Sarawak Eye Specialists - Prof Dr Chua Chung Nen - 马来西亚眼科医生

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Sarawak Eye Specialists - Prof Dr Chua Chung Nen - 马来西亚眼科医生 Prof. Dr Chua Chung Nen, UK trained ophthalmologist. He is also proficient in squint surgery (operated over 1000 cases).

He was a professor and the Head of Eye Department in UNIMAS and has performed over 15,000 cataracts and over 5,000 eyelid surgery.

A relaxing Friday ☔️
21/11/2025

A relaxing Friday ☔️

A great Thursday restoring vision, lifting eyelids, and correcting squint — meaningful work, grateful hearts. 🍒
20/11/2025

A great Thursday restoring vision, lifting eyelids, and correcting squint — meaningful work, grateful hearts. 🍒

   #蔡鐘能眼科医生  #马来西亚眼科医生  #国际眼科中心    #古晋眼科中心    #诗巫眼科中心    #糖尿病视网膜病变
19/11/2025

#蔡鐘能眼科医生 #马来西亚眼科医生 #国际眼科中心 #古晋眼科中心 #诗巫眼科中心 #糖尿病视网膜病变

Our deepest condolences 💐to YB Datuk Amar Professor Dr Sim Kui Hian, Deputy Premier and Minister for Public Health, Hous...
18/11/2025

Our deepest condolences 💐to YB Datuk Amar Professor Dr Sim Kui Hian, Deputy Premier and Minister for Public Health, Housing and Local Government, on the passing of his beloved mother, Puan Sri Datin Amar Lim Su Kheng (20.3.1942 – 17.11.2025).💐

   #蔡鐘能眼科医生  #马来西亚眼科医生  #国际眼科中心    #古晋眼科中心    #诗巫眼科中心  #眼皮下垂
18/11/2025

#蔡鐘能眼科医生 #马来西亚眼科医生 #国际眼科中心 #古晋眼科中心 #诗巫眼科中心 #眼皮下垂

Done for Monday 🌹
17/11/2025

Done for Monday 🌹

𝗣𝗿𝗼𝗳. 𝗗𝗿 𝗖𝗵𝘂𝗮'𝘀 𝘀𝗰𝗵𝗲𝗱𝘂𝗹𝗲 𝗳𝗼𝗿 𝟏𝟕𝐭𝐡 - 𝟐𝟑𝐫𝐝 𝐍𝐨𝐯𝐞𝐦𝐛𝐞𝐫 𝟐𝟎𝟐𝟓 𝗶𝘀 𝗵𝗲𝗿𝗲! 𝗧𝗵𝗶𝘀 𝘄𝗲𝗲𝗸 𝗵𝗲 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗮𝘃𝗮𝗶𝗹𝗮𝗯𝗹𝗲 𝗶𝗻 𝗞𝘂𝗰𝗵𝗶𝗻𝗴 - ISEC Kuching...
16/11/2025

𝗣𝗿𝗼𝗳. 𝗗𝗿 𝗖𝗵𝘂𝗮'𝘀 𝘀𝗰𝗵𝗲𝗱𝘂𝗹𝗲 𝗳𝗼𝗿 𝟏𝟕𝐭𝐡 - 𝟐𝟑𝐫𝐝 𝐍𝐨𝐯𝐞𝐦𝐛𝐞𝐫 𝟐𝟎𝟐𝟓 𝗶𝘀 𝗵𝗲𝗿𝗲! 𝗧𝗵𝗶𝘀 𝘄𝗲𝗲𝗸 𝗵𝗲 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗮𝘃𝗮𝗶𝗹𝗮𝗯𝗹𝗲 𝗶𝗻 𝗞𝘂𝗰𝗵𝗶𝗻𝗴 - ISEC Kuching - International Specialist Eye Centre Kuching - 古晋眼科专科中心, 𝗦𝗶𝗯𝘂 - ISEC Sibu - International Specialist Eye Centre Sibu & 𝐌𝐢𝐫𝐢 - Selesa Pacific Hospital.
𝗗𝗼 𝗱𝗿𝗼𝗽 𝘂𝘀 𝗮 𝗺𝗲𝘀𝘀𝗮𝗴𝗲 𝘁𝗼 𝗰𝗼𝗻𝗳𝗶𝗿𝗺 𝘆𝗼𝘂𝗿 𝘃𝗶𝘀𝗶𝘁 𝘁𝗼 𝘁𝗵𝗲 𝗿𝗲𝘀𝗽𝗲𝗰𝘁𝗶𝘃𝗲 𝗰𝗲𝗻𝘁𝗿𝗲. 𝗧𝗵𝗮𝗻𝗸 𝘆𝗼𝘂 & 𝘀𝘁𝗮𝘆 𝘀𝗮𝗳𝗲!

#𝐩𝐫𝐨𝐟𝐝𝐫𝐜𝐡𝐮𝐚𝐜𝐡𝐮𝐧𝐠𝐧𝐞𝐧 #𝐩𝐫𝐨𝐟𝐝𝐫𝐜𝐡𝐮𝐚 #𝐞𝐲𝐞𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 #𝐊𝐮𝐜𝐡𝐢𝐧𝐠𝐄𝐲𝐞𝐒𝐩𝐞𝐜𝐢𝐚𝐥𝐢𝐬𝐭 #𝐈𝐒𝐄𝐂𝐊𝐮𝐜𝐡𝐢𝐧𝐠 #𝐈𝐒𝐄𝐂𝐒𝐢𝐛𝐮 #𝐝𝐨𝐮𝐛𝐥𝐞𝐞𝐲𝐞𝐥𝐢𝐝 #𝐩𝐭𝐨𝐬𝐢𝐬 #𝐞𝐲𝐞𝐛𝐚𝐠𝐬 #𝐝𝐫𝐨𝐨𝐩𝐲𝐞𝐲𝐞𝐥𝐢𝐝𝐬

“Demodex: The Tiny Tenants Living on Our Eyelashes” 👁️Weekend ophthalmology - Dr Chua 15/11/2025 Most of us like to thin...
14/11/2025

“Demodex: The Tiny Tenants Living on Our Eyelashes” 👁️
Weekend ophthalmology - Dr Chua 15/11/2025

Most of us like to think we live alone in our skin. But as one old poem reminds us:

“Great fleas have little fleas upon their backs to bite ’em,
And little fleas have lesser fleas, and so ad infinitum.”

It’s funny — and surprisingly true. Our bodies are bustling ecosystems, home to countless microscopic residents we never see. Among them are Demodex mites, tiny creatures that quietly take up residence around our eyelashes.
Before you jump, don’t worry — this isn’t a horror story. These mites are incredibly common, usually harmless, and for the most part, they mind their own business.

👁️ What Exactly Are Eyelash Mites?
Demodex mites are microscopic, eight-legged arachnids that live in our hair follicles and oil glands. Two species live on humans (Figures 1 & 2):

* Demodex folliculorum, which prefers the eyelashes
* Demodex brevis, which settles into our oil glands like meimobian glands along the eyelid margin

Each mite is only about 0.3 mm long — roughly a grain of ultra-fine sand — so nobody can see them with the naked eye (Figure 3; desmodex mites under scanning electron microscope).

Far from being invaders, they are simply part of the skin’s natural ecosystem. They feed on dead skin cells and oil, helping to clear away debris. Most people never notice them.

🔥 When Do They Become a Problem?
Trouble starts when their numbers grow too high — a condition known as demodicosis.

Signs may include:

* Redness
* Irritation or itching
* Crusting or dandruff-like flakes at the lash base (Fogure 4a)
* Blockage of meibomian glands causing meibomian gland dysfunction (Figure 4b; MGD)

In some cases, an overgrowth can contribute to blepharitis (eyelid inflammation) and worsen dry eye symptoms. Several factors increase the risk of mite overpopulation:

* Poor eyelid hygiene
* Heavy or unremoved eye makeup
* Eyelash extensions
* Oily skin or skin conditions like rosacea
* Weakened immune system
* Age — mites tend to accumulate over the years

🧴 How Do We Treat Them?
The good news: Demodex mites are very treatable.

* Clean your eyelids daily with special lid scrubs or diluted tea tree oil.
* Use warm compresses to loosen debris and soothe irritation.
* In-clinic eyelid exfoliation for more stubborn cases.

🌿 Keeping Them Under Control
You don’t need — and shouldn’t aim — to eliminate every last mite. They are part of the skin’s natural community. What matters is keeping their population balanced:
* Practise good daily eyelid hygiene
* Remove all makeup each night
* Avoid excessive product buildup around the lashes

Think of Demodex not as villains, but as tiny housemates who simply need to keep their numbers in check to avoid becoming a nuisance.

👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️👁️

《蠕形螨:悄悄住在我们睫毛上的“小房客》
周末眼科小分享 - 蔡鐘能眼科医生 15/11/2025

我们大多数人都以为自己的皮肤是“自家地盘”。
但有一首古老的小诗却这样提醒我们:

“大跳蚤背上有小跳蚤,
小跳蚤背上还有更小的跳蚤,
如此无穷无尽。”

听起来好笑,却十分真实。
我们的身体就像一个热闹的小生态系统,住着许多肉眼看不见的微小生物。其中之一就是——蠕形螨(Demodex),一些安静住在我们睫毛附近的小小生物。

别怕,这不是恐怖故事。这些螨虫非常普遍,大部分时候无害,还相当“乖巧”,不太干扰我们。



👁️ 什么是睫毛螨?

蠕形螨是显微镜下才看得到的八条脚小型螨虫,喜欢住在毛囊和油脂腺里。人类身上主要有两种 (图1&2):

• D. folliculorum(毛囊蠕形螨) — 最爱睫毛毛囊
• D. brevis(短蠕形螨) — 喜欢油脂腺

每只螨虫大约 0.3 毫米,如同极细沙粒一样小,用肉眼根本看不到 (图3;扫描电子显微镜下的螨虫)。它们并不是“入侵者”,反而是皮肤天然生态的一部分。它们以死亡皮屑和油脂为食,帮助清除皮肤垃圾。大多数人一辈子都不知道它们的存在。



🔥 什么时候它们会变成问题?

当螨虫数量大幅增加时,就会出现一种叫 蠕形螨增生(demodicosis) 的情况。

常见症状包括:
• 眼皮发红
• 刺痒或不适
• 睫毛根部出现结痂或“头皮屑”般的碎屑 (图4a)
• 睑板腺阻塞 (图4b)导致睑板腺功能障碍(MGD)

严重时,还可能导致睑缘炎(眼皮发炎),甚至加重干眼。

容易导致螨虫数量失控的因素包括:
• 眼皮清洁不良
• 浓妆或卸妆不干净
• 接睫毛
• 油性皮肤或玫瑰痤疮等皮肤问题
• 免疫力低
• 年龄增长 —— 螨虫会随着时间慢慢累积



🧴 该如何治疗?

好消息是:蠕形螨是可以有效治疗的。

• 使用专门的眼睑清洁液或稀释的茶树油清洁眼皮。
• 温热敷,有助松开脏污并减少发炎。
• 若情况较严重,眼科医生可进行专业眼睑去角质清洁。



🌿 如何让它们不过度“猖狂”?

我们不需要 —— 也不可能 —— 把所有螨虫彻底消灭。它们是皮肤生态的一部分。

最重要的是控制数量、保持平衡:
• 养成每天清洁眼睑的习惯
• 每晚彻底卸除所有眼妆
• 避免睫毛区堆积过多保养或化妆品

把蠕形螨想象成“偶尔需要提醒一下的微型房客”。数量少时相安无事,但若太多,就该好好管理了。

#蔡鐘能眼科医生 #马来西亚眼科医生 #国际眼科中心 #古晋眼科中心 #诗巫眼科中心 #睫毛螨 #睑板腺功能障碍
#茶树油

A rewarding Friday in Kuching 🍀
14/11/2025

A rewarding Friday in Kuching 🍀

Grateful and privileged for every opportunity to restore someone’s sight. 🪴🍀🌿
13/11/2025

Grateful and privileged for every opportunity to restore someone’s sight. 🪴🍀🌿

   #蔡鐘能眼科医生  #马来西亚眼科医生  #国际眼科中心    #古晋眼科中心    #诗巫眼科中心    #結膜下出血
12/11/2025

#蔡鐘能眼科医生 #马来西亚眼科医生 #国际眼科中心 #古晋眼科中心 #诗巫眼科中心 #結膜下出血

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Contact: 082-265 983, 012-8181357, ISEC Kuching, GalaCity, Ground Floor, Sublot No. 25-26 Of Parent Lot 3257 Block 16, KCLD, Jalan Tun Jugah, 93350 Kuching
Kuching
93050

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Prof. Dr Chua Chung Nen

Prof Dr Chua Chung Nen is a Malaysian who received his ophthalmology training in the well-known centre of Oxford Eye Hospital from 1997 to 2001. Upon completion of his training, he received CCST (Certificate of Completion of Surgical Training) from the General Medical Council, London, United Kingdoms. He is one of the few ophthalmologists in Malaysia who has had this special training in the U.K. He is proficient in a variety of eye related surgery including cataract surgery and strabismus. His special interest is in eyelid surgery and has published several papers on this subjects. In addition, he has published a number of books specially for the trainee eye doctors in Malaysia.