Laser refractive surgery
High dioptry– Phakic IOL, ICL
Presbiopia – age related farsightedness
Bioptic

Sveti Vid Hospital introduced laser and surgical vision correction procedures—REFRACTIVE SURGERY—to the country. This includes:

REFRACTIVE SURGERY FOR ADULTS
REFRACTIVE SURGERY FOR CHILDREN

Each refractive procedure, whether excimer laser or surgical, has its own specific requirements. Extensive knowledge, exceptional skill, refined surgical technique and considerable surgeon experience are essential in order to determine the safest and most effective solution for each individual patient.
When these principles are followed, refractive procedures deliver outstanding results.

WHO IS PERFORMING REFRACTIVE PROCEDURES IN SVETI VID?

All refractive procedures are performed by Prof. Pavel Rozsival, MD, PhD, a distinguished member of the largest European and international ophthalmological
associations, who has been recognized by leading authorities as one of the most influential figures in 20th-century ophthalmology. Thanks to his expertise, together with the hospital’s advanced equipment and staff education, we introduced refractive surgery at the highest level in the country and made it accessible to all patients.

Laser procedures in children are performed by Prof. Rudolf Autrata, MD, PhD, one of the leading pediatric ophthalmologists in Europe and worldwide. He has received the highest honors for his contribution to the development of pediatric ophthalmology, particularly for the application of refractive procedures in children with special indications, as a measure to reduce amblyopia and create conditions for the development of functional binocular vision.Sveti Vid has become a recognized destination among leading international pediatric eye centers for high-quality pediatric refractive surgery.

The application of excimer laser treatment is limited by the degree of refractive error, corneal thickness, and corneal quality. In situations where laser correction cannot be performed, particularly in younger patients with preserved accommodation, the preferred option is implantation of a special intraocular lens designed to correct high myopia, high hyperopia, and significant astigmatism.

This procedure involves the surgical implantation of a specialized lens that covers a broad range of refractive errors. The patient’s natural crystalline lens, located behind the iris, remains untouched. As a result, accommodation (near vision) is preserved while distance vision is corrected.

Refractive lenses for the correction of myopia and hyperopia have been used successfully for many years. Today, phakic toric lenses are also available, allowing
simultaneous correction of associated astigmatism, even in very high degrees. A detailed examination is necessary to determine whether the patient meets the criteria,required for implantation of this type of lens.
Using specialized calculations, the most suitable lens type is selected individually for each patient. These lenses feature sophisticated design and advanced materials, providing a perfect fit for the eye. Phakic intraocular lenses are exceptionally well tolerated, patients adapt quickly, and postoperative outcomes are excellent.

Types of Phakic Intraocular Lenses

STANDARD OPTION
The lens is placed in the anterior chamber of the eye and attached to the iris in front of the pupil (anterior chamber, iris-fixated lens).
An adequate anterior chamber depth is required, depending on the lens power. This option is not suitable for patients with a shallow anterior chamber.
It is generally not recommended for athletes or individuals with a high risk of eye injury.

MODERN OPTION
A newer and more advanced option involves fixation of the lens to the iris behind the pupil (posterior chamber, iris-fixated lens), providing greater comfort and fewer restrictions on daily activities. This is known as an ICL (Implantable Collamer Lens).
This implant is often referred to as an “implantable contact lens.”
Our long-term results have demonstrated visual acuity superior to that achieved with glasses or contact lenses, along with exceptional patient comfort. These outcomes are consistent with published international data.

Before any procedure, patients undergo a comprehensive examination, with particular emphasis on a detailed retinal evaluation and macular diagnostics, since
individuals with high myopia remain at lifelong risk of retinal detachment.

At a certain stage of life, most people develop a need for reading glasses.

Distance vision remains relatively unaffected, while near vision gradually deteriorates. Patients often require brighter light, spend more time focusing on text,
and tend to hold reading material farther away.

The cause is the gradual loss of accommodation of the natural lens. The lens can no longer change its shape and refractive power effectively, making it unable to focus light properly when viewing nearby objects. Reading glasses are the most common solution.

However, for individuals who have worn glasses for distance vision throughout their lives and later require additional glasses for near vision, this becomes an increasing burden.

In such cases, particularly when high refractive errors are present, refractive lens exchange (RLE) may be recommended. This procedure involves the surgical
removal of the patient’s natural lens under local anesthesia and its replacement with an appropriate intraocular lens to correct the refractive error. The procedure is quick, typically lasting only 5–6 minutes.

By selecting the appropriate intraocular lens, even high levels of preoperative astigmatism can be corrected. In addition, the procedure simultaneously resolves
cataracts (clouding of the natural lens), if present.

MULTIFOCAL AND ACCOMMODATING IMPLANTS
MONOVISION

BIOPTIC presents a combination of applied methods for solving complex refractive problem. It comprises the lens surgery and corneal procedure (lens + corneal surgery).

Most often it is used in cases of rare combined eye refractive problems, when dioptrical problem surpasses the range of available lens values so it has to be combined with corneal procedures.

For example, lens exchange surgery or implantation of phakic implant + laser correction of residual dioptry. It can be used even in presbyopic correction, after implantation of multifocal implants by application of laser for correction of existing astigmatism.