Private Eye Surgery for Hornchurch and Upminster Patients Spire Hartswood Hospital is approximately 15–20 minutes by car from Hornchurch and Upminster via the A127. The full address is Eagle Way, Great Warley, Brentwood, Essex, CM13 3LE. Free parking is available on site. Mr Baneke holds clinics at Spire Hartswood on alternate weeks. Appointments can be booked online or by calling Mr Baneke's secretary on 07398 997 592 . BOOK NOW Looking for a private cataract surgeon or glaucoma specialist near Hornchurch or Upminster? Mr Alex Baneke offers private cataract surgery and glaucoma treatment at two clinics close to the Havering area: Spire Hartswood Hospital in Brentwood and Orsett Hospital in Grays. Spire Hartswood Hospital, Brentwood Orsett Hospital, Grays (self-pay patients only) Orsett Hospital is approximately 20 minutes by car from Hornchurch and Upminster. The full address is Rowley Road, Orsett, Grays, Essex, RM16 3EU. Free parking is available on site. Mr Baneke offers private appointments on Tuesday mornings. This clinic is available to self-pay patients only (not insured patients). Also available: Southend Private Hospital For more frequent appointment availability, Mr Baneke holds private clinics at Southend Private Hospital twice weekly. Southend Private Hospital is approximately 30–35 minutes from Hornchurch via the A127. By train, Southend Central is just 28 minutes from Upminster station. Free parking is available on site. What to expect at your consultation During your first visit, Mr Baneke will carry out a thorough examination of your eyes, discuss your symptoms and explain your treatment options. Most new consultations last around 30 minutes. Before your appointment BOOK NOW You can drive to most routine follow-up appointments. However, some appointments (including your initial consultation, your first post-operative consultation, and any consultation where your symptoms have changed) may involve dilating eye drops, which blur your vision for around 3 hours. You should not drive during this time. To book a private consultation, use the " Book Online " link on our website (available for Southend Private Hospital and Spire Hartswood only), call Paige on 07398 997 592 , or email info@essexeyesurgery.co.uk . Mr Baneke is a consultant ophthalmologist specialising in cataract surgery and glaucoma. He trained at Moorfields Eye Hospital and sees patients from across Essex and East London, including Hornchurch, Upminster, Romford, Harold Wood, Rainham, Thurrock and Grays. No GP referral is needed for a private appointment.

A Guide for Patients Eye care services in Essex There is an excellent range of eye-care services accessible to people residing in and around Essex, ranging from NHS or private hospital care, to high street opticians. This page summarises some of the services available. Eye Clinic Liaison Officers (ECLOs) ECLOs have lots of knowledge on eye conditions and on helpful local and national services. They provide emotional and practical support to anyone affected by sight loss, free of charge. They can advise on living with sight loss, management and treatment of eye conditions, visual aids, equipment and technology, availability of benefits and concessions, education and employment, certification and registration and other support and services that might be appropriate. By offering dedicated individual care, ECLOs can talk to you about your worries and give you advice on how to lessen the impact your eye condition may have on your life. ECLOs act as an important bridge between health and social services and are central to the support and wellbeing of patients in eye clinics. They also help prevent avoidable sight loss, by talking through treatment and helping people to understand their medication if necessary. The Southend ECLO is Tracey Meddle, who is employed by Southend-in-Sight, a local sight loss charity. Email: tracey@southendinsight.co.uk Tel: 01702 342131 The Orsett/Basildon ECLO is Sarah Jane Piper, who is employed by the charity BASIS. Email: sarah-jane.piper@nhs.net Tel: 01268 522817 The Chelmsford ECLO is Holly Muncey, who is employed by the RNIB. Email: mse.eclomidsouthessex@nhs.net Tel: 07901 513416 Local charities BASIS is a sight loss charity providing help for patients with visual impairment in South Essex. Tel: 01268 522817 Email: admin@basissouthessex.org.uk Southend in Sight is a sight loss charity for Southend, providing help for patients with visual impairment. Tel: 01702 342131 Email: info@southendinsight.org.uk High street opticians offering glaucoma services Humfrey Eye Care offers HVF, OCT services and emergency appointments. Humfrey Eye Care is run by Stuart Humfrey. He is an experienced optometrist with a higher qualification in glaucoma. 223 London Road Hadleigh Essex SS7 2RD Tel: 01702 599068 Goldsmith Webb offers Goldmann Applanation Tonometry (GAT) which is a procedure that measures intraocular pressure (IOP), Humphrey Visual Field (HVF) analysis and Optical Coherence Tomography (OCT) which is a non-invasive imaging technique used to create cross-sectional images of the eye. Several Goldsmith Webb stores have optometrists with higher qualifications in glaucoma and offer emergency appointments. Goldsmith Webb has stores in multiple locations, including: Bodys The Opticians 25 Queens Road, Southend-on-Sea Essex, SS1 1LT Tel: 01702 354553 Goldsmith Webb 8 Grover Walk Corringham SS17 7LY Tel: 01375 677577 Goldsmith Webb 37-43 Broadway West, Leigh-on-Sea Essex, SS9 2BX Tel: 01702 710031 David Wood Opticians offer visual field tests (not HVF), OCT and eye pressure checks. West House 9 High Street Burnham-on-Crouch, Essex CM0 8AG Tel: 01621 782048 email: info@dwopticians.com Euin Steele offers GAT, HVF and OCT services. Euin Steele has optometrists with higher qualifications in glaucoma and offers emergency appointments. 58 Orsett Road Grays Essex RM17 5EH Tel: 01375 37300 James Bryan Opticians offers GAT, HVF and OCT services. James Bryan Opticians has optometrists with higher qualifications in glaucoma and offers emergency appointments. 33 The Meadows Shopping Centre Chelmsford Essex CM2 6FD Tel: 01245 357766 Forbes Opticians offers GAT, HVF and OCT services. Forbes Opticians has optometrists with higher qualifications in glaucoma and offers emergency appointments. 198 London Rd Hadleigh, Benfleet Essex SS7 2PD Tel: 01702 555345 Karen Castle offers GAT, HVF and OCT services. 78 Hart Road, Thundersley, Essex, SS7 3PF Tel: 01268 793538 Emergency eye care If you have an emergency condition you can contact your GP, a local optometrist offering emergency appointments on the high street (self refer via www.primaryeyecare.co.uk , or contact one of the optometry practices on this page) or attend your local hospital Accident and Emergency Department. If you want private care, you are welcome to contact Mr Baneke’s private secretary to check whether he has any last-minute availability. The Mid and South Essex hospitals with an eye casualty department (referral is via GP, main A&E or a local optometrist) are: Southend University Hospital, Prittlewell Chase, Southend-on-Sea, SSO 0RY Broomfield Hospital, Court Road, Broomfield, Chelmsford, CM1 7ET Queens Hospital, Rom Valley Way, Romford, RM7 0AG (Part of Barking, Havering & Redbridge NHS Trust rather than MSE NHS Trust) For London patients: Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD (virtual assessment and phone triage service available via https://www.moorfields.nhs.uk/ae ) Essex Local Optical Committee Essex LOC is funded by Ophthalmic Contractors in the Essex area and acts on behalf of the Contractors, Performers, and others registered with the GOC in dealing with the NHS.

Open-angle, angle-closure, normal-tension and secondary glaucomas explained. An expert guide from Mr Alex Baneke, consultant ophthalmologist in Essex. A Guide for Patients Understanding Glaucoma: The different types Glaucoma is a complex eye condition that can lead to vision loss if not properly managed. There are several types of glaucoma, each with its own characteristics and treatment options. This guide will help you understand the various forms of glaucoma and what they mean for your eye health. Glaucoma is a manageable condition with early detection and appropriate treatment. By lowering eye pressure through eye drops, laser treatment, or surgery, it’s possible to slow the progression of the disease and protect your vision. Always discuss with your eye specialist which treatment options are best suited for your specific needs. A Guide: Understanding the different types of glaucoma Glaucoma comes in various forms, each requiring a tailored approach to treatment. Whether you have Primary Open Angle Glaucoma, Primary Angle Closure Glaucoma, Normal Tension Glaucoma, Ocular Hypertension, or secondary glaucoma, managing eye pressure is key to protecting your vision. Your eye specialist will guide you through the best treatment options based on your specific type of glaucoma and overall eye health. Primary Open Angle Glaucoma (POAG) Primary Open Angle Glaucoma (POAG) is the most common form of glaucoma. In POAG, the pressure inside the eye (intraocular pressure) is higher than normal, typically above 21-24mmHg. This increased pressure leads to damage to the optic nerve, known as "cupping," which can cause a gradual loss of peripheral vision. In POAG, the drainage angle of the eye is open, which can be confirmed through a simple test called gonioscopy, where a lens with a small mirror is placed on the eye. The main issue in POAG is that fluid drainage from the eye’s anterior chamber is impaired due to a blockage in the drainage channels (trabecular meshwork). You can think of it like a bath where the plug is clear, but there’s a blockage further down the pipe that causes the water to rise. Treatment for POAG usually begins with eye drops or Selective Laser Trabeculoplasty (SLT) to lower eye pressure. If these treatments aren’t sufficient, surgery may be necessary. You can find more detailed information about surgical options in the Treatment section of this website. About Surgical Treatment and Laser Primary Angle Closure Glaucoma (PACG) In Primary Angle Closure Glaucoma (PACG), the drainage angle is closed, leading to increased eye pressure and optic nerve damage. This type of glaucoma can be identified using gonioscopy. In PACG, the iris blocks the trabecular meshwork, preventing fluid from draining properly and causing a rise in eye pressure. Treatment for PACG often starts with eye drops, Yag Laser Peripheral Iridotomy (PI), or cataract surgery. Yag PI involves creating a small hole in the iris to allow fluid to bypass the blockage, which helps open up the drainage angle. Cataract surgery can also help by replacing the natural lens with a thinner artificial lens, providing more space for fluid to drain. In some cases, further surgery may be required if these treatments don’t adequately control the disease. PACG can develop slowly or suddenly. If it occurs suddenly, it’s known as Acute Angle Closure Glaucoma (AACG). Symptoms of AACG include severe headache, eye pain, nausea, seeing halos around lights, blurred vision, and a red eye. This is an eye emergency, and if you experience these symptoms, you should go to A&E or an Eye Casualty immediately. Eye Casualties are available at Southend University Hospital and Broomfield Hospital, but you will need a referral from the main A&E or an emergency optician. Some patients may have narrow drainage angles without developing glaucoma. These patients may be classified as having Primary Angle Closure (PAC) if the pressure is raised without optic nerve damage, or Primary Angle Closure Suspects (PACS) if the angle is narrow but the pressure is normal. Treatment is recommended for PAC, while patients with PACS can often be monitored by their optician annually, as the risk of progressing to glaucoma is low. About Cataract Surgery Normal Tension Glaucoma (NTG) In Normal Tension Glaucoma (NTG), the pressure inside the eye is within the normal range (below 21mmHg), but there is still optic nerve damage and corresponding visual field loss. The drainage angle is open, as confirmed by gonioscopy. In NTG, factors other than eye pressure, such as blood supply to the optic nerve, mitochondrial function (how well the cell’s energy production parts work), and the pressure of the fluid surrounding the brain and optic nerve, may contribute to optic nerve damage. However, the only proven treatment for reducing the risk of vision loss in NTG is lowering eye pressure. Treatment for NTG typically starts with eye drops, though SLT (laser) may also be tried. However, SLT is often less effective in NTG because it works best when eye pressure is initially raised. In some cases, surgery may be necessary. There is ongoing research into using oral nicotinamide to improve mitochondrial function, which may emerge as a new treatment for NTG. About Eye Drops Ocular Hypertension (OHT) Ocular Hypertension (OHT) is a condition where the pressure inside the eye is elevated (above 21-24mmHg) without any signs of optic nerve damage or visual field defects. About 1 in 10 patients with OHT will develop glaucoma over a 5-year period, but treatment can reduce this risk to 1 in 20. In OHT, the drainage angle is open, but there may be a blockage in the drainage channels that prevents fluid from leaving the eye properly. Treatment for OHT is not always necessary, as not all patients will go on to develop glaucoma. The decision to treat is based on the patient’s risk factors and preferences. If treatment is recommended, it usually starts with eye drops or SLT (laser). Surgery is generally avoided in OHT unless the patient is at high risk of vision loss. About Laser Secondary Glaucomas Secondary glaucoma occurs when increased eye pressure and optic nerve damage result from another eye condition or surgery. Conditions that can lead to secondary glaucoma include: Vitreoretinal surgery (e.g, for retinal detachment) Complicated cataract surgery Corneal graft surgery Use of steroid eye drops Uveitis (inflammatory eye disease) Uncontrolled diabetic eye disease (neovascular glaucoma) Eye trauma or injury Pseudoexfoliation (PXF) Pigment Dispersion Syndrome (PDS) In secondary glaucoma, the drainage angle may be open or closed, depending on the cause. Treatment will vary based on the underlying condition and may include eye drops, laser therapy, surgery, or a combination of these approaches. Read More GLAUCOMA UK Pseudoexfoliation (PXF) and Pigment Dispersion Syndrome (PDS) Pseudoexfoliation (PXF) involves the abnormal accumulation of protein deposits in the body, including the eyes. In some cases, these deposits block the trabecular meshwork, leading to increased eye pressure. Patients with PXF may experience faster disease progression, and surgery can be more challenging. Pigment Dispersion Syndrome (PDS) occurs when the lens inside the eye rubs against the iris, causing pigment to shed and potentially block the trabecular meshwork. Not all patients with PXF or PDS develop glaucoma, but if pressure increases, treatment options are similar to those for open-angle glaucoma. PDS patients should avoid high-impact sports, as these can increase pigment shedding. Activities like cycling and swimming are generally safer. Yag Laser Iridotomy may be offered to PDS patients who haven’t developed high eye pressure, as it might reduce the risk of raised pressure. However, once pressure is elevated, Yag Laser Iridotomy is less likely to help. More about Yag Laser MORE ABOUT GLAUCOMA AVAILABLE TREATMENTS CONTACT TO BOOK

Suffering from dry, sore or gritty eyes? Learn about dry eye and blepharitis causes and treatments. From Mr Alex Baneke, consultant ophthalmologist in Essex. A Guide for Patients Dry eyes and blepharitis Dry eyes and blepharitis are both common conditions, which often occur together. Dry eye, also known as keratoconjunctivitis sicca, occurs when your eyes don't produce enough tears, or the tears they do produce aren't of the right quality. Blepharitis occurs due to inflammation of the eyelids, which is often associated with the growth of bacteria. Eyelids become red, and may have a crusty or sticky discharge, more noticeable in the mornings. Although uncomfortable, these conditions are not usually serious and there are things you can do to help. Management of dry eyes It is not uncommon for glaucoma patients to suffer with dry eyes. Symptoms include the feeling of dry, gritty eyes, increased redness, and increased watering. Some patients feel like there is something in their eyes and may experience episodes of blurring. Symptoms usually improve if the eyes are closed and if a preservative-free dry eye drop is applied. Unfortunately, dry eyes can be worsened by the use of eye drops to treat glaucoma. Some sensible advice to reduce the symptoms of dry eyes is set out below: Ensure you are well hydrated by increasing your intake of water and reducing your intake of drinks containing caffeine Reduce your heating, air conditioning and car fan settings Use wrap-around glasses if outside on a windy day, or when driving Stop or reduce contact lens wear Consider flaxseed oil or omega 3 supplement tablets Use a preservative free dry eye drop containing sodium hyaluronate or carmellose, 4-6 times per day (available over the counter) Use a preservative free gel for dry eyes containing carbomer or white soft paraffin, last thing at night before sleeping (available over the counter) Ask your ophthalmologist about switching to a preservative free glaucoma drop Ask your ophthalmologist to consider changing drops that are more likely to cause dry, uncomfortable eyes, such as Lumigan (bimatoprost) and Alphagan (brimonidine), to an alternative If using glaucoma drops, close your eyes after applying the drops and ensure you wipe any excess off your eyelids using a clean damp tissue. This will reduce eyelid irritation In severe cases, asking your ophthalmologist for a short course of steroid and antibiotic eye drops may help. Management of blepharitis Blepharitis is a condition causing inflammation of the eyelid margins. Though not infectious, it is associated with the growth of bacteria, and symptoms may be worsened by the use of glaucoma eye drops. Blepharitis can worsen symptoms of dry eyes. Patients with blepharitis may notice red, crusty or sticky eyelids on waking. Blepharitis is usually a long-standing condition and requires long term changes to manage. Sensible advice includes: Use a heated eye bag/eye mask (available online and from some opticians and pharmacies) 1-2 times a day before cleaning your eyelids Clean your eyelids every morning and evening with your eyes closed, using a clean flannel and warm tap water (this does not need to be boiled). Massage the lids towards the lid margins (the top eyelid down and the bottom eyelid up) Some people advocate using a gentle cleaner such as baby shampoo, or a pre-made wipe containing a cleaning agent, but the evidence is limited and it is probably better to use warm water alone If using glaucoma drops, close your eyes after applying the drops and ensure you wipe any excess off your eyelids using a clean damp tissue. This will reduce eyelid irritation Ask your ophthalmologist whether switching to a preservative free glaucoma drop would help Ask your ophthalmologist to consider changing drops that are more likely to cause dry, uncomfortable eyes, such as Lumigan (bimatoprost) and Alphagan (brimonidine), to an alternative Ask your ophthalmologist whether you would benefit from a course of oral antibiotics such as doxycycline or azithromycin In severe cases, asking your ophthalmologist for a short course of steroid and antibiotic eye drops may help. For a video explaining lid cleaning techniques in more detail please see below:

Mr Baneke's research and publications RESEARCH & PUBLICATIONS Scroll Down 01. Eye. 2024. Hussain A, Baneke A. Comment on: "Effect of trabeculectomy on the rate of progression of visual field damage." Read All 03. Eye. 2022. Jayaram H, Baneke AJ, et al. Managing risk in the face of adversity: design and outcomes of rapid glaucoma assessment clinics during a pandemic recovery. Read All 05. Am J Ophthalmol. 2019. Alaghband P, Baneke AJ, Galvis E, Madekurozwa M, Chu B, Stanford M, Overby D, Lim KS. Aqueous Humor Dynamics in Uveitic Eyes. Read All 07. Cur Eye Res. 2016. Baneke AJ, Lim KS, Stanford M. T he pathogenesis of raised intraocular pressure in uveitis. Read All 09. Travel Med Infect Dis. 2012 Mar;10(2):92-6. Winner of the Travel Medicine and Infectious Disease “First Look – Student Research” Best accepted paper for 2012. Baneke A. Review: Targeting trachoma: Strategies to reduce the leading infectious cause of blindness. Read All 11. Journal of Paediatrics and Child Health. March 2014. Baneke A. The junior doctor, an untapped paediatric teaching resource? Read All 02. Eye. 2023. Nair A, Baneke A. Comment on: "Could the AREDS formula benefit patients with glaucoma?" Read All 04. Eye (Lond). 2019. Baneke AJ, Aubry J, Viswanathan AC, Plant GT. The role of intracranial pressure in glaucoma and therapeutic implications. Read All 06. Graefes Arch Clin Exp Ophthalmol. 2018. Baneke AJ, Williams KM, Mahroo OA, Mohamed M, Hammond CJ. A twin study of cilioretinal arteries, tilted discs, and situs inversus. Read All 08. Retin Cases Brief Rep. 2020. Baneke AJ, Vakros G, Sharma V, Wong SC. Bleb-related endophthalmitis after use of the invitrea injection guide. Read All 10. Br J Hosp Med (Lond). 2019. Radotra A, Baneke A, Paul B. Mydriasis secondary to use of glycopyrrolate cream. Read All

Private Eye Surgery at Orsett Hospital, Grays Mr Alex Baneke offers private cataract surgery and glaucoma treatment at Orsett Hospital, Rowley Road, Orsett, Grays, Essex, RM16 3EU. Private appointments are available on Tuesday mornings. Orsett Hospital is available to self-pay patients only (not insured patients). No GP referral is needed. The clinic serves patients from Basildon, Grays, Thurrock, Billericay, and East London. BOOK NOW What to expect at your consultation During your first visit, Mr Baneke will carry out a thorough examination of your eyes, discuss your symptoms and explain your treatment options. Most new consultations last around 30 minutes. Getting here By car: Free parking is available on site. From Basildon: Approximately 15 minutes by car. From Billericay: Approximately 20 minutes by car. From East London: Approximately 30 minutes by car via the A13. By train: West Horndon station is the nearest rail link, approximately 10 minutes by taxi from the hospital. West Horndon is a 30-minute train ride from London Fenchurch Street, calling at Barking and Upminster. Before your appointment You can drive to most routine follow-up appointments. However, some appointments (including your initial consultation, your first post-operative consultation, and any consultation where your symptoms have changed) may involve dilating eye drops, which blur your vision for around 3 hours. You should not drive during this time. Please note: Orsett Hospital is available to self-pay patients only. If you have private health insurance, Mr Baneke also offers consultations and surgery at Southend Private Hospital (twice weekly) and Spire Hartswood Hospital, Brentwood (alternate weeks), both of which accept insured patients. You can book online for Southend Private Hospital and Spire Hartswood using the "Book Online" links on our website. BOOK NOW To book a private consultation, use the "Book now " link on our website (available for Southend Private Hospital and Spire Hartswood only), call Paige on 07398 997 592 , or email info@essexeyesurgery.co.uk .

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< Back This is a Title 01 This is placeholder text. To change this content, double-click on the element and click Change Content. This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need. Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields. Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields. Previous Next

< Back This is a Title 02 This is placeholder text. To change this content, double-click on the element and click Change Content. This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need. Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields. Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields. Previous Next

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< Back This is a Title 03 This is placeholder text. To change this content, double-click on the element and click Change Content. This is placeholder text. To change this content, double-click on the element and click Change Content. Want to view and manage all your collections? Click on the Content Manager button in the Add panel on the left. Here, you can make changes to your content, add new fields, create dynamic pages and more. You can create as many collections as you need. Your collection is already set up for you with fields and content. Add your own, or import content from a CSV file. Add fields for any type of content you want to display, such as rich text, images, videos and more. You can also collect and store information from your site visitors using input elements like custom forms and fields. Be sure to click Sync after making changes in a collection, so visitors can see your newest content on your live site. Preview your site to check that all your elements are displaying content from the right collection fields. Previous Next