Dr Brian Ang

Protecting our eyes is crucial, especially considering the intense ultraviolet radiation in Australia, which can lead to conditions like cataracts and macular degeneration.
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Urban pollutants further irritate and inflame the eyes, heightening the risk of dry eye syndrome.
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Additionally, our diets, often rich in processed foods, generally lack sufficient essential nutrients such as lutein, zeaxanthin and methylcobalamin, vital for defending against oxidative stress that accelerates eye aging.
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Moreover, the stress of daily life can indirectly impair vision by exacerbating conditions like hypertension or diabetes.
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To maintain healthy vision, it's important to wear UV-protective sunglasses, eat a diet rich in fruits and vegetables, and manage stress effectively.
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These proactive steps are simple yet significantly impactful in preserving eye health. Remember, your eyes are your windows to the world, and they deserve careful attention and protection.

Noticing tiny spots or thread-like shapes drifting across your vision? These are known as floaters and they're generally harmless. They occur when the vitreous, the gel-like substance inside your eyes, starts to age.
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Most floaters are benign, but if you suddenly see more floaters than usual, along with flashes of light or a decrease in your peripheral vision, these could be signs of a more serious condition such as retinal detachment. Immediate medical attention is necessary in such cases.
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If you've noticed a change in the number or type of floaters, it’s important to consult with your eye care specialist. Regular eye exams are crucial for monitoring any changes and ensuring your vision stays clear.

I want to address a common concern that many have shared.
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It's not uncommon for certain eye drops to cause a temporary sensation of discomfort or a stinging feeling. This can happen for a variety of reasons, including the eye's natural response to a new substance, the specific formulation of the drops, or the condition being treated.
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However, pain and discomfort should be transient and manageable. If it's more than a fleeting sensation, or if it significantly impacts your quality of life, it's important to listen to your body.
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Here's What You Can Do:
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1.Record Your Experience: Make sure you document your experience with the eye drops. When does the discomfort occur? Does it happen all the time? How long does it last? Does it affect your vision or daily activities?
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2. Reach Out: Contact your eye specialist. Share your experience in detail.
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3. Follow-Up Appointments: Sometimes, a slight adjustment in dosage or frequency can make a world of difference.

I will be speaking at Glaucoma NZ 's upcoming patient education seminar. In this event, I will discuss the vital role nutrition plays in managing glaucoma, offering insights into how specific nutrients can support eye health and potentially slow glaucoma progression.
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Don't miss this opportunity to learn proactive strategies for managing your eye health through diet. Don’t forget to register for the event.
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Here is the link:
🌐 https://tinyurl.com/DBAGlaucomaNZ

I had the pleasure of meeting with Helen and Jenny from Eye Trend , the renowned optometry group known for their unwavering commitment to providing top quality primary eye care to the community of Melbourne.
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Our collaboration aims to bridge the gap between optometry and ophthalmology, ensuring a comprehensive co-management care model that benefits our patients at every stage of their eye health journey.
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I always learn so much when I connect with fellow eye care professionals who are equally passionate about advancing the field and making high-quality glaucoma care accessible to all.

The macula is the small but mighty area in the center of the retina that allows us to see fine details clearly.
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During Macula Month, we focus on raising awareness about macular diseases, including age-related macular degeneration which is a leading cause of vision loss. Protecting your macula is vital for maintaining good vision as you age, and there are several ways you can support your macular health:
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1. Eat a Balanced and Colourful Diet: Nutrients like lutein, zeaxanthin, and omega-3 fatty acids are crucial for eye health. Include plenty of green leafy vegetables, fish, and nuts in your diet.
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2. Quit Smoking: Smoking significantly increases your risk of macular degeneration.
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3. Protect Your Eyes from UV Light: Wear sunglasses that block 100% of UVA and UVB rays.
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4. Regular Eye Exams: Early detection is key to preventing serious vision loss.
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5. Supplements: Consider taking supplements that contain lutein, zeaxanthin and saffron to safeguard your macular health
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Take proactive steps towards protecting your vision.

It was a great Q&A session, discussing the concept of proactive glaucoma care in conjunction with the Glaucoma Australia Live Q&A hosted by the effervescent Richard Wylie.
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My 3 main takeaways:
1. Glaucoma Australia is a fantastic resource for anyone wanting support and advice on glaucoma-related matters;
2. Judging by the questions received, there remain quite a number of unanswered questions on different aspects of holistic care for glaucoma; and
3. It is generally not a good idea to present with a laptop that's literally just out of the box...

I'm thrilled to invite you to a special event in collaboration with Eye Philosophy Optometrists , marking its 10th year of outstanding service in eye care.
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At this event, I will share valuable insights on the critical role of nutrition in maintaining and enhancing eye health. You'll learn about essential nutrients that can protect and improve your vision and discover ways to boost your eye health.
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Join us to empower yourself with knowledge and celebrate a decade of visionary achievements at Eye Philosophy!
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Come and join me this 3rd of May:
REGISTER HERE, https://tinyurl.com/yc7c97z3

Recent findings from a study published in JAMA Ophthalmology have revealed a significant correlation between vision impairment and increased dementia prevalence in older adults.
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The research, conducted on nearly 3,000 individuals over the age of 71, indicates that those with moderate to severe distance vision issues are 72% more likely to have dementia compared to those without vision problems.
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This information underscores the broader implications of vision health. Regular eye exams and proper vision care are essential, not just for maintaining sight but also for potentially reducing the risk of cognitive decline.
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The findings suggest that prioritising eye health could be a key strategy in protecting overall well-being in our later years.
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Ensuring access to comprehensive vision care is crucial. Let's stay vigilant about our eye health as an integral part of our overall health strategy.

In the realm of eye health, cataract surgery stands as a testament to medical advancement. This procedure, with a remarkable success rate of over 98%, not only enhances vision but significantly improves quality of life.
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Cataracts, which cloud the eye's natural lens, are a common cause of vision impairment. However, with modern surgical techniques, this process is typically quick and safe.
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As an eye care professional, my commitment is to provide personalised care, ensuring that each patient receives the most suitable treatment. Your vision matters, and with today's advanced procedures, restoring it has never been more achievable.
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Take the first step towards clearer vision. Leave a comment or message me, and we can discuss how we can optimise your eye health together.
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You can also book your appointment with me on this website, https://www.drbrianang.com.au/contact/

Recently, a patient shared with me their feelings of anxiety and depression upon being diagnosed with glaucoma.
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It’s completely normal to feel overwhelmed by such news. Glaucoma is a serious condition, but remember, you’re not facing it alone. Here are some steps to help you cope and manage your condition effectively:
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Educate Yourself: Knowledge about your condition can significantly reduce anxiety.
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Seek Support: Sharing your feelings with others who understand can be incredibly therapeutic.
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Adhere to Treatment: Consistent use of prescribed eye drops or other treatments can help manage your condition and prevent progression.
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Regular Check-ups: Frequent visits to your ophthalmologist are crucial. We’re here to monitor your condition closely and adjust your treatment as needed.
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Remember, glaucoma doesn’t define you or your life. With the right treatment and support, many people with glaucoma continue to lead full and productive lives.

It was a great pleasure and honour to be invited to meet with Chairman Liu of the Jangho Group, which owns the Vision Eye Institute Group in Australia, during his recent visit to Australia.
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Together with Amanda Cranage and Margaret Kelly from the Vision Eye Institute executive team, we discussed the challenges of delivering healthcare efficiently, including enhancing the systems to support this and retaining the staff that make the practice tick.
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My meeting with Chairman Liu ended with a kind invitation by him to visit the recently built state-of-the-art tertiary eye hospital in Beijing.
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This is definitely an invitation that I will take up because it will be a great opportunity to learn more about how ophthalmic care is delivered in other countries.

Some of you are well aware of my dedication to sharing knowledge that enhances eye health and overall well-being.
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This drive led me to create www.visionandeyehealth.com 14 years ago. It was not just any eye health blog, but a space where I imparted my take on the latest science, and combined it with my own clinical experience - all presented in clear, accessible language.
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We decided to undertake the significant task of revamping the website last year. Given its extensive library of over 150 articles and unique platform, this was no small feat. After months of dedicated effort and updating content, we are now thrilled to unveil the newly revamped Vision & Eye Health blog at www.visionandeyehealth.com.
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This journey has been a labour of love, and I'm eager to continue enriching your understanding of eye health and share with my professional thoughts along the way.
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Drop me a line to share your thoughts about the improved look and updated content.
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Diabetic Retinopathy is a significant eye condition affecting individuals with diabetes. Here's a breakdown of its key risks:
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1. Fluid Swelling of the Macula (Diabetic Macular Oedema): The macula is crucial for clear, central vision. In diabetes, the delicate blood vessels in the retina are damaged, causing them to leak fluid into the macula and retina. The macula becomes swollen, resulting in blurry or wavy central vision, much like a water-stained camera lens that blurs the center of images.
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2. Bleeding Inside the Eye (Vitreous Hemorrhage): These delicate blood vessels in the retina can also bleed into the vitreous, the clear gel inside the eye. This can create shadows or dark spots in your vision as if looking through a dark, foggy window.
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3. Retinal Detachment: This serious condition occurs when scar tissue from diabetic retinopathy causes the retina to pull away from its normal position at the back of the eye. If not treated promptly, it can lead to permanent vision loss, like wallpaper peeling off a wall.
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Remember, early detection and treatment are key in managing these risks. Regular eye exams are crucial, especially if you have diabetes. Stay informed, stay healthy!
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Book an appointment with me at https://www.drbrianang.com.au/contact/

I have just released my latest publication, "Proactive Glaucoma Vision Care: What Doctors Wish They Had Time To Tell You."
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In honor of World Glaucoma Week, I would like to extend the opportunity for you to download this highly anticipated ebook for free.
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Contained within its pages are invaluable insights into reducing the risk of glaucoma through proactive measures. Specifically, you will learn about the 5 Key Pillars of proactive glaucoma care and discover the 10 Key Biocellular Risks that need to be addressed to achieve effective glaucoma neuroprotection.
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To take advantage of this offer and download your complimentary copy, click the link below.
https://bit.ly/proactiveglaucoma_ebook
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As a glaucoma specialist and surgeon, I want to express my support for the World Glaucoma Association's global initiative this March for World Glaucoma Week.
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Glaucoma, often termed the "silent thief of sight," stands as the foremost cause of preventable blindness worldwide. Yet, with early detection and regular eye examinations, we hold the power to change this narrative.
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I urge everyone to join me in spreading the word about the critical importance of proactive eye care. It begins with booking regular check-ups with an eye care specialist or optometrist.
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Early detection and treatment can not only save your sight but can significantly preserve your quality of life.
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Together, we can make a difference. Share this post with your family and friends.

In collaboration with Glaucoma Australia for World Glaucoma Week, I am excited to invite you to a special live Q&A session, on the topic of "Holistic Approach to Eye Health and Glaucoma”.
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Join me on Tuesday, 12th March 2024, at 6:30 PM AEDT, as we explore the 5 key pillars for proactive glaucoma vision care.
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Whether you or a loved one are navigating the challenges of glaucoma or you're simply passionate about reducing your eye health risks, this Q&A is for you.
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To participate, please register at https://go.glaucoma.org.au/dr-ang Secure your spot and arm yourself with knowledge to take a proactive stance on eye health.
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I look forward to connecting with you and answering your questions. Together, let's see the world more clearly.

Last year, I had the privilege of joining the "Podthalmology Podcast", hosted by Dr. Lana del Porto. This exclusive platform, intended for Australian Healthcare Professionals, facilitated a dialogue on "Minimally Invasive Glaucoma Surgery (MIGS)" with esteemed colleague, Dr. Nathan Kerr. Our conversation was twofold, addressing whether MIGS is setting a new standard in glaucoma care, and examining its practical implementation and results.
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The depth and breadth of knowledge shared were remarkable. We discussed our insights on the evolving landscape of MIGS and its potential as a game-changer in glaucoma treatment. Our discussion delved into the procedural nuances, patient outcomes, and the future of this innovative approach.
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This experience was not just an exchange of ideas but a reinforcement of our collective commitment to advancing ophthalmic care. The podcast served as a vital conduit for professional development and a testament to the dynamic progress in eye health.

Presbyopia is a common age-related vision change that affects the ability to focus on close-up objects. It's a condition that typically begins in the early 40s and progresses over time. The eye's crystalline lens loses its flexibility, making it harder to focus on objects up close.

Common Symptoms: Difficulty reading small print, needing to hold reading material at arm's length, or eye strain and headaches during close tasks.

Presbyopia Diagnosis: Ophthalmologists diagnose presbyopia during routine eye exams, which typically include a visual acuity test, refraction, and near vision assessments.

Presbyopia Management:
Reading Glasses: Appropriate prescription can help patients see clearly at close distances.
Contact Lenses: Multifocal or monovision contact lenses as an option for those who prefer contacts.
Refractive Surgery: Refractive lens exchange or corneal inlays, which can reduce or eliminate the need for glasses.
Cataract Surgery: This is the best option for those who have cataract.

Recently, I had the privilege of visiting my colleagues, Dr. Manoharan Shunmugam and Dr. Keneth Fong’s eye clinic in Malaysia, and what I experienced was nothing short of remarkable. The clinic is at the forefront of ophthalmological care, seamlessly integrating advanced technology with a compassionate approach to patient treatment and clinical aesthetics.
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It was truly inspiring to see the expert management and meticulous attention to detail that goes into providing top-notch care. The dedication to patient well-being and the adoption of innovative techniques for patient flow in the clinic are exemplary.
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I am delighted to have had this chance to reconnect with my fellow professionals and see their incredible work first-hand. This visit not only strengthened our professional bond but also reinforced the importance of global collaboration in our field.
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The experience has been enriching, underscoring the dynamic and evolving nature of eye care worldwide. It's encounters like these that fuel our collective passion for pushing the boundaries in eye health.

This month, we focus on Age-related Macular Degeneration (AMD), a primary cause of vision impairment in most individuals over 50. As a dedicated eye care specialist, it's imperative to highlight the significance of AMD/Low Vision Awareness Month.
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AMD primarily affects the macula, the central region of the retina, impacting central vision. The key to managing AMD lies in early detection and intervention.
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Preventative Measures:
1. Regular Comprehensive Eye Exams: Often, early AMD presents no symptoms. Routine eye examinations are vital for early detection.
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2. Lifestyle Choices: A diet rich in leafy greens, omega-3 fatty acids, regular physical activity, and avoiding smoking can reduce AMD risk. Supplements containing lutein, zeaxanthin, methylcobalamin, methylfolate and saffron will help improve visual function and further decrease the risk to your macula.
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3. UV & Blue Light Eye Protection: Utilize sunglasses with complete UV ​ protection to safeguard your eyes from harmful sun exposure. Use blue light blocking filters for digital screens to reduce the impact of blue light exposure on your macular health.
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Awareness and proactive measures are critical in the fight against AMD. I encourage you to prioritize your ocular health.
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For a detailed eye health evaluation and AMD-specific advice, please schedule an appointment. Your vision is invaluable; let us protect it together.
https://www.drbrianang.com.au/contact/

Presbyopia is a common age-related vision change that affects the ability to focus on close-up objects. It's a condition that typically begins in the early 40s and progresses over time. The eye's crystalline lens loses its flexibility, making it harder to focus on objects up close.
​
Common Symptoms: Difficulty reading small print, needing to hold reading material at arm's length, or eye strain and headaches during close tasks.
​
Presbyopia Diagnosis: Ophthalmologists diagnose presbyopia during routine eye exams, which typically include a visual acuity test, refraction, and near vision assessments.
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Presbyopia Management:
Reading Glasses: Appropriate prescription can help patients see clearly at close distances.
Contact Lenses: Multifocal or monovision contact lenses as an option for those who prefer contacts.
Refractive Surgery: Refractive lens exchange or corneal inlays, which can reduce or eliminate the need for glasses.
Cataract Surgery: This is the best option for those who have cataract.

Uveitis is an inflammation of the uvea, the middle layer of the eye, including the iris, ciliary body, and choroid. This condition can be painful and lead to additional eye problems such as cataract and glaucoma.
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Uveitis can be caused by infections, autoimmune diseases, injuries, or unknown factors. Infections like herpes, syphilis, or toxoplasmosis can lead to uveitis. Some autoimmune diseases, such as rheumatoid arthritis, lupus, or ankylosing spondylitis, can increase the risk, and sometimes trauma to the eye can also trigger uveitis.
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The treatment for uveitis typically involves addressing the underlying cause of the inflammation, if known. This may include corticosteroid eye drops, oral steroids, immunosuppressive medications, antiviral or antibiotic medications, and in rare cases, surgery.
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Uveitis should be promptly diagnosed and treated by an eye care specialist or ophthalmologist to prevent complications and minimize the risk of vision loss. The choice of treatment will depend on the type, cause, and severity of the uveitis.

Glaucoma is a chronic and progressive eye disease that, if left untreated or poorly managed, can lead to irreversible vision loss. It's often referred to as the "silent thief of sight" as it advances without noticeable symptoms or pain. By the time vision changes become apparent, significant damage may have already occurred.
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Proactive glaucoma management involves taking active steps to control the condition, even before you experience noticeable vision problems. This can include regular eye examinations, typically every year or as recommended by your eye care professional, to monitor eye pressure and the health of your optic nerve.
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Waiting passively for glaucoma to progress means neglecting the condition until you notice vision changes. This approach can be risky because significant damage may occur before you realise it. Once damage has occurred, it's often impossible to fully restore lost vision.
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You can read more here:
https://www.drbrianang.com.au/proactive-glaucoma-melbourne/

Glaucoma doesn't discriminate based on age. While it is true that the risk of developing glaucoma increases with age, particularly after the age of 40, it is not limited to the elderly.
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This misconception can be particularly dangerous because it may lead younger individuals to dismiss the need for regular eye exams, assuming they are too young to be at risk for glaucoma. In reality, glaucoma can progress silently and without noticeable symptoms, making early detection critical to prevent vision loss, regardless of age.
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Therefore, it's essential for people of all age groups to be aware of the possibility of glaucoma and to have regular eye examinations, especially if they have a family history of the condition or other risk factors. Early detection and treatment can help preserve vision and improve the quality of life for individuals of all ages.

Did you know that glaucoma is often called the "silent thief of sight"? This Glaucoma Awareness Month, let's shed light on this eye condition that affects millions worldwide.
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As an experienced eye surgeon, I've seen firsthand how early detection can make a world of difference. Glaucoma, if left untreated, can lead to irreversible damage. But the good news is, with timely intervention, we can protect and preserve your vision!
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Healthy and Balanced Diet: A balanced diet rich in leafy greens, colourful fruit and omega-3 fatty acids, such as the Mediterranean diet, is essential for eye health.
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Neuroprotection for Glaucoma: Research suggests that certain vitamins and natural antioxidant supplements, such as nicotinamide and ginkgo biloba, can support eye health and may reduce the risk of glaucoma. ​ While they're not a cure for glaucoma, they can be an important part of a proactive approach to eye health.
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Regular Eye Exams: The most crucial step in glaucoma prevention is regular screening, especially if you're over 40 or have a family history of the condition.
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This month, I encourage you to schedule an eye exam. Early detection is key! And if you have any questions about glaucoma and vitamins for glaucoma neuroprotection, feel free to reach out. Your eyesight is precious, and I'm here to help you protect it.

Early detection is a fundamental principle in eye care, as many eye conditions can silently progress without noticeable symptoms in their initial stages.
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Regular check-ups provide a crucial opportunity not only to identify existing eye issues but also to monitor changes in your vision over time.
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Taking into account your unique needs, age, family history, and any pre-existing eye conditions, a personalised care will be provided.
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By prioritising regular eye examinations, you are proactively safeguarding your eye health, enhancing the chances of preventing eye problems, and addressing any concerns effectively, ensuring your vision remains at its best.

Wishing you a Merry Christmas filled with warmth, joy, and good health! As we celebrate this festive season, let's take a moment to appreciate the simple blessings and spread love to those around us.
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Cheers to a season of peace, laughter, and cherished moments!
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Merry Christmas to you and your loved ones!
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Most recently in January 2022, a team of US clinicians and scientists published the results of their randomised clinical trial on pyruvate supplementation for glaucoma.

They reported a significant improvement in visual function in moderate glaucoma patients, when pyruvate was taken together with nicotinamide over a period of 2 months. No serious adverse effects were noted.

This supported previous observations that eyes with glaucoma had low pyruvate levels in the retina as a result of abnormal glucose metabolism.

https://www.drbrianang.com.au/