Mr McHugh’s surgical interests include cataract and vitreoretinal surgery, that are carried out at either The London Clinic in Devonshire Place, or The Wellington Hospital in St. John’s Wood. Cataract surgery is performed using small incisional phacoemulsification techniques with injectable lens implants. Vitreoretinal surgery is employed for a wide variety of conditions, including retinal detachment, advanced diabetic retinopathy causing vitreous haemorrhage and retinal detachment, macular holes and epiretinal membranes. Retinal laser therapy is also performed for the treatment of retinal tears and the complications of diabetic retinopathy and other retinal vascular conditions. Mr McHugh was a pioneer in the development of the portable, semi-conductor diode laser and he performs low energy ‘micro pulsed’ therapy in order to minimise the potential side-effects of laser treatment.
There are a number of conditions that can now be treated by the injection of drugs into the eye and these include Avastin, Lucentis and steroids and Dominic McHugh can offer these treatments for diabetic retinopathy and macular degeneration.
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Macular disease due for example to macular degeneration, or the development of a macular hole can cause a profound loss in central vision. Although treatments are available, if they are unsuccessful or the patient presents with advanced or chronic pathology then irreversible visual deterioration may occur. Recent advances in lens implant technology have provided the possibility of improving a patient’s vision despite the presence of macular damage.