Laser and surgical procedure

We apply the most modern methods and equipment to treat eye diseases, so that our patients can count on high-quality medical care, same as the care received by patients of leading European medical centres.

Snimka VIDS Dr Nikolay Ivanov 1

Removal of cloudy lens is one of the most secure and efficient operational procedures. It consists in making a very small incision in the eye through which an instrument, with thickness of the tip of a pen, is inserted to break and remove the cloudy natural lens. After removing the lens, through the same tiny incision an artificial intraocular lens (IOL) is placed, which expands and occupies a permanent position in the eye.

Burgas Specialised Eye Hospital apply the most advanced procedure to remove cataracts through the so-called Ultrasonic phacoemulsification that is seamless, painless and bloodless. Normally it takes about 20 minutes. This modern operating method allows to reduce the cut (from 1.8 to 2.6 mm) compared to older techniques (8-10 mm). The patient feels no discomfort during the surgery and recovery usually lasts less than a week. Most patients undergone surgery return to normal activities the next day.

If you are having a cataract surgery, what you need to do is select the type of artificial lens. Besides the characteristics of the eye, your individual needs and preferences, and your way of life are especially important when choosing the lens. Our eye specialists will advise you to choose the best for you. The hospital works with the best quality intraocular lenses, as used by the leading eye care institutions in the world. They are made of biocompatible material with UV protection and there are others with a blue light filter. It is a one-time operation and there is no need to replace the lens after a year.

What is the intraocular lens: it is an artificial lens, implanted in the eye during the cataract surgery. The traditional method involves implantation of monofocal – single vision lens. This type of IOL is well suited to restore functional vision for one particular distance (e. g. close range), but it does not eliminate the need for glasses in general, nor the need for glasses or additional surgery to correct existing astigmatism or any other refractive anomaly.

Recent technology achievements are impressive – the new generation artificial lenses can help you not only to see well near and far without the aid of glasses or bifocal contact lenses, to further correct some eye disorders as astigmatism, myopia, hypermetropia, etc.

Secondary cataract occurs in a small number of patients undergoing cataract surgery. This is called posterior lens capsule opacification and develops over the clear posterior capsule.

Condition’s symptoms resemble those before the cataract surgery, so the condition is referred to as ‘secondary cataracts’. It is not due to surgery complications and is considered a normal phenomenon, affecting about 10% of patients after the cataract surgery.

A few years ago this condition was treated by surgery. Burgas Eye Hospital uses YAG laser capsulotomy, the modern method for secondary cataract treatment. It is very fast, efficient and completely painless procedure. Using YAG laser, ophthalmologist makes a small hole in the posterior lens capsule to eliminate the opacification. Typically, patients can maintain regular daily activities soon after surgery.

Laser treatment of glaucoma

Laser trabeculoplasty is used for the treatment of open-angle glaucoma. The aim is to facilitate the process of drainage of intraocular fluid via laser coagulation in the chamber angle.

Laser iridectomy is used for the treatment of glaucoma. A tiny hole is created on the iris, in order to improve the drainage of the intraocular fluid and decrease the intraocular pressure.

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Surgical treatment of glaucoma

Surgical treatment is recommended if drugs and laser treatment do not provide the desired lowering of intraocular pressure and glaucoma progresses.

Glaucoma surgery restore the normal openings or creates new openings for the fluid drainage flow or reduce production of intraocular fluid. The success rate of anti-glaucoma operations is 80-90%. They do not lead to improvement in vision, but can preserve it in its current state. Every surgery brings a small risk of complications such as bleeding, inflammation, strong operational decrease of intraocular pressure, lens capsule opacification, etc., But these are not comparable to the risk of irreversible loss of vision if surgery is refused.

After the fistulising operations (trabeculectomy), intraocular fluid drains through the created fistula and lifts the conjunctiva under the upper eyelid (filtration cushion), which may cause a feeling of irritation and discomfort. Proper hygiene and temporary use of anti-inflammatory drops and ointments is required.

Only early detection of the disease and timely treatment can preserve the vision of patients with glaucoma.

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Laser is used to ‘spot weld’ the retina and for neutralisation of hazardous ischemic fields most often in patients with complications of diabetes or at risk of retinal detachment.

Vitreoretinal surgery is the most extreme eye surgery, which uses specific techniques and tools for the treatment of retinal diseases that were previously considered incurable (complications of diabetic retinopathy, retinal detachment, macular hole, etc.).

Vitrectomy covers the posterior segment, i.e. the most difficult to reach fields of the eye – the vitreous and retina. In the course of the operation, through a very small incision, the vitreous body is removed and replaced by a solution with characteristics similar to those of the eye. For achieving the desired goal, surgeon can use special substances as silicone oil and intraocular gases.

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You'll be able to visit us at your convenience, if you schedule an appointment for an eye exam. You can call us on: +359/56859850; +359/895050506