ISEC Sibu - International Specialist Eye Centre Sibu

ISEC Sibu - International Specialist Eye Centre Sibu ISEC Sibu a centre of excellence in ophthalmology, where we combine experience, compassion, expertis

International Specialist Eye Centre (ISEC) at Sibu Sarawak; Mid Valley City Kuala Lumpur; Penang Jalan Burmah; and Southern Specialist Eye Centre (SSEC), Malacca; are centers of excellence in ophthalmology, specifically in clinical care, teaching and research. We provide high quality, compassionate, world-class eyecare at an affordable costs to the local and regional community. ISEC provides a full range of tertiary specialty services, ranging from sophisticated laser eye surgery (LASIK), state-of-the-art cataract to the most complex vitreoretinal, orbital reconstruction and complex corneal transplantation surgeries. Our clinical decisions are made based on patient’s interests and contemporary evidence-based medicine. The clinical judgment of our team of subspecialty trained and comprehensive ophthalmologists are influenced by well established clinical guidelines and extensive experiences in the specialty

🥕 “Carrots, Eyes & the Myth of Superhuman Vision”Weekend fun fact- Dr Chua 22/11/2025We’ve all grown up hearing, “Eat mo...
21/11/2025

🥕 “Carrots, Eyes & the Myth of Superhuman Vision”
Weekend fun fact- Dr Chua 22/11/2025

We’ve all grown up hearing, “Eat more carrots, they’re good for your eyes!”
But how much of that is true… and how much is clever wartime storytelling? Let’s take a closer look — with proper ophthalmology, science, and a dash of history.

👁️ 1. Yes, carrots ARE good for the eyes — but don’t expect miracles

Carrots are packed with beta-carotene, which your body converts into vitamin A. This helps with:
• Keeping your cornea healthy and tear production
• Supporting your retina
• Forming rhodopsin, the pigment that lets you see in dim light

A severe vitamin A deficiency can lead to night blindness and dry eyes — conditions eye doctors still see in areas with poor nutrition.

But here’s the key point:
🟠 Your body only converts beta-carotene when needed, so you cannot overdose from eating carrots.

⚠️ 2. Carrots cannot cause vitamin A poisoning… but fish liver oil can

Vitamin A from animal sources, especially fish liver oil, comes as preformed vitamin A — and too much of it is toxic.

Excess can cause:
• Headache
• Liver injury
• Peeling skin
• Raised brain pressure (in severe cases)

Carrots, on the other hand, contain beta-carotene which your body regulates safely. So no — snacking on carrots will not poison you.

🟡 3. Carotenemia: When too many carrots turn your skin yellow

Eat a lot of carrots and your skin (especially palms and soles) may turn a yellow-orange colour. This harmless condition is called carotenemia.

It’s completely reversible — stop overloading on carrot juice and the colour fades within weeks.

💡 Important ophthalmologist note:
👉 Carotene does NOT stain the sclera or conjunctiva. So the white of the eye remains white. This is how we distinguish carotenemia from jaundice, where bilirubin does turn the sclera yellow.

This single point often reassures worried patients instantly.

🎯 4. No, carrots do NOT give you superhuman night vision

This is where British history becomes deliciously clever. During World War II, RAF pilots mysteriously became excellent at shooting down enemy planes at night.
The government explained it by saying:

“Our pilots eat lots of carrots — that’s why their night vision is superb.”

It made great headlines… but it wasn’t true.

📡 The real secret was newly developed airborne radar technology.
The carrot story was a smokescreen to protect military intelligence — and Germany believed it!

Thus, the myth of carrot-powered night vision was born.

👁️ 5. What do ophthalmologists really think?

Carrots contribute to healthy eyes, but they:
• ❌ Don’t give razor-sharp vision
• ❌ Don’t cure myopia
• ❌ Don’t reverse eye disease
• ❌ Don’t turn you into an RAF night-fighter ace

They do help you maintain enough vitamin A.
But proper eye care is far more than just diet , a regular eye check ensure your eyes are in good shape.

🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕 🥕

🥕 《红萝卜、眼睛与“超人夜视力”的迷思》

周末眼睛小常识-蔡鐘能眼科医生21/11/2025

从小我们常听到一句话:
“要眼睛好,就要多吃红萝卜!”
到底这句话有多少科学依据?又有多少是历史故事?今天,就让我们用眼科角度、科学知识,再加上一点英国战争史,来看看真相。

👁️ 1. 红萝卜确实对眼睛有好处——但别期待奇迹

红萝卜富含 β-胡萝卜素(beta-carotene),人体会把它转换成维生素 A,用来:
• 维持角膜健康
• 支持视网膜功能
• 形成 视紫质(rhodopsin) —— 让我们在昏暗中看得到东西

严重缺乏维生素 A 会导致夜盲症、眼睛干燥,甚至永久性损害。
这些情况在缺乏营养的地区至今仍然存在。

但重点是:
🟠 身体只会在需要时,才把 β-胡萝卜素转换成维生素 A。所以你吃再多红萝卜,也不会“维 A 中毒”。

⚠️ 2. 红萝卜不会造成维生素 A 中毒……但鱼肝油会

动物来源的维生素 A(尤其是鱼肝油)属于 预形成维生素 A(preformed Vitamin A),摄取过多会有毒性。

过量会导致:
• 头痛
• 肝脏受损
• 皮肤脱皮
• 严重者甚至颅内压升高

红萝卜里的 β-胡萝卜素却不会,因为身体会自动调节转换量。所以放心——吃红萝卜不会中毒。

🟡 3. 胡萝卜素血症:吃太多红萝卜皮肤会变黄

如果你每天把红萝卜当水喝,皮肤(特别是手掌、脚掌、鼻唇沟)可能出现黄橙色。
这种无害的情况叫 胡萝卜素血症(carotenemia)。停止过量吃红萝卜后,几周内就会恢复正常。

💡 眼科医生最重要的提醒:
👉 胡萝卜素不会把结膜或巩膜染黄。
也就是说:
眼白依然是白色的。

这也是我们分辨它和 黄疸(jaundice) 的关键之一,因为黄疸会把眼白染成黄色。很多病人听到这里就放心了。

🎯 4. 红萝卜能让你变成“夜视超人”吗?

这里就有趣了。第二次世界大战期间,英国皇家空军(RAF)夜间击落德军飞机的成绩突然大幅提升。英国官方解释说:

“我们的飞行员吃很多红萝卜,所以夜视力特别好。”

听起来很英雄——但其实是 战争宣传。

真正的秘密是:
📡 英国刚刚研发出机载雷达系统。
为了保密,就用“红萝卜提升夜视力”来掩盖科技突破。

德国人真的相信了,还鼓励人民多吃红萝卜!这就是“红萝卜夜视力”的经典神话。

👁️ 5. 医生真正的看法

红萝卜对眼睛有益,但它:
• ❌ 不会让视力变 20/20
• ❌ 不会治好近视
• ❌ 不会逆转眼疾
• ❌ 不会让你变成 RAF 夜战王牌
@
它能做的,就是协助维持足够的维生素 A。
但真正的眼睛保健远不止吃菜。想要真的保护好眼睛, 定期眼睛检查是明智的选择。

#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 #红萝卜 #🥕

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 🌹

A satisfying weekend 🌼
16/11/2025

A satisfying weekend 🌼

Sarawak Eye Specialists - Prof Dr Chua Chung Nen - 马来西亚眼科医生 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗶𝗻 𝗜𝗦𝗘𝗖 𝗦𝗶𝗯𝘂 𝗮𝘁 𝟐𝟎𝐭𝐡 (𝐓𝐡𝐮𝐫𝐬𝐝𝐚𝐲) & 𝟐𝟑𝐫𝐝 (𝐒𝐮𝐧𝐝𝐚𝐲) 𝐍𝐨𝐯𝐞...
16/11/2025

Sarawak Eye Specialists - Prof Dr Chua Chung Nen - 马来西亚眼科医生 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗶𝗻 𝗜𝗦𝗘𝗖 𝗦𝗶𝗯𝘂 𝗮𝘁 𝟐𝟎𝐭𝐡 (𝐓𝐡𝐮𝐫𝐬𝐝𝐚𝐲) & 𝟐𝟑𝐫𝐝 (𝐒𝐮𝐧𝐝𝐚𝐲) 𝐍𝐨𝐯𝐞𝐦𝐛𝐞𝐫 𝟐𝟎𝟐𝟓 𝗳𝗼𝗿 𝘁𝗵𝗲 𝗰𝗼𝗺𝗶𝗻𝗴 𝘄𝗲𝗲𝗸!
𝗣𝗹𝗲𝗮𝘀𝗲 𝘀𝗲𝗻𝗱 𝘂𝘀 𝗮 𝗺𝗲𝘀𝘀𝗮𝗴𝗲 𝗼𝗿 𝗰𝗼𝗻𝘁𝗮𝗰𝘁 𝘂𝘀 𝗳𝗼𝗿 𝗺𝗼𝗿𝗲 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻!

#𝐢𝐬𝐞𝐜𝐬𝐢𝐛𝐮 #诗巫眼科中心 #𝐩𝐫𝐨𝐟𝐝𝐫𝐜𝐡𝐮𝐚𝐜𝐡𝐮𝐧𝐠𝐧𝐞𝐧 #𝐞𝐲𝐞𝐥𝐢𝐝𝐬𝐮𝐫𝐠𝐞𝐫𝐲 #𝐜𝐚𝐭𝐚𝐫𝐚𝐜𝐭𝐬𝐮𝐫𝐠𝐞𝐫𝐲 #𝐞𝐲𝐞𝐛𝐚𝐠𝐬 #𝐩𝐭𝐨𝐬𝐢𝐬𝐜𝐨𝐫𝐫𝐞𝐜𝐭𝐢𝐨𝐧

“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 🍀

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96000

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