The modern ophthalmologic technology used in clinics ' Excimer ' can diagnose abnormalities as refractive errors ( nearsightedness, farsightedness , astigmatism ), diseases of the eye refractive media ( cornea and lens opacities ), and receptor system disease , occurring in glaucoma , diabetes,dystrophy of the retina,
St. Petersburg ophthalmologic clinic ' Excimer ' opened in 1997, During its existence the clinic has been performed more than 22 000 excimer laser correction and over 2,500 microsurgical procedures . In ' Excimer ' for eye care turned more than 70 000 patients. Daily clinic has more than 100 people.Diagnostic equipment of last generation is a measure of most of the necessary parameters of the eye is completely painless , without touching the surface of the eye . This greatly reduces the risk of any inflammation of the eyes and reduces the procedure of the survey.
DIAGNOSTIC EQUIPMENT .
Avtorefkeratometr determines the degree of refractive errors ( nearsightedness, farsightedness , astigmatism - a violation of refraction ), measures the radius of curvature of the cornea, pupil diameter (which is needed to determine the area of laser irradiation with excimer laser correction ), the distance between the pupil of the eye .
In contrast to the conventional tonometer , non-contact tonometer without touching the surface of the eye , instantly measures the true intraocular pressure by means of directed air stream.The traditional method is instillation of anesthetic and gauging the degree of bending of the cornea under the pressure of the weights , lowered to the surface of the eye , thus it is possible to measure only relative ( tonometric pressure) . With a contact tonometer determine the presence of elevated intraocular pressure , such as glaucoma.
Computer tonograf measures the fluctuations in intraocular pressure, and rate of production of intraocular fluid. Screening for tonografe very important for those who have discovered glaucoma . In this disease the circulation of fluid in the eye is usually broken.
With the help of an ultrasonic A-scan are determined by the size of the anterior chamber , lens thickness , the size of the eyeball and the vitreous body. This information is required when carrying out various operations. B- scan ultrasound reveals through the two-dimensional eye injury in cases where they are hidden by the ophthalmologist .For example, a cataract lens loses its transparency . To examine the internal structures of the eye in such a case , resort to using B-scan .
ultrasonic pachymetry to evaluate the thickness of the cornea in its various departments.This should be done before the excimer laser correction , as well as in the diagnosis of certain diseases of the cornea (eg keratoconus ).
analyzer field of view (computer perimeter ) removes information about the field of view - the space that sees the human eye in a stationary fixation.The field of view suffers from many diseases neyroretseptornogo apparatus, including the retina and optic nerve (eg, glaucoma). Special computer software is the quantitative characteristics of in certain parts , particularly important in the diagnosis of diseases such as glaucoma, macular degeneration , etc.
equipment for laser vision correction.
In June 2007, in St. Petersburg Eye Clinic Excimer laser operates America's new VISX Star S4 IR, the only one in the Northwest region .The main advantage of laser VISX Star S4 IR - extension of indications to perform laser vision correction ( correction of performance in patients with complicated forms of nearsightedness, farsightedness , astigmatism and other distortions ( aberrations) of high-order ).
Setup for laser vision correction VISX Star S4 IR is significantly different from other models. VISX Star S4 IR Excimer allows the laser eye surgery patients with complicated forms of nearsightedness, farsightedness , astigmatism and aberrations ( distortion) of higher orders.Today, VISX Star S4 IR - a single laser operating with sumiluchevoy scanning system .A comprehensive approach , implemented in the laser system VISX Star S4 IR, allows not only to ensure the most smooth surface of the cornea , formed during the excimer laser correction , but a slight trace of motion the patient's eye during the operation and the maximum offset stacked structures of the eye optical distortion .More.
The excimer laser correction depends not only on the laser, but also on such an important instrument, as a microkeratome . It is necessary for excimer laser correction of the most modern method of LASIK. When such exposures are not correcting the outer layers of the cornea and the inside .In order to separate tissue from the surface, and need a microkeratome . The clinic ' Excimer ' works microkeratome world famous firm 'Moria'. She was among the first to produce no manual , and automatic models, which helped to minimize the risks during the excimer laser correction .The latest model 'Moria Evolution 3' allows for a preparatory stage before the excimer laser vision correction (ie - the formation of the flap ), the least painful for the patient's condition and reduce discomfort to a minimum.The device is equipped with a head keratome 130 microns, the locking ring vacuum from -1 to +2, as well as direct mechanical keratome rotary type . The design of the rings microkeratome allows to adjust the equipment under the individual characteristics of the patient's eye , which leads to more accurate results.
SURGICAL EQUIPMENT.
Surgical YAG-laser is successfully used in the treatment of secondary cataracts, glaucoma and certain types of effects in the treatment of inflammatory and traumatic processes in the anterior and posterior segment eye . It allows , without introducing into the eye to remove connective tissue Schwarte , bands , turbidity , perform basal coloboma .
A unique for Russia multifunction system oftalmohirurgicheskaya Millennium ( Baussh Lomb) is indispensable in the operations to remove the lens and in complex vitreoretinal surgery.In particular, with the help of this system is carried sparing surgery for cataract - phacoemulsification with implantation of foldable lenses, as well as lensektomiya to get rid of high degrees of refractive errors ( nearsightedness, farsightedness ). This equipment allows us to conduct operations as at the front and the rear segment of the eye.With this system you can reduce the time of the operation, it provides a higher degree of reliability. New advantages allow the operation to those patients who had , for whatever reason it was refused.Millennium system has a built computer, a tracking technology for the operation, and telling the surgeon with voice or display the slightest deviation . Importantly, the surgeon at work with this system practically does not need to accompany the brigade.
EQUIPMENT CHILDREN'S DIVISION .
In the apparatus for vacuum massage AVMO Ophthalmology as a healing factor uses alternating vacuum. The desired effect is achieved by pressure changes in special glasses , 'mini - hyperbaric chambers . \],[Vacuum massage improves and the hydrodynamics of the eye.
The universal laser therapeutic apparatus MAKDEL -00. 00. 08 is used to improve spatial vision , functions, accommodation, visual acuity. Laser radiation is applied to the screen, which is located at 8 - . 10 cm from the patient's eye.The therapeutic effect is by observing the changes in volume and structure of the image that appears on the screen, which stimulates the receptor (nerve ) cells in the retina .
percutaneous electrostimulators ' phosphene ' and ' ESOM ' used in the dystrophic and atrophic processes in the optic nerve and retina.They allow for stimulation -dose low-intensity electric current , which increases the conduction of impulses in the optic nerve. To carry out a direct stimulatory effect on the optic nerve and retina during atrophy and degenerative processes.
In the universal device for magnetic ' ATOS ' with the prefix ' Ambla -1' as a therapeutic factor used by a running reverse magnetic field . Magnetic therapy in combination with drug therapy makes it possible to get rid of the inflammatory and edematous processes.The use of the device is effective in keratitis ( inflammation of the cornea) , neuritis , etc. The prefix ' Ambla -1' to a universal machine for magnetic ' Athos ' is quite effective in treating amblyopia.
The leading instrument for training in view of strabismus and other types of disorders of binocular eye interaction is Sinoptofor ' Sinf '. This device allows for the complex of medical training, with which it merges the two images into one.He trains in sight strabismus and other types of disorders of binocular eye interaction , improves the overall mobility of the eye , improves the visual reserves.
in the clinic ' Excimer ' also works in principle a new set of ' Ambliokor ', developed by leading experts of the Institute of the brain.It is an effective and targeted means of treatment and prevention of amblyopia, spasm of accommodation , myopia, hyperopia, astigmatism. At the core of the device is video-computer method of anger management . While the child watches cartoon , a unit using sensors removes the information of the eye , while fixing the encephalogram of the brain.The image on the screen is saved only during the ' correct ' view, and disappears as soon as it ceases to be clear. Thus the device as it causes the brain to subconsciously reduce the periods of low-contrast vision. Such an approach optimizes the neurons in the visual cortex and vision in this case is greatly improved .
Medical equipment used in the clinics ' Excimer ' is world class and has all necessary certificates . Maintenance of equipment is done directly by the manufacturer , which provides an ideal state of all medical equipment.
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