Dr Divya Perumal

Glaucoma, Cataract, Pterygium and General Ophthalmology

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Dr Divya Perumal

Glaucoma and Refractive Cataract Surgeon

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“My motivation is delivering excellence in eye care.”

– Dr Divya Perumal, B Optom (Hons) BhB MBChB FRANZCO

Dr Divya Perumal’s professional background

Discover more about this New Zealand eye expert below

Dr Perumal is a New Zealand trained Ophthalmologist with advanced training in Glaucoma, Cataract, Pterygium and General Ophthalmology.

As a former optometrist and vision scientist, Divya has a special understanding of the eye’s optics and the evidence that dictates proper clinical practice. Starting from a humble beginning in Malaysia, she received the prestigious ASEAN scholarship to study in Singapore and subsequently made Auckland her home. She studied at Epsom Girls Grammar and pursued an honours degree in Optometry from the University of Auckland. She was awarded the Senior Scholarship Award for best overall performance in Optometry (2004). She was actively involved in preparing the Manual of Ocular Therapeutics for Postgraduate Diploma in Ocular Therapeutics, the first of its kind for therapeutic optometrists in New Zealand.

Inspired by mentors in Ophthalmology, including Prof Charles McGhee, she decided to study medicine at the University of Auckland. There she was awarded the Calvin Ring Prize in Ophthalmology for the best performance in undergraduate ophthalmology. She was subsequently awarded the Arthur Thomas Paterson Scholarship in Ophthalmology. In addition to her role at Eye Institute, Dr Perumal also works as a consultant ophthalmologist at Greenlane Clinical Centre. Her enthusiasm and interest in the ophthalmic field are expressed in all that she does, from her warm interactions with patients to her active research and published articles in international peer-reviewed journals.

Training and Principal Qualifications
  • B Optom (Hons) (University of Auckland)
  • BhB MBChB (Distinction) (University of Auckland)
  • FRANZCO (Royal Australian and New Zealand College of Ophthalmologists)
  • Glaucoma Fellowship, Manchester Royal Eye Hospital, UK
Dr Perumal’s specialisations:

Glaucoma Surgery

  1. Glaucoma laser (SLT, iridotomy, iridoplasty, cyclodiode, micropulse laser)
  2. Minimally Invasive Glaucoma Surgery (i-Stent, Hydrus, XEN, goniotomy, and others)
  3. Complex glaucoma surgery (Trabeculectomy, Drainage Tube surgery) Dr Perumal underwent advanced training in glaucoma at the prestigious Manchester Royal Eye Hospital, which is at the forefront of innovative Ophthalmology. She is experienced in the full array of glaucoma procedures, including traditional surgery such as trabeculectomy and newer methods such as glaucoma drainage implants, minimally invasive glaucoma surgery and non-penetrating glaucoma procedures. She has been an invited expert speaker at meetings attended by optometrists, nurses and doctors training in ophthalmology. Her team will assess you with the most up-to-date technology to determine your personalised glaucoma care.

Cataract surgery

  1. Microincisional cataract surgery (MICS)
  2. Combined cataract and glaucoma surgery
  3. Refractive cataract surgery, including astigmatism correcting lens implants and multifocal intraocular lenses.

Excellent outcomes following cataract surgery are essential. Dr Perumal’s team will counsel you on the various options to find a solution to best suit your visual needs. A specialist anaesthetist can provide sedation to keep you calm if you desire. Still, anaesthetic drops are always used in the procedure to numb the eyes entirely. Cataract surgery is a very common, safe and effective procedure. Dr Perumal and her team are committed to ensuring you are at ease every step of the way.

Pterygium surgery

Sutureless techniques are performed, which allows safe and quick recovery.

General ophthalmology

Dr Perumal is skilled in managing general ophthalmology problems, including:

  • Diagnosis and treatment of macular degeneration
  • Neuro-ophthalmology
  • Performing various eyelid surgeries, including
    • blepharoplasty (removal of excess lid skin)
    • chalazion excision
    • eyelash electrolysis punctal plug insertions
    • simple eyelid tightening procedures
    • syringing of tear ducts
    • performing temporal artery biopsies
    • injection of intravitreal medication

Dr Perumal’s patients are highly satisfied with their care. The most common words used to describe her team are efficient, professional, friendly and warm.

Your experience with our team includes an initial correspondence with our secretary with respect to your appointment confirmation and relevant quotes. Your appointment will take between 30 to 90 mins, depending on the complexity of the consultations. You will be seen by a technician, optometrist and by Dr Divya Perumal.

Key elements of your consultation include:

  • Questions on your medical and eye history (please bring a list of your medications and any relevant notes)
  • An assessment of your external eye, including lids and lashes
  • An internal eye health check including the retina, optic disc and blood vessels.
  • Assessment for glaucoma including a measure of the pressure in each eye
  • Visual fields test to check for blind spots caused by eye disease or brain damage
  • OCT and photos to visualise the microanatomy of the retina and optic nerve.
    A discussion on the diagnosis, management options and a treatment plan.
  • We may need to dilate your eyes during your assessment. Dilation involves using eye drops to make your pupil bigger, and it takes some time for the drops to work. After dilation, your close-up vision may remain blurry for several hours, and you will be more sensitive to light. It is advisable not to drive for at least 2 hours after the drops have been instilled.

We will discuss your expectations and concerns for each procedure as applicable to you.

Divya is married to Prasanna, a software engineer with a Sri Lankan background, and they have two young children. Her passion is learning about culture, and that includes travelling and indulging in an array of food (an essential aspect of her Malaysian upbringing!).

Publications
  • Primary glaucoma surgery in Fuchs’ heterochromic uveitis: a comparison of trabeculectomy versus deep sclerectomy. Walkden A, K Mercieca, D Perumal and N Anand. Ther Adv Ophthalmol. 2019. Mercieca K, Perumal D, Darcy K, Anand D. Cataract Extraction after Deep Sclerectomy + MMC and its Effect on Intraocular Pressure Control. Eye (Lond). 2019 Apr; 33 (4): 557-563.
  • Perumal D, Niederer RL, Raynel S and McGhee CNJ. Patterns of ophthalmic referral and emergency presentations to an acute tertiary eye service in New Zealand (NZMJ, 2011 Aug 12; 124 (1340):35-47).
  • Gowan C, Dahl A, Perumal D, Tan G and Koea J. Anatomy of the ward round: the time spent in different activities. ANZ Journal of Surgery 2010 Dec; 80 (12): 930-2.
  • Niederer RL, Perumal D, Sherwin T, McGhee CNJ. Laser scanning in vivo confocal microscopy reveals reduced innervation and reduction in cell density in all layers of the keratoconic cornea. Investigative Ophthalmology &Visual Science 2008 Jul; 49 (7):2964-70.
  • Niederer RL, Perumal D, Sherwin T, McGhee CN. Corneal innervation and cellular changes after corneal transplantation: an in vivo confocal microscopy study. Invest Ophthalmol Vis Sci. 2007 Feb;48(2):621-6.
  • McGhee CNJ and Perumal D. A Subluxated Traumatic Cataract with a Fixed Dilated Pupil. Cataract and Refractive Surgery Today Europe 2007 Sept.
  • Niederer RL, Perumal D, Sherwin T, McGhee CN. Age related differences in the normal human cornea: a laser scanning in vivo confocal microscopy study. Br J Ophthalmol. 2007; 91: 1165 1169.
Research
  • AUSCRS Advanced Training Programme
  • WW Phillips Award in Medicine
  • The Calvin Ring Prize in Ophthalmology
  • The Eye Institute Summer Studentship Award
  • The Access Awards
  • Stella Baron Award
  • NZFUW Millennium Award
  • Logan Campbell Scholarship
Associations and Memberships
  • Fellow of the Royal Australian and New Zealand College of Ophthalmologists (FRANZCO)
  • Member of the New Zealand Medical Council
  • Member of the European Society of Cataract and Refractive Surgeons (ESCRS)
  • Member of Ophthalmology New Zealand (ONZ)