OPHTHALMOLOGY - Clinica Premium

The eyes are our means of seeing life. Therefore, Clínica Premium Marbella, in collaboration with Vithas Xanit International Hospital has an Ophthalmology Service of great influence in the area.

With a firm commitment to taking care of our patients’ vision, we have become the province’s first private hospital to provide consultation for the evaluation and treatment of low vision.

Our Ophthalmology service offers solutions based on the knowledge and experience of a team of professionals and advanced technology.

Among our portfolio of services, we include practically all of the diagnostic and therapeutic procedures currently available, from the Clínical consultation to the therapeutic procedure to solve your problem.

Consultations

  • General Ophthalmology.
  • Specific consultations (glaucoma, retina, etc.).
  • Screening Consultations (Check-ups, glaucoma prevention, diabetic retinopathy, AMD, Amblyopia in children, etc.).
  • Low vision and optometry consultation
  • Consultations with regards to visual rehabilitation, treatment for amblyopia, rebalancing binocular vision, etc.
  • Adaptation of optical systems for low vision, specific filters, adaptation of prismatic corrections.
  • Adaptation of refractive contact lenses, orthoptics, keratoconus, tattooed for aniridia, etc.

Complementary Explorations

  • Campimetry.
  • Retinography.
  • Fluorescein angiography.
  • Ocular ultrasound.
  • Dacryocystography.
  • Study of the dry eye syndrome.
  • Gonioscopy.
  • OCT (Optical coherence tomography).
  • Corneal topography.
  • Aberrometry.

Laser Treatments

  • YAG laser capsulotomy.
  • YAG laser iridotomy.
  • Other uses of the YAG.

Photocoagulation With Argon Laser

  • Panphotocoagulation (diabetes, thrombosis).
  • Photocoagulation of tears and injuries of the retinal periphery.
  • Trabeculoplasty.

Surgery

  • Eyelid surgery.
  • Lacrimal pathway surgery.

Surgery Of The Ocular Surface

  • Pterygium
  • Conjunctival tumors, biopsies.
  • Amniotic membrane coating.
  • Femtosecond laser-assisted corneal surgery.
  • Implantation of rings and corneal segments for corneal ectasia and keratoconus.

Glaucoma Surgery

  • Perforating or non-perforating trabeculectomy. With or without antimetabolites.
  • Ahmed glaucoma valve implant.
  • Ex-Press Miniature implants.
  • Other filtering procedures.

Cataract Surgery

  • Phacoemulsification with Intraocular Lens Implantation.
  • Other cataract surgery procedures for special cases.

Vitreoretinal Surgery

  • Retinal detachment.
  • Extra-scleral surgery.
  • Vitrectomy.
  • Combined extrascleral / vitrectomy procedure.

Proliferative Diabetic Retinopathy Treatments

  • Vitrectomy by vitreous haemorrhage.
  • Traction retinal detachment.
  • Treatment for refractory diabetic macular oedema.
  • Steroids (triamcinolone).
  • Delayed-release steroids (Ozurdex).
  • Neovascular glaucoma treatment.
  • Epiretinal membrane treatment.
  • 25 or 23G vitrectomy aimed at removing epimacular or MLI membranes.

Vitreomacular Traction (Macular hole)

  • 25 or 23G vitrectomy aimed at eliminating tractions from the macular hole.
  • Treatment of other retinal pathologies.
  • Myopic macular pathology (lo he visto como myopic macular degeneration).
  • Age-related macular degeneration (AMD).
  • Retinal vein occlusion (RVO)

Our Ophthalmology Professionals

  • Dr. Angel Cilveti

 

Why do my eyes sting and turn red?

Allergic conjunctivitis is an inflammation of the conjunctiva in the presence of a certain allergen (grasses, dust mites, fungi, etc.). The symptoms are itching, redness, lacrimation, eye discharge with a white mucus component and photophobia. It can be limited to one season (spring) or it can be perennial. Sometimes, it is associated with other diseases (rhinitis, asthma, atopy).

It is advisable to avoid the allergen but if not, there are several measures that we must adopt: adequate hygiene, wash with physiological saline and no eye rubbing; In addition to taking antihistamines, anti-inflammatories and using topical corticosteroids.

When the treatment is suspended, the symptomatology can recur if one remains exposed to the allergen.

Why does presbyopia or tired eyesight occur? Can it be avoided? Can it be operated?

The lens, in the eyes of the young person, is very flexible and has great ability to deform by the action of the ciliary muscles. This deformability allows it to vary its power as a lens to focus on near or far objects. However, with age, it loses its elasticity and its ability to adapt. This is called presbyopia or tired eyesight. This phenomenon is common among all people with at least 40-45 years of age.

As of today, we do not have any method to prevent or avoid it. To solve the problem, reading glasses or bifocal contact lenses are prescribed. In addition, you can resort to surgery, for example, in cases associated with some diseases such as cataract, myopia or hyperopia. In other cases, it is possible to resort to Lasik refractive surgery procedures that offer a good short and distant vision. This is the case for treatments such as Supracor.

What are eye floaters? How do they manifest themselves and how can they be prevented?

They are small spots that can be seen when looking at a smooth, illuminated background like a wall or the sky. They are tiny conglomerates of the jelly-like substance that forms the vitreous humour of the eye. Generally, they are of little importance and are caused by age-related changes although they can be associated with serious diseases, such as uveitis, vitreous haemorrhage or retinal detachment.

They cannot be prevented, but they can help detect other possibly related issues precociously. It is advisable to consult the ophthalmologist if suddenly new floating bodies appear; if you see flashes of light or if you experience a loss of lateral vision.

Why do I have a sense of discomfort and dryness in my eyes, as well as frequent tearing up and why does it worsen towards the end of the day?

The ocular dry syndrome is the most common reason for requesting an appointment with an ophthalmologist.

The surface of the eye, bathed by the tear film, is the first defence against any aggression (environmental pollution, extreme temperatures, solar radiation, etc.). With age and hormonal changes, the tear film is altered, causing ocular dryness; other times, the consumption of prescription drugs, immunological diseases or blepharitis, can be the cause of this syndrome.

Symptoms range from foreign body sensation, photophobia and tearing up to visual impairment. The treatment includes addressing the reason behind the dryness if possible, using tear substitutes and lacrimal punctum occlusion so that the tear remains in contact with the eye, among others, for as long as possible.

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