Personalized care to protect your eyes.
Ophthalmic Clinic services
- Complete ophthalmological examination for children and adults (visual acuity measurement, refractive error measurements, slit lamp examination, tonometry, fundoscopy, color perception assessment, strabismus examination).
- Cataract surgery.
- Laser for myopia, hypermetropia, astigmatism.
- Retinal diseases examination, OCT.
- Glaucoma control - Visual fields.
- Eyelid treatments (eg for persistent blepharitis) and minor eyelid surgery (eg cataracts, cysts).
- Pterygium surgery.
- Glasses prescription through EOPYY.
- Eye test for driver's license.
- Emergencies (inflammations, foreign bodies, injuries, etc.).
Complete eye examination for children and adults.
- Measurement of visual acuity.
- Refractive error measurements (myopia, hyperopia, astigmatism, presbyopia) with the adult refractometer.
- Corneal topography to assess the anterior surface of the cornea - detection of keratoconus.
- Children's refractive error measurements (myopia, hypermetropia, astigmatism) with a portable refractometer.
- Slit-lamp examination of anterior and posterior eyeballs.
- Tonometry (measurement of intraocular pressure).
- Fundoscopy to assess the retina.
- Assessment of color perception.
- Strabismus examination.
Cataract surgery
In cataract surgery, the blurred lens of the eye (cataract) is replaced with an artificial clear lens (intraocular lens: IOL) to restore blurred vision. The operation is performed with the modern method of phacoemulsification.
Through tiny holes in the sides of the eye, the blurred cataract lens is removed after it shatters, and an artificial intraocular lens is inserted folded into the eye and then unfolded.
There is a wide variety of IOLs in use and pre-operative measurements are taken with many modern devices to determine which IOL to use.
In addition to the quality of the intraocular lens material playing a role in final vision, intraocular lenses also have degrees (like glasses) so they can correct nearsightedness, farsightedness and astigmatism.
Also, presbyopia can be corrected with the use of multifocal intraocular lenses, as long as certain conditions are met from the characteristics of the eye.
Laser for myopia, hypermetropia, astigmatism
Refractive errors (myopia, hypermetropia, astigmatism) can be corrected by applying a laser to the outer lens of the eye, i.e. the cornea. The conditions for having a laser on the eyes are:
- Age over 18 years.
- Stable grades of glasses for a period of one year.
- Corneal thickness to be able to support the amount of the refractive error correction (this is measured in the pre-operative examination).
- Absence of other significant eye disease.
- Do not be pregnant or breastfeeding.
Before the Laser, there is always a pre-operative check, where all the refractive characteristics of the eye are measured and the general condition of the eye is assessed. Based on this pre-operative check-up, your doctor will recommend which type of laser technique is right for you.
Before the pre-operative check, we do not wear our contact lenses for 10 days (if they are soft) and for 1 month (if they are hard).
There are two main techniques, the Lasik method and the transPRK method, and the decision of which technique to choose depends on the patient and the characteristics of his eye.
In the LASIK technique, with the help of a laser, a very thin flap like a tiny cap is created on the surface of the cornea, which, however, remains at one point stuck to the rest of the cornea and lifts it back. Then a second Laser (Excimer Laser AMARIS) acts and corrects the refractive error grades.
After completing the above procedure, the flap is placed back in its place. With this technique we have a faster recovery of vision (about the same day) and there is no post-operative pain.
In the transPRK technique, the laser acts directly on the surface of the cornea without raising a petal. First, the corneal epithelium, i.e. its outer layer, is deconstructed with a laser, and then the Excimer Laser AMARIS acts on the cornea and corrects the refractive error grades.
The duration of the laser application on the eyes is short, about 10 minutes for each eye, and has some small differences depending on the technique (LASIK, transPRK). In both techniques the laser focuses on the cornea, i.e. the outer lens of the eye and not on deeper structures.
The patient is given local anesthetic drops, but he may feel a pressure in the LASIK technique. After LASIK surgery the vision clears within a few hours and there is no pain.
With the transPRK technique the vision clears up within 2 weeks and there is a little discomfort in the first few days.
The decision of which technique will be applied is assessed during the preoperative examination and depends on the characteristics of the eye and the amount of the refractive error (grades) to be removed.
Retinal diseases
The retina is a structure located in the posterior pole of the eye.
With fundoscopy we have a macroscopic assessment of this structure, as we see the inner part of the eye, usings a light beam and focusing with a lens on the retina.
If there are clinical findings from fundoscopy or if the clinical picture is suspicious for findings, further tests are performed to check the retina in more detail. This is achieved with retinal angiography, or optical coherence tomography (OCT), a machine that takes pictures of the retina much like an MRI.
Nowadays, instead of conventional fluoro-angiography that required an injection from a vein in the arm to get images of the retinal vessels, there is digital angiography that does not require the injection, and is considered shorter and less painful (angio-OCT).
Some of the most common retinal diseases are age-related macular degeneration, diabetic retinopathy, hypertensive retinopathy, retinal vein or artery occlusion, central serous chorioretinopathy, etc.
Glaucoma control-Visual fields
Glaucoma is a degenerative neuropathy in which nerve fibers of the optic nerve are destroyed, resulting in effects mainly on peripheral vision. The main risk factor for glaucoma is intraocular pressure.
The optic nerve is visible macroscopically during fundoscopy, while checking the function of the optic nerve and whether the vision has been affected by glaucoma is checked with the visual field machine which examines the vision in detail in different space areas.
More detailed information on the anatomical characteristics of the optic nerve, such as assessment of nerve fiber thickness and assessment of other anatomical factors that influence the disease, is obtained with OCT (optical coherence tomography) of the optic nerve.
Eyelid treatments (e.g. for persistent blepharitis) and minor eyelid procedures (e.g. chalazion, cysts).
The eyelids are an ocular area that requires special attention because it differs from the rest of the skin. There are persistent chronic conditions of the eyelids that are treated in the doctor's office and the therapy is applied by the doctor to the patient.
Eyelid diseases such as hordeolums, chalazia, microcysts, lipomas that persist despite conservative treatment, can be surgically removed with local anesthesia in the office.
Bloodless blepharoplasty (PLEXR)
Plexr is the most modern and innovative method of bloodless blepharoplasty widely used in Europe and works with the fourth state of matter, plasma.
A small portable device produces an electric arc that sublimates the external layer of the skin, shrinks the elastic fibers and smooths the excess skin without affecting its deeper layers and without leaving scars.
With the application of PLEXR, the skin is stretched, wrinkles are reduced and the eyelids are"lifted", with a natural effect. Depending on the skin elasticity, more than one session may be needed.
PLEXR can be used on a wide range of skin conditions, such as blepharochalasis/ptosis, external hordeolums/chalazia, eyelid nodules/cysts/papillae, as well as the rest of the skin, such as:
- In warts
- In brown spots on the skin
- For smoothing fine wrinkles
- To tighten loose eyelid tissue (eyelids “bags”)
- To smooth out acne scars and other scars, etc.
After the application of PLEXR, skin care is needed for about a week with reconstructive and masking cream, but this does not prevent the patient from returning directly to his activities. It is a bloodless technique that leaves no scars, no surgical incisions are made and no stitches are used.
Pterygium surgery
Pterygium is a hypertrophic conjunctival fibrovascular tissue that usually extends from the medial canthus and overlaps the cornea usually on the nasal side.
If it bothers and causes inflammation or even for purely cosmetic reasons, it can be surgically removed. Often during its removal an amniotic membrane graft is placed, which prevents the flap from re-forming.
Glasses prescription through EOPYY
With the existing law, EOPPY insured patients are entitled to an amount worth up to 100 euros every 4 years for the provision of glasses. For children up to 12 years of age, the amount is granted every 2 years.
Driving license eye test - Military school certificates and other certificates and services.
The test for the driver's license certificate includes the assessment of visual acuity, the examination of the anterior and posterior parts of the eye in the slit lamp, the rough assessment of peripheral vision and the examination of color perception.
Emergencies (inflammations, foreign bodies, injuries, etc.)
The office of Ophthalmologist Kalouda G. Pelagia in Xanthi, serves emergencies both during its opening hours and during the rest of the hours after telephone communication with the doctor.
Services
Analytical Services – Equipment
- Topcon automatic digital refractometer to measure the refractive error (myopia – hypermetropia – astigmatism) and perform corneal topography, i.e. obtain a geographic map of the cornea.
- Automatic digital phoropter to perform the subjective refraction, i.e. the estimation of the degree of the glasses with accuracy and speed.
- Automatic digital lens meter for measuring glasses and for calculating the absorption of UV radiation by glasses.
- Portable automatic digital refractometer to measure refractive error (myopia – hypermetropia – astigmatism) in children and patients who cannot easily cooperate or come to the office.
- Slit lamp for examining the anterior (cornea, anterior chamber, lens, iris, angle) and posterior parts of the eye (vitreous, macula, optic nerve, peripheral retina).
- Imaging system attached to the slit lamp to take pictures of the eye's molecules.
- Tonometer for measuring intraocular pressure.
- Visual fields for the investigation-monitoring of glaucoma, neurological diseases, patients receiving special medications, e.g. plaquenil etc.
- Retinoscope for measuring refractive error in children.
- Indirect ophthalmoscope for retinal screening in infants, peripheral retinal screening, and retinal screening in patients who cannot readily cooperate or come to the office.
- TON -Stereo test to assess stereoscopic 3D vision in children.
- Lenses for checking the retina during fundoscopy and checking the angle of the eye (Volk 90d, Ocular 78d, Volk Digital Widefield, Volk Super Pupil Xl, Volk 3 Mirror, Ocular Sussman 4 Mirror Diagnostic Gonioscope, Opticlear 3 Mirror, Volk 20d , Volk 28d).
