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FAQ

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What are the retina tests performed at your Clinic?

EXCIMER Clinic offers retinal condition diagnostics using the state-of-the art Coherency Tomographer (OCT) which creates 3-D images of retina structure and optic nerve disc and provides data on macular condition, also in dynamics. This kind of testing is extremely important for patients with retinal disorders. Coherency Tomographer allows early diagnostics when there are no symptoms evident. This helps to start treatment at very early stages which gives better outcome chances.

Is Laser correction possible if one has thin cornea?

EXCIMER Clinic employs FemtoLASIK Laser vision correction technique. This perocedure may be used in various complicated visual system conditions, thin cornea included. But the main advantage of FemtoLASIK is quality correction outcomes. FemtoLASIK is assisted by two lasers: Femtosecond and Excimer. The correction principle is still same: change of shape of a refractive eye media – cornea, and the change occurs within mid layers of cornea. The key advantage is that the surgery is carried out based on patient’s individual parameters with highest accuracy of micrometer fraction of the surface corneal flap diameter, thickness, alignment and morphology. Such a flap is perfectly thin and smooth, eliminating any hazard of vision distortions under e.g. low light conditions, which may occur as results from other laser vision correction methods. FemtoLASIK eliminates the need for mechanical cuts of cornea, therefore after-surgery complications (yet very low with other laser vision correction procedures) become only “theoretically probable”.
EXCIMER Clinic is the only in Odessa to offer this procedure, and among only few in Ukraine to deliver it while this procedure has been successfully practiced in the world for over 10 years with about 1,5 million surgeries performed.

My mother had a nearsightedness correction 20 years ago and she says it was painful. Is it any better now?

A trail of negative speculations on vision correction has been there since the time when the only surgery was radial keratotomy. That procedure core was that special notches of up to 30% thickness were cut using a diamond knife on the cornea from pupil to periphery, and those cuts were adhering consequently, resulting in corneal surface change thus altering its refractive properties and improving vision. This was the great advantage. However there were a few drawbacks as well: the tools were far form micrometer accuracy so outcomes were pretty difficult to calculate and ensure. Healing of notches was not so fast and subject to individual regenerative abilities, often causing complications as well. Rehabilitation was slow and enforced a few limitations.
Excimer Laser introduction in ophthalmic surgery was a real breakthrough. Modern Laser vision correction surgery is performed as follows: a corneal flap of 90 to 130 micrometers thick is created and folded aside giving access to inner corneal layers; then the laser evaporates some corneal tissue, the flap is placed back and is self-fixed thanks to own collagen. There is no need for suturing as epithelium is restored along the flap border by itself. Patients start enjoy good vision already 1,5 to 2 hours after the correction.
Procedures keep advancing and the newest FemtoLASIK technique eliminates any mechanical contact. It is also known as «all–laser LASIK», since it is delivered assisted by two lasers: the Femtosecond laser creates corneal flap and Excimer laser corrects corneal shape. Thanks to the procedure being non-contact recovery is very fast with practically no unpleasant sensations possible.

They say that after Laser corrections eyes are more sensible to injuries, strains, infections. Is this true?

Human eye is obviously vulnerable and sensitive, hence the saying “to cherish as an apple of the eye”! But most prejudice about limitations after corrections dates back to the times when radial keratotomy was the procedure that preceded laser correction. And the radial keratotomy was demanding long rehabilitation period: patients had to stay in hospital and physical strain and exercise were out of the question.
Laser correction affects only cornea, and like with most procedures only its mid-layers, preserving integrity of the surface. Moreover only few micrometers thick cornea layers are evaporated by laser, basically preserving the original thickness intact. All other eye parts are not affected. Restrictions after the corrections are few and are imposed for only very limited period of time, patients come back to normal life very soon. By the way laser correction is the only way to restore vision for those who experience maximum loads often: test pilots, rescuers, mountain climbers, stuntmen, boxers, wrestlers, etc. Many celebrity sportsmen had the surgery performed for them.

Starting what age one can go for a laser correction?

The optimal age for Laser assisted eyesight correction is between 18 and 45. The correction is not recommended before 18 as the organism still grows till the age and this is true for the eye ball and consequently, refraction as well. After 45 doctors have to warn patients that laser correction cannot stop or prevent age related farsightedness (presbyopia).

I have worn contact lenses for a long time. Do I have to avoid wearing contacts before the surgery? If the answer is positive, for how long?

To provide for true diagnostics results one has to remove soft contact lenses a day before the testing. As for the surgery, it is advisable not to wear soft lenses for a week. Those who use hard lenses should abstain for two weeks.

I plan a pregnancy soon. Should I go for a laser correction now (-5) or wait and have it after giving birth?

Laser correction does not affect pregnancy or giving birth at all. Thousands who had a correction performed at EXCIMER Clinics have already become mothers or plan pregnancies. Long-term research results based on dynamic observation of patients we can make a statement that after a laser correction one can experience pregnancy and giving birth without any concern about own health and the baby’s health. It is best to plan pregnancy 6 months after the correction.
However we have to mention that women having problems with eye retina may have problems when carrying or giving birth. In a few cases retinal conditions may become indications for a Caesarean. Therefore when planning a pregnancy it is advisable to see a retinologist for a consultation.

What are the procedures for cataract treatment? Are there any age restrictions?

At present the most effective, safe and sparing procedure for cataract treatment is ultrasonic phacoemulsification with intraocular lens implantation. EXCIMER Ophthalmologic Clinic offers this technique as a cataract treatment. The core of the technique is to emulsify the crystalline lens using ultrasound and to aspire it out of the eye. The lens is then replaced by a folded intraocular lens, which unfolds and secures itself inside the eye,
Unlike classic (old) methods, no suturing is required, as all procedures are performed through a micro-incision of only 1.8 mm, that seals itself after the surgery.
Of course the decision on the possibility to perform the intervention is taken individually for each patient based on comprehensive testing results. Use of local eye-drop anaesthesia excludes extra strain on cardio-vascular system and other organs. Therefore there are no age restrictions for such a surgery, for instance the oldest cataract patient who had a phacoemulsification surgery is 104!

They say cataract is a disease of elderly people. Is this true? Why does it occur?

Cataract is an eye disease manifested by partial or complete opacification of crystalline lens, which is located between iris and vitreous body. In younger years the lens is transparent, elastic and can change its shape providing immediate focussing ensuring good eyesight for various distances.
With age biochemical composition of the crystalline lens is changing leading to opacification. No one is ensured against this disease, it may be said that if humans could live up to 120 to 150 years, everyone would experience a cataract.
There are many factors causing cataract development: genetic predisposition, metabolism disorders, diabetes mellitus, vitamin deficiency, UV irradiation, higher levels of nuclear radiation, bad ecology.

Can one find symptoms of cataract development himself?

At early stages cataract develops often without any signs. Only a doctor assisted by modern equipment can diagnose it then. Often starting cataract does not affect central optical area and vision quality is not disturbed for some time. However as it progresses some mistakenly guess it is age-related myopia. Further lines, strokes and spots start flashing before eyes, halos are seen around highlighted objects. And difficulties in reading or e.g. sewing are occurring, In the course of cataract maturing the pupil colour changes from black to white.

Is it true that cataract leads to blindness? Or the risk is exaggerated?

Unfortunately there is no exaggeration here. With cataract, the crystalline lens is getting clouded but it also grows in size (swells), causing fluid drainage problems which results in intraocular pressure increase, which in turn can cause development of secondary glaucoma. Glaucoma lead to increased strain on optic nerve and other eye inner structures, disrupting blood supply to the eye and nerve signals reaching brain cortex, therefore vision is disturbed, especially around periphery. And that process is reversible, as a vision lost due to glaucoma cannot be restored, doctors can only try to slow down the disease progress.

Are there any special requirements for getting ready for eye testing?

No special requirements, please just follow few rules:
Please avoid use of alcohol the day before the tests.
Women are advised to avoid use of decorative cosmetics on the day of testing. If you wear soft contact lenses you can remove them in the clinic just before the checks, hard lenses should be removed 2 weeks before the testing day. You should carry on you an ID. If you have results of previous examinations please bring them along to show to the doctor during consultation.

Why pass computerized diagnostics? Can it discover anything that a doctor from a polyclinic can’t find?

Many eye diseases especially at early stages may develop with no symptoms at all. While the early treatment is most effective in most cases. The modern diagnostics equipment allows to carry out non-contact testing, and the results do not depend on how precisely the patient followed doctor’s instructions. This testing is objective and comprehensive providing complete and true information about size, functioning and structure of the eye bulb for the doctor. The comprehensive computer assisted diagnostics at EXCIMER Clinic includes the following tests: vision acuity evaluation; refraction and intraocular pressure measurements; field of vision examination; ultrasonic testing of eye inner structures (including cases when media is not transparent); corneal shape and refraction power evaluation; retina and optic nerve condition check, and many other parameters. The diagnostic equipment available at EXCIMER Clinic allows doctors to detect refractive abnormalities (myopia, hyperopia, astigmatism), eye refractive media disorders (corneal and crystalline lens opacification) , as well as receptor problems occurring in cases of glaucoma, diabetes and retinal dystrophy. The diagnostic testing results in comprehensive information on the visual system condition, allowing doctors to detect early development stages of most eye disorders and take the most effective measures for treatment.

Is there an extra price for the eye center services for foreign nationals or are all prices equal for all patients?

There is no extra price for Excimer services for foreign nationals. All diagnostic and therapeutical services are provided for foreign nationals at the same price as for Russian nationals.

I live outside of Russia, but I’m planning to have my cataract extraction surgery in Russia, because I think that Russian surgeons offer the best value for money. I would like to find out if it is true that I won’t have to stay in the hospital bed before and after the surgery. I need this information to plan out my itinerary beforehand.

Yes, you won’t have to stay in hospital. All our cataract extraction surgeries require no hospitalization. Patients operated for cataract require no special care after the surgery. The ocular tissues and structures are treated with maximum care to ensure the shortest possible recovery period so that the patient can resume his or her normal lifestyle quite quickly.

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