Diagnostic tests

Please learn the full price list of our medical services. You can also open or download it in PDF format. We do not have a contract with NFZ (National Health Fund).

In our facility you can use the MediRaty option. You can get more details calling the number +48 22 266 83 70.

Basic appointment (no pupil dilation)

230 PLN

Intraocular pressure measurement, visual acuity test and possible lenses selection.

Home visit (arranged individually with the patient)

400 PLN

Visual field examination

80 PLN

Funduscopic exam, retina, choroid and vitreous body exam (with dilated pupils) + appointment

250 PLN

Eye fundus imaging

130 PLN

Ultrasound (both eyes)

200 PLN

Ultrasound Biomicroscopy – UBM (both eyes)

220 PLN

Visual field test

50 PLN

Visual field test resembles a computer game: the patient looks at one point and presses the joystick when “out of the corner of the eye” sees a flash of light. It requires concentration and a proper technique, therefore only a second or a third try is considered probable.

The visual field determines the optic nerve function – the better it is working, the better is the visual field.  This test is in use in cases of all optic nerve diseases, that is in cases of glaucoma, brain or retina damages.

Electrophysiology (ERG)

270 PLN

Electroretinography (ERG) and electrooculography (EOG) allowing to obtain information on individual layers of the retina functioning.

USG with funduscopy

230 PLN

Fluorescein angiography

400 PLN

This test evaluates blood circulation inside the retina and the choroid. After IV administering of the contrast – yellow-orange pigment called fluorescein – black and white images of eye vascularity are taken.

The pigment flows through the eye like blood, so if somewhere fluorescein starts to leak, we know that in this location the blood vessels are damaged. The location of the leak is precisely shown on images.

OCT test of both eyes

270 PLN

The most up-to-date retina testing method. Due to exceptional accuracy of 3 micrometers, it is possible to view and evaluate all layers of the retina as if we were looking at them under the microscope. The test evaluates the most important part of the retina – macula lutea.

The macula lutea allows a person to see details, colors, to read and to write. If the macula lutea is damaged the patient can see only the outline of objects, does not recognize faces or bus numbers. The most common disease of the macula lutea is age-related degeneration (AMD).

DRI OCT Triton – up-to-date device for macula lutea and optic nerve computed tomography (OCT, GDX) and angiography.

As the second in Poland and the only one in Mazovia, we are holders of the eye testing equipment in Swept Source technology – DRI OCT Triton. The device allows much better penetration of the eye structures – up to the sclera and choroid, also in eyes with high refractive deffect (allows examination of eyes with defect from -33D to +40D) and worsened translucency. Triton allows a good quality examination in cases of corneal spots, cataract, as well as of minor bleeding to the vitreous. All this made it difficult – and often impossible – to test with conventional OCT devices.

If you had problems with this type of test, you were referred to as a “difficult to diagnose patient” or if a substantial vision defect makes it impossible to perform the examination – come to us!

The properties of our new equipment are particularly useful for diagnosing age-related macular degeneration, central serous retinopathy, macular hole, choroidal nevus and others.

OCT test of one eye

135 PLN

The most up-to-date retina testing method. Due to exceptional accuracy of 3 micrometers, it is possible to view and evaluate all layers of the retina as if we were looking at them under the microscope. The test evaluates the most important part of the retina – macula lutea.

The macula lutea allows a person to see details, colors, to read and to write. If the macula lutea is damaged the patient can see only the outline of objects, does not recognize faces or bus numbers. The most common disease of the macula lutea is age-related degeneration (AMD).

DRI OCT Triton – up-to-date device for macula lutea and optic nerve computed tomography (OCT, GDX) and angiography.

As the second in Poland and the only one in Mazovia, we are holders of the eye testing equipment in Swept Source technology – DRI OCT Triton. The device allows much better penetration of the eye structures – up to the sclera and choroid, also in eyes with high refractive deffect (allows examination of eyes with defect from -33D to +40D) and worsened translucency. Triton allows a good quality examination in cases of corneal spots, cataract, as well as of minor bleeding to the vitreous. All this made it difficult – and often impossible – to test with conventional OCT devices.

If you had problems with this type of test, you were referred to as a “difficult to diagnose patient” or if a substantial vision defect makes it impossible to perform the examination – come to us!

The properties of our new equipment are particularly useful for diagnosing age-related macular degeneration, central serous retinopathy, macular hole, choroidal nevus and others.

OCT test of both eyes + appointment

300 PLN

The most up-to-date retina testing method. Due to exceptional accuracy of 3 micrometers, it is possible to view and evaluate all layers of the retina as if we were looking at them under the microscope. The test evaluates the most important part of the retina – macula lutea.

The macula lutea allows a person to see details, colors, to read and to write. If the macula lutea is damaged the patient can see only the outline of objects, does not recognize faces or bus numbers. The most common disease of the macula lutea is age-related degeneration (AMD).

DRI OCT Triton – up-to-date device for macula lutea and optic nerve computed tomography (OCT, GDX) and angiography.

As the second in Poland and the only one in Mazovia, we are holders of the eye testing equipment in Swept Source technology – DRI OCT Triton. The device allows much better penetration of the eye structures – up to the sclera and choroid, also in eyes with high refractive deffect (allows examination of eyes with defect from -33D to +40D) and worsened translucency. Triton allows a good quality examination in cases of corneal spots, cataract, as well as of minor bleeding to the vitreous. All this made it difficult – and often impossible – to test with conventional OCT devices.

If you had problems with this type of test, you were referred to as a “difficult to diagnose patient” or if a substantial vision defect makes it impossible to perform the examination – come to us!

The properties of our new equipment are particularly useful for diagnosing age-related macular degeneration, central serous retinopathy, macular hole, choroidal nevus and others.

Corneal pachymetry

65 PLN

Gonioscopy

65 PLN

Gonioscopy + appointment

250 PLN

Extended glaucoma diagnosis

400 PLN

Electrophysiology (ERG)

350 PLN

Electrophysiology (EOP)

370 PLN

Electrophysiology (PERG)

350 PLN

Cornea endothelial cells test

80 PLN

Visual evoked potentials (VEP)

250 PLN

It allows assessment of the visual pathway functioning from the macula through the optic nerve, the visual pathway to the visual cortex in the brain.

Biometry test

100 PLN

Irideocorneal angle test

100 PLN

Pressure curve

170 PLN

The eyeball pressure value is evaluated with a special device called tonometer. A disadvantage of this device is that it needs to touch the patient’s eye. Therefore the patient needs to be under the local anesthesia and the tonometer’s probe needs to be sterilized. That is why non-contact tonometry is becoming increasingly popular. During this test the pressure is measured with an air-puff and therefore the patient does not require anesthesia. In Retina Ophthalmological Hospital we use the most modern non-contact tonometer.

The correct value for intraocular pressure in adults should not exceed 21-22 mm Hg, although it is also important to know that some people suffer from ocular hypertension – elevated intraocular pressure, which is not synonymous with glaucoma. Moreover, the following factors may affect the test results: cardiovascular diseases (hypertension, hypotension, stroke, diabetes), blood diseases and respiratory diseases. Nonetheless, elevated intraocular pressure urges the ophthalmologist to carry out further diagnostic tests for glaucoma.
Assessment of the anterior and posterior segment of the eye. Although the eye is just the size of a ping pong ball, its internal structure is more complicated than the one of the Swiss watch. Each eye structure is examined in a slightly different way, and the ophthalmologist selects a test method adapted to the problem. The test is carried out using biomicroscopes and magnifying lenses. Without pupil dilatation the outer half of the eyeball, professionally called the anterior section can be examined. Whereas, to examine the deeper half, drops should be administered in order to dilatate pupils. The test performed after pupil dilatation is called funduscopy.

In the process of examining fundus, blood vessel can be assessed. This test is also used in assessment of the general condition in diseases like diabetes or hypertension. We are concerned with the fact that the blood vessels condition is the same in the whole body.

If applicable, additional test are performed:

  • visual field test (perimetry)
  • corneal topography and keratometry
  • OCT that is optical coherence tomography
  • ultrasound
  • fluorescein angiography

 

Intraocular pressure measurement

30 PLN

Tests for demodex (test for parasites)

100 PLN

Lens (dressing) application

70 PLN

Histopathological examination

130 PLN

Ophthalmological procedures

Intravitreal injection (depending on the type of substance)

800 PLN - 2100 PLN

AVASTIN AND LUCENTIS
WHAT IS INTRAVITREAL INJECTION, WHICH IS MEANT FOR TREATING THE “WET” FORM OF AGE-RELATED MACULAR DEGENERATION (AMD)?

A layman would call it an “injection into the eye” and it reality is an injection into the carefully selected spot in the eyeball. The injection is performed under local anesthesia so it does not hurt. Not including the time needed for pupil dilatation, the intravitreal injection takes only two minutes.

HOW IS THE TREATMENT WITH SUCH INJECTIONS BEING PERFORMED?

In case of AMD a series of injections is being administered, once a month. Then the progress of treatment is being checked with the OCT test and the future treatment is planned. OCT test (Optical Coherence Tomography) is a ultra-modern and non-invasive method of examining tissues inside the eye. Often this will end the series of injections. After that periodic medical supervision and perhaps additional injections will be necessary. At times, the patient needs to continue to receive the injections but usually at larger intervals.

IS IT TRUE THAT AVASTIN – THE MEDICINE USED FOR OPHTHALMOLOGICAL INJECTIONS IS IN FACT A CANCER DRUG?

Yes, and it is still an effective drug used in oncology. And since its effectiveness in cancer treatment was proven to be high, other possibilities for its use have been sought. American ophthalmologists started to use it 6 years ago and practice has shown that it has been effective. Ophthalmologists from various countries note its high efficiency both in treating the “wet” form of AMD, the diabetic retinopathy, some forms of glaucoma and diabetic macular edema. It has similar effect to a much more expensive drug – Lucentis.

WHAT IS THE DIFFERENCE BETWEEN THOSE TWO DRUGS?

Both have similar chemical composition and eventually similar effect. Lucentis is a smaller molecule obtained from a bigger Avastin. The effect of both Avastin and Lucentis is based on sealing and blocking the growth of abnormal blood vessels. Lucentis was approved in the USA in 2006 and Avastin has been used there off-label already since 2004.

The research results from the Queen’s University Belfast published in 2013 in a prestigious surgical journal “Lancet” (two-years trial) confirmed the results of previous American studies stating that the effect of both these drugs is very similar. Click here to view more tu and tu.

WHEN AVASTIN AND WHEN LUCENTIS SHOULD BE USED?

There is no easy answer to this question. The depth of once pocket plays a big part here. Some people believe that if one of the drugs does not work, applying the other one can bring the desired result. Due to the very similar composition of both drugs, their effectiveness is similar. Every person responds differently to drugs. Hence the need for different measures for the same disease. There is a lot of hope placed in new, alternative drugs such as Eylea (which we also have been using in Retina since June 2013).

Intraviteral injection with Ozurdex

5500 PLN

Chalazion injection

170 PLN

Xanthelasma removal (one eye)

900 PLN

Cutaneous horns, warts, cysts, sebaceous cyst removal (depending on the size of the lesions)

600 PLN - 1200 PLN

Foreign object removal from the cornea

220 PLN

Chalazion, lump, nevus removal (depending on the size of the lesions)

600 PLN - 900 PLN

WHAT IS CHALAZION?

Chalazion is a type of abscess inside the eyelid – palpable change; as if a pea inside the eyelid. Sometimes it’s painful.

WHERE DOES THE CHALAZION COME FROM?

The sebaceous glands on the inner side of the eyelid get bunged up, they accumulate secretion in which infection may develop.

Chalazion is often a result of recurring stye but unlike stye the chalazion does not heal itself. Do not wait! You need to see a doctor.

HOW DOES THE MEDICAL INTERVENTION LOOK LIKE?

If the chalazion is still small, antibiotic therapy, including ointment and drops, should be enough. If the above should be not be enough the doctor may decide about antibiotic injections being administered around the infected area. If that won’t work the chalazion needs to be surgically removed.

HOW THE PROCEDURE OF CHALAZION REMOVAL LOOKS LIKE?

It is being performed under local anesthesia. First the surgeon unfolds the eyelid (the Chalazion is present on its inner side), then he incises infected area and evacuates the accumulated fluid content. After the procedure, for the time recommended by the doctor, the patient should locally apply ointment or drops with antibiotic.

Cyst removal

600 PLN

Actylise application

1200 PLN

Botulinum toxin injections (medical recommendation)

900 PLN

Cryosurgery of the retina

800 PLN

Ciliary body cryotherapy (glaucoma, one eye)

600 PLN

YAG – capsulotomy (one eye)

400 PLN

YAG – iridotomy (one eye)

400 PLN

Nasolacrimal ducts lavage (adults, one eye)

80 PLN

Nasolacrimal ducts lavage (adults, both eyes)

160 PLN

Laser therapy of retina (diabetes, degenerations, one eye)

450 PLN

Insertion of tear duct plugs (for 3 years)

750 PLN

Subconjunctival / extraocular injection

70 PLN

Laser therapy of retina (under anesthesia, one eye)

500 PLN

Pterygium removal (one eye)

1500 PLN

Lashes electrolysis

250 PLN

Ophthalmological surgery

Cataract removal surgery (with lens implant, depending on the lens type)

3300 PLN – 10000 PLN

Cataract removal surgery pre-assessment (regardless the lens type)

420 PLN

Vitrectomy surgery pre-assessment

420 PLN

Blepharoplasty pre-assessment (both eyelids)

380 PLN

Lower eyelid turned outward (medical recommendation, one eyelid)

2500 PLN

Blepharoplasty (medical recommendation, excess skin removal, both eyelids)

4500 PLN

Lower eyelid turned inward (medical recommendation, one eyelid)

2500 PLN

A drooping or falling of the upper eyelid (ptosis, medical recommendation)

3500 PLN

Anti-glaucoma procedure pre-assessment

420 PLN

Vitrectomy (one eye)

7000 PLN - 12500 PLN

WHAT IS VITRECTOMY?

Some call it the “last chance-surgery” – and that seems to be true. Due to advances in medicine, the introduction of modern surgical techniques and the latest medical devices, vitrectomy can cure or ward off diseases that several decades ago would lead to vision loss.
Vitrectomy is the pathological changes removal from the vitreous and the retina. Vitreous is a gelatinous substance that fills the posterior (the largest) chamber of the eyeball. A specialist qualifies the patient for vitrectomy when there are no other ways of treating the retina or the vitreous. In cases of retina diseases indications for vitrectomy are macular hole, epiretinal membrane, retinal detachment, retinal vein thrombosis or diabetic retinopathy. The indications for vitrectomy in case of the vitreous disease are hemorrhages or vitreous opacities.

HOW IS THE VITERECTOMY PERFORMED?

The surgeon performs the procedure using a specialist microscope which allows three precise incisions in the retina. The incisions are small (from half to one millimeter long). Through the incisions the surgeon removes the vitreous and injects other substance to the eye – gas, sterile air, infusion fluid or silicone oil. The type of filling depends on the decision of the surgeon who intraoperatively makes the eye condition assessment. Gases and fluids are absorbed, silicone oil, after some time, needs to be removed or exchanged by a surgeon. Vitrectomy may be accompanied by other surgical procedures – that depends on the ailments which caused the bad eye condition. Vitrectomy is often combined with the replacement of the opaque lens of the eye (that is with the cataract removal) – such procedure is called phaco-vitrectomy.

IS VITERECTOMY PAINFUL?

It is being performed under local anesthesia. The procedure takes about an hour. This is ambulatory surgery – immediately after it the patient may be discharged. The pain may persist for several days after the operation – then conventional over-the-counter pain killers help to relieve it.

HOW LONG WILL THE CONVALESCENCE TAKE? WILL THE OPERATED EYE BE ABLE TO SEE AS PREVIOUSLY? HOW TO TAKE CARE OF THE OPERATED EYE?/h5>
After the surgery together with your physician you will plan the dates of the postoperative appointments – specialist care after the surgery is essential since the vitrectomy carries a risk of complications (the most common ones are cataract, retinal detachment and hemorrhage to the eye). For a few days after the surgery the vision may be worse – it is natural after such a serious intervention. But the vision will gradually return to normal. It is worth remembering that in case of filling with silicone oil the effect of vision worsening can last longer and be serious enough that it will be necessary for the time being (until the oil is released) to replace the corrective lenses in your glasses.

During the convalescence period it is recommended to maintain a specific positions – face down; sitting and walking in a slight incline, sleeping on the stomach. For a few weeks the patient should avoid traveling by plane (especially if the eye was filled with gas). At night the patient can occlude the operated eye with a cover – this way one will avoid accidental eye irritation while sleeping. The bathing time should also be limited. The patient may not use sauna – long contact with very hot air is not advisable for the operated eye.

Surgical capsulotomy (one eye)

1300 PLN

Phacoemulsification with endoscopic cyclophotocoagulation (ECP, anti-glaucoma)

od 5500 PLN

Phacoemulsification with iridectomy

od 4000 PLN

Macular buckling (one eye)

7900 PLN

Eyeball cerclage / scleral invagination

6200 PLN

Pupil cerclage (Cerclage, one eye)

6500 PLN

Gas administration (pneumatic retinoplexy, one eye)

1800 PLN

Scleroplasty (one eye)

6500 PLN

Silicone oil removal / exchange (one eye)

od 4000 PLN

Strabismus surgery pre-assessment (adults)

350 PLN

Enucleation and evisceration (eye removal surgery) with implantation of an orbital implant (with the implant)

10000 PLN

Secondary intraocular lens implantation (one eye)

10000 PLN

Strabismus surgery (adults, under general anesthesia, both eyes)

7000 PLN

Orbital tumors removal (along with extensive biopsies)

3500 PLN - 5000 PLN

Orbital reconstruction with fat transplantation into the orbit

8500 PLN

Eyelid lesions removal with reconstructive procedures (flap displacement, free grafts)

od 2300 PLN

Superficial orbital tumors removal (deep)

5000 PLN - 7000 PLN

Plastic repair of the conjunctival fornices

2000 PLN

Clinical trials

We presently conduct clinical trials in the field of ophthalmology in partnership with pharmaceutical companies.

We create a company that:

  • is not afraid of complicated tests,
  • we are open to medical novelties,
  • we want to actively participate in the development of ophthalmology in Poland and in the world,
  • we want to gain new experience to better help and treat our patients.

A well-organized team of physicians-researchers, qualified nurses and well-organized and meticulous coordinators as well as professional and modern hardware provide us with the opportunity to gain experience and improve our work quality, thus ensuring the calm and safety of our patients during experimental therapy. Specialization in clinical research is one of our professional priorities. We therefore focus on the reliability of the collected data, properly managed medical records, and on the comfort of a patient being treated in our facility. Our medical appointments are both efficient and professional.

Please contact us about the clinical trials.

Ewa Chojnowska, Managing Director e.chojnowska@retina.pl

Additional services

SPA for the Eyes

A big threat to our eyes is polluted city air, which is full of allergens and dust. Eyes also react badly to air conditioned spaces, such as an office, a car, and a plane. They are negatively affected by long work in front of the computer monitor or long-term looking at the screen of the phone or tablet, as well as inappropriate lighting in the rooms and smoke, e.g. tobacco. Long-lasting stress also has a negative impact not only on our heart, but also and primarily causes a high level of fatigue and debilitation of the vision.

If you suffer from dry eye syndrome, you surely observe symptoms like heavy eyelids, a feeling of having “sand under the eyelids”, red eyelids and conjunctiva. If you use moisturizing drops, but they relieve the pain only to a small extent, apply the treatment of such symptoms with the help of specialized Eyefit ophthalmic compresses in the form of regular compresses that you can comfortably use at home. Do you want to learn more? Visit the website: www.eye-fit.eu

Demodex infections

To patients suffering from demodex infections (Demodex brevis, Demodex folliculorum), blepharitis, eye-form of rosacea, dry eye syndrome, ophthalmia or other ocular adnexa conditions we recommend a non-standard therapy. If you are interested in this type of treatment visit the Cliradex.pl webpage and see more.

Retina Ophthalmological Outpatient Clinic and Hospital in Warsaw is a modern medical facility with an excellent and experienced team of specialized physicians – including pediatric ophthalmologists. Retina opened in 2004. Since that time we have performed over 10,000 eye surgeries, hundreds of angiographic tests and ultrasounds, and have had over 15,000 patients.

The name of our hospital comes from Greek. Retina is an inner coat of the eyeball responsible for vision. A Patients’ ability to see is the most important for us, ophthalmologists. Knowledge and many years of experience help our team to achieve that goal.

We are unique in our non-standard approach to eye diseases, innovative solutions and patient-friendly approach. Knowledge and experience are not enough and need to be supported by tests, which we perform on the most up-to-date equipment.

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