• Filiz KUZUM AKYOL, MD
• Safiye CAN KÜÇÜKGÜL, MD
• Fuat BOZKURT, MD
• İsmail KARDEŞLER, MD
• Sebahattin Hasan AZİZAĞAOĞLU, MD
The state of the art scientific and technological methods are used for diagnosis of eye diseases and operations requiring special experience and developed instruments are used at Kent Hospital Eye Diseases clinic.
These units are:
• Optical coherence tomography
• Dial controller computerized horopter
• Remote control projection gauge
• Automatic keratorefractometer
• Computed lensmeter
• Biomicroscope, non-contact computerized (air puff) tonometer and applanation tonometer
• Retinoscope, ophtalmoscope and ophtalmic refraction units with examination lens
• Advanced diagnosis units necessary for diagnosis and treatment are available at polyclinic.
High-tech Diagnosis Units
Optical coherence tomography: It allows resolution three-dimensioned examination of retina layer at micro level. With this non-invasive procedure, retina layer can be examined in detail. A number of retina diseases can be diagnosed with this method and disease can be followed.
Laser Scanning Ophtalmoscope (HRT III - Heidelberg Retinal Tomography III): It is the most modern unit of its type enabling early diagnosis and treatment follow-up by tomography of optic nerve in glaucoma patients. Early diagnosis 4 years prior to deterioration of visual field in glaucoma patients. Moreover, it is very useful for controlling whether medicines administered to glaucoma patients under treatment are sufficient or not. HRT unit is used for following some changes such as central serous retinopathy, edema in retina, various diseases of retina and macula and diagnosis of the disease. The state-of-the art unit allows examination of cornea endothelium cells in number and figure and offers information about diagnosis of very special diseases such as Fuch’s dystrophy or corneal endothelial failure and course of the disease prior to cataract operations or following keratoplasty.
IOL Master Ocular biometry unit: Cataract operations are performed now by intraocular lens. Otherwise, since the lens of eye with cataract is removed during the operation, the patient has to wear 10-12 no glasses after the operation. Lens to be inserted in the eye are produced by different companies with different techniques and materials. Moreover, every model has diopter. Lens measurement is performed for every patient to prevent the patient to wear distant vision wearing or wear low prescription glasses as much as possible after the operation. Units of measurement are biometry units. However, there are different computer programs for operating system and determining the number of biometry unit. Although standard biometry unit is used at Kent Hospital eye diseases clinic, the state-of-the art IOL MASTER unit accepted throughout the world with very low error margin is used for determination of lens number. Lens number to be used at the operation can be determined within a few minutes easily by this unit.
Ocular biometry and A/B scan ultrasonography unit: disorders of vitreus and decollement in retina layers, intraocular bleeding in patients having cataract or corneal haze and fundus oculi examination of whom cannot be performed with eye ultrasound can be diagnosed. Moreover, intraocular tumors, optical nerve formations and orbita gap occupying behind the eye partly and fatty tissue pathologies can be examined by ultrasonography.
Digital Fundus Fluorescein and Indocyanine green (ICG) Angiography unit and imaging system: For retina and macula diseases, veins and vascular functions in this region are very significant. After pupil of the patient is magnified by angiography units, images seen during the medicine administered by arm passes through veins are recorded by a digital imaging unit. These images are transferred to computer media by means of modern units at Kent Hospital, eye diseases clinic and printed immediately and results are provided. This system eliminates problems of waiting for photo printing for a few days in conventional FFA systems and allows immediate evaluation. “Eye angiography” shouldn’t be confused heart angiography. In this method, medicine is administered to the veins, and photo of eye of the patient while he is sitting is taken and difficulties or risks of heart angio are not in question. Information obtained is very significant for diagnosis and laser treatment and following the results of disease. Eye angiography is used to image macula disease of diabetes and old patients, central serous retinopathy and other changes and diseases related to retina and macula.
Neodymium YAG Laser unit: This unit one of the laser systems used in ophthalmology allows very simple treatment without pain in the case we call as “opcification” or hardening of posterior capsule seen at the rate of 50% within 3-5 years following cataract operations. Hard lens posterior capsule is drawn simply with Nd-YAG Laser as the patient is sitting and the patient begins to see clearly within half an hour after the procedure. Since it is not an operation, special care, hospitalization or case to be considered is not in question. Nd-YAG laser unit is used to remove some sutures, adhesion, in some cases that post-cataract op pupil irregularity in some glaucoma patients.
Solid State 532nm Green posterior segment laser unit: It is one of the laser units used for ophthalmology highly. It is used for treatment in diabetic retinopathy due to photocoagulation effect, age related macula diseases, retina vascular occlusion, retinal break, some glaucoma diseases, cauterizing eyelash to cauterize eyelash in trichiasis disease. It is one of the modern units and enables safe and successful laser treatments.