Common Eye Conditions That Ophthalmologists Treat

Dr Steve Seah

Senior Consultant Ophthalmologist

MBBS, FRCS(G), M Med(Ophth)

FRCS(Ed), FRCOphth, FAMS

The eyes are vulnerable to a variety of vision problems that can develop over time. Thankfully, with the right care and expertise, many common eye diseases can be managed or even prevented.

Visiting an ophthalmologist ensures you receive comprehensive eye care from a medical doctor who can diagnose, treat, and perform surgery for all eye diseases and conditions. Let us explore some of the most frequent conditions that ophthalmologists treat and how these specialists help protect one of your most valuable senses.

Eye Conditions and Diseases

Eye diseases refer to conditions that can affect any part of your eye, including the structures immediately around it. These conditions can develop quickly (acute) or slowly and last for a long time (chronic). Some of the most common eye conditions and diseases include:

1. Cataracts

A cataract is the gradual clouding of the eye's natural lens, most often due to ageing. Key symptoms are blurry vision, glare and halos around lights, faded colours, and difficulty seeing at night. Cataract surgery is the only effective treatment, especially when vision impairment begins to affect daily life.

2. Glaucoma

Glaucoma is a group of eye diseases that damage the optic nerve, often from increased eye pressure, leading to irreversible vision loss. Open-angle glaucoma develops gradually, while angle-closure glaucoma is a medical emergency with sudden symptoms like pain, redness and blurred vision. Early stages may have no signs, but untreated glaucoma can cause blindness.

3. Diabetic Retinopathy

Diabetic retinopathy is a complication of diabetes in which prolonged high blood sugar damages the retina’s tiny blood vessels, potentially threatening vision. This damage can cause leakage, swelling and abnormal vessel growth. While early stages are often asymptomatic, later stages may present with blurred vision, floaters, shadows, or even vision loss.

4. Age-Related Macular Degeneration (AMD)

AMD is a progressive condition affecting the macula—the central part of the retina—resulting in loss of sharp central vision. It occurs in two forms: dry AMD, which involves the gradual degeneration of macular cells, and wet AMD, characterised by abnormal blood vessel leakage that can cause rapid vision loss. Common symptoms include distorted or blurred central vision, wavy lines, difficulty reading and reduced colour perception.

5. Dry Eye Syndrome

Dry eye syndrome occurs when the eyes produce too few tears or when tears evaporate too quickly, leading to discomfort. It is often multifactorial and can result from reduced tear production due to ageing or autoimmune diseases, increased evaporation from meibomian gland dysfunction, environmental factors or prolonged screen use.

6. Retinal Detachment

This is a serious condition where the retina separates from the eye's underlying tissue, leading to vision loss if not treated rapidly. Symptoms include a curtain-like shadow over vision, blurred or decreased side (peripheral) vision, a sudden increase in floaters, and flashes.

Refractive Errors

Refractive errors are the most common vision problems caused by an abnormal shape or length of the eye, preventing light from focusing properly on the retina. The four main types are:

1. Myopia (Nearsightedness)

: Difficulty seeing distant objects clearly because the eyeball is too long or the cornea/lens shape causes light to focus in front of the retina.

2. Hyperopia (Farsightedness)

: Difficulty seeing close objects clearly due to a shorter eyeball or shape issues causing light to focus behind the retina.

3. Astigmatism

: Distorted or blurry vision at all distances caused by an irregularly shaped cornea or lens that bends light unevenly.

4. Presbyopia

: Age-related loss of near vision from the lens becoming harder and less flexible, typically affecting those over 40–45 years old.

These refractive errors often lead to blurred vision, headaches, eye strain, and difficulty focusing. They are the most common cause of vision impairment worldwide, but can be effectively corrected with appropriate treatment.

Eye Infections and Inflammation

An eye infection is caused by bacteria, viruses, or fungi and can affect one or both eyes. While some are mild, others can be medical emergencies that threaten vision and may involve almost any part of the eye. Common infections and inflammations include:

1. Conjunctivitis (Pink Eye)

Conjunctivitis is a common eye infection caused by bacteria, viruses, allergens or irritants. It is an inflammation of the conjunctiva (the thin layer covering the eye and eyelids). Symptoms include redness, itching, discharge (yellow, green, or clear), crusty eyelashes and a gritty feeling. It is often contagious if viral or bacterial.

2. Uveitis

Uveitis is the inflammation of the uvea, the middle layer of the eye. It can be caused by infections (like herpes viruses) or autoimmune disorders such as rheumatoid arthritis or lupus. Symptoms include redness, pain, light sensitivity, blurry vision and sometimes floaters.

3. Keratitis and Corneal Ulcers

Keratitis is a corneal inflammation or infection caused by bacteria, viruses, fungi or parasites, often linked to improper contact lens use or injury. Symptoms include pain, redness, blurred vision, light sensitivity and sometimes discharge. Corneal ulcers are severe open sores on the cornea from keratitis, requiring quick treatment to prevent vision loss.

Prioritising Eye Health with a Specialist

Prioritising eye health with a specialist is crucial for early detection, accurate diagnosis, and effective treatment of various eye conditions such as refractive errors (myopia, hyperopia, astigmatism, presbyopia), eye infections (conjunctivitis, uveitis, keratitis), floaters, flashes, retinal tears, and detachment. Early consultation with an eye specialist can prevent progression, preserve vision, and improve quality of life.

For trusted, personalised, and specialised eye care, book a consultation with our ophthalmologist, Dr Steve Seah. We provide comprehensive services, including diagnosis and treatment of various eye conditions, cataract surgery, and glaucoma management. For enquiries, call us at 6565 6888.

Dr Steve Seah

Senior Consultant Ophthalmologist

MBBS, FRCS(G), M Med(Ophth), FRCS(Ed), FRCOphth, FAMS

With over 30 years of clinical experience, Dr Seah specialises in the diagnosis and treatment of glaucoma, cataract, and refractive errors, including presbyopia. He previously headed the Glaucoma Service at the Singapore National Eye Centre (SNEC) and led the Glaucoma Research Unit at the Singapore Eye Research Institute (SERI).

Renowned for his surgical speed and precision, Dr Seah invented the “divide and scoop” phacoemulsification technique, which makes cataract surgery faster, safer, and more precise. His expertise spans complex glaucoma surgeries, drainage implant procedures, and advanced LASIK techniques, including PAC LASIK for presbyopia.

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