A biomicroscope is a microscope that uses a strong light to obtain an enlarged and illuminated image of the front of the eye (examination of the cornea, iris, lens and anterior chamber of the eye) and with the help of special lenses and the back of the eye.
Thanks to a sophisticated sensor integrated into the biomicroscope, during the examination of the eye it is possible to take very high quality photographs and images of all changes and thus reliably diagnose, monitor and treat all pathological changes.
The camera is used for a quick view of the retina without first dilating the pupil, with a width of the shooting angle of 45.
During the recording, the camera takes high-resolution photos and in this way the patient can be presented with eye pathology.
We use the same photographs in the treatment of retinal diseases with laser treatment with the purpose of detecting the disease site as accurately as possible.
Dr. Balog’s polyclinic is the only one in Croatia to use the SPECTRALIS OCT device from Heidelberg, which enables clear, detailed and in-depth imaging of the anterior and posterior segment of the eye.
We use the device in the diagnosis and monitoring of changes in the optic nerve and nerve fiber layers in glaucoma, diseases of the anterior and posterior segment of the eye.
SPECTRALIS enables active monitoring of eye movements with “Active Live Eye Tracking” technology while the patient is being recorded during the examination, as well as the ability to scan the background of the retina up to 3 microns.
With repeated time-lapse scans, it has the auto-scanning feature of “AutoRescan” technology and recognizes over 40,000 coordination points, which is the safest way to monitor the progression of pathological changes in the retina.
As a curiosity, we emphasize that with the help of SPECTRALIS TECHNOLOGY it is proven that diseases such as multiple sclerosis, Alzheimer’s, Parkinson’s can be detected and monitored…
You can find out more at www.windowtobrain.net.
The TMS-5 TOMEY is a corneal topograph that has an integrated Scheimpflug camera, thus enabling detailed analysis of corneal pathology and the entire anterior segment of the eye.
It is used when selecting intraocular lenses as part of preparing the patient for cataract surgery, and also offers the option of selecting optimal contact lenses.
Ultrasound diagnostics is used to quickly and painlessly gain insight into the condition of the inside of the eye and orbit. It is an extremely useful diagnostic method in a large number of eye diseases where it is not possible to make a diagnosis with a simple clinical examination.
Ultrasound can examine and measure normal structures of the eye and eye cavity such as monitoring eye growth, eye biometrics, preparation for cataract surgery.
Also, we can diagnose and monitor pathological changes in the eye such as tumors, bleeding in the eye and orbit and the like.
Ultrasound diagnostics is also used in cases when diagnoses need to be confirmed (eg in retinal ablation, vascular ablation, etc.) and in this way the finding is objectified.
A-scan is used to determine the axial length of the eyeball, and based on other parameters, the diopter value of the lens that is implanted in the eye during cataract surgery is calculated.
B-scan ultrasound gives an accurate two-dimensional image of the inside of the eye and orbit based on the acoustic density of different tissues.
Early detection of glaucoma is extremely important in the prognosis and treatment. Finding the visual field is important information in the early diagnosis of glaucoma.
Measurement of the field of view or perimeter today is fully computerized and automated.
This makes measuring the field of view a very sensitive and precise method and therefore makes it possible to notice very little damage.
In addition to glaucoma, the visual field is also used in diseases of the macula, inflammation of the optic nerve, pituitary tumors and other neurological and neuroophthalmological conditions.
Computerized measurement of the field of view is done using devices called perimeters.
Octopus 101, a product of Haag-Streit International, is an automatic perimeter.
Its precision, reliability of measurements and speed of tests place it at the very top of modern (automated) perimetry, ie at the very top of the device for measuring the field of view.
Octopus is characterized by full automation.
It has sensors that control the head.For example, if the patient is removed from the measurement position for any reason, the program stops automatically. Upon return the patient continues where he left off.
It also has the ability to monitor eye movements and control fixation.
This means that, in case the patient blinks during the measurement and a visual stimulus appears at that moment, the device does not register it as a negative response but remembers the situation and repeats the stimulus when the patient has an open eye.
Octopus 101 uses a type of perimetry called static perimetry.
It is based on a stimulus that does not move in space but is static.
It’s just changing its intensity.
Static perimetry is also computerized and is therefore better and more accurate because it can practically control the measurement process itself without the possibility of an examiner error.
The IOL master 500, a product of Carl Zeiss Meditec, is a device used for biometric measurements and preoperative calculation of intraocular lens (IOL) strength and is extremely important in cataract surgery.
Surgical treatment of cataracts removes blurred natural lenses and implants artificial ones, and patients are expected not to need glasses after surgery.
In other words, the accuracy of IOL measurement and calculation is expected, with the IOL Master being a great help and an indispensable tool in preparing patients for cataract surgery.
Since 2000, when it was approved in the U.S. by the Food and Drug Administration, it has become the most widely used device of its kind in clinical ophthalmology.
The measurement is non-contact, easy for the patient, fast and accurate, and the accuracy is the same, regardless of which of the trained staff performs the measurement.
The patient is measured with high precision in one place all the parameters needed to calculate the strength of the IOL: eye length, corneal curvature and depth of the anterior chamber of the eye.
The strength of intraocular lenses is calculated based on the measured parameters and lens constants using formulas built into the device software.
You can find out more at: http://www.meditec.zeiss.com/iolmaster.
The purpose of the Plusoptix autorefractor is to measure baseline refractive values in the context of the first examination.
Ability to measure both eyes simultaneously from a distance of 1 meter (3.3 feet) in less than 1 second.
Due to the distance at which measurements are made and binocular estimates of the obtained values of astigmatism, axis, myopia and anisometropia in the sphere and in the cylinder, they are also accurate when measuring on narrow pupils.
Measured values in farsightedness can vary but can be easily and quickly confirmed by re-measurement by adding a corrective lens of + 3dpt, or cycloplegia (pupil dilation) by skiascopy.
– Measurement of one or both eyes,
– Complete refractive measurement: sphere, cylinder and axis,
– PD distance and pupil size,
– Eye alignment and asymmetry in strabismus,
– Overrefraction with spectacle correction or contact lenses,
– Working distance 1 meter +/- 5cm,
– Measurement time 0.5 seconds.
Binocular measurement from a distance of 1 meter in less than 1 second is already possible on babies from 6 months.
Although the Plusoptix autorefractometer is often designated as exclusively pediatric, there are no restrictions, measurements can also be performed on adult patients.
The Plusoptix autorefractometer in the hands of an optometrist or ophthalmic technician saves time for ophthalmologists.
We use the YAG laser most often in the treatment of clouding of the posterior capsule of the lens after cataract surgery (capsulotomy) and glaucoma (iridotomy).
Iridotomy is the procedure of opening an opening along the root (edge) of the iris, which opens a direct connection (communication) between the posterior and anterior eye chambers and facilitates the flow of eye water.
Capsulotomy is a procedure of cleaning and rupturing the posterior capsule of the lens of the eye in order to remove the clouding of the optical media, and after the implanted intraocular lens.
Today, the laser is indispensable in the treatment of very common and severe eye diseases, primarily complications of diabetes in the eyes, the so-called. diabetic retinopathy, where it is still the first method of treatment.
It is also used in the treatment of senile macular degeneration and glaucoma.
The effect of the laser on the eye is based on the photodestruction of the eye tissue.
This effect is achieved by the action of laser energy on the desired location, but the difference compared to conventional lasers is the possibility of fine dosing of the amount of delivered energy.
The Iridex 577 IQ is a device that is flexible in its application, whether it is the front or back segment of the eye.
EQUIPMENT IN THE OPERATING ROOM
It is a state-of-the-art operating microscope for all areas of ophthalmic surgery.
It is characterized by the following technological characteristics:
Stereo Coaxial Illumination (SCI) for consistent clarity and clarity of the patient’s eye image during surgery;
A video camera is integrated into the microscope, which makes it possible to record all surgical procedures;
The “RESIGHT fundus” magnified visualization system functions like a magnifying glass during a procedure on the back segment of the eye;
The Callisto module is an operating assistant that points out to the surgeon irregularities in the corneal curvature thanks to an integrated keratoscope;
“Eye. z platform concept ”in combination with IOL master 500 offers the possibility of accurate positioning of toric intraocular lenses during refractive surgery, taking into account preoperative astigmatism and postoperatively detects and laser marks residual corneal irregularities for their correction, Limbal relaxing incision (LRI).
The FAROS-phaco surgical device, which we use to remove the cataract, offers the possibility of reducing the surgical incision to microsurgical dimensions (incisions less than 1.8 mm), resulting in rapid wound healing and shorter patient recovery time.
The minimally invasive surgical method (23G / 25G) at a rate of 5000 cuts per minute, under the supervision of anesthetic care, is performed mostly without sutures and patients recover very quickly.