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Accuracy of Cataract Surgery after LASIK

Posted by Dr. LEONARD YUEN on August 6, 2017

Purpose To report outcomes using the Haigis-L formula to calculate intraocular lens (IOL) power in Asian eyes with long axial lengths (ALs) that had previous myopic laser in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK). Design Retrospective case series. Methods Patients with ALs greater than 25.0 mm and previous myopic LASIK or PRK who had phacoemulsification were analyzed. The emmetropic

Tissue-Saving Cornea Surgery

Posted by Dr. LEONARD YUEN on August 5, 2017

British Journal of Ophthalmology 2011 Nov;95(11):1513-8. doi: 10.1136/bjophthalmol-2011-300195. Epub 2011 Sep 6. Hemi-Automated Lamellar Keratoplasty (HALK). Yuen Leonard 1, Mehta Jod S, Shilbayeh R, Lim L, Tan Donald T. AIM: To describe a hybrid technique for anterior lamellar keratoplasty in corneas with topographical irregularities that circumvents the limitations of the microkeratome, namely reproduction of surface irregularities in the lamellar cut

Endoscopic dacryocystorhinostomy for primary acquired nasolacrimal duct obstruction

Posted by Dr. Marcus Marcet on June 24, 2017

Purpose of review To review the current surgical practices in endoscopic endonasal dacryocystorhinostomy (EN-DCR) from the studies of last 12 months. Recent findings Success rates in EN-DCR now rival those of the conventional external approach. Indications are expanding beyond primary acquired nasolacrimal duct obstruction to include DCR revisions, acute lacrimal sac abscesses, nasolacrimal duct obstructions in patients who have received

Chiropractic and the US Military

Posted by Dr. Clifford Choi, DC (USA) on March 6, 2017

In 2008, the US Army commissioned a study to determine whether Chiropractic Manipulative Therapy (CMT) in addition to Standard Medical Care (SMC) would "decrease pain and increase function for patients with low back pain." The results of this trial suggested that CMT in conjunction with SMC offers a significant advantage for decreasing pain and improving physical functioning when compared with

Chiropractors and HK law since 1993

Posted by Dr. Clifford Choi, DC (USA) on March 3, 2017

The Chiropractors Council was established under the Chiropractors Registration Ordinance, Chapter 428, Laws of Hong Kong, in 1993. With the enactment of the Chiropractors Registration (Fees) Regulation and the Chiropractors (Registration and Disciplinary Procedure) Rules, Chapter 428 subsidiary legislations A and B, Laws of Hong Kong, registration of the profession of chiropractors commenced on 1 September 2001. Relevant provisions in

The Challenge & Response to Breast Cancer in Asia

Posted by admin on April 30, 2016

Breast cancer is the most common form of cancer for women in 9 out of 10 Asian countries covered in the following infographic published in The Economist earlier this year. It is no surprise, that breast cancer has become the most common cancer affecting women in Hong Kong. Breast cancer cases diagnosed in Hong Kong have tripled in the past

Zika Virus Infection

Posted by admin on February 5, 2016

Zika virus infection is a mosquito-borne disease caused by Zika virus. The most common symptoms of Zika virus infection are fever and skin rash, usually accompanied by conjunctivitis, muscle or joint pain and general malaise. Neurological and autoimmune complications are infrequent, but have been described in the outbreaks in French Polynesia and, more recently, in Brazil. Recently Brazil health authorities

World Health Organisation says cancer rates in China rising, many cases can be prevented

Posted by admin on December 14, 2015

The number of cancer cases in China is rising "ferociously", the World Health Organisation (WHO) warns. According to the United Nations agency, around 2.2 million men and women across China die from cancer each year. Lung cancer is now the most common cancer diagnosed in Chinese men, and the leading cause among cancer deaths in the country. In a statement

Are Genitourinary infections all sexually transmitted?

Posted by admin on September 11, 2015

Genitourinary infections affect both women and men, and are not always linked to a sexual behaviour. They fall into two main categories: 1. Primary infections, which due to pathogenic sexually transmitted microorganism. Sexually transmitted pathogens include parasites (Trichomonas vaginalis), bacteria (Treponema pallidum, Neisseria gonorrhoeae, Chlamydia trachomatis, Haemophilus ducreyi), and viruses (Herpes simplex virus, human papillomavirus, human immunodeficiency virus). 2. Infections

Iatrogenic Nasal Saddling - A Consequence of Aphakia

Posted by Dr. LEONARD YUEN on September 1, 2015

We present a rare case of iatrogenic saddling of the nose in a 63-year-old man. Because he was bilaterally aphakic after cataract extractions in the 1950s without intraocular lens implants, his subsequent spectacle prescription of +17 diopters rendered his glasses so heavy that prolonged wear had caused a large indentation to his nasal bridge (figure). He was entirely untroubled by

Hong Kong Integrated Oncology & Imaging Center located in Citibank Tower

Posted by Dr. Foon Yiu Cheung on August 27, 2015

ABOUT US Established in 2015, the Hong Kong Integrated Oncology Centre and the Hong Kong Integrated Imaging and Endoscopy Diagnostic Centre are multi-disciplinary private cancer care centres that offer you nothing less than cutting-edge, quality and holistic healthcare services. As the newly established healthcare portfolio under TPG, a leading global private investment firm with strong commitment in healthcare services, our

Say Yes to Condoms (a user guide of condom)

Posted by Dr. Francois Fong on August 25, 2015

Let’s talk about sex! Both food and sex are fundamental part of our life. There are many similarity between the two, ie both given us pleasurable feelings, but at the same time can give us diseases if we do it wrongly. Both can happen alone, in pairs or in group; make us feel sleepy afterward. However, the main difference is,

Andropause - Male Menopause

Posted by admin on August 10, 2015

Andropause is the clinical term which describes a decrease in testosterone, the male sex hormone. Other terms used also include male hypogonadism, and testosterone deficiency syndrome. The symptom is a normal part of the aging process, with testosterone reducing by 1% per year after age 30, and currently affects about 39% of men over the age of 45. The condition

A 10-Year Prospective Audit of LASIK Outcomes for Myopia in 37 932 Eyes at a Single Institution in Asia

Posted by Dr. LEONARD YUEN on July 28, 2015

Leonard H. Yuen, MD, MPH,1 Wing Kwong Chan, FRCOphth, FRCS(Ed),1 Jane Koh, Adv. Dip. Stat. (Sp),1 Jodhbir S. Mehta, FRCOphth, FRCS(Ed),1 Donald T. Tan, FRCOphth, FRCS(Ed),1,2 for the SingLasik Research Group*

Purpose: This study evaluates the efficacy, predictability and safety of LASIK surgery as a treatment for myopia performed as part of a large-scale, prospective clinical audit spanning 10 years

Menopause: Symptoms and Home Remedies

Posted by admin on July 23, 2015

Menopause is defined as the point in a woman’s life when menstrual periods cease. This event occurs because the ovaries stop producing the female sexual hormones estrogen and progesterone, effectively stopping a woman’s ability to become pregnant, as well as starting a range of bodily changes. Menopause is defined as occurring 12 months following the last menstrual period, occurring at

Supplementary lens after Cataract surgery

Posted by Dr. LEONARD YUEN on July 21, 2015

The outcomes of implantation of a piggyback Toric intraocular lens (IOL) with high residual postoperative astigmatism are reported. This is the first report of such a procedure in Hong Kong and China. Both patients achieved a significant improvement in vision and level of satisfaction. There was a large reduction in astigmatism and anisometropic symptoms. A sulcus-placed supplementary toric IOL is

Treating Skin Sunburn

Posted by admin on July 13, 2015

Sun Harm Sunlight is actually comprised of several different types of ultraviolet radiation, some which are more harmful than others. Skin exposure to such radiation causes cellular DNA damage – contributing to the build-up, or directly causing improper mutations which lead to the progression of skin cancer. The US Environmental Protection Agency (EPA) has estimated that UV radiation from the

What is Premature Ejaculation?

Posted by Mr. Steve Willcox on June 2, 2015

Premature ejaculation (PE) is the commonest male sexual problem and the research tells us that it occurs in up to 35% of men at some time in their lives. It can become an issue if it occurs on a regular basis with minimal sexual stimulation before, during or just after penetration, and before the man wishes it. PE causes enormous

Is my child autistic? What should I do?

Posted by admin on May 18, 2015

Autism Spectrum disorder (ASD) is a range of complex neurodevelopment disorders, including Autism and Asperger's (a mild form of autism without language difficulties). Below are some of the symptoms of autism: -Impaired social interaction -Communication difficulties; repetitive and stereotyped behavior -No verbal communication (In some cases) Experts estimate that 1 out of 88 children will have ASD at the age

Vaccination Reminder for travelling in Asian countries

Posted by Screening & Specialist Centre Neo-Health on May 11, 2015

According to the statistics from Department of Health, there are 72.3 million international journeys recorded among Hong Kong citizens and the figure is expected to be higher in these recent years. There were around 3.5 million international trips were made and half of them to the less developed countries. However, it is worrying that there are around 80 % of

A vaccination against Cancer?

Posted by Screening & Specialist Centre Neo-Health on April 22, 2015

Cervical cancer is the first most common woman cancer in South Asia. (6), and almost all of them are caused by Human Papillomas Virus (4). A vaccination against HPV can protect effectively against infection by HPV and cervical cancer. Hong Kong evolution and Sexual transmitted infections Sexual behaviour among young people in Hong Kong has changed a lot in the

Building Stronger Relationships: Reconnecting With Your Partner

Posted by Lori Chau on March 30, 2015

By Lori Chau Individual and Couples Relationship Counsellor Do you feel that your relationship has shifted recently? Are you feeling a “blockage” in connecting with your partner? How can you reconnect better with him or her and strengthen that bond between the two of you again? 1. A LITTLE GOES A LONG WAY Putting aside a little bit of time

Physiotherapist needed

Posted by Dr. Chris Ho on March 29, 2015

Requirements • A degree in Physiotherapy from a local university or equivalent • Possess a valid Practicing Certificate issued by the Physiotherapists Board, Hong Kong • Practice as a Physiotherapist for at least 2 years. • Excellent communication skills – both written and spoken • Innovative and motivated with a passion for quality care Salary will commensurate with qualifications and

Doctor, I need a body check!

Posted by Dr. Barbara Hsia Ying Chik on March 26, 2015

Many clients asked for a "body check" thinking it's just a simple blood test. In reality, the matter is much more complicated-- a battery of blood tests including the so called "tumour markers" do not help making a diagnosis and in many cases, only create more confusion. I believe that a "body check" should be tailored made according to the

Want to know how to make your relationship stronger?

Posted by Mr. Steve Willcox on March 25, 2015

Neo Health relationship counsellors, Lori Chau and Steve Willcox invite you to join in their upcoming workshop on learning how you and your partner can build a stronger relationship.

Psychology vs Psychiatry

Posted by anthony chiam on March 24, 2015

In recent days, the world has approached the topic of mental health and in particular depression, with a new light. The loss of comedian Robin Williams has shown the world that it can affect anyone, and that a person’s outwardly appearance may in fact be at odds with their inner feelings and health. To provide a greater understanding of mental

Chronic Stress

Posted by admin on March 2, 2015

DEFINITION Stress is a natural body reaction initiated by situations which require increased attention or which we find ourselves with a lack of control. Short stretches of stress such as being in a job interview are transient and pose no danger, but lives with unending chronic stress produce unhealthy symptoms in people. The bodily response to stress causes increased blood

How to recognise baby's moving?

Posted by Crys Ho on February 3, 2015

Soon-to-be mothers and soon-to-be-mothers-again of Hong Kong, how do you know if you have gas or the baby is moving? The feeling is more easily recognized by the ‘already moms’, but what about the first timers? It is not such a simple question but we will try to offer some guidelines. First, we should mention that women of smaller frame

TopDoc's Elderly Care Campaign: Lesson nº8: Friendship more than for emotional balance

Posted by Miss. Evelyn Lostarnau on January 16, 2015

Going to the ballpark, visiting friends and playing bingo are simple diversions for many of us. But for the elderly, these social pastimes may play a critical role in preserving their physical and mental health. In fact, a new study suggests that the less time older people spend engaged in social activity, the faster their motor function tends to decline.

TopDoc's Elderly Care Campaign: Lesson nº7: Preventing Senior Falls.

Posted by Miss. Evelyn Lostarnau on December 12, 2014

Falling is very dangerous for elderly people. According to the Centers for Disease Control, one in every three adults age 65 and older falls each year, which can lead to serious injuries, or even death. Injuries such as hip fractures and head traumas are also common in Hong Kong with 4,500 cases happening every year*. That in turn causes more

TopDoc's Elderly Care Campaign: Lesson nº6: The use of Elderly Health Care Voucher Scheme

Posted by Miss. Evelyn Lostarnau on November 21, 2014

In an attempt to enhance the primary care for the elderly, 2009 saw the introduction of the Elderly Healthcare Voucher Scheme. The interim review conducted during the second half of 2010 showed that the pilot program offered with $250.00 was widely acknowledged but with perhaps a lower than preferred adoption rate. The most telling of the facts are that only

Hong Kong Guidelines On Breast Cancer

Posted by admin on November 18, 2014

Thanks to an increasing amount of publicity in today’s mainstream media, the issue of female breast cancer has become a hotly discussed topic. Those affected discuss treatment or remission options, while the unaffected are eager to explore preventative measures. With information spewing from a huge array of sources however, it can be quite difficult to discern fact from

The Dangers of Self-Medication

Posted by admin on November 15, 2014

In today’s fast paced and often financially trying world, the ill often avoid the hassles of professional medical advice. The challenges of taking time off work, coupled with the costs of potentially expensive medicines are commonly regarded as unnecessary expenses when familiar traditional home remedies are more easily available. Self-medication was widely accepted and safe in simpler times, but has

Influenza Pandemics

Posted by admin on November 13, 2014

Influenza Pandemics
Pandemic influenzas are situations where common viruses that the body is used to defending against mutate or combine with other viruses, resulting in a strain that the body is unable to fight readily. This results in an epidemic – where afflicted people fall severely ill and spread it to others while their bodies are attempting to overcome the infection.

Welcome to "What's up TopDoc?" Blog

Posted by admin on November 11, 2014

"What's up TopDoc?" Blog is the first medical blog in Hong Kong, that promotes exchanges between patients and doctors in Hong Kong.

Doctors, dentists and health care professionals are all invited to share about health and hygiene topics that are dear to them, with the goal to help educate patients about diseases, treatment, good habits to adopt, etc...

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What's Up TopDoc? Introducing the 1st medical blog Reliable health information & tips, brought to you by HK doctors.

Introducing the 1st medical blog

Reliable health information & tips, brought to you by HK doctors.

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What's Up TopDoc?

Introducing the 1st medical blog

Reliable health information & tips, brought to you by HK doctors.