Ophthalmology Procedures and Treatments
Improve your quality of life with eye surgery and treatments in Gibraltar & Spain, Sotogrande.
Cataract Surgery – Your safety is important
Cataract surgery involves removal of the opacified crystalline lens using ultrasound energy and replacing it with a clear, transparent personalised intraocular lens.
After performing high number of cataract operations, I developed special interest in surgical management of cataract in patients with underlying blinding conditions such as glaucoma, age related macular degeneration, diabetic retinal and macular eye conditions. Occasionally, I use combined surgical procedures to achieve best visual outcomes. Not only I perform cataract surgery but also I ensure my patients restore their vision safely and effectively.
It is a safe procedure in my hands, my posterior capsule rupture complication rate for cataract surgery is well within the national average range (as measured by the National Ophthalmology Database Audit Report).
There are many ways of removing cataracts and I can discuss which is the best option for you to achieve best possible visual outcome.
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Please feel free to contact our Gibraltar – Sotogrande Ophtalmology Clinic, we are here to help.
Posterior capsular opacification (PCO):
Your vision can become cloudy again after the cataract surgery, this may happen in approximately 30% of patients undergoing cataract procedures. The hazy or cloudy membrane (PCO) may appear just behind the intraocular lens implant causing visual impairment, in occasions it is referred as a “secondary cataract”.
YAG laser is used to clean the opacity formed being the intraocular lens, this procedure is done under the topical anaesthesia, it is fast, painless and very effective in restoring the sight.
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Pterygium
Pterygium is a degeneration of the conjunctiva, the whitish membrane that covers the surface of the eye. The main causes of this type of degeneration are UV rays from the sun and the wind.
There are many ways of performing pterygium surgery. I provide suture free pterygium surgery with conjunctival autograft using fibrin glue. The suture free technique allows patients to experience less postoperative symptoms such as pain and discomfort. It is a safe technique in my hands, this innovative procedure has less recurrence rate and patients are happy with cosmetic and visual outcome.
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Glaucoma
When eyedrops are no longer sufficient to treat your glaucoma, I can carry out standard glaucoma surgery, known as a Trabeculectomy or offer you mini glaucoma shunt procedure (Ex-Press) or minimally invasive glaucoma surgery (i-Stent). Where I can, I restore vision or halt the progression of chronic optic disc condition with medical and/or surgical treatments. In some occasions, patients may require non-invasive glaucoma procedure such as laser therapy.
I can advise you if you need glaucoma laser therapy (laser peripheral iridotomy, selective laser trabeculoplasty (SLT), etc). SLT can successfully reduce intraocular pressure in patients with open angle glaucoma (POAG) and ocular hypertension. SLT is considered as a first line treatment in POAG eliminating challenges related to antiglaucomatous medication. I have particular interest in performing glaucoma laser treatment, this procedure is safe and pain free in my hands.
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Treatment: Intravitreal injections
I regularly treat and deliver therapies (intravitreal injections, retinal laser) for retinal conditions such as Age Related Macular Degeneration, Diabetic Retinopathy and Maculopathy, Retinal Vein Occlusions, Myopic Maculopathy and other conditions of the retina such as retinal tears/holes.
It is a simple procedure, the purpose of which is to inject chemical substance directly into the eyeball (vitreous cavity). Different types of intravitreal injections are available to treat variety of retinal conditions.
We integrate the latest advanced proven techniques and medications in treatment of retinal/macular conditions to stabilise and/or improve vision of patients. I personally carry out intravitreal injections (Avastin®, Lucentis®, Eylea®, Jetrea®, Ozurdex®, Iluvien®, Triamcinolone) and/or laser treatments and ensure treatment is pain-free and safe.
Avastin is a drug used to treat wet age-related macular degeneration (AMD). It is also used to treat diabetic eye disease and other problems of the retina. It is injected into the eye to help slow vision loss from these diseases. Avastin is the brand name for the drug, which is called bevacizumab. It blocks the growth and leaking of fluid from abnormal blood vessels in the back of the eye. Those blood vessels can leak and affect vision, causing vision loss from wet AMD and diabetic eye disease. Avastin was first approved by the Food and Drug Administration (FDA) to treat different types of cancer. Its use to treat eye disease is considered an “off-label” use. The FDA allows “off label” drug use if doctors are well informed about the product and studies prove the drug is helpful. Many studies have shown Avastin as safe and effective for eye disease since it was first used in 2005. Lucentis® (ranibizumab) and Eylea® (aflibercept) are other drugs like Avastin. Research shows each of these drugs are effective in slowing vision loss. Abnormal blood vessels need a body chemical called VEGF to grow. Avastin blocks VEGF, slowing the growth of blood vessels in the eye. Drugs that block the trouble-causing VEGF are called anti-VEGF drugs. Avastin is used to treat the following eye problems: During an outpatient procedure, your ophthalmologist first numbs the eye to block pain. Then your doctor injects the Avastin directly into your eye. Before the procedure, your ophthalmologist will clean your eye to prevent infection and numb your eye with medicine. A very thin needle is passed through the white part of your eye and the drug is injected. Usually you do not see the needle itself. You may need to continue having these injections over many months. Sometimes ophthalmologists will combine Avastin treatment with other treatments for the best chance of saving your vision. Every treatment can have side effects. It is important to understand the benefits and risks of any treatment you might have. Common side effects include: Any eye injection, including Avastin, may cause these problems, which are very rare: Call your Gibraltar – Sotogrande Ophtalmology Specialist right away if you have any of these problems within a few days of Avastin treatment. If you have any questions about your eyes or your vision, be sure to ask. Your ophthalmologist is committed to protecting your sight. At Ketipachkoria, we offer a wide range of ophthalmological treatments including cataract surgery, laser vision correction, glaucoma treatment, retinal disease management, and routine vision exams. Common symptoms of ophthalmological problems include blurred vision, eye pain, redness, light sensitivity, seeing halos, double vision, and vision loss. It is crucial to seek medical attention if you experience any of these symptoms.
What Is Avastin?
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