eyes for altered vision or disease.

Our treatment approach

During your first appointment, your ophthalmologist will conduct an eye examination, as well as tests to assess the health, function and appearance of your eyes.

These tests involve checking your front and peripheral (side) vision, eye muscle and colour vision. Your ophthalmologist will also check for any potential diseases of the eye.

If you have a specific concern, your ophthalmologist will attempt to diagnose this and recommend the most suitable treatment approach.

Your treatment might include drops, tablets, lid hygiene techniques or lifestyle modifications. In some cases, you may need to be referred on to a subspecialist ophthalmologist for a more comprehensive diagnosis.

In most cases you will receive a diagnosis at your appointment, along with instructions about how to manage your condition. If there are signs of any type of eye disease, you may need to have more tests. A medical report will be sent to your referring practitioner within 2 weeks of your appointment.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our general ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Cataracts

MQ Health Ophthalmology Clinic’s specialist team of ophthalmologists have a keen interest in cataracts and related conditions.

With expertise in complex cataract surgery, our doctors operate within state-of-the-art facilities using the latest innovative equipment, methods and procedures.

What are cataracts?

Cataracts develop when the clear lens in the eye becomes clouded. They often progress slowly and can affect one or both eyes. Having cataracts feels like you are looking through a cloudy window.

Cataracts can cause blurry vision, glare, a change in the power of the eye and even changes to your colour vision. Often an age-related eye condition, cataracts are most common in older people.

Our treatment approach

If you are diagnosed with cataracts, your ophthalmologist will recommend the most suitable treatment plan based on the severity of your cataracts, your medical history, pre-existing conditions and any other considerations.

Surgery is the only available treatment for cataracts, but not all cataracts require surgery.

During a surgical procedure for cataracts, the cloudy lens is removed and replaced with an artificial lens. The surgery is performed under a local anaesthetic, and in most cases, you are awake for the procedure.

Before your surgery, your eye will be numbed with anaesthetic drops. Your ophthalmologist will make a series of tiny incisions into the cornea to access and remove the cataract (cloudy lens).

After the cataract is removed, your ophthalmologist will insert an artificial intraocular lens (IOL) in its place. Your artificial lens will be custom made to suit your eye’s unique shape and requirements.

In some cases, cataracts can make it more difficult to detect other eye disorders. If you have cataracts and symptoms of another eye disease, your ophthalmologist may recommend cataract surgery to assist with the diagnosis and treatment. Also, certain types of glaucoma can be managed better following cataract surgery.

Cataract surgery is a safe, common and effective treatment option. As with any surgical procedure, cataract surgery contains risks, but serious complications are uncommon. Your ophthalmologist can discuss the risks and potential complications with you in detail.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Corneal diseases

MQ Health Ophthalmology Clinic’s specialist team of ophthalmologists have a keen interest in treating corneal diseases.

With expertise in common and rare corneal disease management, our ophthalmologists have access to the latest tools and treatments to help preserve vision and reduce the spread of disease.

What are corneal diseases?

Corneal diseases are diseases of the cornea, the outermost layer of your eye. The cornea’s role is to focus your vision and protect or shield your eye from foreign particles such as dust and germs.

Common corneal diseases include:

  • Corneal dystrophies (degeneration) – such as Fuchs disease, a gradual decline in vision caused by swelling and clouding on the cornea
  • Keratoconus – when the cornea bulges out, causing blurred vision, light sensitivity and glare (the cause of keratoconus is unknown)

Our specialist team of ophthalmologists also offer full-thickness corneal transplants and partial-thickness corneal transplants.

Our treatment approach

If you’re diagnosed with corneal disease, your ophthalmologist will recommend the most suitable treatment plan based on the severity of your disease, your medical history, pre-existing conditions and any other considerations.

Wearing glasses or contact lenses can help to improve vision in people with corneal diseases, but glasses and contacts don’t treat the disease itself. In many cases, treatment is necessary. Corneal transplant is a common treatment for corneal diseases. Another emerging treatment option is corneal collagen crosslinking by ultraviolet light with riboflavin. This treatment can help slow the progression of keratoconus and prevent the need for a corneal transplant.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Vitreoretinal and Macular surgery

MQ Health ophthalmologists offer specialist treatment for a wide range of vitreoretinal and macular diseases.

The vitreoretinal surgical team are leaders in the development of innovative technologies to treat common and complex disorders of the retina.

What is Vitreoretinal and Macular surgery?

Vitreoretinal and macular surgery refers to any operation to treat eye disorders involving the retina, macula and vitreous jelly.

Common conditions treated include:

  • Epiretinal membrane – when a thin sheet of scar tissue develops on the surface of the macula
  • Macular hole – a hole that develops in the centre of the macula, causing blurry and distorted vision
  • Diabetic retinopathy – including bleeds into the vitreous (jelly of the eye)
  • Retinal detachment – an emergency condition that occurs when the retina pulls away from the back of the eye

Our treatment approach

If you require vitreoretinal and macular surgery, you will be seen by one of MQ Health’s ophthalmologists with a subspecialty interest in your condition.

Our team use the latest equipment to diagnose and treat your eye condition. Some of our techniques and methods include:

  • Vitrectomy surgery
  • Membrane peeling
  • Laser
  • Scleral buckling

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Macular degeneration treatment

At MQ Health Ophthalmology Clinic, our specialists are at the forefront of macular degeneration diagnosis and treatment.

With ongoing research interests in the field, our team of ophthalmologists are skilled in managing macular degeneration.

What is macular degeneration?

Macular degeneration is the leading cause of vision loss in older Australians. The condition affects the macula, located at the centre of the retina. The macula is responsible for the central vision we need for seeing fine detail, reading and driving.

Macular degeneration can cause blurred vision or a distortion in the centre of your vision. If left untreated, the condition can cause irreparable vision loss.

There are two types of macular degeneration:

  • Dry form – this is the ‘slower’ form in which the centre of the retina (macula) wears out over time
  • Wet form – in this ‘fast’ form of macular degeneration, abnormal blood vessels leak and bleed under the retina

Early detection and treatment of wet macular degeneration can help to reduce the severity of vision loss. In some cases, early treatment can also recover vision.

Our treatment approach

To diagnose macular degeneration, our team will assess your eyes to look for early signs of the disease. You may also need to have special tests such as a fluorescein angiogram which visualises the blood vessels at the back of your eye.

If macular degeneration is detected, you will be offered the most suitable treatment option that takes into account the specifics of your eye disease and medical health.

The most common treatment approach for wet macular degeneration involves injections of medications into your eye. This is not painful, as anaesthetic is given prior to the procedure:

Our specialist team of ophthalmologists are also involved in research to improve current treatment options for macular degeneration. Learn more about our integrated model of care here.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Glaucoma

MQ Health’s team of ophthalmologists are recognised worldwide for their glaucoma expertise and modern approach to minimally invasive glaucoma surgery.

We are also involved in glaucoma research into evidence-based therapies looking at repair and prevention of this common cause of irreversible blindness.

What is glaucoma?

Glaucoma refers to a group of eye diseases in which the optic nerve, the nerve connecting the eye to the brain, becomes damaged.

The optic nerve can be damaged by high pressure that occurs from a build-up of fluid in the front of your eye. Sometimes similar changes can be seen with pressure at lower levels also.

The two main types of glaucoma are:

  • Open-angle glaucoma – this form progresses slowly and usually goes unnoticed which may mean damage has already occurred by the time you seek treatment. This is the most common form of glaucoma
  • Closed-angle glaucoma – symptoms such as pain and vision loss can appear suddenly, often resulting in prompt treatment which helps to prevent long-lasting damage. This is uncommon but potentially a very serious form of glaucoma. It needs to be seen to urgently

There are also other, rarer forms of glaucoma. Our team have experience in a wide range of complex and uncommon cases of glaucoma.

Glaucoma is a leading cause of blindness in older people, but early detection and treatment can prevent irreversible damage.

Our treatment approach

The main goal of treatment is to prevent any further vision loss or disease progression. While there is no simple cure, effective treatments and supports are available.

If you’re diagnosed with glaucoma, your ophthalmologist will aim to reduce the pressure in your eye that is causing the build-up of fluid. In patients with glaucoma sometimes even if the pressure is “normal” lowering it further can slow down the vision loss.

The pressure can be treated with medication (eye drops), laser or surgery. Your ophthalmologist will discuss the available treatment options and other considerations such as your overall health, risk factors and any pre-existing conditions.

Glaucoma requires ongoing management and care. Your ophthalmologist will develop a treatment plan that is tailored to your unique needs, and your plan will be monitored and adapted over time. Monitoring usually involves visual field tests and imaging of the retina and optic nerve with OCT scanning.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Electrophysiology

MQ Health Ophthalmology Clinic is at the forefront of electrophysiology testing in Australia. With the latest electrophysiology equipment, we are able to test and diagnose patients who require detailed testing and diagnosis beyond standard ophthalmology care.

Many of our ophthalmologists have a special interest in electrophysiology testing and have completed further studies in this area.

What is electrophysiology testing?

Electrophysiology testing encompasses a range of tests that record electrical signals from the eye, optic nerve and brain.

The information from these tests give your ophthalmologist key information beyond standard eye examinations. The tests can determine why some people unexpectedly go blind or experience vision loss.

Some eye diseases affect the way your eyes respond to visual stimulation. Electrophysiology tests can analyse your responses to determine which, if any, eye diseases you may have.

Electrophysiology testing can also help to:

  • Diagnose or exclude inherited eye diseases such as retinitis pigmentosa
  • Locate a problem at a specific level of the visual system
  • Monitor the progression of an existing eye disorder
  • Detect retinal toxicity from certain drugs (eg plaquenil)

The information obtained from these diagnostic tests helps establish the correct diagnosis or may rule out related ophthalmic diseases.

Our treatment approach

If your specialist has recommended electrophysiological tests, you will be assessed by an ophthalmologist with a special interest in visual electrophysiology.

Three common types of electrophysiology tests include:

  • Electroretinography (ERG) – a test used to measure the electrical activity generated by cells in the retina
  • Electro-oculography (EOG) – a technique for measuring the integrity of the retinal pigment layer
  • Visual evoked potential (VEP) – measures responses from the visual pathway at the brain via scalp electrodes

Electrophysiology tests are non-invasive, which means the tests don’t break the skin or physically enter the body and are totally safe. Your pupils may need to be dilated.

Your ophthalmologist will use the results from your tests in combination with other assessments to diagnose your condition and develop a treatment plan.

Our ophthalmologists have dedicated training and a detailed understanding of electrophysiological responses. They are up-to-date with the latest advancements in techniques, equipment and imaging technology.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment for electrophysiology testing, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Uveitis

MQ Ophthalmology Clinic offers a thorough, comprehensive approach to the treatment of inflammation affecting different parts of the eye.

Many of our ophthalmologists have subspecialty experience and training in complex cases of uveitis and related conditions.

What is it?

Uveitis is inflammation that can affect the front part of the eye (most common), the middle layer and/or the back part of the eye. The inflammation causes pain, swelling and redness. If left untreated, uveitis can lead to long-term scarring and vision loss or blindness.

Uveitis isn’t a disease itself – it is a manifestation of an underlying disease or condition. There are many different possible causes of uveitis, including health conditions, injury and infections. Common health conditions associated with uveitis include:

  • Autoimmune diseases
  • Infectious diseases
  • Masquerade diseases

Uveitis requires urgent treatment to prevent long-term vision problems.

Our treatment approach

If you have uveitis, your ophthalmologist will conduct a series of tests to diagnose the cause and particular type of inflammation.

Treatment for uveitis involves addressing the inflammation as well as identifying the underlying cause. It’s important to uncover the source of the inflammation so you can be treated appropriately.

Treatments for uveitis can include:

  • Injections or other forms of medication – including antibiotics or antivirals
  • Referral – to another specialist such as a rheumatologist specialising in autoimmune disease
  • Steroid eyedrops – which can reduce inflammation, pain and swelling

Medication is generally the main treatment, though surgery may be recommended for particularly severe cases, or for eye conditions that can result from uveitis (such and cataract or glaucoma ).

As part of your ongoing care, your doctor may need to collaborate with other medical specialists in order to effectively treat and manage the cause of your uveitis – especially if it’s related to a complex systemic disorder.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our general ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Neuro-Ophthalmology

At MQ Health Ophthalmology, our specialist neuro-ophthalmologists are skilled in complex and niche conditions involving the eye and central nervous system.

Our specialist team are active leaders in the field of neuro-ophthalmology and are up-to-date with the latest technological advancements, and evidence-based practice.

What is neuro-ophthalmology?

Neuro-ophthalmology is a subspecialty of medicine that combines neurology, the study of the brain and central nervous system, with ophthalmology.

Neuro-ophthalmologists require specialised training and expertise to diagnose and treat visual problems related to the central nervous system.

You may need to be assessed by a neuro-ophthalmologist if you have suspected optic nerve problems, unexplained vision loss, visual disturbances, abnormal eye movements or double vision.

Our treatment approach

At MQ Health Ophthalmology Clinic, we provide treatment for a wide range of neuro-ophthalmic conditions.

In some cases, these conditions are rare and complex, making the treatment process a lengthy one. In order to diagnose your condition, we will spend a lot of time with you to understand your symptoms, take a detailed medical history and perform diagnostic tests.

Some of the common tests we take include:

  • Eye alignment testing
  • Eye movement testing
  • Pupil, anterior and posterior segment testing
  • Full optic nerve functional assessment which includes visual acuity, colour vision and visual field tests
  • Tests of higher visual processing
  • Structural measures of the optic nerve and retina

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our neuro-ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.

Please bring with you:

  • Past doctors reports
  • Previous visual field test results
  • Copies of MRI scans

Oculoplastics

Our oculoplastic and orbital surgeons are trained to perform a variety of eyelid and facial surgeries for adults and children, including tear duct surgery, eyelid surgery, eye socket surgery and orbital surgery. Oculoplastic surgeons also undertake plastic surgery of eyelids and surrounding regions.

What is it?

Oculoplastics, or oculoplastic surgery, includes a range of plastic and reconstructive surgical procedures that involve the orbit (eye socket), eyelids, tear ducts, eyebrows, forehead, cheeks and face.

  • Drooping upper lids – blepharoplasty and ptosis surgery
  • Cosmetic eyelid and brow surgery – blepharoplasty of upper and lower eyelids as well as brow surgery
  • Ectropion and entropion of eyelids – this is where the eyelid turns out or in and can cause significant irritation and watering of eyes
  • Eyelid lesions, lumps, skin cancers – oculoplastic surgeons specialise in diagnosing and managing eyelid lesions and tumours
  • Epiphora (watery eye) – often as a result of blocked tear ducts and managed with scarless surgery (endoscopic DCR surgery)
  • Thyroid eye problems – Graves disease or overactive thyroid can result in eye and orbital problems. Oculoplastic surgeons together with endocrinologists jointly manage to rehabilitate patients with this challenging condition.
  • Orbital masses and tumours – we manage patients with orbital and lacrimal gland tumours
  • Facial nerve palsy – management of facial and eyelid drooping post facial nerve palsy, and tear duct surgery if you are troubled with watery eyes

Our treatment approach

At your first consultation, your specialist will perform a thorough history and examination to fully understand your concerns before presenting you with an outline of your treatment options.

Then, you will discuss your options with your specialist team, family and carers, considering the potential benefits and limitations of each treatment option.

Our surgeons have wide ranging experience in the management of adult and children with eyelid, lacrimal and orbital problems.

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our oculoplastic specialists, or to discuss your eye health concerns, contact us on (02) 9812 3933

Paediatric ophthalmology

MQ health’s paediatric ophthalmologists diagnose and treat a wide range of children’s vision problems.

Our team have specialty training in paediatric eye health and are passionate about providing a safe, comfortable care environment for all families.

What is paediatric ophthalmology?

Paediatric ophthalmology is the medical specialty dedicated to eye care, vision development and eye diseases in children and babies.

Children have unique care needs. Young children can’t always express how they’re feeling and they often require a different treatment approach to adults. Our team of paediatric ophthalmologists are experienced in diagnosing, treating and working with children of all ages.

After a certain age, some childhood vision problems cannot be treated. Because of this limited window of opportunity to treat, it is important to obtain an accurate diagnosis to help prevent irreversible visual limitations as an adult.

Our treatment approach

Our paediatric ophthalmologists use special equipment and the latest tests and equipment designed for children. Our team are passionate about giving all children the best possible care in a comfortable, child-friendly environment.

Some of the treatments our paediatric ophthalmologists offer include:

  • Congenital retinal diseases
  • Diagnosis and treatment of inflammatory eye conditions
  • Glasses prescriptions
  • Paediatric cataract treatment
  • Paediatric myopia
  • Paediatric glaucoma
  • Surgical procedures
  • Treatment for eye infections
  • Other conditions, such as squint and lazy eye
  • Abnormal StEPs (Statewide Eyesight Preschooler Screening) results
  • Behavioural and learning difficulties relating to vision

Make an appointment

At MQ Health Ophthalmology Clinic, we strive to deliver the best possible outcomes for you and your family.

To make an appointment with our paediatric ophthalmologists, or to discuss your eye health concerns, contact us on (02) 9812 3933.