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Professor Mark Elder - Ophthalmologist

Private Service, Ophthalmology

Today

7:30 AM to 5:00 PM.

Description

Professor Mark Elder is in private practice in Holly Road in Saint Albans. He was recently the Clinical Director of the Ophthalmology Department at Christchurch Hospital. He has just stepped down as the Chief Inspector of Hospital Posts for the Royal Australian and New Zealand College of Ophthalmologists. He was recently also the Chair of the College Board of Pathology.
 
 
What is Ophthalmology?
Ophthalmology is the branch of specialist medicine that is focused on the health of eyes and their surrounding tissues, including muscles, bones, eyelids, and tear production/drainage systems. Your eye is the organ of vision and consists of the cornea (the outer clear layer), the sclera (the white of the eye), the iris (the coloured part), the lens (lies behind the iris) and the retina (the light-sensitive lining at the back of the eye). Your eyes ‘see’ by focusing light that enters the eye onto the retina which sends the image to the brain by the optic nerve.
 
 
Ophthalmologists are doctors who are trained in the study of eyes. Most will be trained in eye surgery, and may have particular areas of interest or expertise.
 

Consultants

Referral Expectations

We are happy to accept self referred patients. A list of medications is nice to have plus any other medical details and scan results that seem appropriate.

Fees and Charges Description

New patient fees start at $233 and follow up visits start at $130. 

Hours

7:30 AM to 5:00 PM.

Mon – Fri 7:30 AM – 5:00 PM

Please ring or fax for an appointment.

Clinic appointments range from an 07:30am start through to 5pm. Other times can sometimes be accommodated by phoning and asking. 

Common Conditions

Refractive Error: short-sightedness (myopia), long-sightedness (hyperopia) and astigmatism

These conditions cause distance blur. In myopia, the eye has a resting focus at a near distance so that people will be able to see objects clearly at some point close to them, whilst the distance is blurry. Hyperopia also causes distance blur but often does not become noticeable until the eye loses its ability to change focus, frequently in middle age. The loss of focus for near distance (presbyopia or “aged sight”) is also related to a decreased ability to change focus but only affects reading. Astigmatism causes an image to be blurry at all distances, but does not affect clarity of images unless it is severe. An optometrist or ophthalmologist can test for these conditions. Treatment is usually glasses or contact lenses which are only obtainable through an optometrist or dispensing optician. Laser surgery and other corrective surgical techniques can also be used to change the focus of the eye to give clarity of sight in suitable patients.

These conditions cause distance blur. In myopia, the eye has a resting focus at a near distance so that people will be able to see objects clearly at some point close to them, whilst the distance is blurry. Hyperopia also causes distance blur but often does not become noticeable until the eye loses its ability to change focus, frequently in middle age. The loss of focus for near distance (presbyopia or “aged sight”) is also related to a decreased ability to change focus but only affects reading. Astigmatism causes an image to be blurry at all distances, but does not affect clarity of images unless it is severe. An optometrist or ophthalmologist can test for these conditions. Treatment is usually glasses or contact lenses which are only obtainable through an optometrist or dispensing optician.  Laser surgery and other corrective surgical techniques can also be used to change the focus of the eye to give clarity of sight in suitable patients.

Cataracts

Cataracts are the most common age-related occurrence in eyes. The lens becomes thicker and stiffer and appears yellow and cloudy. Eventually it may turn white, changing the colour of the pupil. A cataract may cause your vision to become fuzzy in a progressive fashion and may also be the cause of disabling glare. Once a cataract affects vision too much, a cataract removal operation is generally advised. This decision is usually made in consultation with an eye specialist. The operation is almost always done under local anaesthetic. Once the cataract has been removed an artificial lens is put in to replace it. It is relatively short in duration and an overnight stay in hospital is not required. Post-operative care consists of eye drops and a check at 1-2 days then after 2-4 weeks.

Cataracts are the most common age-related occurrence in eyes. The lens becomes thicker and stiffer and appears yellow and cloudy. Eventually it may turn white, changing the colour of the pupil. A cataract may cause your vision to become fuzzy in a progressive fashion and may also be the cause of disabling glare.
Once a cataract affects vision too much, a cataract removal operation is generally advised.  This decision is usually made in consultation with an eye specialist. The operation is almost always done under local anaesthetic. Once the cataract has been removed an artificial lens is put in to replace it. It is relatively short in duration and an overnight stay in hospital is not required.  Post-operative care consists of eye drops and a check at 1-2 days then after 2-4 weeks.
Squints (strabismus)

A weakness in one or more of the muscles of the eye will cause the eye to turn or move away from the normal focusing position. This is commonly known as a squint. A squint can be corrected by surgery, or by using glasses. Rarely, children may grow out of a squint. Surgical correction of squint usually involves a general anaesthetic. In the procedure, the muscles involved are repositioned to correct the alignment. It is important to recognise and treat a squint as, if left uncorrected, it can result in permanent impairment of vision.

A weakness in one or more of the muscles of the eye will cause the eye to turn or move away from the normal focusing position.  This is commonly known as a squint. A squint can be corrected by surgery, or by using glasses.  Rarely, children may grow out of a squint. Surgical correction of squint usually involves a general anaesthetic. In the procedure, the muscles involved are repositioned to correct the alignment.  It is important to recognise and treat a squint as, if left uncorrected, it can result in permanent impairment of vision.
Glaucoma

Glaucoma is a group of diseases that can damage the eye’s optic nerve and may result in vision loss and blindness. Multiple factors are often important in causing glaucoma, but it is most commonly related to in an increase in pressure in the eye. Symptoms are generally absent until the condition has progressed to an advanced stage. Very occasionally, a rarer form of glaucoma can develop suddenly and symptoms may then include: headaches and aches around the affected eye, seeing halos around lights, sensitivity to light, blurred vision, nausea and vomiting. You may be more likely to develop glaucoma if you: have someone else in your family with glaucoma already have high pressure in your eye have experienced injury to your eye have or have had certain other eye problems have migraine or circulation problems. Glaucoma is more common in people over 50 years of age and more common in women than men. Diagnosis usually comes after consultation with an eye doctor. Signs of glaucoma may also be picked up at an optometrist’s eye examination. The following tests are used to diagnose and monitor glaucoma: Tonometry – measures eye pressure. It is often the first screening test for glaucoma. The eyes are numbed with eye drops and then examined. Dilated eye exam - this is done with an ophthalmoscope (which is a medical instrument that allows the doctor to look through the pupil to the back of the eye).The retina and optic nerve are then examined for any sign of damage. Visual acuity test – test to check distance vision using an eye chart. Visual field test – test to measure side (peripheral) vision. Pachymetry – test to measure the thickness of the cornea. Many other new techniques are emerging to help identify the likelihood of glaucoma and help determine its rate of worsening. Although glaucoma cannot be cured, early treatment can prevent further worsening of the condition and vision loss. Regular eye examinations will need to be continued life-long. Eye drops to decrease eye pressure are the most common early treatment. Surgery may be required, especially if medications are not taking adequate effect. Laser trabeculoplasty, in which a surgeon uses a laser to help the fluid drain from the eye, may be considered in some cases, but has limited effectiveness. More commonly, a trabeculectomy may be performed when other methods have failed to adequately control pressure. This is a medium length operation that makes a new opening for fluid to drain from the eye.

Glaucoma is a group of diseases that can damage the eye’s optic nerve and may result in vision loss and blindness. Multiple factors are often important in causing glaucoma, but it is most commonly related to in an increase in pressure in the eye. Symptoms are generally absent until the condition has progressed to an advanced stage.  Very occasionally, a rarer form of glaucoma can develop suddenly and symptoms may then include: headaches and aches around the affected eye, seeing halos around lights, sensitivity to light, blurred vision, nausea and vomiting.
You may be more likely to develop glaucoma if you:
  • have someone else in your family with glaucoma
  • already have high pressure in your eye
  • have experienced injury to your eye
  • have or have had certain other eye problems
  • have migraine or circulation problems.
 
Glaucoma is more common in people over 50 years of age and more common in women than men. Diagnosis usually comes after consultation with an eye doctor. Signs of glaucoma may also be picked up at an optometrist’s eye examination.
The following tests are used to diagnose and monitor glaucoma:
  • Tonometry – measures eye pressure.  It is often the first screening test for glaucoma. The eyes are numbed with eye drops and then examined. 
  • Dilated eye exam - this is done with an ophthalmoscope (which is a medical instrument that allows the doctor to look through the pupil to the back of the eye).The retina and optic nerve are then examined for any sign of damage. 
  • Visual acuity test – test to check distance vision using an eye chart.
  • Visual field test – test to measure side (peripheral) vision. 
  • Pachymetry – test to measure the thickness of the cornea.
 
Many other new techniques are emerging to help identify the likelihood of glaucoma and help determine its rate of worsening. Although glaucoma cannot be cured, early treatment can prevent further worsening of the condition and vision loss. Regular eye examinations will need to be continued life-long. 
Eye drops to decrease eye pressure are the most common early treatment.  Surgery may be required, especially if medications are not taking adequate effect. 
Laser trabeculoplasty, in which a surgeon uses a laser to help the fluid drain from the eye, may be considered in some cases, but has limited effectiveness.
More commonly, a trabeculectomy may be performed when other methods have failed to adequately control pressure. This is a medium length operation that makes a new opening for fluid to drain from the eye.
Diabetic Retinopathy

This is a complication of diabetes and is caused by small blood vessel damage within the retina of the eye. It commonly affects both eyes and may cause permanent loss of vision. Macular oedema is sometimes also present with diabetic retinopathy. Macular oedema is when fluid leaks into the retina and causes swelling and blurred vision. This may occur at any stage of diabetic retinopathy, but is more common as the disease progresses. There are often no symptoms in the early stages but as the condition progresses vision may begin to become impaired. Often visual loss may be sudden and without warning. This is why it is imperative that at-risk diabetics have frequent eye checks. Poorly controlled diabetes and pregnancy in diabetes are risk factors for developing this condition. Often, first-stage diabetic retinopathy requires no active treatment on the eye but requires stabilisation of diabetes and regular eye examinations. With progressive retinopathy, a laser treatment called the PRP laser can be used. This works by shrinking enlarged blood vessels to prevent further bleeding into the retina. Severe bleeding may require a surgical procedure called a vitrectomy, where blood is surgically removed from the eye. Treatment of macular oedema, if present, is by focal laser treatment. Vision is stabilised by reducing the degree of fluid leakage into the retina. Often more than one treatment is required.

This is a complication of diabetes and is caused by small blood vessel damage within the retina of the eye.  It commonly affects both eyes and may cause permanent loss of vision.  Macular oedema is sometimes also present with diabetic retinopathy.  Macular oedema is when fluid leaks into the retina and causes swelling and blurred vision.  This may occur at any stage of diabetic retinopathy, but is more common as the disease progresses. There are often no symptoms in the early stages but as the condition progresses vision may begin to become impaired.  Often visual loss may be sudden and without warning. This is why it is imperative that at-risk diabetics have frequent eye checks. Poorly controlled diabetes and pregnancy in diabetes are risk factors for developing this condition.
Often, first-stage diabetic retinopathy requires no active treatment on the eye but requires stabilisation of diabetes and regular eye examinations. With progressive retinopathy, a laser treatment called the PRP laser can be used. This works by shrinking enlarged blood vessels to prevent further bleeding into the retina. Severe bleeding may require a surgical procedure called a vitrectomy, where blood is surgically removed from the eye.
Treatment of macular oedema, if present, is by focal laser treatment. Vision is stabilised by reducing the degree of fluid leakage into the retina.  Often more than one treatment is required.
Retinal Detachment

This is when the retina detaches, meaning it is lifted or separated from its normal position within the eye. An acute retinal detachment requires urgent assessment and appropriate treatment. Unless prompt and effective treatment is given, some forms of retinal detachment may lead to irreversible blindness. Signs and symptoms include: a sudden or gradual increase in floaters, deterioration in vision, cobwebs or specks with the visual field, light flashes in the eye or the appearance of curtains over the visual field. You are more likely to have a retinal detachment if you are very short-sighted or have had an injury or previous surgery to the eye. For minor detachments, a laser or freeze treatment (cryopexy) are used. Both therapies re-attach the retina. For major detachment, surgery will be necessary. A band is often put around the back of the eye to prevent further detachment. Surgical treatment is usually a vitrectomy, where the jelly (vitreous) is removed from the eye. This often involves a hospital stay. It can take several months post-surgery to see the final visual result.

This is when the retina detaches, meaning it is lifted or separated from its normal position within the eye. An acute retinal detachment requires urgent assessment and appropriate treatment. Unless prompt and effective treatment is given, some forms of retinal detachment may lead to irreversible blindness.
Signs and symptoms include: a sudden or gradual increase in floaters, deterioration in vision, cobwebs or specks with the visual field, light flashes in the eye or the appearance of curtains over the visual field. You are more likely to have a retinal detachment if you are very short-sighted or have had an injury or previous surgery to the eye.
For minor detachments, a laser or freeze treatment (cryopexy) are used.  Both therapies re-attach the retina. For major detachment, surgery will be necessary. A band is often put around the back of the eye to prevent further detachment.  Surgical treatment is usually a vitrectomy, where the jelly (vitreous) is removed from the eye. This often involves a hospital stay.  It can take several months post-surgery to see the final visual result.

Disability Assistance

Wheelchair access

Travel Directions

We are 100 metres off Papanui Road near the Carlton Corner intersection. We are about 1km from Southern Cross Hospital.

Public Transport

There are numerous buses that go up and down Papanui Road. There is a stop on Papanui Road about 20 metres from Holly Road. It is a 100 metre walk from there to the rooms.

Parking

There is easy parking outside the rooms and typically the walk from car to the waiting area is 15-20 metres. There is a gentle stair-free ramp too.

Contact Details

7:30 AM to 5:00 PM.

46 Holly Road
Saint Albans
Christchurch

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Street Address

46 Holly Road
Saint Albans
Christchurch

Postal Address

46 Holly Road
Saint Albans
Christchurch 8014

This page was last updated at 11:23AM on September 2, 2024. This information is reviewed and edited by Professor Mark Elder - Ophthalmologist.