HISTORY

In 1956, with the founding of the Manila Doctors Hospital, the Department of Eye, Ear, Nose and Throat (E.E.N.T) was established with Dr. Carlos Sevilla as its founding Chair. The hospital then was a non- training institution. In 1979, a distinct and separate Department of Ophthalmology was formed with Dr. Romeo B. Espiritu as the first Chair. The following year a residency training program was established. The program started as a 3- year, preceptorship type of residency, accepting one Resident level per year. At the time, the Ophthalmology training program of the Manila Doctors Hospital (MDH) was hailed as the model of the preceptorship type of residency training.

As a result of the Department's desire to provide continuing medical education in the specialty, the Department held its first postgraduate course in 1992. This activity became an annual affair, and to this date the Department has organized a total of 13 postgraduate courses.

The establishment of a fully equipped Charity Out- Patient Eye Clinic in around 1993 facilitated the transition from the preceptorship type of residency training to the standard program we have now. The increasing patient load and the demand for eye services, necessitated an increase in residency positions from one to two per year level starting in 1991 and then to three per year level in 1995. Under leadership of Dr. Espiritu, a bigger and better equipped Out - Patient Eye Clinic was inaugurated in 1996 to improve delivery of patient services. In addition to in- hospital charity services, the Department, in cooperation with Non- Government Organization (NGOs), actively participated in outreach surgical missions, delivering optimal eye car to far- flung areas.

After ably serving as the Vice- Chair of the Department since its inception, Dr. Romeo V. Fajardo took over the Chairmanship on January 1, 1998; His Chairmanship oversaw the establishment of Laser Room, equipped with state-of-the-art Ophthalmic Lasers and a Fundus Camera. This addition allowed for hands- on training in Laser Surgery and Fluorescein Angiography and broader patient services. His term also oversaw the acquisition of the latest operating microscope and vitrectomy machine. In addition, a community based, five (5) years modular eye care program was initiated in November 6, 1999 in the adopted community of Romblon Province. This was undertaken in cooperation with several NGOs and lately, with the Metrobank Foundation.

The year 2001 brought a change in leadership. Dr. Jacinto U. Dy­Liacco is the current Chair of the Department of Ophthalmology. Under the stewardship of Dr. Dy - Liaco, the New Laser-Room was inaugurated, newly equipped with a state-of-the-art Automated Static Visual Field Perimeter (Humphrey Field Analyzer 11- I Series), broadening the Ophthalmologists' service and training armarwntarium. In addition to this, new surgical and basic diagnostic instrument were acquired for the Operating Room (the ECCE, Phacoemulsification, and minor surgical sets) and Outpatient Clinic (new phoropter chair and stand, Welch - Allyn Wall- mounted Diagnostic System, and 130 on), respectively. The increase in basic instrumentation expedited the delivery of proper eye care with ease and precision. Dr. Dy- Liaco oversaw the highly successful bi- annual Share the Gift of Vision Cataract Surgical Missions made possible with the cooperation of the Metrobank Foundation.

The current Chair now aims to strengthen subspecialty training and delivery of high- level subspecialty care. The department currently has twenty-three (23) Active Consultants and fifty (50) Visiting Consultants, and has proudly produced 38 competent eye specialists.

SERVICE DESCRIPTION

Subspecialty Sections

Ophthalmology is the branch of medicine which deals with the eye and their treatment. The following are the subspecialties that are offered by the Department of Ophthalmology:

o      Cornea and External Disease: This subspecialty involves the diagnosis and management of diseases of the anterior segment of the eye including the cornea sclera, conjunctiva and eyelid. It deals with corneal dystrophies, microbial infections, conjunctiva and corneal tumors, inflammatory processes and anterior ocular manifestations of systemic diseases. Ophthalmologist with this subspecialty is trained to do corneal transplant surgery.

o      Glaucoma: This subspecialty involves the medical and surgical treatment of glaucoma and other disorders that cause optic nerve damage due to increase in intraocular pressure in both pediatric and adult patients.

o      Neuro - Ophthalmoloqy: This subspecialty deals with local pathology affecting the optic nerve and visual pathways. It involves the relationship between neurologic and ophthalmic diseases. This is generally a non-surgical subspecialty but can be combined with surgery of the eye and orbit.

o      Oculoplastic / Reconstructive Surgery and Orbit: This subspecialty is involved in oculofacial plastic surgery. It deals with orbital and periocular surgery usually combined with facial plastic surgery. It involves the practice of aesthetic plastic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system.

o      Pediatric Ophthalmology and Strabismus: This involves management of ocular disorders occurring in pediatric patients including the medical and surgical treatment of strabismus and amblyopia, genetic and developmental abnormalities; inflammatory, traumatic and neoplastic conditions of the eye as well as ocular manifestation of certain systemic disorders.

o      Retina and Vitreous: This subspecialty involves both the medical and surgical treatment of retinal and vitreoretinal disease that include those that are manifestations of local, systemic and genetic disease. Diagnosis involves the use and interpretation of ultrasound, flourescein angiography and electrophysiology. Treatment methods include laser therapy, retinal detachment surgery and vitrectomy (removal of the vitreous).

o      Uveitis: This subspecialty deals with intraocular inflammation of various kinds. It also deals with allergic and immune related disorders.

OPERATING SCHEDULE

Ophthalmology Out- Patient Clinic

The Ophthalmology Out- Patient Clinic (Eye Room) caters to Charity patients. Clinics are held daily except weekends and Holidays, from 8:00 AM -11:00 NN and 1:00 – 4:00 PM. The Clinic is manned by our Ophthalmology Residents and Interns. Consultants are available for opinion.

The Residency Training Program

The Ophthalmology Residency Program of the MDH is a PBO – accredited, 3 year comprehensive, supervised and graduated plan of training to prepare a post – Internship medical graduate I in the general practice of Ophthalmology. The program offers nine residency positions, three per year level.

For more info, please contact the eye room

Direct line                : 5243011

Local                        : 3720

DEPARTMENT SERVICES

Services Offered

o      Consultation

o      Refraction and dispensing of glasses and contacts lens

o      Slit Lamp examination

o      Tonometry

o      Gonioscopy

o      Direct and Indirect Opthalmoscopy Keratometry

o      Biometry

o      Color Vision Screening

o      Minor Surgical Procedures

o      Excision of Ptyrigium

o      Incision and Curettage

The clinic is equipped with various ophthalmic instruments and equipment necessary for comprehensive eye examination such as:

o      Shin Nippon CP30 Chart projector

o       Inami Phoropter

o      Inami 20D Trial Lens Set with Trial Frame

o      Welch – Allyn Wall mount Diagnostic System 767

o      Topcon SL 3E Slit Lamp

o      Haag – Streit Applanation Tonometer

o      Keeler Indirect Ophthalmoscope

o      Topcon Lensometer

o      Ishihara Color Plates

o      Astron International Prism Lenses Inami Opthalmometer Humphrey 820 A- Scan

Laser Room

The Laser Room is opened from 8 am to 5 pm, Mondays to Fridays and from 8:00 PM to 12:00 NN on Saturdays. All patients with proper referral or request may avail of the diagnostic tests and procedures offered, such as:

o      Automated Visual Field Perimetry

o      Flourescrein Angiography

o      Fundus Photography and Optic Disc Photo

o      A scan B scan Ophthalmic Ultrasound

·  Laser Therapy

o      Laser Iridectomy

o      Laser Trabeculoplasty

o       Laser suture lysis

o      Y AG capsulotomy

o      Plan Retinal Phototherapy

The Laser Room houses the following ophthalmic lasers and Lasers lenses:

o      Alcon Neodymium Yttrium Aluminum Garnet

o      (Nd:YAG)Laser

o       Alcon Ophthalas 532 Eyelite

o      Ocular Instrument Laser Lenses

·       Abraham Y AG- Capsulomoty Lens

·        Abraham Iridotomy Lens

·       Mainster PRP 165 Lens

·       Mainster Standard Lens

·       Three- Mirror universal lens

The laser room also contains the following diagnostic Equipment! Instrument:

o      Canon CF- 60Uvi 60 degrees Fundus Camera

o      Humphrey Field Analyzer 11- I Series

o      OTI- Scan 1000 - B/A/3D Ophthalmic Ultrasound with  Macintosh Computer

The Operating Room

Eye surgeries, both private and charity services, are performed In the Operating Room (OR) complex located at the 4^th floor of The hospital's Main Building. The Operating room is equipped to do procedures such as:

o      Minor Surgical Procedures:

·  Excision of Ptyerigium

·  Incision and Curettage

·  Excision biopsy of ocular tumors

o      Major Surgical Procedures:

·  Cataract Surgery (eg. Extracapsular CataractExtraction, Phacoemulsification)

·  Glaucoma Surgery (eg. Trabeculectomy, Valve implantation)

·  Retina Surgery (e.g. Vitrectomy, Scleral Buckling)

·  Corneal Transplant

·  Orbit! Oculoplasticl Reconstructive Surgery

·   Strabismus Surgery

The OR is provided with the following eye instruments and equipment:

o      Alcon Legacy Phacoemulsification (Phaco) Machine Series

o       20000 with ADVANTEC

o      Universal II Phacoemulsification Machine by Alcon

o       Leica M841 Operating Microscope

o      Carl Zeiss OPMI Operating Microscope

o       Extracapsular Cataract Extraction (ECCE) Set

o       Phacoemulsification Set

o      Minor Surgical Set

o      Ascon Bipolar Coagular WBC – 980D

DOCTORS SPECIALTY

Gen. Ophthalmology

Dr. Genuino, Mark John S.

Dr. Ngu, Michael S.

Dr. Silao, John Nathaniel I.

Dr. Reyes, Edwin C.

External Disease

Dr. Valenton, Mario J.

Dr. Ramon, Cesar G.

Oculoplastic/Reconstructive Surgery and Orbit

Dr. Remulla, Heidi D.

Neuro-Ophthalmology

Dr. Kho, Richard C

Dr. Fajardo, Romeo V.

Glaucoma

Dr. Agulto, Manuel B.

Dr. Delfin, Manuel S.

Dr. Kamantigue, Edelwina G.

Retina and Vitreous

Dr. Canlas-Malaya

Dr. Fajardo-Gomez, Ma. Florentina

Dr. Remulla, Juancho Francisco C.

Dr. Salud, Arnold T.

Pediatric Ophthalmology and Strabismus

Dr. Santiago, Alvina Pauline D.

Uveitis

Dr. Dy-Liacco, Jacinto U.

Dr. Fajardo, Moises Romeo Q.

Dr. Fajardo, Romeo V.