26/12/2025
๐๏ธ โA Century of Sight - How eye care has changed over the past 100 yearsโ
Reflections on vision, progress, and time โ at the closing of 2025 - Dr Chua 27/12/2025
As we bid farewell to 2025, it is worth pausing to reflect on something we often take for granted โ our sight.
In 1925, the world was in the Roaring Twenties, also known as the Jazz Age โ a time of postโWorld War I economic optimism, cultural vibrancy, and rapid social change. Yet, if you had stepped into an eye clinic back then, the experience would be almost unrecognisable. Despite the eraโs energy and progress, the four most common causes of poor vision could rarely be treated effectively, and loss of sight was often accepted as inevitable.
โธป
๐ Cataract: from thick glasses to clear vision (Fig. 1 & 2)
In the past, cataract surgery was performed only when the cataract became very โmatureโ. The operation involved a large incision, prolonged bed rest, and no artificial lens was implanted.
Patients were left dependent on thick โbottle-bottomโ aphakic spectacles, which often distorted vision.
Today, cataract surgery is quick, precise, and usually performed as a day procedure. An artificial lens is implanted inside the eye, restoring clear and natural vision for most patients.
โธป
๐๏ธ Glaucoma: from harsh drops to smarter treatment (Fig. 3)
Decades ago, treatment options for glaucoma were limited to just two eye drops โ pilocarpine and epinephrine. These were less effective and often caused troublesome side effects.
Now, with modern eye drops, laser treatments, and refined surgery, many patients are able to preserve their vision for life.
โธป
๐ฌ Diabetic eye disease: once hopeless, now treatable (Fig. 4)
Before the advent of retinal lasers and eye injections, diabetic retinopathy frequently led to severe vision loss or blindness.
Today, with OCT scans, retinal laser treatment, and anti-VEGF injections, we can detect disease early and protect vision โ and in some cases, even improve it.
โธป
๐ Macular degeneration: a true game changer (Fog. 4)
In the past, patients with wet age-related macular degeneration almost invariably lost their central vision.
Now, regular eye injections have transformed this condition from a blinding disease into a manageable one.
โธป
๐ From fate to hope
A century ago, even during the glamour of the Jazz Age, vision loss was often accepted as fate.
By 2025, much of it has become preventable, treatable, and sometimes reversible.
We are truly fortunate to live in this era of eye care.
๐๏ธโจ May 2026 be a bright year โ for your eyes, your health, and your vision.
๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ๐ ๐๐ฅณ
๐๏ธ ใไธไธชไธ็บช็่ง็ โโ ็ผ็งๅปๅญฆ็พๅนดไนๅใ
ๅจ 2025 ๅนดๅฒๆซ๏ผๅๆ่งๅใ่ฟๆญฅไธๆถ้ด
่ก้่ฝ็ผ็งๅป็ๅไบ27/12/2025
ๅฝ 2025 ๅนดๆธๆธ่ตฐๅๅฐพๅฃฐ๏ผๆไปฌๆ่ฎธ่ฏฅๆพๆ
ข่ๆญฅ๏ผ่ฎค็ๆณไธๆณไธไปถๅธธ่ขซๅฟฝ็ฅใๅดๆ ๆฏ็่ดต็ไบโโๆไปฌ็่งๅใ
ๅจ 1925 ๅนด๏ผไธ็ๆญฃๅคไบๆ่ฐ็ โๅๅฎ็ไบๅๅนดไปฃโ๏ผไน่ขซ็งฐไธบ ็ตๅฃซๆถไปฃใ้ฃๆฏไธไธชๆๅๅค่ใ็ปๆต่ฌๅใๆๅๅคๅงฟๅคๅฝฉ็ๅนดไปฃใ็ถ่๏ผ่ฅๅฝๆถไฝ ่ตฐ่ฟไธ้ด็ผ็ง่ฏๆ๏ผไปๆฅ็ๆไปฌๆๆไผๆๅฐ้็็่ณ้ๆใๅฐฝ็ฎกๆถไปฃๅ
ๆปกๆดปๅ๏ผๅฝๅนดๆๅธธ่ง็ๅ็ง่งๅ้ฎ้ขๅด้ฒๅฐ่ฝ่ขซๆๆๆฒป็๏ผ่งๅ่กฐ้ๅพๅพ่ขซ่งไธบๆ ๅฏ้ฟๅ
็ๅฝ่ฟใ
โธป
๐ ็ฝๅ
้๏ผไปๅ้็ผ้ๅฐๆธ
ๆฐ้่ง (ๅพ1 ไธ2๏ผ
ไธไธชไธ็บชๅ๏ผ็ฝๅ
้ๅพๅพ่ฆ็ญๅฐโๅฎๅ
จๆ็โๆๅจๆๆฏใๆๆฏๅๅฃๅคงใๆขๅคๆ้ฟ๏ผ่ไธ็ผๅ
ๅนถไธไผๆคๅ
ฅไบบๅทฅๆถไฝใ
็
ไบบๆฏๅๅช่ฝไพ่ตๅ้็ๆ ๆถไฝ็ผ้โโไฟ็งฐโ้
็ถๅบ็ผ้โ๏ผ่ง็ฉๅๅฝข๏ผ็ๆดปๆไธบไธไพฟใ
่ไปๅคฉ๏ผ็ฝๅ
้ๆๆฏๅทฒๅๅพ็ฒพๅใๅฎๅ
จ๏ผๅคงๅคๅฏๅจๆฅ้ดๅฎๆใไบบๅทฅๆถไฝ็ดๆฅๆคๅ
ฅ็ผๅ
๏ผ่ฎฉ่ฎธๅคๆฃ่
่ฟ
้ๆขๅค่ช็ถใๆธ
ๆฐ็่งๅใ
โธป
๐๏ธ ้ๅ
็ผ๏ผไป็ฒ็ณๆงๅถๅฐ็ฒพ็ปๆฒป็ ๏ผๅพ3๏ผ
ๆฉๅนดๆฒป็้ๅ
็ผ๏ผไธป่ฆๅชๆไธค็ง็ผ่ฏๆฐดโโๆฏๆ่ธ้ฆ็ขฑ๏ผpilocarpine๏ผๅ่พไธ่
บ็ด ๏ผepinephrine๏ผ๏ผๆๆๆ้๏ผๅฏไฝ็จๅดไธๅฐใ
ๅฆไป๏ผๆไปฌๆฅๆๆดๅฎๅ
จๆๆ็้็ผๅ่ฏ็ฉใๆฟๅ
ๆฒป็ๅๆน่ฏๆๆฏๆๆฏ๏ผ่ฎฉ่ฎธๅค้ๅ
็ผๆฃ่
ๅพไปฅ้ฟๆไฟไฝ่งๅใ
โธป
๐ฌ ็ณๅฐฟ็
็ผ็
๏ผๆพ็ป็ปๆ๏ผๅฆไปๅฏๆง ๏ผๅพ4๏ผ
ๅจๆฒกๆ่ง็ฝ่ๆฟๅ
ๅ็ผๅ
ๆณจๅฐ็ๅนดไปฃ๏ผ็ณๅฐฟ็
่ง็ฝ่็
ๅๅพๅพไธ่ทฏๆถๅ๏ผๆ็ปๅฏผ่ดไธฅ้่งๆ๏ผ็่ณๅคฑๆใ
ไปๅคฉ๏ผๅๅฉ OCT ๆซๆใ่ง็ฝ่ๆฟๅ
ๅ ๆ VEGF ๆณจๅฐ๏ผๆไปฌ่ฝๆดๆฉๅ็ฐ็
ๅใๆด็ฒพๅไปๅ
ฅ๏ผไฟๆค่งๅโโๆๆถ็่ณ่ฝๆนๅๅๆฌๅทฒๅๆ็่ง่งใ
โธป
๐ ้ปๆ้จ็
ๅ๏ผ็ๆญฃ็่ฝฌๆฉ็น ๏ผๅพ4๏ผ
่ฟๅป๏ผ็ฝนๆฃๆนฟๆง่ๅนดๆง้ปๆ้จ็
ๅ็ๆฃ่
๏ผๅ ไนๆณจๅฎไผๅคฑๅปไธญๅคฎ่งๅ๏ผ้
่ฏปใ่ฎคไบบใ้ฉพ้ฉถ้ฝๅๅพๅฐ้พใ
ๅฆไป๏ผๅฎๆ็ผๅ
ๆณจๅฐๅทฒ่ฎฉ่ฟ็ฑป็พ็
ไปโๅฟ
็ถ่ด็ฒโ๏ผ่ฝฌๅไธบๅฏ้ฟๆ็ฎก็็ๆ
ขๆง็
ใ
โธป
๐ ไปๅฎฟๅฝๅฐๅธๆ
ไธ็พๅนดๅ๏ผๅณไฝฟ่บซๅคๅ
ๆปก้ญ
ๅไธไน่ง็็ตๅฃซๆถไปฃ๏ผ่งๅๆตๅคฑๅพๅพไป่ขซ่งไธบๅฝไธญๆณจๅฎใ
่ๅฐไบ 2025 ๅนด๏ผ่ฎธๅค็ผ็พๅทฒๅๅพๅฏไปฅ้ข้ฒใๅฏไปฅๆฒป็๏ผ็่ณๆๆถๅฏไปฅ้่ฝฌใ
ๆไปฌ็กฎๅฎๅพๅนธ่ฟ๏ผ่ฝๆดปๅจ่ฟไธช็ผ็งๅปๅญฆ้ฃ่ทๅๅฑ็ๆถไปฃใ
๐๏ธโจ ๆฟ 2026 ๅนด๏ผๅธฆๆฅๆดๆไบฎ็่ง็โโ็ปไฝ ็ๅ็ผใไฝ ็ๅฅๅบท๏ผไน็ปไฝ ็็ๆดปใ
#่ก้่ฝ็ผ็งๅป็ #้ฉฌๆฅ่ฅฟไบ็ผ็งๅป็ #ๅฝ้
็ผ็งไธญๅฟ #ๅคๆ็ผ็งไธญๅฟ #่ฏๅทซ็ผ็งไธญๅฟ #้ๅ
็ผ #้ปๆ็
ๅ #็ณๅฐฟ็
ๅนถๅ็ #็ฝๅ
้
