North Shore Times : November 16th 2010
16 NORTH SHORE TIMES, NOVEMBER 16, 2010 Dr Brian Sloan is an Ophthalmologist (Eye Specialist) at Milford Eye Clinic, specialising in oculoplastic surgery – surgery of the eyelids and tear ducts. You can get skin cancer of the eyelid? Yes – skin cancers affecting the eyelids are relatively common – especially on the lower eyelid, probably because it is exposed to more sun. Basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs) are most common. What should I look out for? Any new lump or bump on the eyelid that persists for more than a couple of weeks could be a skin cancer, especially if it seems to be getting bigger. A lump which ulcerates and crusts, or one which bleeds when you touch it, is highly suspicious and should be assessed by a specialist. What can you do for eyelid skin cancers? In general, skin cancers of the eyelids need to be surgically removed. The reconstruction is very important because it must preserve the structure and function of the eyelid which protects the eye. This is the sub-specialist area of oculoplastic surgery. Other treatments such as ointments and cryotherapy (liquid nitrogen or freezing) are usually not recommended around the eye because of the risk of damage to the normal part of the eyelid, or to the eye itself. Is this treatment covered by medical insurance? Almost certainly. Surgery is generally performed under local anaesthetic with some sedation to help you feel relaxed and comfortable. What can I do to prevent skin cancers around the eye? Reducing sun exposure is probably the most important thing you can do. While sunscreens are important for the rest of the face, it is often difficult to apply it to the eyelids without it irritating the eyes. Sunglasses and a peaked cap or broad brimmed hat are effective ways of reducing sun exposure to the eyelids. Oculoplastic Surgery is just one of the extensive range of sub-specialist eye care available at Milford Eye Clinic. We take referrals from GP’s, Optometrists and other specialists, but a referral is not necessary. Surgery is undertaken at Milford in our purpose built day surgical centre, Shore Surgery, located in the same building as the Eye Clinic. Consultations are available at Milford Eye Clinic, 181 Shakespeare Road, Milford and Coastcare, Red Beach Shopping Centre, Red Beach. For all appointments telephone 489 6871. Skin cancers around the eye VASECTOMY 57 Shakespeare Road – Milford Dr John Russell Ph 486-3097 Over 4000 procedures performed with personalised care, and excellent results 2605229AC PHONE 489-3026 Situated at... Hauraki Pharmacy - 349 Lake Road, Takapuna North Shore PodiatryLtd MontoThurs9am-5pm Saturday 9am - 12noon glucoseketone Supporting Diabetes Awareness Week 16th - 22nd November Medica Limited - Freephone 0800 106 100. Order online: www.medica.co.nz • One meter for dual testing • Small blood sample and fast test times TAPS No. NA 4540 Always read the label and follow the manufactuer’s recommendations. • New ZipWik tabs for instant strip filling • New Zealand’s first ‘No Coding’ blood glucose meter Taking the bite out of summer You know summer’s on the way when you turn out the light to settle down for the night and hear a sound like fighter aircraft buzzing around the bedroom. The mosquitoes have invaded – and they can bring with them a lot more than annoying noise. More serious skin infec- tions often start with an insect bite. If left untreated, skin infections can cause blood poisoning (septi- caemia), deeper abscesses, kidney problems or septic arthritis. Overseas, mosquito bites can have far more serious consequences: Malaria, Yel- low and Dengue fever, Encephalitis, West Nile Virus and Ross River Virus. Just like us, biting insects like mosquitoes, sandflies and fleas love the warmer weather and are more likely to be biting from October to March. Female mosquitoes – males don’t bite – have chemical sensors so they can detect carbon dioxide. We excrete this gas through our skin and breath. The smell of CO2 helps female mozzies find blood. Proteins in our blood help produce fertile eggs. Bite prevention tips include: ❚ Wear clothing that covers your entire body at dawn and dusk when mosquitoes are at their worst. ❚ Get rid of objects inside and outside of the house that hold water. Pot plant saucers, jars, old tyres, half-filled paddling pools, fountainless bird baths – anything deep enough to form a puddle – are attractive breeding grounds to mos- quitoes that lay eggs in standing water. ❚ Clean gutters and drains so they’re not filled with stag- nant water. ❚ Don’t leave windows/doors open and lights on as this attracts mosquitoes – and other insects – inside. Screens and lace curtains prevent them venturing indoors. To deal with fleas, vacuum regularly and empty the vac- uum or change the bag often- . Treat pets – seek advice from your pet shop or vet on the most effective methods. If you do get fleas, wash all bedding and clothes in hot water and dry thoroughly. Flea bombs may kill fleas but not the eggs so you might have to seek professional advice on carpet and upholstery cleaning. Insect repellent is a necess- ary line of defence. The most effective is N-Diethyl-3 - Methylbenzamide or DEET. This confuses a mosquito’s chemical receptors so she cannot find the source of the CO2 she can smell. DEET is a broad-spectrum repellent and is effective against many insects includ- ing mosquitoes and fleas. Usually higher concen- trations of DEET provide longer-lasting protection but the amount one needs varies from individual to individual. Generally a product with 10 to 35 percent DEET will work. However, it is advised to use a repellent containing no more than 10 percent DEET on children aged under two. Some essential oils are reputed to have insect repel- ling qualities. These include citronella, geranium, laven- der, pine, rosemary, thyme, garlic, and peppermint. However, tests show the protection is short-lasting. In addition, a number of these oils can irritate the skin so should not be applied directly to it. They may help mask human scent and – let’s face – can make a room small a whole lot more pleasant. Likewise, citronella candles may help to mask human scent. If you get bitten, apply anti-itch cream; your chemist can recommend one. Anti- histamines are generally fairly effective. It is import- ant to stop insect bites becoming infected so try not to itch. Treatment tips include: ❚ If you have wound or sores, wash and dry hands ❚ Use a clean cloth and a sol- ution of a teaspoon of salt to one cup warm water to soak the wound or sore. ❚ Throw the cloth away once you have finished (or wash and dry thoroughly as for towels and linen below). ❚ Dry with a clean cloth and throw the cloth away, too once you’ve finished (or wash and dry thoroughly). ❚ Apply antiseptic or an anti- biotic cream prescribed by the doctor (if necessary). ❚ Cover the sore with a non- plastic sticking plaster or gauze and tape if necessary. ❚ Wash and dry your hands. These steps should be repeated twice daily until the sore heals. You need to visit the doctor if any of the follow- ing occur: ❚ Three or more sores develop. ❚Thesore haspus initand doesn’t improve in two days. ❚ The sore is getter bigger. ❚ The sore has red streaks coming out of it. ❚ You develop a high tem- perature.
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