Other Services

YAG laser treatment

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There are the most common YAG laser treatments:

 

 • Secondary cataract or post-cataract treatment is performed in an outpatient setting with a YAG laser. On the thickened rear lens case, a small window is cut out with laser. The procedure takes only 5-10 minutes and is completely painless.

 

• A procedure used to treat a closed-angle glaucoma or to prevent a seizure. By creating a round opening in the iris, we help the fluid drainage in the eye.

 

• Vitreolysis: a common complaint with advancing age is that we see haze floating on a white surface. If this interferes with our daily activities, then with the help of a YAG laser, the vitreous bundles can be fragmented, so that the reduced haze created in this way will cause less vision disturbance.

Argon laser treatment

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This laser produces light from an argon gas at a wavelength of 514 nm, which has a photocoagulant effect, i.e., it creates a scar-forming effect in tissues by denaturing the proteins.

 

It is the most widely used in the prevention of complications of diabetes.

 

It can also be used to close retinal tears (to prevent retinal detachment), or in some other cases of cataracts, to treat fundus lesions.

Vitrectomy

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It means surgery on the vitreous. The doctor works deep in the eye near the retina or just with the retina. It requires special instrumentation and a lot of surgical experience. Therefore, there only are a few vitreoretinal surgical centers in our country.

 

By utilizing this surgical technique, we treat the complications of diabetes, such as the vast majority of retinal detachments, most of the injuries associated with the opening of the eyeball, macular holes in the surface of the retina, epiretinal membranes, and so on.

Eyelid surgeries

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Eyelid plastic surgery

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Unfortunately, over time, our skin sags everywhere, and our facial skin also loses its firmness and elasticity, so wrinkles may appear around the eyes. The skin hanging on the upper eyelid ages us aesthetically and can also cause functional complaints in everyday work – interfering in reading and driving.

 

The solution to this problem is the upper eyelid plastic surgery, during which the sagging, excess eyelid skin is removed during an outpatient procedure. In all cases, the treatment is preceded by a specialist examination. The surgery is performed using a painless, subcutaneous anesthetic injection.

Chalazion surgery

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Chalazion is a modified sebaceous gland in the eyelid and is an inflammatory disease of the Meibum glands. It usually appears as a swollen, red, painful lump and can last for months.

If it does not go away as a result of conservative treatment (steam binding, drops, ointments), it must be opened surgically. The procedure is performed on an outpatient basis under local anesthesia with an injection under the skin.

Removal of eyelid growths (e.g., warts)

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Minor lesions around the eyelids (papilloma, xanthelasma, atheroma, hyperkeratosis, etc.) often cause aesthetic problems. These small growths are removed on an outpatient basis under local anesthesia.

Treatment of eye web (pterygium)

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During the degenerative proliferation of the conjunctiva, it can grow on the anterior surface of the cornea, which lesion is called eye web, or pterygium. The exact cause of the disease is unknown, but UV-B radiation and mechanical damage (rubbing, contact lenses, dusty workplace) may play a significant role. If the lesion causes a complaint, for example: inflammation, visual impairment or if one simply does not like it aesthetically, it may be surgically removed under local anesthesia (eye drops).

The procedure lasts a short time (about 20-30 minutes) and is completely painless.

Treatment of keratoconus with KeraRing (ICRS)

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Keratoconus is a degenerative lesion of the cornea that is associated with apex and thinning of the cornea.

With disease progression, blurred vision develops, which may intensify to a level over time so that vision correction with glasses will no longer be possible. The cause of the lesion is unknown, though it is thought to have a genetic factor.

It usually develops between the ages of 16 and 30 years.

 

KeraRing, or ICRS (intra-corneal ring segment), is a device for surgical

treatment of keratoconus to flatten and stabilize an irregularly shaped cornea.

KeraRing changes the curvature of the cornea, thereby slowing or stopping the apex of the cornea and improving vision!

 

Designing the exact location of the device requires complicated calculation techniques and time, so if you are suitable for surgery, we will order the right lens for you after the preliminary examinations. The KeraRing is then placed in a tunnel made by Femtosecond-Lasik between in the corneal under ambulatory conditions with drip anesthesia.

 

The Dr. Árpád Bereczki Ophthalmic Laser Center was the first private institution in Hungary to use KeraRing!

Options for surgical treatment of macular degeneration in old age

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The importance of macular regeneration in old age is paramount as it is still the leading cause of vision loss and blindness in developed countries.

Intravitreal injections (Eylea, Lucentis, Avastin)

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Drugs injected into the vitreous can be more easily reached and exert their effects on the retina in higher concentrations.

If you need an injection treatment, your doctor will provide a treatment plan and discuss number and frequency of injections with you.

The injection is given inside the eye under anesthesia, so that the treatment is completely painless and takes only seconds.

Scharioth's Add-On Lens

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In some cases, intravitreal injection is not recommended or does not work, and vision loss due to macular degeneration in old age remains permanent. In these cases, using glasses or contact lenses does not help much when reading or watching TV.

As an alternative therapy, Scharioth's Add-On Lens, which can magnify the image on the retina, can be considered. Prior to the procedure, a fitness test is performed to determine in which eye of the patient should this special lens be placed.

The surgery requirement is that the patient has previously undergone cataract surgery, as the Add-On lens is placed between the already implanted artificial lens and the iris.

After surgery, one eye provides close vision (about 15 cm away), while the other eye helps with peripheral vision.

ICL (IntraCameral Lens) treatment

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If you are not suitable for any laser vision correction treatment, but have a high degree of nearsightedness or farsightedness, or may have eye axis distortion, and still do not want to wear glasses or contact lenses, ICL treatment has been invented for you.

During the procedure, an ICL artificial lens is placed between your own eye lens and the iris. Unlike a contact lens, this lens is placed into your eyes, so you don’t have to remove it daily.

On the other hand, if you need other eye surgery over the years (e.g., due to cataracts), this lens can be easily removed. A suitability assessment test  is performed prior to surgery, and the procedure is performed on an outpatient basis under local anesthesia at a later time.

YAG-Vitreolysis

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The vitreous is filled with a gel-like material that liquefies with age. Proteins (most commonly collagen) may appear in the vitreous, which can interfere with our daily lives in the form of floating haze in the eye. Over time, we can get used to these vision impairments, however, there patients who either don’t want to wait for this to happen or feel that they really can’t get used to these dark spots. If these haze float in larger pieces in the vitreous, we can cut them into a number of smaller pieces using a YAG laser, thereby reducing or eliminating their complaint.