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Services

Tests

Eyeglass prescription

Refractive errors (myopia, hyperopia, astigmatism and presbyopia) should be explored with the help of the autorefractometer and confirmed by retinoscopy, which in children should be done under cycloplegia. We have a foropter that allows you to graduate quickly and accurately. In children, it is also very important to explore extrinsic eye motility in detail to rule out strabismus.

Optical coherence tomography (OCT)

This scan allows a high-resolution section of the retina in just a few seconds. The obtained image offers so much quality that it allows us to see the different retinal cell layers, as if we were in front of an "in vivo" biopsy. This test is critical in the diagnosis and follow-up of diseases such as macular degeneration, diabetic retinopathy, and retinal vein occlusions. It is also very useful in glaucoma to monitor damage to the optic nerve. It is also possible to perform an OCT scan of the cornea and the angle of the anterior chamber. Recently, we have incorporated an update of the equipment that allows the acquisition of angiographies without having to inject any dye.

Computerized visual field

This test is basically indicated in the diagnosis and follow-up of glaucoma, allowing to identify the areas of the visual field damaged by the increase in intraocular pressure. The new versions allow to shorten the time of the examination without compromising the reliability of the test. Visual field is also useful in the diagnosis of optic neuropathies and retinal dystrophies.

Corneal topography

Corneal topography allows a very accurate map of the curvature and thickness of the cornea at all its points, facilitating the diagnosis of deformities such as keratoconus. This test is very important for the preoperative study of myopia and astigmatism surgery. Similarly, it is essential to assess the possibility of implanting multifocal and toric introcular lenses (for the correction of astigmatism) in cataract surgery.

Biometry

This scan is used to calculate the power in diopters of the different intraocular lenses that are implanted in cataract surgery.

Treatment of eye diseases

Cataract

Cataracts are one of the leading causes of decreased visual acuity in people over 60 in our environment. Currently, it can be successfully treated with modern minimally invasive microsurgery techniques, with topical anesthesia and without hospital admission. An intraocular lens is implanted in the same surgical procedure, which can be multifocal or progressive and can even correct the patient's previous astigmatism (toric lens).

 

The YAG laser cleanses the capsular opacifications of intraocular lenses that usually occur over time in patients undergoing cataract surgery. It is a painless procedure, lasting no more than ten minutes and performed in our clinic.

Age-Related Macular Degeneration (AMD)

Age-related macular degeneration is the leading cause of legal blindness in Western countries. Wet or exudative AMD is the most aggressive type, which, without treatment, can cause irreversible visual loss in just a few days. Nowadays, we have potent antiangiogenic drugs capable of stopping the progression of the disease if applied in time and correctly. We administer these drugs by intraocular injection.

Glaucoma

Glaucoma is defined as the damage of the optic nerve as a result of an inadequate value of intraocular pressure, usually above 21 mmHg. The diagnosis of glaucoma is based on three parameters: the numerical value of intraocular pressure, the anatomy and the assessment of optic nerve function using computerized visual field. OCT is used to assess the anatomy of the optic nerve. Initially, glaucoma is treated with eye drops of hypotensive drugs and, in case the response is unsatisfactory, a laser treatment or surgery can be done.

 

The YAG laser allows therapeutic peripheral iridotomies to be performed in patients with acute or preventive glaucoma in cases of patients with ocular hypertension and narrow anterior chamber.

Refractive errors

Refractive errors are myopia, hyperopia, astigmatism, and presbyopia. Today, it is possible to correct them surgically by laser (LASIK, PRK) or intraocular lens implantation (ICL). In this way, the patient can dispense with the use of glasses or contact lenses.

Diabetic retinopathy

Diabetic retinopathy is a consequence of a poor metabolic control of the disease and can cause visual loss due to the onset of inflammation (edema) or bleeding. Treatment is based on laser photocoagulation, intraocular drug injection, and surgery in more advanced cases. The green wavelength laser remains the standard for the treatment of retinal lesions such as diabetic retinopathy, venous occlusions, and peripheral retinal tears that predispose to retinal detachment. We can currently treat these injuries in just a few minutes and under topical anesthesia.

Other retinal diseases

At present, we use minimally invasive microsurgery techniques to treat diseases such as diabetic retinopathy, retinal detachment, epiretinal membranes, and macular holes. The surgery is performed under local anesthesia and without hospital admission. If the patient has a cataract, combined surgery can be performed and treated in the same surgical procedure.

Eyelid and lacrimal dysfunctions

At the clinic we perform surgeries on stye, cysts, warts and other eyelid lesions under local anesthesia. We also practice probing and cannulation of the tear duct.

Eye surface disorders

At the clinic we treat dry eye, conjunctivitis, allergies and irritations.

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© 2020 Dr. Lluís Arias Barquet