Interventions
Our scientific team performs the whole range of pediatric ophthalmological procedures, as well as strabismus procedures in adults. We will focus on the most common.
Strabismus surgery in children and adults
- The goals of strabismus surgery are functional (improving the cooperation of the two eyes, eliminating double vision, improving binocular vision and endurance in visual activities), but also aesthetic
- Depending on the type of strabismus, the patient’s age and personal experience, the surgeon chooses the appropriate surgical technique.
- The operation lasts about an hour and is performed on the white part of the eyes. The duration is longer in cases of complex strabismus (neurological, after accidents, reoperation, etc.)
- All pediatric strabismus procedures are performed under general anaesthesia, while in some adults it can be performed under local anaesthesia.
- In almost all cases, the patient goes home the same day, after a few hours in the clinic.
- Although strabismus surgery belongs to the low-risk ophthalmological procedures, complications can rarely occur, but they are treatable.
- After strabismus surgery the eye(s) are red for a few days
- The patient follows local medication for about 1 month
- The patient is reactivated after the 3rd day, but it takes about 6-8 weeks to assess the final position of the eyes
- Two out of ten patients may need a follow-up operation at some point in the future.
Our experienced surgical science team performs a large number of these procedures each year and our support team complements a good surgical result with the best functional outcome.
What you need to know about nasolacrimal duct catheterization
- It is performed in children whose nasolacrimal duct patency is not restored on its own.
- The age at which it should be performed is decided by the treating paediatric ophthalmologist and is individualised on a case-by-case basis. However, it is best done after the child’s first birthday.
- The procedure is performed under the supervision of an anaesthetist and takes only a few minutes.
- Special thin instruments are used
- The child returns home the same day
- A few days of medication are given and the child is back to his/her activities from the first day
- The success of the operation depends on the age and type of obstruction and varies from 85-100%. Rarely, reoperation and insertion of a special silicone tube (removed in a few months) is required.
Our experienced surgical scientific team performs a large number of such operations every year with excellent results.
What you need to know about pediatric cataract surgery
- The aim of treating childhood cataract is not only to restore the “weightlessness” of the visual axis of the eye, but also to develop vision in the specific eye/eyes.
- During the operation, the cataract lens is removed.
- In young babies the eye is left uncovered, a special contact lens is placed on the eye postoperatively (substitute for the natural lens removed) and later a special intraocular lens may be placed inside the eye.
- In older children (preschoolers, schoolchildren, adolescents), an intraocular lens is placed at the time of the operation (substitute for the natural lens removed).
- In bilateral cataract surgeries, glasses can also be given.
- The operations are carried out under general anaesthesia
- Postoperatively, medication is given for 4-6 weeks.
- Cataract surgery in children requires a great deal of experience and is an operation that can be associated with early or late complications. These complications must be recognised and treated immediately.
- Children who have undergone cataract surgery should be monitored regularly throughout their development.
- These children, after surgery, should follow a special exercise programme for the eye(s) to strengthen vision.
- Further individualised information on a case-by-case basis is obtained from the treating paediatric ophthalmologist.
Our experienced surgical scientific team performs a large number of such operations every year and the support team (optometrists, vision trainers) complements the good surgical result with the best functional result.
What you need to know about the surgery for childhood glaucoma
- Although not common, childhood glaucoma is a treatable condition.
- There are different types of childhood glaucoma and the treatment options are similar. Some are treated with drops and others (most) are treated invasively.
- Surgical techniques are numerous and the treating paediatric ophthalmologist chooses the best one on a case-by-case basis.
- The operations are performed under general anaesthesia
- Post-operative medication follows.
- Childhood glaucoma surgery requires experience and expertise and is an operation that may be associated with early or late complications. These complications must be recognised and treated immediately.
- Children who have undergone glaucoma surgery should be monitored regularly throughout their lives.
- After surgery, these children should follow a special exercise programme for the eye(s) to strengthen vision.
- Further individualised information on a case-by-case basis is obtained from the treating paediatric ophthalmologist.
Our experienced surgical scientific team performs a large number of such operations every year and the support team (optometrists, vision trainers) complements the good surgical result with the best functional result.
What you need to know about Surgery for Stye
- Most types are treated with medication. However, some require surgery
- The procedure is performed under the supervision of an anaesthetist and takes a few minutes.
- The child is back home and back to their normal activities within a few hours after the operation.
- This is followed by a few days of medication.Our experienced surgical scientific team performs a large number of such operations every year with excellent results.
What you need to know about Droopy eyelid surgery
- Blepharoptosis should be treated surgically when the eyelid covers the visual axis and/or for aesthetic reasons
- There are different causes and types of blepharoptosis in children and the surgical techniques used are different
- The operations are performed under general anaesthesia and take about an hour
- Postoperatively the child stays in the clinic for a few hours and then goes home
- He is given medication for a few days
- Blepharoplasty operations require experience and expertise of the surgeon
Our experienced surgical scientific team performs a large number of such operations every year and the support team (optometrists, vision trainers) complements the good surgical result with the best functional result.
What you need to know about dermoid cyst surgery
- A dermoid cyst is an innocent but nonfunctional cyst that can appear around and/or on the surface of the eye.
- It must be treated surgically when it causes functional problems (eyelid ptosis, astigmatism, etc.).
- The operations are performed under general anesthesia and last about an hour
- Post-operatively, the child stays for a few hours in the clinic and then goes home
- Followed by medication for a few days
- Operations require experience and expertise of the surgeon
Our experienced surgical scientific team performs a large number of such operations every year with great success.
What you need to know about retinal surgery in children
Coat disease
- It is a structural abnormality of some vessels of the retina. In the dysplastic vessels, there is fluid leakage that causes retinal detachment
- Treatment involves intraocular injection of an anti-angiogenic agent and cauterization of the dysplastic vessels
- It is done under general anesthesia and takes about half an hour
- Repeat treatment is usually required
- Medication is followed for a few days
Retinopathy of prematurity
- This is a condition of the retina that affects some very premature newborns (abnormal vasculature)
- Modern treatment includes the application of photocoagulation (laser) with or without the use of intravitreal injection of an anti-angiogenic agent
- It is done under general anesthesia
- These children must be monitored at regular intervals and for many years
Retinal detachment
- There are many causes and it is a condition that seriously threatens the development of vision
- It must be treated immediately surgically, using techniques chosen on a case-by-case basis by the paediatric ophthalmologist in charge
- The operations are carried out under general anaesthesia
- The child returns home a few hours after the operation
- Medication is given for a few days
- In many cases additional operations are required
Our experienced surgical scientific team performs a large number of such operations every year and the support team (optometrists, vision trainers) complements the good surgical result with the best functional result.
Preparation of the family and the child before the operation
Preparing a child for an operation is an important process. Remember that every child is different and behaves differently.
Below, some helpful steps you can take to help your child prepare for an operation:
Talk with him or her openly and honestly. Use simple language that is understandable for his age to explain the procedure and the reasons for the surgery.
Answer his questions honestly and patiently.
The child’s good relationship and familiarity with the doctor will make him feel safe when he sees him again on surgery day.
Be there for the child before and after the surgery. The presence of parents provides security and peace of mind.
After the surgery is complete, you can give the child a small gift to reward them for their courage and cooperation.
The surgical supervisor is always available to guide you and to answer any questions that may arise either before or after the surgery is completed.
Individualized details regarding your child’s medical pre-operative preparation and instructions for post-operative treatment will be sent to your email before the surgery.
