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Cataract Surgery

New sight with new lense.

Cataract Surgery

Cataract is a disease which sooner or later will affect all of us. In a large extent it is related to the age and it makes our visual acuity worse. Today, you no longer have to wait until the cataract matures. Your quality of life is easily to maintain thanks to the operation, which belongs to the most frequently performed operations on the human body. By using the femtosecond laser cataract surgery has become even safer and the eye is less burdening than in the past. VESELY |Eye clinic is the contractual partner of all health insurance companies in Slovakia and therefore is the cataract surgery fully covered by your health insurance without any additional charge for the surgery.

Creation and symptoms

The creation of a cataract is related to a build up of by-products from the metabolism in the human lens. Within the eye, the lens is located behind the iris and a human can focus near and far thanks to the lens. The accumulation of metabolic by-products causes clouding and the “hardening” of the lens. In the initial stage, this worsens vision but can still be corrected by using spectacles. However, vision subsequently becomes more blurred, which causes a worsened sense of colour, contrasting environments, difficulties with driving in dusk and at night and many other symptoms.

Treatment

The only way to remove a cataract is surgery. Eye drops, ointments or various eye exercises are ineffective. This surgery is not challenging for the patient. The patient does not feel or sense the operation.

Implants

At the VESELY I Eye Clinic, we pay great attention to the quality of specialistic care and the selection of the implants. For this reason, we offer you implants from the two highest-quality producers who are the best in the world, not only in production and quality but also in implant development.

All the implants we use in our clinic are made of soft, hydrophobic acrylate. They can be folded and therefore their implantation through minimal incisions is possible. The most modern design and the artificial intraocular lens material provide the greatest visual acuity and reduce the risk of a secondary cataract. That is why the selection of an implant is very important for overall long-term results and satisfaction of our patients.

The range of implants is very wide and includes mono-focal lenses and lenses with a so-called ‘yellow filter’, toric lenses, as well as multi-focal lenses which are included in the group of ‘premium implants’. We always try to adapt the implant selection to the age, diagnosis and requirements of the client. We would be happy to advise you and recommend the most suitable implant for you.

Examination

Before cataract surgery in our eye clinic, you will undergo a complete examination of both eyes. This includes checking visual acuity, the level of intraocular pressure and a funduscopic examination. You will also undergo several specialised examinations which will help us to calculate the exact value of the implant most suitable for you. Based on the obtained data, we will order the implant for you.

Before the surgery

It is not necessary to undergo an internal pre-operative examination allowing the surgery to be carried out under local anaesthetic. A week before to surgery, it will be necessary to apply drops into the eye, which will be operated, as recommended by the doctor.

A week before the surgery we rocemmend you to take a preparation for the protection of the retina, that contains omega-3 fatty acids. You can get this preparation at our clinic at the end of your preoperative examination within the package “protection of the retina”.

Surgery

Your stay in the eye clinic on the day of the operation will last approximately two hours. During that time we will check your condition and exclude any acute eye diseases. Then, drops will be applied to the pupil of the eye that will be operated. Surgery is carried out under local anaesthetic and is pain free. The surgery itself takes an average of 5 to 10 minutes.

The surgery itself can be done in two different ways.

Phacoemulsification

In the classical procedure, the lens must be broken by an ultrasonic sonde after the surgeon performs several previous actions, such as entry cuts, capsulorexa- hole in the capsule of the lens and more.

Into the free space is then inserted an artificial intraocular lens that replaces the original lense.

FLACS- Femtosecond Laser Assisted Cataract Surgery

FLACS is a method, that is more modern, more harmless and much safer. That means a cataract surgery assisted by a femtosecond laser.

On VESELY | Eye clinic we use as the only ones in Slovakia the laser CATALYS, which was from the beginning designed specially for the cataract surgery, unlike other lasers.

Femtosecond laser can perform up to 60% of the steps of a cataract surgery. This laser divides the lens into several hundred small regular fragments that have no longer be crushed by ultrasound but they can just simply be removed. This makes the whole procedure harmless and safer.

In the case of implantation of so called multifocal or toric lenses in cataract surgery we normally use the navigation system VERION from the company Alcon. Thanks to this system we can accurately determine the optimal position of the lens in the eye, so the result of the procedure is as perfect as possible and your visual acuity as good as possible.

After the operation you will get an operational protocol and identification card of the lenses (implant). Approximately 20 minutes after the surgery you can leave the eye clinic accompanied by a close person. You will see the result of the cataract surgery immediately after the surgery.

Môžem prísť na operáciu sivého zákalu bez odporučenia môjho lekára?

Áno, môžete prísť aj bez odporučenia Vášho očného lekára.

Hradí operačný zákrok sivého zákalu poisťovňa?

Áno, operáciu sivého zákalu prepláca poisťovňa.

Operujú sa obe oči naraz?

Nie, sivý zákal sa odstráni najskôr z jedného oka a o týždeň neskôr z druhého.

Aká je čakacia doba na podstúpenie zákroku?

Priemerná doba čakania na zákrok je kratšia ako 6 týždňov.

Je tento zákrok bolestivý?

Nie, nie je. Operácia sivého zákalu sa vykonáva v lokálnej anestézii pri úplnom vedomí pacienta. Vďaka tomuto znecitliveniu oka pacient nepociťuje žiadnu bolesť ani v priebehu operácie, ani po nej.

Ako dlho trvá operačný zákrok?

Samotný výkon trvá približne 7 až 10 minút. Pred ním je však potrebné oko vyšetriť a rozkvapkať. Preto sa pacient na klinike zdrží približne dve hodiny.

Aká je doba rekonvalescencie po zákroku?

Keďže príde počas zákroku iba k minimálnemu narušeniu rohovky je doba hojenia veľmi krátka. Ku veľkej väčšine činností, ktoré ste vykonávali pred zákrokom je možné vrátiť sa už na druhý deň.

Aké obmedzenia ma po zákroku čakajú?

V deň zákroku sa pacientovi odporúča pokojový režim. Približne tri týždne po operácii by ste sa však mali vyvarovať ťažkej fyzickej činnosti. Nemali by ste nosiť ťažké bremená, či z predklonu dvíhať ťažšie predmety. Taktiež sa v tomto období neodporúča venovať sa silovým, či kontaktným športom. Plávanie v bazéne, jazere a v mori je po dobu troch týždňov úplne zakázané.

Je možné, že sa mi po operácii sivý zákal znovu vytvorí?

Nie, nie je. Vďaka odstráneniu zakalenej ľudskej šošovky a vloženiu nového umelého implantátu, sa sivý zákal v pôvodnej forme nikdy nevráti.

Z čoho je umelá vnútroočná šošovka vyrobená?

Šošovky implantované na VESELY | Očná Klinika sú vyrobené zo špeciálneho materiálu- výhradne z hydrofóbneho akrylátu, ktorý vykazuje najlepšie vlastnosti a najmenšie množstvo nežiaducich reakcií.

Môže sa stať, že môj organizmus tento implantát neprijme?

V medicíne je možné úplne všetko, avšak doposiaľ sme sa s niečím obdobným nikdy nestretli.

Ako dlho po operácii ostávam v sledovaní lekárov z VESELY | Očná Klinika?

Áno, po operácii je nutné aplikovať do očí antibiotické kvapky minimálne po dobu troch týždňov.

Musím si po operácii kvapkať do očí nejaké kvapky?

Áno, po operácii je nutné aplikovať do očí antibiotické kvapky minimálne po dobu troch týždňov.

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