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Ageing Gracefully - Raffles Medical Group

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<strong>Raffles</strong> HealthNews Feature 25<br />

“ My eyesight will start to fail and this will limit<br />

my activities (e.g. sewing, reading and painting).”<br />

“As you age, so do your eyes,” said Dr<br />

Lee Jong Jian, an Ophthalmologist, and<br />

Consultant at <strong>Raffles</strong> Eye Centre.<br />

Common changes in your vision include:<br />

• Reduced sensitivity to light<br />

You might need brighter lighting to<br />

read or work.<br />

• Decreased visual acuity<br />

Colours appear dim and glare forms<br />

when light shines directly at you.<br />

• Difficulty reading small print<br />

You might need reading glasses or<br />

a magnifying glass to read small print<br />

due to a condition called presbyopia,<br />

where the lens in your eye becomes<br />

less elastic and loses its ability to<br />

focus.<br />

Besides these changes to your eyes, ageing<br />

makes you more prone to developing eye<br />

diseases that can impair your vision.<br />

Cataracts<br />

Your eye’s lens sits behind the iris and<br />

pupil. If the lens becomes cloudy, you<br />

have a condition called a cataract.<br />

Cataracts are usually associated with<br />

blurred vision.<br />

Some other signs and symptoms include:<br />

• Sensitivity to light and glare<br />

• Halos around lights<br />

• Fading or yellowing of colours<br />

• Double vision or multiple vision<br />

in one eye<br />

Surgery is highly successful and is a<br />

common solution for cataracts. Most<br />

cataracts can only be detected with<br />

special eye instruments, so make an<br />

appointment with your eye doctor if you<br />

notice your vision clouding.<br />

Macular Degeneration<br />

Age-related macular degeneration (AMD)<br />

occurs when your central part of the<br />

retina, the macula, deteriorates, resulting<br />

in loss of vision.<br />

AMD is one of the most frequent causes<br />

of vision loss in people age 60 and older.<br />

If AMD is detected early, you might be<br />

able to reduce the extent of your vision<br />

loss. AMD leads to a blind spot in the<br />

centre of your visual field. Signs and<br />

symptoms include:<br />

• The need for increasingly bright light<br />

when reading or doing close work<br />

•<br />

•<br />

•<br />

Printed words that appear distorted<br />

or increasingly blurred<br />

Colors that seem washed out and dull<br />

A gradual haziness of your overall<br />

vision<br />

Floaters<br />

As you age, your vitreous can also<br />

become more liquid than jelly-like,<br />

causing floaters, which appear as spots<br />

floating across your field of vision. They<br />

are actually small clumps of gel and cells<br />

floating in the vitreous.<br />

Most floaters are harmless, but if you<br />

suddenly develop a large number,<br />

especially if accompanied by flashes of<br />

light, it might signal a retinal tear or retinal<br />

detachment. In such cases, seek medical<br />

attention immediately.<br />

Therefore, you should seek to protect<br />

your eyes by wearing sunglasses to<br />

shield your eyes from strong sunlight.<br />

Adopt a healthy lifestyle by exercising<br />

regularly and eating healthily. You should<br />

also have regular eye screening done<br />

when you reach 50 years old and seek<br />

immediate medical attention when your<br />

vision is not clear.<br />

“ I will look bad when all my teeth fall out.<br />

Dentures will also be highly uncomfortable. ”<br />

Dr Ng Chee Hon, a Consultant Oral &<br />

Maxillofacial Surgeon at <strong>Raffles</strong> Dental,<br />

agrees that we should not take healthy<br />

teeth for granted. Missing teeth are a<br />

problem, not just in appearance but also<br />

in function.<br />

The loss of one or several teeth usually<br />

has direct effects on appearance and<br />

chewing. In addition, the stability of the<br />

surrounding teeth is lost because of the<br />

gap and can result in further problems.<br />

Such gaps may be closed with a bridge<br />

for a complete row of teeth and proper<br />

chewing.<br />

Larger gaps between the teeth can be<br />

bridged with denture. This option is<br />

economical but does not always provide<br />

satisfaction and can result in oral hygiene<br />

problems and eventual tooth loss.<br />

The most natural and attractive solution<br />

to tooth loss to-date is dental implants.<br />

They fit harmoniously into the dental<br />

arch and are fixed to the jawbone. They<br />

cannot be distinguished from real teeth in<br />

function and appearance. Neighbouring<br />

teeth do not have to be reduced to<br />

support replacements. The palate is not<br />

covered and the tongue not encroached<br />

by denture surface.<br />

Just like natural teeth, dental implants<br />

transmit chewing forces evenly to the<br />

jawbone and preserve the natural shape<br />

of the jaws. If this pressure is missing, the<br />

jawbone slowly shrinks away, resulting in<br />

a shorter lower face.<br />

Regular removal of plaque makes a major<br />

contribution to the long-term success of<br />

the implant therapy. Apart form the dental<br />

care at home, regular check-ups to the<br />

clinic providing care is recommended.

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