Medical Eye Care
At Jan de Winnaar Optometrists, we diagnose, treat (within the scope of optometry), and/or refer ocular emergencies when indicated.
Where indicated Mr de Winnaar refers to Ophthalmology for further treatment and care.
Our eye care services include: Foreign Body, Glaucoma, Eyelid Disorders, Macular Degeneration, Diabetic Retinopathy,
Hypertensive Eye Disease, Dry Eye & Conjunctivitis (Pink Eye), Corneal Issues & Retinal Problems,
and Refractive & Cataract Surgery Co-Management.
Paediatric Eye Care
Jan de Winnaar Optometrists, through their clinical training, education, and experience,
have the means to provide primary eye care and vision services to children.
Paediatric comprehensive eye examinations are advised as follows: 6 months, 3 years, 5 years (just before school going year).
The most common vision problems in children are:
Strabismus/Squint, Amblyopia, and Refractive Errors such as Myopia and Hypermetropia and corneal disorders.
Protect Your Eyes
It is important to protect your eyes from both visible sunlight and potentially dangerous, invisible, ultraviolet light.
Sunglasses that block 85% of the light will still enable you to see well on a bright day, yet protect your eyes ability to dark adapt.
Sunglasses come in varying styles and colours. No matter what type of sunglass you purchase, you need to ensure that the glasses block both ultraviolet
A (UVA) and ultraviolet B (UVB). UVB can possibly cause cataracts, primarily affecting the lens of the eye. UVA has been linked to possible changes of the
retina and also is associated with common sunburn. It is a good idea to have a UV-blocking coating placed on all of your glasses, to ensure that you have
continuous protection.
Eye Disorders
Infantile/Congenital (present within 6 months since birth, treatment is usually surgical)
Accommodative (refractive, non-refractive, mixed – usually manifests at age 2-3 years, treatment is usually corrective glasses)
Esotropia/Inward Squint
Intermittent exotropia is often treated by means of visual therapy and/or glasses.
Constant exotropia is generally treated with surgical correction.
Exotropia/Outward Squint
Amblyopia is not lazy eye, but rather the result of the brain suppressing/dis-regarding the bad eye in order to avoid diplopia/double vision
and confusion. Treatment options include occlusion therapy where the good eye is patched for a few hours a day, atropine drops to blur vision
in the good eye, pleoptics, CAM therapy, modification of corrective lenses, and surgery.
Amblyopia
The red eye is a very common problem and can arise from a numerous origins: viral, bacterial, chlamydial, allergic disorders, chemical,
degenerative, pigmented lesions, non-pigmented lesions. A few signs and symptoms can typically be present: swelling, redness, discharge,
light sensitivity, foreign body sensation, visual changes, and pain.
Red Eye
The most common external eye disorder encountered in practice is Blepharoconjunctivitis.
Medical Treatments include Topical Steriods, Topical Antibiotics, Topical Steriod-antibiotic combination agents,
oral antibiotics, oral nutritional supplements. Non-medical treatments include warm compresses and eyelid scrubs.
Chronic Blepharitis
Internal Hordeolum/Chalazion often requires incision and curetage.
External Hordeolum/Stye most often requires systemic and topical antibiotics.
Heat compresses for small styles are often helpful.
Hordeolum