OPERATION

Message of common value


ARE THERE...
DISCREET MAGNIFIERS?



YES,  SUCH AS EASYPOCKET
WHY DO YOU REGULAR NEED
EYE EXAMINATION WHEN YOU
HAVE GLAUCOMA? 



YOU DON'T FEEL ANYTHING
BUT YOUR EYE CAN GET BLIND
SLOWLY
WHEN THE EYE PRESSURE
IS TO HIGH!





YOU ONLY HAVE  2 EYES:

CHECK YEARLY !

SEE CLEARLY  !






DAILIES: SAY IT WITH
YOUR EYES!
WHAT IS CATARACT?



CLOUDING OF THE LENS


LENSES....
SO EASY !





HOLIDAYS = LENSES



SHOW YOUR EYES ...
WITH LENSES !!!


METAMORPHOSIS
(=curved lines)




THIS MAY INDICATE AGE
RELATED MACULA
DEGENERATION
  • SEDATION WITH DROPS

  • DESINFECTION WITH ISOBETADINE

  • EYELIDSSPREADER MAKES THAT YOU CAN'T BLINK

  • EXTRA DESINFECTION OF THE EYE

  • EXTRA SEDATION OF THE EYE

  • MARKING OF THE INJECTIONPLACE ON 3.5 A 4 MM OF THE IRIS

  • INJECTION IN THE EYE ITSELF, YOU BEARLY FEEL IT

  • ANTIBIOTIC EYEDROP TO DESINFECT. AFTERWARDS A BANDAGE FOR ONE HOUR.

INTRAVITREAL INJECTION -  AFTERCARE
 
HOW WILL YOU EXPIERENCE THE TREATMENT ?

 Avastin, Eylea  and Lucentis are medications, that  the eyedoctor injects in the eye itself. This may not if the eye is inflamed or infected. So report every inflammation in advance to your doctor !  This happens in the operation room, because sterile conditions are necessary.  The eye is sterilized in advance and afterwards properly anesthetized, so you can hardly feel anything of the puncture. The procedure last 5 minutes and afterwards you may go home immediately, with a band-aid on the eye, that have to remain for at least one hour.
 
After treatment: Tobradex collyr 4 X/day  during one week (eventually after 1 week continuing by reduce load : 2 days 3 x/d – 2 days 2 x /d – 2 days 1 x /d)  -
Terrramycine ointment in the evening. If there’s a lot of irritation the First day, there may be used some ointment in the daytime !!  If you have urgent questions and you can’t reach me on the regular number, you may call me on my mobile phone: 0495.17.53.93
 
Afterwards you have to use disinfected eyedrops for one week (ex Tobradex 4 X a day during 1 week ). Usually the next consultation get planned : after 1 a 2 days and after one month (sometimes with a new fluographic review or OCT (“optical coherence tomography = sort of echography who judge the infiltration of moisture in the retina). 6 weeks after the first injection, the treatment get repeated and this hopefully for several months: this as long if your sight is more than 1/10 !

 WHAT CAN YOU EXPECT AFTER TREATMENT?

 HEALING EFFECT

Wet macula degeneration and macula degeneration are progressive diseases , who worsen the sight in a few weeks or months: less than 1 /10 by the growth of a central spot. The peripheral sight remains good, so the patiënt almost never becomes blind.
Eylea, Avastin and Lucentis can not really stop those disease, but they can slow down the growth of abnormal bloodvessels and vision loss and even reduce it.
Therefore the treatment is succeed if your vision reamins the same. Sometimes there is a little improvement after one or several weeks, however we can’t promise this: less central clouding with better vision en less distortion!  That’s why you have to follow the curve on the Amsler raster !
How earlier you get treated, the more benefits you have by the treatment. Beginning  neovascularisation is more sensitive to medicines than in further stadia.
The wet macula degeneration damages the retina irriversible. Thus: all damages that are present remains. The only thing we can do is prevent for further damages.
We can hope that retinacells (who aren’t totally damaged, recover due to the treatment), if the neovascularisation reduces ! 
So, it’s very important to diagnose en treat early. If you see more than 1 / 10, the treatment remains useful later on!
Not everybody reacts the same on the intravitreal medications. The results can be different person to person.  If there’s little benefit with Eylea  or Lucentis, an additional lasertreatment can be done with Visudyne, who makes the bloodvessels selective sensitive. Because those treatment is a lot more complicated (qua protection afterwards against the sun because of general sensitivity to light (“photosensibilisation”)  during  2 days) , it is currently not done anymore.

SIDE EFFECTS

Like all medicines  Avastin, Eylea  and Lucentis can provoke side effects. They are infrequent so just a few people suffers from them. The most common side effects are caused by the injection itself than the medicinel, those are:
 
BANAL PHENOMENS WHO DISSPEAR SPONTANEOUSLY: 

Light irritation on the spot where the injection was. This dissapears in a couple of hours or days.
 
At the injection spot (at the outer side of the eye) there can be seen a little swelling and/or bleeding.  Regurlary the zone feels a little irritated!

After the injection you sometimes can see a little moving spot (= small bubble/ little bleeding) . This pulls away spontaneously in a few days or weeks.

Temporarily the eye pressure can rise. Normally you won’t expierence a thing. This can give temporarily at best less good vision!
 

SERIOUS PHENOMENES, WHICH ARE EXCEPTIONNEL, BUT WHICH GIVES AN URGENT NEED FOR CONSULTATION

You can expierence after a few hours or days:
  • SWELLING AND ITCHING AROUND THE EYES = allergic reaction to one of the products who were administered. Sometimes can an allergic illness be associated with breathing difficulty, a swollen mouth and hands can be worse: If it is the Macugen or Lucentis  itself where you respond to,
    then the injections should not be repeated or you have to change medication.
  • PAIN AND PROGRESSIVE LESS VISION (eventually coupled with increasing spots) : it may indicate eye contamination, wherefore the antibiotics is needed. Sometimes the less vision is due to retinal detachement or vitreous hemorrhage!  A contamination happens mostly the first five days till two weeks after injection!
  • HEMIPLEGIA STRENGHT REDUCTION, consciousness disorder and/or  speech disorder. This is due to a vascular accident in the brains.
    This is extremely rare with Macugen, because the medication inhibits selective the ocular neovascularisation. 
    This phenomene is more common with Lucentis (however still extremely rare), because this medication is less selective.
* If you notice these alarm signs, you have to consult your ophtalmologist urgently:preferable the day itself! If your ophtalmologist is unattainable for some reason,
you have to contact another ophtalmologist immediately.

 
YOU AIN'T SEEN NOTHING YET
SHOW YOUR EYES, WITH LENSES!
WE ARE HERE, TO HELP YOU
BETTER VISION - BETTER LOOKS
PRIORITY TO QUALITY
MORE INSIGHT IN YOUR SIGHT
PRIORITY TO QUALITY
GOOD LOOKING - GOOD SEEING
WE LIKE TO "WOW" YOU
IF YOU WANT A NEW LOOK
IF YOU WANT MORE