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Limpopo Leader - Spring 2005 - University of Limpopo

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Ophthalmology:<br />

CRASHING AEROPLANES AND<br />

HONG KONG RACEHORSES<br />

hHE’LL BE RETIRING IN A FEW YEARS – HE TURNS 63<br />

THIS NOVEMBER – BUT THE IMPACT OF HIS WORK<br />

AT MEDUNSA WILL LIVE ON AND ON.<br />

He’s Pr<strong>of</strong>essor Robert Stegman, ophthalmologist,<br />

whose work on the surgical treatment <strong>of</strong> cataracts<br />

and glaucoma has saved thousands from blindness.<br />

‘I came to Medunsa from Harvard <strong>University</strong>,’ he<br />

recalls. ‘I planned to stay for six months to do some<br />

trials. I’ve stayed for 27 years.’<br />

The trials were on a new substance that Stegman<br />

wanted to use in cataract operations. The South<br />

African Medicines Control Council had given its<br />

blessing. The substance was hyaluronic acid. It<br />

worked like a charm when it came to simplifying<br />

the implanting <strong>of</strong> intraocular lenses to counteract the<br />

degenerative effects <strong>of</strong> cataracts.<br />

But let’s go slowly with all these facts. Let’s start<br />

at the beginning.<br />

Stegman was born in Pretoria and did his first<br />

degree, as he says, at Tukkies. He then went to the<br />

United States, to Boston in fact, and in 1972 ‘gate<br />

crashed’ into Harvard Medical School where he<br />

specialised in ophthalmology. It was during his<br />

six-year stint at this most prestigious <strong>of</strong> American<br />

universities that his attention was directed to cataracts<br />

and their treatment.<br />

‘Intraocular lenses were just coming into their own,’<br />

Stegman explained. ‘It had been found during World<br />

War II that Royal Air Force crews experienced no<br />

major rejection symptoms from pieces <strong>of</strong> shattered<br />

cockpit windscreens that entered their eyes during<br />

combat or crashes. The windscreens were made <strong>of</strong><br />

Perspex (polymethylmethacrylate), and so medical<br />

scientists turned to this same material to manufacture<br />

intraocular lenses. But the first results were erratic,<br />

dogged with a lot <strong>of</strong> stability complications.<br />

‘Our idea at Harvard was to use hyaluronic acid.<br />

This was a naturally occurring material that lends<br />

substance or body to our tissues. It’s found in<br />

abundance in the combs <strong>of</strong> roosters: it’s what makes<br />

the combs stand upright. The acid had been<br />

discovered by a German scientist in the late 1930s,<br />

but a use for it was not found until 30 years later<br />

when it was tried, but with discouraging results, in<br />

a few retinal operations.<br />

Pr<strong>of</strong>essor Robert Stegman<br />

P A G E 1 1

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