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Clinica Rementeria is a centre of excellence in the application of microsurgery for the treatment of eye disorders.
The clinic is highly committed to eye disorder research and the development of new technologies and techniques to treat these disorders. Clinica Rementeria actively participates in clinical trials as well as implementation studies of new techniques and products in collaboration with universities and research centres.
Clinica Rementeria offers consultations, treatments, and surgeries in the following specialist areas:
Cataract surgery in Spain
What is a cataract?
The human eye has a lens inside it which is an important part of the eye's optical system. The clouding of this lens is known as a cataract. Cataracts cause a progressive decrease in vision, increase in glare, and distortion of vision in the sufferer.
Treatment of cataracts takes the form of a surgical procedure. Surgery usually involves the opening of the eye capsule and the removal of the core or nucleus, though sometimes the cloudy lens itself is removed entirely.
To compensate for the loss of the eye's natural lens, a plastic lens, called an intraocular lens, is inserted. This intraocular lens replaces the eye's natural clouded lens and provides improved vision.
When removing the nucleus of the lens, there are two options:
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The lens can be eliminated directly inside the eye by ultrasound or laser. This technique is called "phacoemulsification". It is the preferred method of nucleus removal as it requires a minimal incision and allows for a faster recovery.
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The lens can be removed entirely, which requires a large incision. This technique is called "extracapsular lens extraction", and is rarely used today.
When to have cataract surgery
In the past, the entire cataract had to be removed from the eye and such operations were only performed when people lost a lot of vision. Currently, Surgical intervention is performed when the first symptoms arise or the patient begins to have difficulty performing his or her usual occupation.
Surgical intervention at an early stage is preferable as cataracts harden over time. As a cataract becomes harder, surgery becomes more laborious and post-surgery recovery takes longer.
Is there any discomfort involved in cataract surgery?
Today, cataract surgery has been greatly simplified. The procedure is very quick (it takes less than 15 minutes) and is performed on an outpatient basis.
The speed and simplicity of the minimal incision technique allows for a rapid return to normal activities, and often allows patients to continue on any medication they might be taking, without interruption.
Anaesthesia for this technique is usually applied in the way of anesthetic eye drops, which allows the anesthetic to infiltrate the tissues surrounding the eye. General anesthesia is not normally necessary, and is only used in exceptional circumstances.
Glaucoma treatment at Clinica Rementeria in Spain
Glaucoma is an eye disease that causes a progressive loss of the nerve fibres that make up the optical nerve. As a result of loss of nerve cells, a visual field defect develops. This defect may initially go unnoticed by the patient, but thanks to new techniques can be detected at an early stage and treated successfully in most cases.
There are different types of glaucoma that can be categorised according to:
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The amplitude of the iridocorneal angle: The iridocorneal angle is formed by the root of the iris and the cornea, and, depending on its size, a distinction can be made between narrow-angle glaucoma and open angle glaucoma.
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The origin of the glaucoma: A diagnosis of primary glaucoma can be made if no other disease exists, or a diagnosis of secondary glaucoma if there is another disease that it originates from, such as neovascular glaucoma, phacolytic glaucoma, pseudoexfoliation glaucoma, glaucoma, bleeding, inflammatory glaucoma, glaucoma after surgery, traumatic glaucoma, lenticular glaucoma, etc.
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The time of appearance of the glaucoma: A distinction can be made between congenital glaucoma (rare), juvenile glaucoma, and adult glaucoma.
Myopia
Myopia is a condition where the eye is not able to focus correctly. Myopia is treated using refractive surgery, which utilises lasers, intraocular lenses, or surgery.
The basic objective is to eliminate the dependence of optical correction (spectacles or contact lenses) that limit people's freedom. Usually these operations are performed under topical anesthesia, with anesthetic eye drops, and a patient's eyes can both be treated in the same session or on different days.
A defect can be treated in 1 of 3 ways, depending on the defect itself:
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The shape of the cornea can be corrected with a laser
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A third lens system can be added to the eye by implanting a phakic intraocular lens; either an ICL lens or anterior chamber lens
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The defective lens can be replaced with an artificial lens. This is known as a refractive lensectomy procedure.
Lenses for severe myopia: ICL lenses
In normal eyes the lens focuses the image on to the back of the eye (the retina). In the case of myopia, the lens does not focus the image correctly, which results in blurred vision.
There are many ways to compensate for this refractive error (as well as farsightedness or astigmatism) such as glasses or contact lenses.
Surgical techniques commonly known as LASIK or PRK use the excimer laser and the femtosecond laser to reduce the corneal tissue and thus correct the refractive error (either myopia, hyperopia, or astigmatism).
There are cases where these methods are not best suited. In these cases the doctor may recommend other surgical techniques which deal with the implantation of intraocular lenses that correct the refractive error.
Features of the intraocular lens:
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It is situated in the posterior chamber between the iris and the lens
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It is made of soft flexible material, designed specifically for each eye and
patient
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It is implanted through a small incision without suture (stitches)
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Vision recovery is fast
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It is recommended for patients with:
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Medium to high myopia and / or astigmatism
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Thin cornea
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Dry eye
Paediatric ophthalmology in Spain
Glasses for young children
When your child has to wear glasses it may seem like bad news but with glasses your child will be able to develop better vision, get a better grasp of their environment, and learn more about their surroundings.
You should consider a few points:
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Frames for young children should be made from light, flexible, and hard wearing plastic so they will not break or hurt your child
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The glass elements should be organic because they are thinner, lighter, and safer
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The glasses should fit your child well; it is advisable to have a band that adjusts to the child's head, and the glasses should not leave red marks on your child's nose or ears
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An ophthalmologist is the only person who can change a child's optical prescription
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Older children should be involved in the process of choosing their own glasses; children are more inclined to wear glasses if they have a say in which ones they wear
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Most children accept new glasses when they realise that their sight is much clearer when they wear them
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Sometimes you have to motivate your child to wear glasses: talk with relatives or friends who have glasses, or point out that some childhood heroes wear glasses, such as Harry Potter.
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It's important for children to understand that the only ones who can put on or remove their glasses are adults. If your child takes them off, put them back on decisively. The glasses should not become a toy.
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Start putting your child's glasses on more frequently. It's best to do this when your child is rested and is in good spirits.
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Make wearing glasses a routine. For example, put them on your child in the morning and remove them before they go to bed. It's important that children wear their glasses all day. Be firm, do not let them win the battle.
Contact details
Rementeria Eye Clinic
Address: Calle Almagro 36
Entreplanta Derecha
28010, Madrid
Spain
Tel: (34) 913083838
Email: malamillo@cirugiaocular.es
Web: www.cirugiaocular.es
SPACE
Location map, Madrid, Spain
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