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Ophthalmology – treatment in Germany

Ophthalmology is a branch of clinical medicine that studies vision problems, its normal and pathological conditions, develops methods for the prevention, diagnosis and treatment of eye diseases and applies them in practice. Many eye diseases that were previously considered incurable are now successfully treated thanks to the successful developments of ophthalmologists.

The list of eye diseases is varied. Therefore, modern ophthalmology is developing in a number of areas:

• pediatric ophthalmology;
• ophthalmogerontology;
• neuro-ophthalmology;
• ophthalmo-oncology;
• ophthalmosurgery, ophthalmomicrosurgery.

Ophthalmological clinics in Germany offer patients the diagnosis and treatment of a wide range of eye diseases, including:

• eyelid diseases: lagophthalmos, blepharitis, blepharospasm, eyelid edema, ptosis, eye demodicosis;
• diseases of the sclera: scleritis;
• conjunctival diseases: corneal pathology or chronic conjunctivitis, dry eye syndrome, pterygium;
• retinal diseases: retinopathy, macular degeneration of the retina, uveitis, angiopathy;
• lens diseases: cataract;
• diseases of the cornea: clouding of the cornea of ​​​​the eye (thorns), corneal ulcer, keratoconus, exophthalmos, keratitis;
• refractive errors: myopia (nearsightedness), astigmatism, farsightedness, anisometropia;
• diseases of the oculomotor apparatus: strabismus, amblyopia, nystagmus;
• violations of the circulation of aqueous humor: Sjögren's syndrome, glaucoma;
• eye injury;
• other eye diseases.

German specialists are also involved in the diagnosis and treatment of systemic disorders that adversely affect vision:

• disorders in the spine;
• diabetes;
• thyroid diseases: Graves' disease, hyperthyroidism, hypothyroidism;
• Horton's disease;
• pituitary adenoma;
• infectious and venereal diseases;
• diseases of the nervous system.

A place of honor in the fight for eye health is given to diagnostics. In clinics and specialized centers in Germany, for the diagnosis of ophthalmic diseases, modern computer and optical electronic devices are used, with the help of which it is safe, painless and efficient to carry out the most complex diagnostic and therapeutic procedures. The non-contact diagnostic method completely eliminates the possibility of transmission of infection and the occurrence of inflammation of the eyes. Currently, German ophthalmologists use a wide range of diagnostic procedures:

• visometry (checking visual acuity);
• Ultrasound of the eyeball;
• autokeratorefractometry;
• adaptometry;
• pneumotonometry;
• biomicroscopy with a narrow pupil;
• ophthalmoscopy and biomicroscopy with a wide pupil;
• echobiometry;
• computer perimetry;
• keratometry;
• keratotopography;
• pachymetry;
• retinal angiography;
• tonometry;
• gonioscopy;
• diaphanoscopy;
• duochrome test;
• Schirmer test;
• refractometry;
• accommodation research;
• digital vision research;
• optical coherence tomography;
• ophthalmochromoscopy;
• Norn test;
• skiascopy;
• electrooculography;
• electroretinography;
• fluorescein angiography of the retina;
• electrophysiological examination of the eyes.

Glaucoma

Glaucoma is considered one of the most dangerous eye diseases. Along with cataracts, it is one of the main causes of vision loss. The main problem is that the disease is asymptomatic. The cause of its occurrence is increased intraocular pressure, caused by a violation of the outflow of moisture from the eye. Glaucoma requires ongoing treatment. And if it is timely, systematic and correct, then it is possible to maintain good vision.

It is better to treat glaucoma in Germany. Experienced specialists, innovative technologies, the latest medical approaches provide a high level of diagnosis and treatment of this disease.

Glaucoma in most cases is diagnosed in patients over 40 years of age. Therefore, older people should visit an ophthalmologist at least once a year. In addition, alarming symptoms indicating the development of glaucoma are:

• feeling of slight pain in the eyes;
• haze before the eyes;
• iridescent circles before the eyes when looking at a brightly luminous object, such as a light bulb;
• a noticeable decrease in visual acuity in poor lighting;
• "wet" eyes;
• feeling of pressure in the eyes.

Directions of treatment

Modern medicine has three main methods of treating glaucoma: drug treatment, laser treatment and surgical treatment.

Medication is a conservative treatment that involves the use of eye drops to reduce intraocular pressure. It is necessary to carry out such a procedure throughout life from the moment of diagnosis.

When drug treatment does not give the desired effect, laser treatment is used. Laser surgery for the treatment of glaucoma is carried out quickly and painlessly on an outpatient basis.

When the first two methods are ineffective, surgical treatment of glaucoma is performed. Specialists of German clinics use international methods during the operation. Therefore, do not be afraid and waste precious time.

Cataract

Cataract is a disease in which visual acuity is lost due to a violation of the transparency of the lens. The course of the disease in the initial stages is asymptomatic and it is almost impossible to determine it without an ophthalmological examination.Несмотря на то, что катаракта считается возрастной болезнью, участились случаи диагностирования этого заболевания у пациентов в возрасте от 40 до 50 лет. У пациентов после 80 лет катаракта диагностируется практически на уровне 100 %.

Катаракта в настоящее время полностью излечима. В ходе проведения операции проводят удаление пораженного катарактой хрусталика и вместо него устанавливают искусственную интраокулярную линзу. Современная анестезия проводится путем закапывания специальных обезболивающих капель. Зрение восстанавливается сразу после операции.

Retinal detachment

Своевременное обращение к специалисту является важным фактором успешного лечения отслоения сетчатки. Германские офтальмологи даже в самых критических случаях способны восстановить максимально возможную остроту зрения.

Суть лечения разрыва сетчатки заключается в процессе закрытия дефекта.

При проведении операции применяются следующие процедуры:

• Лазерная коагуляция или криопексия.
• Витрэктомия – микрохирургическое удаление стекловидного тела.
• Круговое пломбирование.
• Установка локальных пломб при частичной отслойке.

При отслоении сетчатки, возникшем на фоне определенных заболеваний (опухолей, окклюзий воспаления) сначала производится лечение фонового заболевания, а затем лечение отслоения сетчатки.

Лечение роговицы

При лечении роговицы глаза немецкими специалистами применяется комплекс мер по устранению таких процессов передней части глазного яблока как врожденные патологии, воспалительные процессы, дегенеративные процессы, язвы, дистрофии, травмы, ожоги и прочее.

Процесс лечения включает в себя несколько направлений: консервативная медикаментозная терапия; лазерная хирургия; пересадка роговицы (сквозная кератопластика).

Пересадка роговицы представляет собой хирургическую операцию, при которой участок поврежденной роговицы заменяют донорским трансплантатом. Поскольку в роговице отсутствуют кровеносные сосуды, наблюдается очень высокая степень приживления донорского участка.

Оперируя более тысячи пациентов в год, немецкие офтальмологи приобрели бесценный опыт практического применениям методики операций кератопластики. Использование лазерных технологий позволяет избежать наложения швов и сокращает срок приживления донорского материала.

Ангиоматоз сетчатки

Германские клиники проводят лечение такого редкого общесистемного заболевания как ангиоматоз сетчатки, которое характеризуется развитием ангиоматозных или кистозных образований в сетчатке глаза и некоторых внутренних органах.

Ангиоматоз может иметь местный или системный характер. Пациенты, которым диагностирован системный или хронический ангиоматоз сетчатки, требуют очень качественного и точного лечения, поскольку постоянно появляются множественные ангиомы, провоцирующие нарушения зрения.Treatment of angiomatosis in Germany is carried out using innovative methods that allow you to eliminate not only the symptoms of the disease, but also eliminate the causes of the pathology.

von Willebrand disease

von Willebrand's disease is a genetic blood disorder characterized by recurrent spontaneous bleeding, including ocular bleeding, similar to bleeding in hemophilia. It is inherited, very rarely has an acquired character.

German specialists treat patients suffering from eye bleeding quite effectively based on the restoration of blood clotting by the von Willebrand factor.

Diagnosis of the disease is carried out by experienced hematologists with the necessary equipment. When examined in German clinics, blood tests are performed to determine the von Willebrand factor, ristocetin activity cofactor, blood coagulation factor VII, von Willebrand factor multimers, and platelet function testing. In certain cases, in the presence of von Willebrand disease, a survey of immediate family members is carried out.

Treatment of hemorrhagic mesenchymal dysplasia

The course of this disease is characterized by the presence of ophthalmic bleeding. Clinics in Germany give in most cases positive prognosis in the treatment of hemorrhagic mesenchymal dysplasia.

High treatment results are achieved thanks to the teamwork of ophthalmologists with other specialists. Treatment is prescribed depending on the individual characteristics of the disease. Medical, laser or microinvasive surgical treatment is used.

eye contusion

Contusion of the eye is an injury without visible anatomical disorders, caused by a strong impact of the external environment (for example, a blow with a blunt object) on the eyeball. In this case, not only the apple itself is compressed, but also the eye capsule, which is resistant to stretching, is deformed. Depending on the severity of the injury, contusion of the eye is accompanied by the presence of hemorrhages.

Taking into account the degree of contusion, conservative treatment or surgical treatment is prescribed. Thanks to the experience of the specialists of our clinics, as a result of treatment, a complete recovery, preservation of the eye and vision is ensured.

Treatment of macular fibrosis with rupture

To eliminate fibrous rupture of the macular retina in German clinics, microsurgical minimally invasive operations are performed. The operation is performed under local anesthesia for 30-90 minutes. The rehabilitation period is quite short. Within two to three months after the operation, the visual functions of the eye improve. In patients older than 65 years and in patients with diabetes, the rehabilitation period is slower.

Myopia (nearsightedness) treatment

A visual defect associated with the pathology of refraction of the eye, in which distance visual acuity is reduced, in professional medicine is called myopia.A third population of the planet suffers from this disease. As a rule, myopia is developing with an intensive growth of the eyeball, that is, children and adolescents and stabilize when middle-aged reached 18-20 years.

In the treatment of myopia, a number of factors are important: age, occupation, degree of physical activity.

Despite the widespread dissemination of this pathology in the world, methods of treatment of myopia are absent. All funds known at this time are aimed at slowing the progression of myopia.

The treatment of myopia in Germany clinics is based on the use of the most modern achievements of world ophthalmology. To solve the problem of myopia, various methods use:

• Use of drugs. At the same time, medical preparations affecting accommodation and hypotensive drugs are used.
• Surgical intervention. The following operations are reached: Laser vision correction; refractive reflection of lens (lensctomy); implantation of faky lenses; radial keratotomy; Keratoplasty (cornea plastic).
• Optical correction with glasses, soft contact lenses, orthocratology (night lenses).
• Application of non-traditional methods. This includes the Bates method, hardware treatment, exercise glasses, Chinese medicine.

Treatment of Uveita

Uverates – this is a generalizing concept that characterizes the complex of eye problems arising from inflammation of various parts of the vascular eye.

The symptoms of the disease are "fog" before the eyes, pain, redness and irritation of eyeballs, light-in-friendly, tearing.

German specialists, depending on the individual characteristics of the disease and condition of the patient, will hold a complex of medical measures aimed at preventing possible consequences of the disease, including vision loss.

Integrated uveit treatment provides: the use of anti-inflammatory drugs in the form of injections or eye drops; physiotherapeutic procedures using special devices; the use of biostimulants and steroid drugs; Vitamin diets, and in certain difficult cases, microsurgery and laser therapy.

Treatment of atrophy of the optic nerve

One of the main reasons for the blindness is the atrophy of the eye nerve. More than 20% of all visually impaired and blind diagnosed this disease. As a rule, this is not an independent disease, but a consequence of various pathological processes. The reasons for the occurrence of pathology are different. These are diseases of the central nervous system, including cranial and brain injuries, common vascular diseases and various general intoxication, developing glaucoma, eyeball disease, hereditary diseases.

Considering the fact that the ability of nervous tissue to regeneration is limited, the treatment of atrophy of the optic nerve should be entrusted only by highly qualified and experienced specialists who will meet in clinics and specialized ophthalmic centers of Germany.If there are concomitant diseases that are primary, you will be prescribed treatment by specialized specialists in order to eliminate the cause of the disease.

Depending on the cause of the disease, the degree of nerve damage, the duration of the disease without treatment, the age of the patient and other factors, various types of treatment are used. These are traditional medical methods and various types of energy effects using a constant magnetic field, electric current, laser. As a result of this approach to treatment, blood circulation and nutrition of the nerve improve, and the process of stimulating the vital activity of damaged nerves takes place.

Treatment of eye injuries

One tenth of all pathologies of the eye are injuries. The causes of traumatic conditions of the eye are various. This includes penetrating and non-penetrating wounds, blunt force, burns of various types (thermal, chemical), frostbite, foreign bodies entering the eye, etc.

Serious eye injuries lead to loss of vision, which is subsequently difficult to restore. For effective treatment and avoiding adverse consequences, it is necessary to choose the right medical institution to provide assistance. First of all, you can trust the German specialists.

It is in German clinics that all the most modern diagnostic equipment is assembled, many ophthalmological areas are developed, experienced specialists work successfully, which together leads to the effective elimination of various consequences of eye injuries.