Opthalmology Department

Information about department

Spectrum of provided care

The Opthalmology Department provides comprehensive specialized care for patients with a wide range of eye diseases. It includes inpatient, outpatient and operating room areas.

The department has 15 beds and 5 chairs for patients after outpatient cataract surgery and small procedures performed in the operating room. It is possible to stay in a separate room, to stay with another person with or without meals and to have a bed at the client's request with or without meals. All for an additional fee according to the current price list of the Hospital Jihlava. The Opthalmology Department does NOT have a paid extra room.

Inpatient department

Provides diagnostic and therapeutic services to patients with cataracts, glaucoma, age-related macular degeneration and other retinal diseases, venous and arterial retinal occlusions, diabetic retinopathy and its subsequent complications, uveitis, corneal diseases and trauma to the globe and orbit.

Clinics

A wide range of care is provided in general and specialist clinics.

General and admission opthalmology clinic

It provides diagnosis and treatment of a wide range of eye diseases, check-ups of patients after surgeries of the anterior and posterior segments of the eye, consular examinations of patients on the recommendation of the attending ophthalmologist, indications of patients for examination in a specialist eye clinic and specialized examinations and admission to the inpatient department.

The clinic is partly involved in the E-ambulance system.

Consiliary clinic

Provides diagnosis, treatment or treatment plan for a wide range of eye diseases in patients of the Hospital Jihlava hospitalized in other departments. This clinic does not serve NON-hospitalized patients.

Diabetology clinic

Performs diagnosis and treatment of ocular complications of diabetes mellitus type 1 and 2. Patients are referred to the clinic on the recommendation of the general practitioner or the attending ophthalmologist. Based on the biomicroscopic examination of the ocular background, the doctor of the diabetology clinic indicates further specialized examinations - photography of the ocular background, fluorescence angiography of the ocular background, OCT (optical coherence tomography) examination, and subsequent treatment - laser photocoagulation of the retina, pars plana vitrectomy and intravitreal application of anti-VEGF preparations. In the indication of pars plana vitrectomy we closely cooperate with MUDr. Jan Ernest PhD. An integral part of the diabetology consultation room is close cooperation with the attending diabetologist and patient education about the patient's health status, further development of the disease and prevention of complications of diabetic retinopathy.

Macular clinic

Provides diagnosis and treatment of macular diseases, including age-related macular degeneration. Patients are referred to the clinic on the recommendation of their general practitioner or treating ophthalmologist. Based on the biomicroscopic examination of the ocular background, the doctor of the macular clinic indicates other specialized examinations - photographs of the ocular background, fluorescence angiography of the ocular background, OCT (optical coherence tomography) examinations, all using ETDRS optotypes. On the basis of the examinations performed, appropriate treatment or monitoring of the course of the disease over time is subsequently determined. In the case of exudative form of age-related macular degeneration and in macular edema with venous retinal occlusions, the findings are assessed. If the patient meets the inidcation criteria, he is indicated for intravitreal administration of anti-VEGF agent.

Uveal counseling

Performs diagnosis and treatment of uveitis (inflammation of the festoon), or diagnosis of the patient's primary disease in cooperation with other doctors of various specialties. Patients are referred to the clinic on the recommendation of the general practitioner or the attending ophthalmologist. Based on the biomicroscopic examination of the ocular background, the doctor of the uveal clinic indicates other specialized examinations - photography of the ocular background, fluorescence angiography of the ocular background, OCT (optical coherence tomography) examination. In case of searching for the primary disease, the doctor indicates further laboratory and imaging examinations or a consultation at the uveal consultation room of the VFN Prague and the 1st Faculty of Medicine of the Charles University, with which we closely cooperate.

Children's counselling

It provides diagnosis and treatment of eye diseases occurring in childhood, lavage and probing of the tear ducts, measurement and spectacle correction of refractive errors, diagnosis and treatment of strabismus and amblyopia and, last but not least, screening for retinopathy of prematurity. Patients are referred to the clinic by a general practitioner, the attending ophthalmologist or the attending general practitioner for children and adolescents. The Children's Clinic also cooperates with an orthoptist, who performs an orientation screening measurement of diopters in schools or kindergartens and on the basis of this orientation examination sends the patient to our workplace for a thorough examination. Depending on the patient's difficulties, the paediatrician will carry out the necessary examinations and, based on the results, determine the further course of treatment, optionally send the patient for consultation to the Children's Ophthalmology Clinic of the Brno Bohunice Hospital.

The Children's Counselling is involved in the E-ambulance system.

Glaucoma clinic

Performs diagnosis and treatment of primary and secondary glaucoma and controls patients with intraocular hypertension. Patients are referred to the clinic on the recommendation of the general practitioner or the attending ophthalmologist. Based on the intraocular pressure values and biomicroscopic examination of the ocular background, the glaucoma clinic doctor indicates other specialized examinations - measurement of intraocular pressure values during the day, static or kinetic perimetry (examination of the visual field), pachymetry (measurement of corneal thickness), examination of the optic nerve by OCT (optical coherence tomography). Based on the examinations performed, the treatment with topical antiglaucomatous agents is initiated. The glaucoma clinic doctor also refers the patient for surgical or laser treatment of persistent high intraocular pressure despite maximum local and general therapy.

Vitreoretinal clinic

It is aimed at patients with a wide range of vitreous and retinal diseases or traumatic conditions affecting the posterior segment of the eye (vitreoretinal traction syndrome, macular holes, epiretinal membranes, amoses), retinal detachment, lens luxation... , which require laser or surgical treatment.

Surgery room

In the surgery room we perform cataract surgery, glaucoma surgery, surgery on the anterior segment of the eye, pars plana vitrectomy (surgery on the posterior segment of the eye), surgery on the conjunctiva. Plastic eyelid surgery and minor surgical procedures. These procedures are indicated by the doctors of our department after a prior thorough examination of the patient.

Minor surgical procedures

Removal of small skin lesions (chalasia, verrucae, milia, xantelasmata) in a small surgery room of an outpatient tract. Patients are indicated for this procedure on the recommendation of the general practitioner or the attending ophthalmologist. Appointments for minor surgical procedures should be made by calling the following number. +420 567 157 696 13:00 – 15:00. Removal of the larger skin lesions (larger xantelasmata, basaliomas, entropia, ectropia, pterygia ...) are performed in the surgery room after a prior consultation and are ordered by phone +420 567 157 330 12:00 – 14:00.

Examinations we perform

Ultrasonographic examination of the eyeball

An examination that uses ultrasound to show the structure of the eye. Patients are referred for an ultrasound examination on the recommendation of a general practitioner, specialist practitioner or the attending ophthalmologist. The patient is examined in a lying position and no special preparation is needed. The doctor will apply a small amount of gel to the eyelid and then place a probe on the eyelid, which will display the examined part of the eye on a monitor. Ultrasonography of the eyeball is used in the diagnosis of haemophtalmos (bleeding into the vitreous), inflammation and tumours of the eye, diagnosis of retinal detachment, ...

Perimetry (examination of the field of vision)

An examination that is one of the basic diagnostic methods for testing the extent of the visual field, changes in the extent of the visual field or for determining defects in the visual field. Patients are recommended for the visual field examination by a general practitioner, a specialist practitioner or the attending ophthalmologist. The light sensitivity of the central and peripheral visual field is assessed. It is a subjective examination, during which the active cooperation of the patient is required. The patient sits in front of a perimeter that is shaped like a hollow white hemisphere. The patient places the head on the rest of the chin and forehead. The non-examined eye is covered with a flap or patch, and the examined eye fixes a light point in the centre of the hemisphere. If necessary, the refractive error can be corrected with a dioptric lens. Points of different light intensity are projected randomly around the fixation point. Once the patient sees the light point, he or she indicates this by pressing a button. The result of the examination is recorded in colour scales and graphs, which are then evaluated by the doctor. Computerised perimetry allows the examination in several different programs, the perimeter at our department has 9 different programs, the most widely used are the glaucoma and macular program, the neurological program, and the examination of the full visual field.

Fluorescence angiography

A minimally invasive examination method that provides information about dynamic changes in the blood-ocular barrier. The examination uses a fluorescein solution that is injected into the cubital vein. In approximately 10 s, the substance appears in the retinal vasculature, which we image using a digital retinal camera. This examination is used to diagnose conditions with a disrupted vascular wall, where the dye enters outside the bloodstream and then appears as hyperfluorescent deposits on the retina (microaneurysms, oedema, neovascularisation), or in conditions with impaired vessel filling or loss of vascular tissue, appearing as hypofluorescent deposits. This examination is therefore used to diagnose and evaluate changes in diabetic retinopathy and maculopathy and other vasculopathies, as well as in retinal degenerative processes (AMD), arterial and venous occlusions, intraocular tumours, etc. After the examination, the fluorescein is flushed out of the body in the urine, which may be coloured yellow, and the skin may also become coloured. Both disappear by the following day.

Pachymetry (examination of corneal thickness)

This examination allows us to obtain information about the thickness of the cornea. Corneal thickness is a very important indicator for the correct diagnosis of the eye diseases and also for the correct assessment of intraocular pressure values, e.g. in glaucoma. This examination is painless and is performed at our department using modern non-contact methods - optical coherence tomography (OCT) or the Pentacam optical device, which can also provide information on the overall topography of the cornea.

Optical coherence tomography (OCT)

A non-invasive, non-contact, transpupillary diagnostic imaging method that allows high resolution retinal sections to be made and imaged. It is mainly used in the diagnosis of glaucoma and retinal disorders (AMD, ...). It is a necessary method to establish a correct diagnosis, plan further treatment procedures and monitor the further development of the disease. The examination is quick, painless, there is no need to dilate the eyes.