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Ophthalmology

1. LASER EYE SURGERY is an effective and painless way to improve visual acuity. This surgery has been applied since 1989. Each year several million of such corrections are done in the whole world. Patients are guaranteed with a fast result because of modern technologies, which are used in the most advanced clinics of Germany, Switzerland and other European countries.

During surgery, laser beam is affecting the surface layer of cornea, therefore, the enclosure of cornea and refraction of light is changed. The light rays, passed through the optical system of the eye, converge in the retina and the vision improves. Laser eye surgery can be applied for patients between 18 and approximately 45 years old. Nearsightedness and farsightedness must be stable for at least one year and patients must have no other illness which might influence vision. Recommendations are from -8 to +3 diopters, form and type of cornea might affect the choice for the method of surgery, which lasts about 20 minutes.

AFTER SURGERY: It is recommended to avoid strenuous exercises with eyes, dust, rubbing your eyes. They must be regularly moisturized with eye drops. Going home is allowed on the same day.
After laser eye surgery, vision gets better in 12 – 48 hours. The surgery itself does not cause any unpleasant sensations and disorganize the usual daily activities, depending on the chosen method of vision. After three days, patients can get back to the full daily routine (drive or go to work).

2. CATARACT SURGERY involves replacing the clouded eye lens by an artificial one, thus restoring the former vision for 90% of all patients. Cataract is the most common eye disease for older people, the vision can deteriorate till such a point when it is fully lost. As time goes by, proteins of lens start to move or merge with each other, thus forming spots, which clouds the lens and prevents the light from penetrating to deeper layers of the eye. These spots are called cataract.

The only method to cure this disease and restore the eyesight is to surgically remove the clouded lens and replace it with an artificial one.

During cataract surgery, clouded eye lens is shattered and suctioned out through a small (2-2,5mm) incision. Through the same incision, new artificial lens is inserted into the cavity where the clouded lens was. This surgery is not painful and usually lasts about 20-30 minutes. It is performed under a local anaesthesia (the eye is numbed with eye drops or an injection is made into tissues, which surround the eye). The vision becomes better within the first few days and stabilizes within a few weeks after the surgery. The biggest change after this surgery is found in much stronger sharpness of eyesight and better colour vision.

SYMPTOMS OF CATARACT

  • vision gets worse gradually;
  • clouded eyesight;
  • yellowing of colours;
  • frequent changes in eyeglass;
  • sensitivity to bright light;
  • increasing difficulty with driving at night;
  • double vision in a single eye.

POSTOPERATIVE PERIOD: after a surgery, bandage is applied, in order to protect the eye.

Cataract surgery is outpatient, which means that stationary treatment is not required afterwards.
Patients are allowed to go home on the same day, after one to two hours since the end of surgery.

It is recommended to follow these several rules for the first two to four weeks after surgery:

  • avoid eye rubbing with hands;
  • do not lift any heavy objects;
  • avoid traumas, physical exercises, swimming;
  • do not work in a dusty environment;
  • avoid sudden temperature changes, wind;
  • protect eyes from direct sunlight, it is advisable to wear sunglasses;
  • avoid intense reading and working with a computer for 2 weeks and protect eyes from water in the shower;
  • do not drive without a doctor’s permission.

STRABISMUS SURGERY
Strabismus is a constant or periodic eye’s deviation from the common fixation point and is followed by misalignment of the eyes towards the same object. Eyes may look outward, inward, downward or upward; Strabismus surgery is applied when crossed eyes cannot be fixed by a conservative treatment.

Main strabismus surgery groups are the ones which concentrate on loosening or tightening of extra-ocular muscles. The method of treatment depends on the condition of eyes and magnitude of the eye turn. It is discussed individually with every patient, whether the surgery will be applied to one eye and only several muscles of it, or to both eyes. During surgery, small incision is made into conjunctiva, in order to reach the muscles. Surgery is performed under a local anaesthesia and lasts about one hour.
Cosmetic improvement is achieved when the patient’s eyes gained a straight and aligned appearance or the magnitude of the eye turn is under degree seven.

POSTOPERATIVE PERIOD: After the surgery, patients recover quite fast. It is possible to get back to their daily activities after only a few days. For the more difficult cases of strabismus, several surgeries might be made. In some cases, glasses will still be needed after surgery.