Ophthalmology

MainServicesSurgeryOphthalmology

Ophthalmology

  • Cataract operations
  • Glaucoma operations
  • Eyelid or conjunctive growth operation
  • Chalazion (stye) removal
  • Lacrimal sac removal
  • Blepharoplasty (eyelid operations)

Aiwa Clinic range of services includes ophthalmology, which is provided by several experienced specialists. The clinic conducts State-funded and paid eye operations, helping patients to regain light in their eyes and quality of life. Cataract operations, glaucoma operations, plastic and reconstructive eye operations and aesthetic plastic eyelid operations are available at our clinic.

No matter how old you are, eye health is something you need to care of, because sight is one of the leading senses that enable humans to function properly. If your vision is not clear or eyes are experiencing discomfort, this indicates that you need to visit and eye doctor, who can diagnose the problem and recommend the best solutions so that light returns to your eyes and unpleasant symptoms disappear.

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Currently, using modern methods and tools, ophthalmology can successfully treat eye health problems, and in most cases fully restore the quality of sight. However, it is also vital that a patient arranges a timely appointment to see a specialist to undergo prophylactic tests or in the event of complaints. The sooner the problem is diagnosed, the more effectively it can be treated.

Reconstructive and aesthetic eye and eyelid operations provide the chance to resolve the patient’s problems in a complex manner, not only improving the patient’s sight, but also removing undesirable visual features and reducing signs of aging that can be especially marked in the eye zone. Successful reconstruction can also be performed after injuries. In addition, operations on eyelids or conjunctive growths can be performed and tear sacs can be removed.

In every age group, there are various risks of eye diseases. Therefore patients should follow doctors’ recommendations about the need for prophylactic appointments.

  • Eyes can suffer from mechanical injuries; therefore you should always remember to observe occupational health and safety regulations, protecting eyes from the inclusion of foreign bodies and chemical substances, which can be found not only at work, but also in the home.
  • Eye health is vital to all age groups, and is highly susceptible to the effects of modern technology. Computer work and intensive use of various other screens is tiring to eyes, causing dryness, tension, cloudiness, and can result in deteriorating sight. Therefore, care should be taken to ensure that the work and home environment is arranged in accordance with ergonomics laws, ensuring the necessary height, brightness, the right angle of descending light and other aspects. Children and adolescents should definitely spend no more time in front of computer and television screens than necessary.
  • If your daily job involves the use of a computer, then you should undergo regular preventive eye tests once every few years. Likewise, you should make a habit of eye relaxation exercises and taking breaks while doing computer work. This will help you to keep your eyes healthy. If necessary, an ophthalmologist will prescribe suitable glasses to correct your sight and for doing computer work. Ophthalmology not only includes a treatment and diagnostic phase, but also works on the prophylactic side of the field, education patients on how they can protect their sight and avoid illnesses and injuries.
  • People aged 40 years and over should pay special attention to their eye health, because various illnesses can develop from this age onwards. Examples include cataracts and glaucoma which are especially common among elderly people. Therefore, you should visit an eye doctor regularly, conducting tests and examinations in dynamics, in order to make a better diagnosis and detect any illness early. For example, in up to 90% of cases, cataract operations can fully restore the quality of sight to its previous quality Cataract operations are available at Aiwa Clinic as a paid and State-funded service.

In Latvia, an eye doctor or ophthalmologist is a directly accessible specialist, who patients can visit without a referral from their General Practitioner.  

Cataract operations

AIWA Clinic’s experienced ophthalmologists conduct paid and State-funded cataract operations.

The reason why a cataract or cloudy lens occurs is a loss of fluid in the eye lens over the course of years. However, it could also be caused by illness, an eye or head injury, radiation, smoking, and various general or eye medicines. Cataracts have been observed in children! The first signs of the illness are dependent on which part of the lens the cloudiness is in and how big it is. If the outside edges are affected, most likely, you will not even feel discomfort, but, if the cloudiness approaches the centre of the lens, increasing sight problems will arise. Objects will become blurred, contours will disappear, and occasionally, images could even double. The eye retina may become lighter in tone or even acquire a yellowish hue. In such cases, the ophthalmologist will test the sharpness of vision with special apparatus, and, if necessary, measure the internal pressure of the eye. If necessary, the field of vision will be examined using computer perimetry, as well as discounting other possible eye ailments with the help of ultrascan. Then it is possible to ascertain whether a cataract has formed in the lens of the eye, what type it is, and how far the illness has developed.  

The only effective method for treating a cataract is an operation. Moreover, in 90% of cases, it is possible to restore vision to the quality that it was prior to the start of the illness! The sick eye lens is replaced with an artificial–clear and transparent one. Firstly, however, it will be necessary to undergo a general physical examination, and for blood and urine analyses to be conducted. However, the operation itself will last for approximately 20–30 minutes, and usually there is no need for a general anaesthetic. The set post-operation must be observed for approximately one month.

Vision regains its clarity!

Glaucoma operations

The cause of blindness – glaucoma

It is still not possible to fully treat this illness, but if it is diagnosed early, the patient’s sight can be saved.

What causes glaucoma?

Glaucoma results from sight nerve damage. Scientists are still debating the true cause of the disease. Since the precise reason for glaucoma remains unknown, it is not possible to fully recover from it. However, the development of the illness can be slowed considerably, preventing the loss of light in the eye. Glaucoma is cunning in that it can develop for a long time with no symptoms, while the eye retains Sharp vision. Meanwhile, the illness evolves and the eye nerve gradually and irreversibly atrophies. Although there is no one specific method of diagnosis, the most significant diagnosis is considered to be measurement of internal eye pressure (remember, from the age of 40 upwards, it should be measured every year!), which should range from 10 to 21 mm Hg.


A silent and cunning illness

Glaucoma is a very cunning ailment – it can develop for years without even the slightest symptoms. More often than not, the patient has no complaints, on the contrary – his sight remains sharp for a long time. However, in the background, the illness is development and the sight nerve is gradually and irreversibly atrophying.

There is a difference between a primary or open-angle glaucoma and closed-angle glaucoma. In the first instance, one eye becomes ill. Since the sharpness of vision is retained and the other eye compensates for the functions of the sick eye, the patient does not feel any discomfort that indicating the need to seek help from a doctor.

    Sometimes, the following signs are observed:
  • clouded vision,
  • a feeling of heaviness in the eye or eyebrow zone,
  • eye fatigue, occasionally with a feeling of irritation in the eye.

However, the aforementioned complaints are also common in people who use a computer and read a lot on a daily bases. Therefore, people usually don’t pay a lot of attention to these signs, assuming that eyes are tired after word. However, when a person actually senses a deterioration in sight, irreversible changes have already begun – oftentimes, many sight nerve fibres have already been lost, as a result of which it is difficult to save the patient’s sight. This is because the sight nerve transmits the information perceived by the eye to the brain. If the nerve is damaged, it can no longer perform its function and the patient complains about a sight defect, more often than not - narrowing of the field of vision.

The second type, i.e. the closed-angle glaucoma has different signs. It usually begins with an acute attack in which internal pressure builds up within the eye, as a result of which the eye becomes red, while the retina is expanded. The patient experiences a feeling of heaviness or acute pain in the eyebrow or forehead region, clouded vision, and may experience nausea, vomiting or even heart problems.


How can an illness be diagnosed early?

There is no one specific method to diagnose glaucoma. The most significant is considered to be measurement of internal eye pressure, which should range from 10 to 21 mm Hg. However, it has been ascertained that the internal eye pressure in approximately half of approximately half of glaucoma patients is normal. It is important to monitor eye pressure regularly, in order to be able to observe its dynamics. A hypothesis exists that each person could have their own individual pressure norm, but there are not tests that could help to verify this. The only way to discover glaucoma early is an examination conducted by an eye doctor, which includes not only pressure measurement, but also a test of sharpness of vision, biomicroscopy, a scrupulous inspection of the bottom eye, and determination of the field of vision with a computerised perimetry method. During the examination, a solution is dropped into the eye, which expands the retina so that the eye nerve is clearly visible. The most common evidence of glaucoma is a narrowed and holed eye nerve edge that has faded, as well as changes in the eye nerve’s capillaries.


    Those with a bigger risk of suffering from glaucoma
  • Senior citizen. Once they pass 60 years of age, 4.2% of people suffer from glaucoma, while 1.5% of those from 40 to 49 years of age.
  • People with family members who have suffered from glaucoma. If their parents or other close relatives have suffered from this illness, they should visit an eye doctor once a year from the age of 35 years onwards.
  • Patients who have been diagnosed as having heightened internal eye pressure.
  • People who have experienced other eye illnesses or injuries. These increase the risk of falling ill with glaucoma in 2-10% in cases.
  • Those diagnosed with high myopia are at risk of falling ill with open-angle glaucoma, while those who have high hyperopia are at risk of suffering from closed-angle glaucoma.
  • People with low overall blood pressure. This is because oftentimes these people complain about freezing hands and feet which indicates circulation problems. Accordingly, doctors assume that blood circulation is impaired throughout the body including in the eyes. However, high blood pressure, cardiovascular illnesses, sugar diabetes and a heightened level of cholesterol in the blood are risk factors that could result in a patient suffering from glaucoma.
    Remember!
  • Everyone over 40 years of age should visit an eye doctor on an annual basis!
  • Eyes should be tested not at opticians, but at health centres where the best diagnostic apparatus is available.
  • In order to improve eye health, you should eat broccoli, leaf salads, red vegetables and blueberries. Patients with circulation problems should use ginkgo products, because they improve circulation in the tiniest capillaries.
  • If a person has been diagnosed with glaucoma, he should definitely follow his doctor’s recommendations. An untreated illness will result in irreversible blindness.
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