Ophthalmological surgery

Blepharoplasty pre-assessment (both eyelids)

Blepharoplasty (medical recommendation, excess skin removal, one eyelid)

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

Lower eyelid turned outward (medical recommendation, one eyelid)

Lower eyelid turned inward (medical recommendation, one eyelid)

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

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

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

Surgical capsulotomy (one eye)

Vitrectomy surgery pre-assessment

Vitrectomy (one eye)

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.

Macular buckling (one eye)

Eyeball cerclage / scleral invagination

Pupil cerclage (Cerclage, one eye)

Gas administration (pneumatic retinoplexy, one eye)

Scleroplasty (one eye)

Anti-glaucoma procedure pre-assessment

Anti-glaucoma procedure – trabeculectomy/ sclerotomy

Iridectomy (surgical, anti-glaucoma procedure)

Cataract removal surgery (Scharioth macula lens)

Endoscopic cyclophotocoagulation (ECP)

Cataract removal surgery (Premium lens)

Phaco-vitrectomy (vitrectomy with cataract removal)

Cataract removal surgery (Eyemax Mono lens)

Phacoemulsification with endoscopic cyclophotocoagulation (ECP, anti-glaucoma)

Refractive surgery procedure pre-assessment

If you are considering undergoing a laser vision correction, please read the following important information. Before the procedure can be performed you need to make an initial (qualifying) appointment with an ophthalmologist. During this appointment the doctor will perform several diagnostic tests in order to determine if the laser vision correction is possible in your case. The duration time of such appointment is about 2 – 3 hours.

During the qualifying appointment the following tests will be performed:
  • vision defect assessment before and after administering the mydriasis evoking eye drops
  • keratometry
  • corneal topography
  • measuring of the pupil’s width (pupilometry)
  • measuring of the cornea’s thickness (corneal pachymetry)
  • the quality and composition of tears assessment
  • eyeballs ultrasound
  • the anterior and posterior eye sections assessment
  • intraocular pressure measurement (tonometry)
  • irideocorneal angle test (gonioscopy)
  • visual field test
  • OCT
NOTE!

In order to perform the above mentioned tests, the doctor uses mydriasis evoking eye drops, which effects last for about 3 – 4 hours. You need to remember that after you underwent the above mentioned tests you are not allowed to drive a car due to compromised vision.

If you decide to have a laser vision correction, remember that you must not wear contact lenses for 4 weeks before the test qualifying for the refractive surgery.

All the tests are being performed during one appointment in our Hospital. Their cost is included in the general cost of the qualifying appointment (400 PLN).

Please contact our medical registration at (22) 664 44 33 or 693 722 448

Refractive surgery procedure (one eye, depending on the method)

WHAT IS THE REFRACTIVE SURGERY?

It’s a procedure aimed to correct eye defects. It is done with a laser.

Excimer laser SCHWIND AMARIS® 500E

This laser is one of the world’s leading technologies in the field of laser vision correction and this is the laser our facility has been using since May 2019. Due to the use of modern technology, procedures are very safe, short and painless.

With the help of this laser, we can correct eye defects ranging from -12.0 (myopia) diopters to +6.0 (hyperopia) of spherical diopters and up to 6.0 cylindrical diopters (astigmatism).

The above laser allows to perform procedures such as:

  • laser correction of eye defects, all available procedures including SmartSurfe (TransPRK),
  • laser correction based on WaveFront,
  • PresbyMax – it’s a unique platform to perform laser correction of presbiopia,
  • PTK – it’s a module used in order to plan the cornea scars and degeneration treatment by elliptical or circular tissue ablation,
  • KPL – it’s a module used in order to plan and perform corneal transplants.

The laser which has been used in our facility increases the procedures’ safety through:

  • laser energy stability greater than in other lasers,
  • greater than before the perfection of photoablation (the pattern of the laser photoablation is based on fractals),
  • greater precision of linking the applied parameters with the treated visual defect,
  • greater precision in the location of laser pulses that follow the pupil and the micro-movements of the patient’s eyeball,
  • very precise, computer adjustment and calibration of the laser beam centering.
The treatment is contraindicated for the following people:

under 21 and over 60 years old, pregnant or nursing, treated with steroids, with connective tissue diseases, with diabetes, with autoimmune diseases, with immunodeficiency, allergies, with active infections, with peacemaker, in which the vision defect is increasing, with degenerative myopia, with non-operated cataract, with glaucoma, with retina diseases, with keratoconus, with nystagmus, with dry eye syndrome, with vascular eye diseases

PROCEDURE DESCRIPTION

After administering anesthetic drops we put a metal retractor on the eyelids. The laser arm is positioned directly above the operated eye. We ask the patient to focus his or her eyes on the light which is on the laser arm. The laser’s operating time is several dozen seconds during which the eye should be kept immobile. During the procedure the patient does not feel the pain. Both eyes are being operated on during the same procedure.

AFTER THE SURGERY

After about half an hour the patient may be discharged home. It is recommended for an adult to accompany the patient. For about 3 hours after the procedure the patient may feel burning and tearing in the operated eye, but he or she should not clench eyelids or rub the eye. After 3 days the patient has a checkup appointment (which is covered by the procedure fee).

For 3 weeks after the procedure the patient should avoid smoke (also the cigarette smoke) and dust. The patient is not allowed to wet the eyes during bating or showering at home or swimming at the pool. The patient is not allowed to use the sauna or the solarium. It is recommended not to carry heavy loads (over 15 kg). The patient should avoid heavy sunshine or when that is not possible, he or she should wear sunglasses with a UVA filter.

MOST FREQUENTLY ASKED QUESTIONS

What are the risks of the laser procedure?
The risk of such procedure does not exceed 1%. The most frequent complications are postoperative infections.

What are the most common side effects of the procedure?
Problems with night vision. Blurred vision of the light points. Weakened contrast view. Hypersensitivity to light. Halos around light sources. The complications occur rarely and usually they disappear spontaneously after 6-12 months after the surgery.

Can the eye condition (vision defect) recur after the operation?
In a few percent of patients the defect of about one diopter recurs. Such defect can be corrected 1 years after the first procedure.

Should you like to know if you qualify for the surgical correction of eye defects, make preliminary appointment in our Clinic, call us at: (22) 664 44 33 or (22) 693 722 448

NOTE!

If you decide to have a laser vision correction, remember that you must not wear contact lenses for 4 weeks before the test qualifying for the refractive surgery.

Strabismus surgery pre-assessment (adults)

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

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

Silicone oil removal / exchange (one eye)

Phacoemulsification with iridectomy

Secondary intraocular lens implantation (one eye)

Orbital tumors removal (along with extensive biopsies)

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

Anti-glaucoma procedure – canaloplasty

Orbital reconstruction with fat transplantation into the orbit

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

Superficial orbital tumors removal (deep)

Plastic repair of the conjunctival fornices

Phacoemulsification with canaloplasty (anti-glaucoma)

Silicone oil exchange

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.

ISO 9001:2015