OPHTHALMOLOGY

Glaucoma is an eye disease associated with a dangerous buildup of pressure in the eye. Eventually, this pressure can damage the optic nerve, which is responsible for relaying visual information to the brain. Glaucoma is the second cause of blindness worldwide. If untreated, peripheral vision will begin to decrease and can eventually cause total blindness.

The Glaucoma service is dedicated to early detection and treatment of glaucoma in its various types. Most up-to-date equipment consisting of the newly developed optic nerve head analyzer by optical coherence tomography (OCT) and GDX and automated visual fields are used for the detection and follow-up of glaucoma. Newest laser techniques by selective laser trabeculoplasty (SLT) are performed to treat open angle, angle closure and iris plateau glaucoma in adulthood and childhood. Mircosurgical procedures are performed by our glaucoma specialists to treat visually disabling open angle glaucoma by trabeculectomy and potentially blinding neovascular glaucoma by tubeshunts or other procedures.

Glaucoma Diseases – Glaucoma Testing – Glaucoma Treatments

Corneal & Anterior Segment of the eye incorporates the cornea (the transparent front structure of the eye), conjunctiva (clear mucous membrane covering the white part of the eye) and the anterior segment (front structures of the eye including the iris and lens).

The cornea plays a major role in our ability to see clearly. The cornea is transparent and allows light to pass through it; it also bends the rays of light entering our eye to allow light to focus clearly.

The Cornea and Refractive Surgery Service is primarily devoted to the diagnosis and treatment of corneal diseases, cataracts and laser vision correction. The latest techniques and state of the art equipment are used to perform microincision sutureless cataract surgeries, lamellar and penetrating keratoplasties, and anterior segment reconstruction.

Boston K-Pro keratoprosthesis (artificial cornea transplant) can be performed in patients with repeated human donor grafts rejections.

The most up-to-date laser vision correction technology is used to treat refractive disorders such as myopia (nearsightedness) hyperopia (farsightedness), astigmatism, and presbyopia. Wave-front optimized, topolink and custom ablation technologies are utilized in this process. Intracorneal lenses are implemented in patients who are not candidate for vision correction by laser, pre-treatment evaluation by corneal topography and corneal pachymetry is routinely done; Conventional and Femtosecond LASIK, PRK and PTK are performed using the newly developed high frequently rate excimer laser. The most recent techniques in the treatment of keratoconus with standard and customized cross linking and intracorneal rings are offered. Specialized contact lens fitting is available.

Corneal Diseases – Corneal testing – Corneal Treatments

The retina is a thin layer of tissue on the inside back wall of the eye which contains a vast amount of light-sensitive cells (rods and cones) and other nerve cells responsible for receiving and organizing visual information. The which retina links this information to the brain through the optic nerve which is responsible for your eyesight.
Retinal diseases are generally very wide, but most of them cause visual symptoms.

The Retina Service provides the best diagnostic and therapeutic technology in diseases affecting the retina and vitreous including diabetic retinopathy, retinal detachment, trauma and age related macular degeneration. Digital fluorescein angiography provides high resolution detailed and instantaneous documentation of retinal disorders. High quality ultrasonography gives an accurate diagnostic evaluation of the posterior structures when the retina is not visualized.
Ocular electroretinography and electrooculography are used to test retinal cell function. Visual evoked potential is available to evaluate optic nerve disorders. The high resolution Optical Coherence Tomography (OCT) and OCT angiography provide excellent documentation of retinal structures. Innovative therapy with anti-VEGF agents is also applied to treat various types of retinal vascular disorders. Innovative laser surgery with multiple selective wavelengths is performed to treat different retinal layers in retinal vascular diseases and macular degeneration. The recently developed micro-pulsed laser is used to treat certain types of diabetic retinopathy. State of the art microsurgical techniques are performed by our experienced retina surgeons to treat retinal detachment, diabetic retinopathy, epiretinal membranes and macular holes.

Retinal Diseases – Retinal Testing – Retinal Treatments

Pediatric ophthalmology is concerned with eye disorders, visual development, and vision care in children. Strabismus occurs when the eyes are not aligned properly and point in different directions.
The Pediatric Ophthalmology & Strabismus Service offers the most advanced techniques in the evaluation and treatment of ocular disorders affecting the pediatric age group including strabismus, lachrymal problems, congenital cataracts and congenital glaucoma. Our team of experienced subspecialists participates in the management of infantile and adult strabismus. Adjustable strabismus surgery is available to ensure better results. Latest techniques are employed for surgical treatment and close follow-up of infants with congenital cataracts and glaucoma. Disorders of the lachrymal system are treated using advanced procedures to insure the highest rate of success.

Pediatric Ophthalmology & Strabismus – Pediatric Testing – Pediatric Treatments

Uveitis is the inflammation inside the pigmented lining of the eye, also known as the uvea. Etiologies can be related to any inflammation in the uvea caused by infection, injury or systemic autoimmune disorders.

The Uveitis service is specialized in the diagnosis and treatment of all diseases affecting the uvea. Latest testing and diagnosis technologies such as fundus fluorescein angiography, OCT of the macula are used to clearly visualize the uvea in order to detect the infected area. Uveitis disorders are treated generally with Oral Steroid Therapy and Immunomodulators, medications used to help regulate or normalize the immune system. A special attention from our multidisciplinary staff is given to ensure the most up to date treatment is provided for all etiologies.

Uveitis – Uveitis Treatments – Pediatric Ophthalmology & Strabismus

The Neuro-Ophthalmology diseases are generally associated with brain, nerves and muscles disorders affecting vision.

The Neuro-Ophthalmology Service is fully concerned with diagnosing and treating all optic neuropathies, ocular motor disorders and cerebrovascular disorder involving vision.
The latest technology of machines and equipment such as Brain and Orbital CT scan, ultrasounds, OCT and electrophysiology such as electroretinograms (ERG), visual evoked potentials (VEP) are used to properly identify and diagnose all types of neuro-ophthalmology related diseases. Extensive medical work-up, Pharmacological therapy including intravenous steroids and referrals for gene therapy, are among treatments carefully used by our most qualified subspecialists in order to treat such disorders.

Neuro-Ophthalmology Diseases – Neuro Testing – Neuro-Ophthalmology Treatments

The Ophthalmic Plastic and Reconstructive Surgery service at the Eye & Ear Hospital focuses on the diagnosis and treatment of functional disorders of the eyelids, lacrimal system and orbits. Moreover, it addresses cosmetic concerns to improve the contour and appearance of the eyes, lids and brows.
Indications for surgical intervention could be diagnostic, cosmetic or therapeutic.
Eyelids procedures include:
• Blepharoplasty to remove excessive skin or subcutaneous fat
• Ptosis repair for droopy eyelids, eyebrows
• Repair of eyelids malposition: whether the lids are rolled in towards the eye (entropion) or rolled out away from the eye (ectropion)
• Excision of simple eyelid lesions or eyelid tumors with secondary reconstruction
• Repair of traumatic eyelid lacerations
• Botox injections for blepharospasm
Tear duct procedures:
• Surgeries that involve the lacrimal apparatus such as DCR (Dacryocystorhinostomy),
• Canaliculotomy (slitting of the lacrimal punctum and canaliculus) are done with the purpose of treating excessive tearing secondary to tear duct obstructions.
Orbital procedures:
• Our service also offers treatment of orbital inflammations and orbital surgeries to repair traumatic bone fractures, as well as biopsy or full excision of tumors in and around the eyes.
In the case of a painful non seeing eye, the eye can be removed with insertion of ocular or orbital prosthetics(artificial eye implants). Such procedures include enucleation(removal of the eye, the eye muscles with remaining orbital contents left intact), or evisceration (removal of the eye’s contents, keeping the scleral shell intact).

Oculoplatsic Diseases – Oculoplastic Testing – Oculoplastic Treatments

Our Optometrists are responsible for conducting all eye examinations on patients before they are seen by their doctors. The vision tests are done by suitable instruments such as the Autorefractometer, the Refraction Test and others. The optometrist checks for defects in vision in order to prepare the patient’s information for the doctor to check and treat. Also our qualified Optometrist are responsible for performing all the following tests that are generally requested by the doctors.

• Autorefractometer
• Refraction Tests
• Lensometer or Focimeter
• Visual Fields
• Oculyzer
• Corneal Topography
• IOL Master for IOL calculation
• A-Scan
• Pachymetry
• GDX
• Specular Microscopy
• PAM Test
• Hard Contact Lenses Fitting