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 17,000 cataracts and over 7,000 eyelid surgery.

📢 Clinic NoticeISEC Kuching and ISEC Sibu will be closed for one day tomorrow, 16 September 2026, in conjunction with Ma...
15/09/2026

📢 Clinic Notice

ISEC Kuching and ISEC Sibu will be closed for one day tomorrow, 16 September 2026, in conjunction with Malaysia Day.
Both centres will resume normal operations on 17 September 2026.

Wishing everyone a very Happy Malaysia Day! 🇲🇾

📢 诊所通告

配合马来西亚日,ISEC古晋与ISEC诗巫将于明天,即 2026年9月16日(星期三),休诊一天。两家眼科中心将于 9月17日 恢复正常营业。

祝大家 马来西亚日快乐! 🇲🇾

A cool Monday filled with ptosis and cataract surgery, made even sweeter by a lovely box of mooncakes. 🥮👁️✨
14/09/2026

A cool Monday filled with ptosis and cataract surgery, made even sweeter by a lovely box of mooncakes. 🥮👁️✨

📢 𝙉𝙚𝙚𝙙 𝙖 𝙘𝙤𝙣𝙨𝙪𝙡𝙩𝙖𝙩𝙞𝙤𝙣 𝙙𝙪𝙧𝙞𝙣𝙜 𝙩𝙝𝙚 𝙝𝙤𝙡𝙞𝙙𝙖𝙮 𝙗𝙧𝙚𝙖𝙠? 𝙋𝙧𝙤𝙛. 𝘿𝙧. 𝘾𝙝𝙪𝙖 𝙬𝙞𝙡𝙡 𝙗𝙚 𝙖𝙫𝙖𝙞𝙡𝙖𝙗𝙡𝙚 𝙖𝙩 𝙎𝙚𝙡𝙚𝙨𝙖 𝙋𝙖𝙘𝙞𝙛𝙞𝙘 𝙃𝙤𝙨𝙥𝙞𝙩𝙖𝙡 𝙩𝙝𝙞𝙨 𝙈𝙖𝙡𝙖𝙮𝙨𝙞...
13/09/2026

📢 𝙉𝙚𝙚𝙙 𝙖 𝙘𝙤𝙣𝙨𝙪𝙡𝙩𝙖𝙩𝙞𝙤𝙣 𝙙𝙪𝙧𝙞𝙣𝙜 𝙩𝙝𝙚 𝙝𝙤𝙡𝙞𝙙𝙖𝙮 𝙗𝙧𝙚𝙖𝙠? 𝙋𝙧𝙤𝙛. 𝘿𝙧. 𝘾𝙝𝙪𝙖 𝙬𝙞𝙡𝙡 𝙗𝙚 𝙖𝙫𝙖𝙞𝙡𝙖𝙗𝙡𝙚 𝙖𝙩 𝙎𝙚𝙡𝙚𝙨𝙖 𝙋𝙖𝙘𝙞𝙛𝙞𝙘 𝙃𝙤𝙨𝙥𝙞𝙩𝙖𝙡 𝙩𝙝𝙞𝙨 𝙈𝙖𝙡𝙖𝙮𝙨𝙞𝙖 𝘿𝙖𝙮 (𝙎𝙚𝙥𝙩𝙚𝙢𝙗𝙚𝙧 𝟭𝟲).

𝐏𝐫𝐨𝐟. 𝐃𝐫. 𝐂𝐡𝐮𝐚’𝐬 𝐒𝐜𝐡𝐞𝐝𝐮𝐥𝐞 | 蔡医生本周门诊时间表 📅
𝟏𝟒𝐭𝐡 - 𝟐𝟎𝐭𝐡 𝐒𝐞𝐩𝐭𝐞𝐦𝐛𝐞𝐫 𝟐𝟎𝟐𝟔
► 𝐊𝐮𝐜𝐡𝐢𝐧𝐠 (古晋): ISEC Kuching - International Specialist Eye Centre Kuching - 古晋眼科专科中心
► 𝐒𝐢𝐛𝐮 (诗巫): ISEC Sibu - International Specialist Eye Centre Sibu
► 𝐌𝐢𝐫𝐢 (美里): Selesa Pacific Hospital (Miri)
𝐇𝐞𝐚𝐝𝐢𝐧𝐠 𝐨𝐮𝐫 𝐰𝐚𝐲? 𝐏𝐥𝐞𝐚𝐬𝐞 𝐦𝐞𝐬𝐬𝐚𝐠𝐞 𝐮𝐬 𝐭𝐨 𝐜𝐨𝐧𝐟𝐢𝐫𝐦 𝐲𝐨𝐮𝐫 𝐯𝐢𝐬𝐢𝐭. 𝐓𝐡𝐚𝐧𝐤 𝐲𝐨𝐮!

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

A fruitful weekend 🍒🍓
13/09/2026

A fruitful weekend 🍒🍓

🎶”Music When Great Composers Lost Their Sight” 👁️👂From Light into Darkness: How Three Great Composers Lost Their Sight- ...
11/09/2026

🎶”Music When Great Composers Lost Their Sight” 👁️👂
From Light into Darkness: How Three Great Composers Lost Their Sight
- Dr Chua 12/9/2026

For a composer, which matters more — hearing or sight?

Most of us know Beethoven’s story. As his hearing faded, he continued to compose extraordinary music by drawing on memory, imagination and his ability to “hear” an entire orchestra in his mind.

But sight mattered too. A composer needed to read scores, write thousands of notes by hand, conduct musicians and perform before an audience. For Bach, Handel and Liszt, failing eyesight became a serious obstacle — and in Bach’s case, the treatment may have been worse than the disease.

🎼 Johann Sebastian Bach
🎧 Listen: https://www.youtube.com/watch?v=YS7wXbMFE2I

By the end of the 1740s, Bach’s eyesight had deteriorated badly, most likely because of cataracts. In 1750, he placed his trust in a travelling English eye surgeon named John Taylor.

Taylor operated on Bach twice within a matter of weeks. The procedure was probably “couching”: a needle was inserted into the eye to push the cloudy lens away from the pupil. The cataract was not actually removed, and even when the operation appeared successful, infection, inflammation, glaucoma and retinal damage were common.

There was no modern anaesthesia, no antisepsis, no operating microscope and no artificial lens to restore the eye’s focusing power. Treatment afterwards could include bloodletting, purgatives and unusual eye preparations.

The operations failed, and Bach was left blind. He suffered a stroke and died only a few months later. We cannot say with certainty that the surgery caused his death, but contemporary reports blamed the “unhappy consequences” of the operation.

🎼 George Frideric Handel
🎧 Listen: https://www.youtube.com/watch?v=1h4mAceHmrI

Handel began losing the sight in his left eye while composing his final oratorio, Jephtha. In the original score, he stopped writing beside the words “How dark, O Lord, are Thy decrees” and added a note explaining that he could not continue because the sight in his left eye had weakened.

It is one of the most moving coincidences in musical history: a composer writing about darkness as his own world was becoming dark.

Handel underwent unsuccessful eye operations and eventually became blind. John Taylor later claimed to have treated him, although historians still debate exactly who performed each operation.

Blindness did not silence Handel. He continued attending performances and could still play the organ with assistance, relying on memory and improvisation. Shortly before his death in 1759, he attended a performance of his beloved Messiah.

🎼 Franz Liszt
🎧 Listen: https://m.youtube.com/watch?v=qiJcXAuOMNU&list=RDqiJcXAuOMNU&start_radio=1&ra=m

More than a century later, Franz Liszt also developed cataracts. His failing sight made reading and writing music increasingly difficult, and he sometimes needed help walking onto the stage.

Fortunately, eye surgery had advanced greatly since Bach’s time. Liszt was examined by the respected German ophthalmologist Alfred Graefe, and cataract surgery was planned for September 1886.

Liszt, however, was uneasy about the operation. In the end, he never had to face it: he died in July 1886, just weeks before the planned surgery.

👁️ The flamboyant “Chevalier” John Taylor

John Taylor was no ordinary doctor. He travelled across Europe in a grand carriage decorated with paintings of eyes, delivered theatrical speeches and gave himself impressive titles. He treated royalty, aristocrats and famous musicians — and was exceptionally skilled at advertising himself.

His confidence, however, often exceeded his results. He claimed success even when patients were left blind and sometimes moved on before the bandages were removed. His treatments reportedly included bloodletting, laxatives and eye drops made from ingredients such as powdered sugar, baked salt and even pigeon’s blood.

The writer Samuel Johnson summed him up rather neatly as an example of how far “impudence may carry ignorance”.

In a final twist worthy of a novel, some accounts say that Taylor himself became blind towards the end of his life.

Today, cataract surgery is one of the most frequently performed and successful operations in medicine. The cloudy natural lens is removed through a tiny incision and replaced with a clear artificial lens — usually allowing the patient to return home on the same day.

One cannot help wondering: if Bach, Handel and Liszt had enjoyed the benefits of modern eye care, how many more masterpieces might they have left us?

👇 For a musician, which would be harder to lose — hearing or sight?

🎶🎼🎵🎶🎵🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼🎶🎵🎼

🎶 《当伟大作曲家逐渐失去光明 》👁️👂
从光明走入黑暗:三位音乐大师的眼睛故事
蔡鐘能医生 12/9/2026

对一位作曲家来说,听觉和视力,哪一样更重要?

大家都熟悉贝多芬的故事。尽管听力不断衰退,他依然凭着深厚的音乐记忆、丰富的想象力,以及在脑海中“听见”整支乐团的能力,创作出许多传世名曲。

然而,视力对作曲家同样重要。他们需要阅读乐谱、亲手写下成千上万个音符、指挥乐团,并在观众面前演奏。

对巴赫、亨德尔和李斯特来说,视力衰退严重影响了他们的音乐生涯。而巴赫的遭遇尤其不幸——医治他的办法,可能比眼病本身更可怕。

🎼 约翰·塞巴斯蒂安·巴赫(Johann Sebastian Bach)
🎧 聆听:https://www.youtube.com/watch?v=YS7wXbMFE2I

到了1740年代末,巴赫的视力已经严重衰退,最可能的原因是白内障。1750年,他把双眼交给了一位从英国远道而来的巡回眼医——约翰·泰勒(John Taylor)。

短短几个星期内,泰勒替巴赫动了两次手术。当时采用的很可能是古老的“白内障针拨术”:医生把针刺入眼内,将混浊的晶状体推离瞳孔范围,而不是真正将白内障取出。

即使手术一度看似成功,病人仍可能因为感染、严重发炎、青光眼或视网膜损伤而失明。

那个年代没有现代麻醉、无菌技术、手术显微镜,也没有人工晶体。术后的所谓“治疗”,还可能包括放血、服用泻药,以及使用成分古怪的眼药。

巴赫的手术最终失败,他完全失明,几个月后又中风去世。我们无法肯定手术是否直接导致他的死亡,但当时的报道将他的死归咎于手术所带来的“不幸后果”。

🎼 乔治·弗里德里希·亨德尔(George Frideric Handel)
🎧 聆听:https://www.youtube.com/watch?v=1h4mAceHmrI

亨德尔在创作最后一部神剧《耶弗他》(Jephtha)时,左眼视力开始严重下降。

在原稿中,他写到“主啊,您的旨意何等幽暗”这句歌词时停了下来,并在旁边注明:因为左眼视力变弱,他已经无法继续写下去。

这成为音乐史上令人心酸的巧合——当亨德尔写着有关“黑暗”的音乐时,他自己的世界也正逐渐陷入黑暗。

亨德尔后来接受了几次眼睛手术,可惜都没有成功,最终失明。约翰·泰勒后来声称自己曾替亨德尔治疗,不过历史学家至今仍在争论,他究竟参与了哪一次手术。

失明并没有让亨德尔与音乐告别。他仍然出席演出,并在别人的协助下弹奏风琴,主要依靠记忆与即兴演奏。

1759年去世前不久,他还亲自出席了自己最著名的作品《弥赛亚》(Messiah)的演出。

🎼 弗朗茨·李斯特(Franz Liszt)
🎧 聆听:https://m.youtube.com/watch?v=qiJcXAuOMNU

一个多世纪后,李斯特晚年也患上白内障。随着视力不断下降,他阅读乐谱和写作音乐越来越困难,有时甚至需要别人搀扶才能走上舞台。

幸运的是,当时的眼科手术已经比巴赫的年代进步许多。李斯特曾接受德国著名眼科医生阿尔弗雷德·格雷费(Alfred Graefe)的检查,并安排在1886年9月接受白内障手术。

不过,李斯特始终对手术感到不安。最后,他没有等到手术那一天,便于1886年7月去世了。

👁️ 华丽登场的“骑士眼医”约翰·泰勒

约翰·泰勒绝不是一位低调的医生。

他坐着一辆画满眼睛图案的豪华马车周游欧洲,每到一个地方都会发表充满戏剧性的演说,还为自己冠上许多听起来非常显赫的头衔。

他曾替皇室成员、贵族和著名音乐家看病。若论宣传自己的本领,他可能比行医更加出色。

可惜,他的自信往往远远超过医术。据说,即使病人手术后失明,他仍会宣布手术成功;有时,他甚至会在病人拆开眼罩之前便离开当地。

他的疗法包括放血、泻药,以及用糖粉、烤盐,甚至鸽子血制成的所谓眼药。

英国作家塞缪尔·约翰逊(Samuel Johnson)曾讽刺他的一生,证明了“无知只要配上厚脸皮,也能走得很远”。

更具讽刺意味的是,有历史记载指出,这位一生替别人治疗眼睛的医生,晚年也可能失去了视力。

今天,白内障手术已经成为医学上最普遍、成功率也很高的手术之一。眼科医生只需通过一个微小切口,取出混浊的晶状体,再植入清晰的人工晶体。大多数病人在手术当天便可以回家。

我们不禁会想:如果巴赫、亨德尔和李斯特当年能够获得现代眼科治疗,他们是否会为后世留下更多伟大的作品?

👇 对一位音乐家来说,失去听觉与失去视力,哪一样更难以承受?

#音乐 #古典音乐 #伟大作曲家 #巴赫 #亨德尔 #李斯特 #贝多芬 #白内障 #白内障手术 #失明 #视力衰退 #眼睛健康 #眼科知识 #眼科历史 #医学历史 #蔡钟能眼科医生

🍀 This 22-year-old marketing graduate was born with naturally puffy upper eyelids caused by excess fatty tissue, togethe...
11/09/2026

🍀 This 22-year-old marketing graduate was born with naturally puffy upper eyelids caused by excess fatty tissue, together with a mild degree of ptosis. Although perfectly alert and enthusiastic, his heavy eyelids often gave him a sleepy or uninterested appearance—something he became increasingly conscious of when meeting customers.

Surgery was performed to remove the excess fat and gently lift the upper eyelids, while preserving a natural appearance. Afterwards, his eyes looked brighter and more alert, and his whole face appeared fresher and more approachable.

Interestingly, he later remarked that customers seemed to respond to him more positively—and that his popularity had improved too.

Sometimes a small change around the eyes can make a surprisingly big difference to the impression we give to others.

🍀 这位22岁的市场营销系毕业生,天生上眼皮比较浮肿,主要是因为眼皮内的脂肪组织较多,同时还伴有轻微的眼睑下垂(ptosis)。

虽然他其实精神很好、工作也很积极,但厚重下垂的眼皮,却常常让他看起来好像很疲倦、没睡醒,甚至给顾客一种“不太感兴趣”的感觉。开始从事需要经常与顾客面对面交流的工作后,他也越来越在意这个问题。

手术通过去除部分多余的脂肪,同时适当地提升上眼睑,并尽量保留自然的眼型。手术后,他的双眼看起来更明亮、更有精神,整张脸也显得清爽、亲切许多。

有趣的是,他后来告诉我,顾客似乎也更愿意与他交流,而他觉得自己的人缘也跟着变好了。

有时候,眼睛周围一个小小的改变,不只是让人看起来更有精神,也可能改变别人对我们的第一印象。

#眼睑下垂 #上眼睑下垂 #眼皮下垂 #浮肿眼皮 #肿眼泡 #厚眼皮 #眼皮脂肪 #眼睑手术 #眼皮手术 #眼睑下垂手术 #提眼睑手术 #眼整形 #眼整形手术 #眼科 #眼科医生 #眼科手术 #自然效果 #明亮双眼 #精神面貌 #第一印象 #蔡鐘能眼科医生

A good Thursday for giving sight 👁️
10/09/2026

A good Thursday for giving sight 👁️

👁️ “Why Can’t My Ophthalmologist Just Remove My Cataract?”  -Dr Chua  It is a very reasonable question. A cataract is on...
09/09/2026

👁️ “Why Can’t My Ophthalmologist Just Remove My Cataract?” -Dr Chua

It is a very reasonable question. A cataract is one of the commonest causes of blurred vision, and cataract surgery can often restore excellent sight. But a cataract may not be the only reason your vision is poor.

Before recommending surgery, your ophthalmologist needs to examine the **retina and especially the macula** — the small, highly specialised area at the back of the eye responsible for our sharp central vision.

👀Why is this important?

Because other eye diseases can cause blurred or distorted vision at the same time as a cataract. Examples include the conditions shown in these photographs:

🍀Macular hole — a small defect in the centre of the macula that can significantly affect central vision.

🍀 Retinal vein occlusion — blockage of a retinal vein, which can cause bleeding and swelling of the macula.

🍀 Age-related macular degeneration (AMD)
— damage to the macula that can reduce central vision.

🍀 Diabetic retinopathy— diabetes can damage retinal blood vessels and cause bleeding, leakage and macular swelling.

This is why your ophthalmologist may dilate your pupils, examine the back of the eye and sometimes perform an **OCT scan of the macula** before cataract surgery.

👀The important message

**Removing a cataract clears the cloudy lens, but it cannot repair a damaged retina or macula.**

If significant macular disease is already present, cataract surgery may still be worthwhile, but **the vision may not improve as much as expected from cataract surgery alone**. In some cases, the retinal condition needs treatment as well.

So all those examinations and tests are not unnecessary delays. They help your ophthalmologist answer one of the most important questions before surgery:

“If I remove this cataract, how much improvent in vision can this patient realistically expect?”

A good cataract assessment is therefore not simply about looking at the cataract. **It is about making sure the rest of the eye is capable of seeing well once the cataract is removed.

#白内障 #白内障手术 #视力模糊 #眼睛健康 #视网膜 #黄斑部 #黄斑裂孔 #视网膜静脉阻塞 #老年性黄斑病变 #糖尿病视网膜病变 #眼底检查

👁️《为什么眼科医生不能直接帮我做白内障手术?》 - 蔡鐘能眼科医生这是一个很多病人都会问,而且非常合理的问题。白内障是造成视力模糊最常见的原因之一,而白内障手术往往可以让视力得到很好的改善。但是,有白内障,并不代表视力不好一定只是白内障造...
09/09/2026

👁️《为什么眼科医生不能直接帮我做白内障手术?》 - 蔡鐘能眼科医生

这是一个很多病人都会问,而且非常合理的问题。

白内障是造成视力模糊最常见的原因之一,而白内障手术往往可以让视力得到很好的改善。但是,有白内障,并不代表视力不好一定只是白内障造成的。

在决定是否进行白内障手术之前,眼科医生通常需要仔细检查您的视网膜,尤其是黄斑部(macula)。

黄斑部位于眼睛后方,是视网膜最重要的区域之一,负责我们看东西时最清楚、最精细的中央视力,例如阅读、看手机和辨认人脸。

为什么一定要检查眼底?

因为除了白内障之外,还有很多眼底疾病也会造成视力模糊或影像变形。

照片中就是几个常见的例子:

🍀黄斑裂孔(Macular Hole)
黄斑中央出现一个小裂孔,可以明显影响中央视力。

🍀视网膜静脉阻塞(Retinal Vein Occlusion)
视网膜的静脉发生阻塞,可能造成眼底出血及黄斑水肿,从而影响视力。

🍀老年性黄斑病变(Age-related Macular Degeneration, AMD)
随着年龄增长,黄斑部出现退化或病变,可能导致中央视力下降。

🍀糖尿病视网膜病变(Diabetic Retinopathy)
糖尿病会损害视网膜的微小血管,造成出血、渗漏及黄斑水肿,严重时可明显影响视力。

因此,在白内障手术之前,眼科医生可能会为您散瞳、详细检查眼底,有时候还需要进行黄斑OCT扫描。

👁️ 最重要的一点

白内障手术可以把混浊的晶状体拿掉,却不能修复已经受损的视网膜或黄斑部。

如果病人除了白内障,同时还有明显的黄斑或视网膜疾病,白内障手术可能仍然值得进行,但是手术后的视力改善程度,可能没有原本预期的那么好。

有些病人甚至需要先处理视网膜或黄斑的问题,再考虑白内障手术。

所以,手术前做的这些检查并不是多余,也不是故意拖延手术。

这些检查其实是在帮助眼科医生回答一个非常重要的问题:

「如果我把这个白内障拿掉,病人的视力实际上能够改善多少?」

因此,一次完整的白内障评估,不只是检查白内障本身,更重要的是确认眼睛的其他部分,尤其是视网膜和黄斑部,在白内障拿掉以后是否还有足够的能力看得清楚。

白内障手术的目标,不只是把白内障拿掉,而是尽可能让病人真正看得更好。

#白内障 #白内障手术 #视力模糊 #眼睛健康 #视网膜 #黄斑部 #黄斑裂孔 #视网膜静脉阻塞 #老年性黄斑病变 #糖尿病视网膜病变 #眼底检查

Ptosis cataract for a cool Tuesday afternoon 🌧️and thanks for the mooncakes 🥮
08/09/2026

Ptosis cataract for a cool Tuesday afternoon 🌧️and thanks for the mooncakes 🥮

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