GLAUCOMA –ELEVATED INTRAOCULAR PRESSURE
GENERAL OPHTHALMOLOGICAL QUESTIONS
LASER VISION CORRECTION
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What is the cost of the cataract surgery?
The price for the cataract surgery depends on the type of intraocular lens that is implanted in the eye after the removal of cataract. The lenses differ by their characteristics, i.e. by what they enable the operated eye to do. There are three cost grades:
8 000kn- implanting the acrylic lenses. Acrylic lenses (acrylic is a type of material) enable good vision at distance without glasses, while for up close vision and for reading, the glasses are prescribed for about 1 month after the surgery. .
10 000kn- implanting the natural lens. Natural lens is also an acrylic lens which contains an additional protective filter against unfavourable radiation to which an eye is exposed. It enables good vision at distance without the glasses, while for near distance and reading the glasses are prescribed for about 1 month after the surgery.
12 000kn- implanting the multifocal lens. This is a lens that enables good vision both at near and far distance without the glasses. First we need to make sure whether the patient is a candidate for such a lens, because the eye must be completely healthy and should not have astigmatism higher than certain limits. A multifocal lens is a compromise for vision, as due to its principle of operation it offers good near and far distance vision, while the vision at a medium distance is somewhat worse, because it takes a certain time for adjustment after the implantation, the so-called neuroadaptation.
Which pre-operative tests should I do before the cataract surgery?
For cataract surgery, the patients have to do the following examinations:
Is the cataract surgery painful?
Cataract surgery is a painless procedure. Before the operation, the eye is anesthetized with drops, i.e. local anesthesia is applied, and during the operation slight discomfort may be felt, of which the patient is informed in advance. The patient is fully awake, conscious and cooperates during the operation.
How long should I stay in hospital for cataract surgery?
At the time of the patient’s appointment pre-operative examination starts as well as dilating of pupils before the operation. This lasts for about 30 minutes. After that the operation is undertaken which lasts for about 15-20 minutes. After the operation, the patient rests for a while.
When can I go home after cataract surgery?
After the cataract surgery, which lasts for about 15 to 20 minutes, the patient should stay with us for about 20-30 minutes more, so that he/she can rest after the operation. No hospitalization is required, after the operation the patient goes back home. It is recommended that the patient has a rest at home and observes the instructions received from the doctor before the operation
What are the limitations after the cataract surgery?
The patient is warned about all the limitations in the pre-operative preparation, as well as in the checkup in the morning after the operation. The instructions for using the obligatory therapy must be observed. The operated eye should not be cleaned or washed for at least 7 days after the operation because the tap water sometimes contains impurities and microorganisms, and a fresh surgical wound is on the eye. If necessary, the eye may be gently rinsed with artificial tears or with physiological solution. The eye should not be rubbed or touched with hands. During the first seven to ten days the eye should be protected with sunglasses when going outside, and the wind, smoke, dust, steam from cooking, steam from cleaning agents should be avoided. Lifting heavy items, staying bent for long is not recommended, while the hard exercises, pools, spas, saunas should be avoided in the first months after the operation.
After the end of the first month there are no limitations any more.
When can I watch the television with the operated eye?
Watching TV, computer, driving and reading are allowed once that you feel safe and when nothing bothers your eye, in the sense of scratching or burning sensations. You are the best person to decide about that.
When is the cataract mature enough for operation?
The cataract used to be operated by the traditional method before (of course, some hospitals still apply this method), which implied that the cataract was removed from your eye, through a big incision, and suctioned out by the instruments, in one piece. For that reason, the cataract had to be preferably as hard and dense as possible. This is a big trauma for the eye and the operation ended by placing a big stitch on the incision that was made. The modern technology that we apply at the Svjetlost Clinic enables removal of the cataract by the ultrasonic method, which is minimally invasive for the eye and enables faster vision recovery. An incision smaller than 3 mm (sometimes even smaller than 2 mm) is made on the eye, the ultrasonic probe is inserted through it, it dissolves the cataract and aspirates it out of the eye, at the same time implanting the artificial lens in the eye. The softer the cataracts, the less powerful the ultrasound needs to be, i.e. the harder the cataract, the more ultrasound must be applied which sometimes implies somewhat slower recovery.
Will I need the glasses after cataract surgery?
The result of the visual acuity that is wished after the cataract surgery is for the patient to have as good distance vision as possible without the glasses.
Therefore, the strength of the lens implanted in the eye is precisely calculated. If the eye had astigmatism before the surgery, most frequently after the surgery the astigmatism correction will still be necessary. In case of the remaining diopter the distance glasses are also necessary. For reading and working up close the glasses are usually prescribed one month after the operation. If a multifocal lens is implanted, in 90 percent of cases no reading or distance glasses are necessary. With some patients there is occasionally a need for the glasses for “mid-distance” (computer).
Is age the limiting factor for cataract surgery?
The patient’s age is absolutely not the limiting factor for this type of operation.
As, besides the cataract, other eye diseases may appear with age, first of all the diseases of macula on the eye bottom, the expected result of the vision after removal of the cataract is set in line with the other parts of the eye, about which the patient will always be informed.
With the patients in an advanced life age, the quality of cornea (the front transparent part of the eye) tissue is usually decreased, and it can be blurred after the operation. For this reason, a longer time for the vision recovery will be necessary. Therefore, only a longer time for vision recovery will be necessary.
The operation is done in topical anesthesia (the anesthetic drops are used) and there is no fear of falling asleep or general anesthesia for the patients of the older age.
When should I see the doctor for the follow-up check?
The first and obligatory chekup is in the morning after the operation. Then the first insight in the condition of the eye will be obtained, as well as the evaluation of the recovery course, which is then regulated by a therapy. The next follow-up checkup is most frequently in 5-7 days, and then after 3-4 weeks. The therapy is usually ended then and appropriate glasses are prescribed. The operated eye is after then checked in 3 and then in 6 months, and after that, as you agree with your eye doctor.
For how long does the lens that is implanted in the eye last?
The intraocular lens most frequently offers a lifetime solution. It was made of the material that does not cause the reaction of the organism in the sense of rejection.
Should a child undergo a cataract surgery?
As soon as the cataract is found with a child, it should be removed the soonest possible. With cataract in children one should not wait, because under the cataract the vision cannot develop. The cataract surgery increases the chances for the development of the best possible vision. It is almost inevitable that amblyopia should remain, but the sooner the operation is done, the bigger are the chances for better vision development. As with the adults, after removal of cataract, the intraocular lens is implanted which optimizes the vision development. The opinions about the type of the lenses being implanted differ. Both standard acrylic and multifocal lens may be implanted. After implanting the lens, the treatment of amblyopia should be continued. Considering the growth of the child, hence the growth of the eye too, it is expected that glasses will be necessary. Sometimes at the adult age, the replacement of the intraocular lens is also necessary, due to the difference in diopter caused by the growth.
At the Svjetlost Clinic we perform cataract surgeries in children too, and the operating theatre is fully equipped for these purposes, while the surgery is performed by an experienced team of ophthalmologist specialists.
How can I pay for the surgery?
You can pay for the surgery both in cash as well as with any payment card, domestic or international. If you have VISA Classic Card of Nova banka or UniCredit Zagrebacka banka, you can also make the payment in 12 monthly installments. Also, for all the patients of Svjetlost Clinic Banja Luka, in cooperation with Nova banka, we offer quick, specific-purpose loans in 12 installments. The Svjetlost Clinic bears all the expenses of loan processing as well as the interest throughout the repayment period.
SVJETLOST CLINIC ON SOCIAL NETWORKS
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Dr. Mustafe Pintola 23,
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78 000 Banja Luka, BiH
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