#penangoptimax

[chuaoxford]

Unilateral ptosis (droopy eyelids), unless obvious, may not be easily detected. Although mild ptosis is usually of no funtional or cosmetic significance, its detection is important in patients who want to undergo upper blepharoplasty such as Asian blepharoplasty (double eyelid surgery) as the creation of a higher skin crease usually exaggerate the ptosis. One way of detecting unilateral subtle ptosis is to take a flash photo of the face with patient looking straight and look out for the following signs in the photo: a. The distance between the pupil reflex and the upper eyelid margin (this is decreased in the eye with ptosis); b. The difference in the show of the double eyelid (skin crease) if this is present. In ptosis the show of the double eyelid is increased and c. The height of the eyebrows. Patient with unilateral ptosis will normally raise the eyebrow unconsciously in an attempt to keep the eye open. These three patients who came for upper blepharoplasty had unilateral ptosis and exhibited all the three signs mentioned above. Top picture showed a right mild ptosis, middle picture left and bottom picture left mild ptosis. #ptosis #senileptosis #involutionalptosis #eyelidsurgery #droopyeyelids #blepharoplasty #malaysiaeye #malaysiaeyespecialist #malaysiaoculoplastic #oculoplastic #eyespecialist #kualalumpureye #optimax #penangoptimax #ttdioptimax #kuchingeyespecialist #kuchingoptimax #sibuisec #isecsibu #mirieye #miricolumbiaasia #isec #columbiaasia #chuachungnen #chuaeye #眼皮 #👀 #蔡钟能眼科医生 #马来西亚眼科医生

[chuaoxford]

Contact lens wear (both hard and soft) is a known risk factor for Ptosis (droopy eyelid) in people under age of 35. The reasons may be : a. Stretching of the eyelid during contact lens insertion and removal and b. Low grade inflammation from contact lens may weaken the eyelid structure. This 35-year-old woman had been a contact lens wearer for over 20 years in the past 2 years she noticed the left eye had become progressively more droopy. Examination showed no neurological causes and a posterior approach ptosis correction restored the lid to the desirable level. #droopyeyes #droopyeyelid #ptosis #contactlens #blepharoplasty #optimax #isec #columbiaasiahospital #malaysiaeyedoctor #ophthalmology #oculoplastic #kuchingeye #sibueye #sibuisec #isecsibu #mirieye #penangoptimax #chuachungnen #eyelidexpert #蔡钟能眼科医生 #眼睛 #眼皮 #👀

[chuaoxford]

Did one YAG laser on a patient who had cataract surgery done 7 years ago. Most patients want operations after Chinese New Year. 🌻 #yag #yagcapsulotomy #ophthalmology #eyespecialist #isec #optimax #kloptimax #penangoptimax #sibuisec #isecsibu #miricolumbiahospital #columbiahospitalmiri #chuachungnen #眼睛 #眼科 #眼科医生 #蔡钟能眼科医生 #posteriorcapsule #capsuleopacity #capsulethickening

[chuaoxford]

This 60-year-old woman complained of swelling of the medial lower eyelid with discharge. Examination revealed inflammation of the lower canliculus with pus. The canal oculus was incised and curretaged multiple yellow concretions were expressed. The canaliculus was irrigated with antibiotic and treated with iodine application. This was a case of chronic canaliculitis caused by the bacteria Actinomyces Israeli. #canaliculitis #eyeinfection #actinomycosis #actinomycesisraelli #chuachungnen #canaliculitis #canaliculus #眼睛 #蔡钟能眼科医生 #isec @optimax @columbiahospital #penangoptimax #penang #kl #klioptimax #kualalumpur #kuchingoptimqx #isecsibu #sibuisec #miri #malaysiaeyespecialist #malaysiaeye #ophthalmology #ophthalmologist

[chuaoxford]

Eye contact accounts for 90% of face-to-face communication, it’s little wonder that any imperfection of the eyelids can create a negative impression which can affect one’s social life including career prospect. This 25 year-old insurance agent complained that despite his qualification and selling skills, his clients regarded him as distant and uninterested. He attributed this to his heavy eyelids and narrow eyes which gave him an expressionless face. I created 6mm double eyelids for him with fat removal to reduce the heaviness of the upper lids. The picture at the bottom was taken one-month later, he was pleased with the results and did not return for further follow-up. I assume he was too busy with his clients to return 😀. #eyelidsurgery #eyelidsurgerymalaysia #isec #optimax #malaysiaeye #satawakeye #penangoptimax #kloptimax #kichingoptimax #sibu #sibuisec #isecsibu #miri #miricolumbiahospital #columbiahospital #fillers #fatinjection #doubleeyelid #asianblepharoplasty #ptosis #beauty #aesthetic #eyelidexpert #chuachungnen #双眼皮 #大马 #马来西亚 #眼睛

[chuaoxford]

A 23 year-old woman complained of sunken upper eyelids and absence of skin creases (double eyelids) which made her looked tired and older. She had consulted another doctor who recommended filler or fat injection. However, she was concerned that the injection may not last and the associated period of post-injection swellings. I performed bilateral double eyelid surgery with simultaneous posterior conjunctivomullerectomy to widen the eyes and pulled forward the fat to fill the sunken areas. The picture below was taken 2-month postoperative. #eyelidsurgery #eyelidsurgerymalaysia #isec #optimax #malaysiaeye #satawakeye #penangoptimax #kloptimax #kichingoptimax #sibu #sibuisec #isecsibu #miri #miricolumbiahospital #columbiahospital #fillers #fatinjection #doubleeyelid #asianblepharoplasty #ptosis #beauty #aesthetic #eyelidexpert #chuachungnen #双眼皮 #大马 #马来西亚 #眼睛 (at Mjc Mutiara Villa)

[chuaoxford]

A 23 year-old woman complained of sunken upper eyelids and absence of skin creases (double eyelids) which made her looked tired and older. She had consulted another doctor who recommended filler or fat injection. However, she was concerned that the injection may not last and the associated period of post-injection swellings. I performed bilateral double eyelid surgery with simultaneous posterior conjunctivomullerectomy to widen the eyes and pulled forward the fat to fill the sunken areas. The picture below was taken 2-month postoperative. #eyelidsurgery #eyelidsurgerymalaysia #isec #optimax #malaysiaeye #satawakeye #penangoptimax #kloptimax #kichingoptimax #sibu #sibuisec #isecsibu #miri #miricolumbiahospital #columbiahospital #fillers #fatinjection #doubleeyelid #asianblepharoplasty #ptosis #beauty #aesthetic #eyelidexpert (at 煲有骨气)

[chuaoxford]

Test if you have red-green colour blindness. Red-green blindness is an X-linked recessive disorder affecting 7% of male population it does not affect the vision but it does mean the affected persons cannot take up certain occupation like air pilot, electricians etc that need colour discrimination. #colorblind #colourblind #optimax #osec #kuchingoptimax #optimaxkichjng #isecsibu #sibuisec #miricolumboaasia #columbiaasia #miri #kloptimax #optimaxkl #penangoptimax #optimaxpenang

[chuaoxford]

This teenage boy was bullied at school because of his divergent squint and sleepy looking eyes. His mother brought him for corrective surgery. The operation was done under general anaesthesia with correction of squint and Ptosis and simultaneous creation of double eyelids. The bottom picture was taken one month after surgery. #squint #doubleeyelid #ptosis #divergentsquint #isec #optimax #malaysia #malaysiaeye #sarawakeye #penangoptimax #penang #kloptimax #kualalumpur #kualalumpureye #asianblepharoplasty #bully #look #miricolumbiahospital #miri #sibu #kuchingeye #kuchingoptimax #sibuisec #isecsibu #bintulu #chuachungnen #oculoplastic #strabismus #双眼皮 #斗鸡眼 #马来西亚 #美里 #古晋#诗巫 #槟城 #吉隆坡 (at KLIA2 International Departure Hall)

[chuaoxford]

An 80 year-old woman complained of seeing caused by excess skin covering the vision. Upper blepharoplasty was done with good results (picture below taken at 1-month post operative). #dermatochalasis #dermatochalasissurgery #upperblepharoplasty #uppereyelid #chuachungnen #penangoptimax #kloptimax #malaysiaeye #sarawakeye #sarawakeyespecialist #sibu #miri #kuching #kualalumpur #sibuisec #isecsibu #isec #optimax (at Penang International Airport)

[chuaoxford]

This teenage boy had a right convergent squint (esotropia) and asymmetry of the size of both eyelids since young. The vision was normal in both eyes. Squint correction and simultaneous double eyelid (Asian blepharoplasty) were done under general anaesthesia. The bottom picture was taken three weeks after operation. #squint #strabismus #esotropia #congenitalesotropia #blepharoplasty #doubleyelid #asianblepahroplasty #optimax #isec #columbiahospital #borneomedicalcentre #kuchingoptimax #kuchingborneomedicalcentre #sibuisec #isecsibu #miricolumbiahospital #columbiaasiahospital #penangoptimax #kloptimax #malaysiaeye #malaysiaeyedoctor #eyespecialist #ophthalmology #oculoplastic #chuachungnen #eyelidexpert #eyelidsurgery #sarawakeye #👀#眼皮 #斗鸡眼 #双眼皮#蔡钟能眼科医生 #眼科 #诗巫 #美里#古晋#槟城#吉隆坡

[chuaoxford]

A patient in her 20s presented with right exotropia (eye turning out) since her teen and also mild ptosis (droopy eyelids) in both eyes. Squint surgery and simultaneous ptosis and Asian blepharoplasty (double eyelid) surgery were performed. #doubleyelid #ptosis #squint #asianblepharoplasty #exotropia #malaysia #sarawak #sarawakeyedoctor #sarawakeyespecialist #eyespecialist #ophthalmology #ophhalmologist #isec #optimax #columbiahospital #sibuisec #isecsibu #penangoptimax #kloptimax #ttdi #kuching #sibu #miri #双眼皮 #斜眼 #eye #kualalumpureye #chuachungnen #蔡钟能眼科医生

[chuaoxford]

This 65-year-old man had floppy eyelids causing the lower eyelids to turn out (ectropion). This resulted in constant watering of both eyes and blurry vision. I performed bilateral lateral tarsal strips with lid shortening, the picture below was taken two weeks later. #ectropion #out-turningeyelids #oculoplastic #wtelid #eyelids #malaysiaeyelid #sarawakeyelid #optimaxkuching #optimax #kloptimax #optimaxkl #penangoptimax #optimaxpenang #kuching #kuchingoptimqx #sibuisec #isecsibu #sibu #miricolumbiahospital #columbiahospital #columbiahospitalmiri #lateraltarsalstrip #chuachungnen #eyelidsurgery #eyelidsurgerymalaysia #眼皮 #马来西亚眼 #马来西亚眼皮 #下眼皮 #蔡鐘能 (at Departure Hall, Miri Airport (MYY))

[chuaoxford]

A 23 year-old woman complained of sunken upper eyelids and absence of skin creases (double eyelids) which made her looked tired and older. She had consulted another doctor who recommended filler or fat injection. However, she was concerned that the injection may not last and the associated period of post-injection swellings. I performed bilateral double eyelid surgery with simultaneous posterior conjunctivomullerectomy to widen the eyes and pulled forward the fat to fill the sunken areas. The picture below was taken 2-month postoperative. #eyelidsurgery #eyelidsurgerymalaysia #isec #optimax #malaysiaeye #satawakeye #penangoptimax #kloptimax #kichingoptimax #sibu #sibuisec #isecsibu #miri #miricolumbiahospital #columbiahospital #fillers #fatinjection #doubleeyelid #asianblepharoplasty #ptosis #beauty #aesthetic (at 煲有骨气)