{"id":19256,"date":"2023-09-18T12:48:34","date_gmt":"2023-09-18T10:48:34","guid":{"rendered":"https:\/\/nemji.rs-kovarik.cz\/?page_id=19256"},"modified":"2024-01-09T11:10:50","modified_gmt":"2024-01-09T10:10:50","slug":"spektrum-pece","status":"publish","type":"page","link":"https:\/\/webnemji.azurewebsites.net\/en\/oddeleni\/ocni-oddeleni\/spektrum-pece\/","title":{"rendered":"Spectrum of provided care"},"content":{"rendered":"<div id=\"cmsmasters_row_6iluctg3hk\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_overlay\"><\/div>\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_sybg7he2sg\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_b3c74b95a0\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center pageheadingtitle\">\n\t<h1 class=\"cmsmasters_heading\">O\u010dn\u00ed odd\u011blen\u00ed<\/h1>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_ly5ze1hf8e\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_v67ee6nvg7\" class=\"cmsmasters_column one_first\">\n<div class=\"cmsmasters_column_inner\"><div class=\"cmsmasters_text\">\n<p><nav aria-label=\"breadcrumbs\">\n            <div class=\"breadcrumb-container theme1\">\n                <ol>\n                                    <\/ol>\n            <\/div>\n        <\/nav>    <script type=\"application\/ld+json\">\n        {\n            \"@context\": \"http:\/\/schema.org\",\n            \"@type\": \"BreadcrumbList\",\n            \"itemListElement\": [\n                            ]\n        }\n    <\/script>\n   \n    <script>\n            <\/script>\n<\/p>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"cmsmasters_row_3f2f8816dd\" class=\"cmsmasters_row cmsmasters_color_scheme_default cmsmasters_row_top_default cmsmasters_row_bot_default cmsmasters_row_boxed\">\n<div class=\"cmsmasters_row_outer_parent\">\n<div class=\"cmsmasters_row_outer\">\n<div class=\"cmsmasters_row_inner\">\n<div class=\"cmsmasters_row_margin\">\n<div id=\"cmsmasters_column_0a1c5940f5\" class=\"cmsmasters_column one_third stickyinfocolumn\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_rva6m2t32d\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_center\">\n\t<h3 class=\"cmsmasters_heading\">Informace o odd\u011blen\u00ed<\/h3>\n<\/div>\n<div id=\"cmsmasters_divider_dpp34mcdj5\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_center\"><\/div>\n<div class=\"cmsmasters_sidebar sidebar_layout_11 sidebar-custom-menu\"><aside id=\"nav_menu-16\" class=\"widget widget_nav_menu\"><div class=\"menu-oddeleni-ocni-container\"><ul id=\"menu-oddeleni-ocni\" class=\"menu\"><li id=\"menu-item-19220\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19220\"><a href=\"\/oddeleni\/ocni-oddeleni\/#popis-oddeleni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-info\"><\/i> Popis odd\u011blen\u00ed<\/a><\/li>\n<li id=\"menu-item-19221\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19221\"><a href=\"\/oddeleni\/ocni-oddeleni\/#personalni-obsazeni\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-user-doctor\"><\/i> Person\u00e1ln\u00ed obsazen\u00ed<\/a><\/li>\n<li id=\"menu-item-19222\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19222\"><a href=\"\/oddeleni\/ocni-oddeleni\/#oteviraci-hodiny\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-clock\"><\/i> Ordina\u010dn\u00ed hodiny<\/a><\/li>\n<li id=\"menu-item-19223\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19223\"><a href=\"\/oddeleni\/ocni-oddeleni\/#kontaktni-informace\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-phone\"><\/i> Kontaktn\u00ed informace<\/a><\/li>\n<li id=\"menu-item-19224\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19224\"><a href=\"\/oddeleni\/ocni-oddeleni\/#kde-nas-najdete\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-location-dot\"><\/i> Kde n\u00e1s najdete<\/a><\/li>\n<li id=\"menu-item-19225\" class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-19225\"><a href=\"\/oddeleni\/ocni-oddeleni\/#fotogalerie\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-camera\"><\/i> Fotogalerie<\/a><\/li>\n<li id=\"menu-item-19226\" class=\"menu-custom-separator menu-item menu-item-type-custom menu-item-object-custom menu-item-19226\"><hr class=\"mhm-menu-separator\"><\/li>\n<li id=\"menu-item-19227\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19227\"><a href=\"\/oddeleni\/ocni-oddeleni\/ocni-ambulance\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-house-medical\"><\/i> Ambulance<\/a><\/li>\n<li id=\"menu-item-19228\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19228\"><a href=\"\/oddeleni\/ocni-oddeleni\/luzkova-cast\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-bed-pulse\"><\/i> L\u016f\u017ekov\u00e1 \u010d\u00e1st<\/a><\/li>\n<li id=\"menu-item-19229\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19229\"><a href=\"\/oddeleni\/ocni-oddeleni\/spektrum-pece\/\" data-ps2id-api=\"true\"><i class=\"fa-solid fa-stethoscope\"><\/i> Spektrum p\u00e9\u010de<\/a><\/li>\n<li id=\"menu-item-19230\" class=\"static-link menu-item menu-item-type-custom menu-item-object-custom menu-item-19230\"><a href=\"\/oddeleni\/ocni-oddeleni\/informace-pro-pacienty\/\" data-ps2id-api=\"true\"><i class=\"fa-regular fa-circle-question\"><\/i> Informace pro pacienty<\/a><\/li>\n<\/ul><\/div><\/aside><div class=\"cl\"><\/div>\n<\/div>\n<\/div><\/div>\n<div id=\"cmsmasters_column_k7vlyuz4yq\" class=\"cmsmasters_column two_third\">\n<div class=\"cmsmasters_column_inner\"><div id=\"cmsmasters_heading_0cx4mcjjyd\" class=\"cmsmasters_heading_wrap cmsmasters_heading_align_left\">\n\t<h2 class=\"cmsmasters_heading\">Spektrum p\u00e9\u010de<\/h2>\n<\/div>\n<div id=\"cmsmasters_divider_kul4awri6m\" class=\"cmsmasters_divider cmsmasters_divider_width_short cmsmasters_divider_pos_left\"><\/div>\n<div class=\"cmsmasters_text\">\n<p>O\u010dn\u00ed odd\u011blen\u00ed poskytuje komplexn\u00ed odbornou p\u00e9\u010di o pacienta s celou \u0159adou o\u010dn\u00edch onemocn\u011bn\u00ed. Zahrnuje \u010d\u00e1st l\u016f\u017ekovou, ambulantn\u00ed a opera\u010dn\u00ed s\u00e1l.<\/p>\n<p>O\u010dn\u00ed odd\u011blen\u00ed m\u00e1 15 l\u016f\u017eek a 5 k\u0159esel pro pacienty po ambulantn\u00ed operaci katarakty a mal\u00fdch z\u00e1kroc\u00edch prov\u00e1d\u011bn\u00fdch na opera\u010dn\u00edm s\u00e1le. Je zde mo\u017en\u00fd pobyt pacienta na samostatn\u00e9m pokoji, pobyt pacienta v doprovodu druh\u00e9 osoby s\/bez stravy a pobyt na l\u016f\u017eku na \u017e\u00e1dost klienta s\/bez stravy. V\u0161e za p\u0159\u00edplatek dle aktu\u00e1ln\u00edho cen\u00edku Nemocnice Jihlava. O\u010dn\u00ed odd\u011blen\u00ed NEM\u00c1 nadstandardn\u00ed l\u016f\u017ekov\u00fd pokoj.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>L\u016f\u017ekov\u00e1 \u010d\u00e1st:<\/strong><\/h5>\n<p>Poskytuje diagnostick\u00e9 a l\u00e9\u010debn\u00e9 slu\u017eby pacient\u016fm s\u202f kataraktou, glaukomem, v\u011bkem podm\u00edn\u011bnou makul\u00e1rn\u00ed degenerac\u00ed a dal\u0161\u00edmi onemocn\u011bn\u00edmi s\u00edtnice, ven\u00f3zn\u00edmi a arteri\u00e1ln\u00edmi okluzemi s\u00edtnice, diabetickou retinopati\u00ed a jej\u00edmi n\u00e1sledn\u00fdmi komplikacemi, uveitidami, onemocn\u011bn\u00edmi rohovky a traumaty bulbu a o\u010dnice.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Ambulantn\u00ed \u010d\u00e1st:<\/strong><\/h5>\n<p>Poskytuje \u0161irok\u00e9 spektrum p\u00e9\u010de ve v\u0161eobecn\u00e9 ambulanci a odborn\u00fdch ambulanc\u00edch.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>V\u0161eobecn\u00e1 a p\u0159\u00edjmov\u00e1 ambulance:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu \u0161irok\u00e9ho spektra o\u010dn\u00edch onemocn\u011bn\u00ed, kontroln\u00ed vy\u0161et\u0159en\u00ed pacient\u016f po operac\u00edch p\u0159edn\u00edho i zadn\u00edho segmentu oka, konzili\u00e1rn\u00ed vy\u0161et\u0159en\u00ed pacient\u016f na doporu\u010den\u00ed o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e, indikace pacient\u016f k vy\u0161et\u0159en\u00ed v odborn\u00e9 o\u010dn\u00ed ambulanci a proveden\u00ed specializovan\u00fdch vy\u0161et\u0159en\u00ed a k p\u0159ijet\u00ed na l\u016f\u017ekov\u00e9 odd\u011blen\u00ed.<\/p>\n<p>V\u0161eobecn\u00e1 ambulance je \u010d\u00e1ste\u010dn\u011b zapojena do programu E-ambulance.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Konzili\u00e1rn\u00ed ambulance:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku, l\u00e9\u010dbu nebo n\u00e1vrh l\u00e9\u010dby \u0161irok\u00e9ho spektra o\u010dn\u00edch onemocn\u011bn\u00ed u pacient\u016f Nemocnice Jihlava hospitalizovan\u00fdch na jin\u00fdch l\u016f\u017ekov\u00fdch odd\u011blen\u00edch. Tato ambulance neslou\u017e\u00ed pro NEHOSPITALIZOVAN\u00c9 pacienty.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Diabetologick\u00e1 poradna:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu o\u010dn\u00edch komplikac\u00ed diabetu mellitu 1. a 2. typu. Pacienti jsou do poradny objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. L\u00e9ka\u0159 diabetologick\u00e9 poradny na z\u00e1klad\u011b biomikroskopick\u00e9ho vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed indikuje dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed \u2013 fotografie o\u010dn\u00edho pozad\u00ed, fluorescen\u010dn\u00ed angiografie o\u010dn\u00edho pozad\u00ed, vy\u0161et\u0159en\u00ed pomoc\u00ed OCT (optick\u00e1 koherentn\u00ed tomografie), a n\u00e1slednou l\u00e9\u010dbu \u2013 laserov\u00e1 fotokoagulace s\u00edtnice, pars plana vitrektomie a intravitre\u00e1ln\u00ed aplikace anti-VEGF prepar\u00e1t\u016f. P\u0159i indikaci pars plana vitrektomie \u00fazce spolupracujeme s MUDr. Janem Ernestem PhD. Ned\u00edlnou sou\u010d\u00e1st\u00ed diabetologick\u00e9 poradny je \u00fazk\u00e1 spolupr\u00e1ce s o\u0161et\u0159uj\u00edc\u00edm diabetologem a edukace pacienta o jeho zdravotn\u00edm stavu, dal\u0161\u00edm v\u00fdvoji onemocn\u011bn\u00ed a prevenci komplikac\u00ed diabetick\u00e9 retinopatie.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Makul\u00e1rn\u00ed poradna:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu onemocn\u011bn\u00ed makuly, v \u010dele s v\u011bkem podm\u00edn\u011bnou makul\u00e1rn\u00ed degenerac\u00ed. Pacienti jsou do poradny objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. L\u00e9ka\u0159 makul\u00e1rn\u00ed poradny na z\u00e1klad\u011b biomikroskopick\u00e9ho vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed indikuje dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed \u2013 fotografie o\u010dn\u00edho pozad\u00ed, fluorescen\u010dn\u00ed angiografie o\u010dn\u00edho pozad\u00ed, vy\u0161et\u0159en\u00ed pomoc\u00ed OCT (optick\u00e1 koherentn\u00ed tomografie), visus pomoc\u00ed ETDRS optotyp\u016f. Na z\u00e1klad\u011b proveden\u00fdch vy\u0161et\u0159en\u00ed je posl\u00e9ze stanovena vhodn\u00e1 l\u00e9\u010dba, event. sledov\u00e1n\u00ed pr\u016fb\u011bhu onemocn\u011bn\u00ed v \u010dase. V p\u0159\u00edpad\u011b exudativn\u00ed formy v\u011bkem podm\u00edn\u011bn\u00e9 makul\u00e1rn\u00ed degenerace a p\u0159i ed\u00e9mech makuly p\u0159i ven\u00f3zn\u00edch okluz\u00edch s\u00edtnice\u202f je n\u00e1lez posouzen. Pokud spln\u00ed pacient inidka\u010dn\u00ed kriteria, je indikov\u00e1n k intravitre\u00e1ln\u00ed aplikaci anti-VEGF prepar\u00e1tu.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Uve\u00e1ln\u00ed poradna:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu uveitid (z\u00e1n\u011bty \u017eivnatky), event. diagnostiku z\u00e1kladn\u00edho onemocn\u011bn\u00ed pacienta ve spolupr\u00e1ci s dal\u0161\u00edmi l\u00e9ka\u0159i r\u016fzn\u00fdch odbornost\u00ed. Pacienti jsou do poradny objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. L\u00e9ka\u0159 uve\u00e1ln\u00ed poradny na z\u00e1klad\u011b biomikroskopick\u00e9ho vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed indikuje dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed \u2013 fotografie o\u010dn\u00edho pozad\u00ed, fluorescen\u010dn\u00ed angiografie o\u010dn\u00edho pozad\u00ed, vy\u0161et\u0159en\u00ed pomoc\u00ed OCT (optick\u00e1 koherentn\u00ed tomografie). P\u0159i p\u00e1tr\u00e1n\u00ed po z\u00e1kladn\u00edm onemocn\u011bn\u00ed indikuje dal\u0161\u00ed laboratorn\u00ed a zobrazovac\u00ed vy\u0161et\u0159en\u00ed nebo konzultaci v uve\u00e1ln\u00ed poradn\u011b VFN Praha a 1. LF UK, se kterou \u00fazce spolupracujeme.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>D\u011btsk\u00e1 poradna:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu o\u010dn\u00edch onemocn\u011bn\u00ed vyskytuj\u00edc\u00edch se v d\u011btsk\u00e9m v\u011bku, pr\u016fplach a sond\u00e1\u017e slzn\u00fdch cest, m\u011b\u0159en\u00ed a br\u00fdlovou korekci refrak\u010dn\u00edch vad, diagnostiku a l\u00e9\u010dbu strabismu a amblyopie a v neposledn\u00ed \u0159ad\u011b screeningov\u00e9 vy\u0161et\u0159en\u00ed na retinopatii u nedono\u0161en\u00fdch d\u011bt\u00ed. Pacienti jsou do poradny objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance, o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e \u010di o\u0161et\u0159uj\u00edc\u00edho praktick\u00e9ho l\u00e9ka\u0159e pro d\u011bti a dorost. D\u011btsk\u00e1 poradna takt\u00e9\u017e spolupracuje s ortoptistkou, kter\u00e1 prov\u00e1d\u00ed orienta\u010dn\u00ed screeningov\u00e9\u00a0 m\u011b\u0159en\u00ed dioptri\u00ed ve \u0161kolk\u00e1ch \u010di \u0161kol\u00e1ch a na z\u00e1klad\u011b tohoto orienta\u010dn\u00edho vy\u0161et\u0159en\u00ed ode\u0161le pacienta k d\u016fkladn\u00e9mu vy\u0161et\u0159en\u00ed na na\u0161e pracovi\u0161t\u011b. Podle obt\u00ed\u017e\u00ed pacienta provede l\u00e9ka\u0159 d\u011btsk\u00e9 poradny pot\u0159ebn\u00e1 vy\u0161et\u0159en\u00ed a na z\u00e1klad\u011b jejich v\u00fdsledku stanov\u00ed dal\u0161\u00ed postup l\u00e9\u010dby event. ode\u0161le pacienta ke konzultaci na D\u011btskou o\u010dn\u00ed kliniku FN Brno Bohunice.<\/p>\n<p>D\u011btsk\u00e1 poradna je zapojena do programu E-ambulance.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Glaukomov\u00e1 poradna:<\/strong><\/h5>\n<p>Prov\u00e1d\u00ed diagnostiku a l\u00e9\u010dbu prim\u00e1rn\u00edho a sekund\u00e1rn\u00edho glaukomu a kontroly pacient\u016f s nitroo\u010dn\u00ed hypertenz\u00ed. Pacienti jsou do poradny objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. L\u00e9ka\u0159 glaukomov\u00e9 poradny na z\u00e1klad\u011b hodnot nitroo\u010dn\u00edho tlaku a biomikroskopick\u00e9ho vy\u0161et\u0159en\u00ed o\u010dn\u00edho pozad\u00ed indikuje dal\u0161\u00ed specializovan\u00e1 vy\u0161et\u0159en\u00ed \u2013 m\u011b\u0159en\u00ed hodnot nitroo\u010dn\u00edho tlaku v pr\u016fb\u011bhu dne, statick\u00e1 \u010di kinetick\u00e1 perimetrie (vy\u0161et\u0159en\u00ed zorn\u00e9ho pole), pachymetrie (m\u011b\u0159en\u00ed tlou\u0161\u0165ky rohovky), vy\u0161et\u0159en\u00ed zrakov\u00e9ho nervu pomoc\u00ed OCT (optick\u00e1 koherentn\u00ed tomografie). Na z\u00e1klad\u011b proveden\u00fdch vy\u0161et\u0159en\u00ed se zahajuje l\u00e9\u010dba lok\u00e1ln\u00edmi antiglaukomatiky. L\u00e9ka\u0159 glaukomov\u00e9 poradny d\u00e1le indikuje pacienta k chirurgick\u00e9mu \u010di laserov\u00e9mu \u0159e\u0161en\u00ed p\u0159etrv\u00e1vaj\u00edc\u00edho vysok\u00e9ho nitroo\u010dn\u00edho tlaku i p\u0159es maxim\u00e1ln\u00ed lok\u00e1ln\u00ed a celkovou terapii.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Vitreoretin\u00e1ln\u00ed poradna:<\/strong><\/h5>\n<p>Je zam\u011b\u0159ena na pacienty s \u0161irok\u00fdm spektrem sklivcov\u00fdch a s\u00edtnicov\u00fdch onemocn\u011bn\u00ed \u010di traumatick\u00fdch stav\u016f s posti\u017een\u00edm zadn\u00edho segmentu oka (vitreoretin\u00e1ln\u00ed trak\u010dn\u00ed syndrom, makul\u00e1rn\u00ed d\u00edry, epiretin\u00e1ln\u00ed membr\u00e1ny, amoce) odchl\u00edpen\u00ed s\u00edtnice, luxace \u010do\u010dky\u2026, kter\u00e9 vy\u017eaduj\u00ed laserovou nebo chirurgickou l\u00e9\u010dbu.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Opera\u010dn\u00ed s\u00e1l:<\/strong><\/h5>\n<p>Na opera\u010dn\u00edm s\u00e1le prob\u00edhaj\u00ed operace katarakty (\u0161ed\u00e9ho z\u00e1kalu) operace glaukomu, operace na p\u0159edn\u00edm segmentu oka, pars plana vitrektomie (operace na zadn\u00edm segmentu oka), operace na spojivce. Plastick\u00e9 operace o\u010dn\u00edch v\u00ed\u010dek a men\u0161\u00ed opera\u010dn\u00ed v\u00fdkony. Tyto v\u00fdkony jsou indikov\u00e1ny l\u00e9ka\u0159i na\u0161eho odd\u011blen\u00ed po p\u0159edchoz\u00edm d\u016fkladn\u00e9m vy\u0161et\u0159en\u00ed pacienta.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>\u00a0Drobn\u00e9 opera\u010dn\u00ed v\u00fdkony:<\/strong><\/h5>\n<p>Odstran\u011bn\u00ed drobn\u00fdch ko\u017en\u00edch l\u00e9z\u00ed (chalasia, veruky, milia, xantelasmata) na mal\u00e9m opera\u010dn\u00edm s\u00e1lku ambulantn\u00edho traktu. Pacienti jsou k\u202fdan\u00e9mu v\u00fdkonu indikov\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. Na drobn\u00e9 opera\u010dn\u00ed v\u00fdkony se OBJEDN\u00c1V\u00c1 na tel.\u010d. <a href=\"tel:+420567157696\"><span style=\"text-decoration: underline;\"><strong>+420 567\u202f157\u202f696<\/strong><\/span><\/a> <strong>13:00 &#8211; 15:00<\/strong>. Odstran\u011bn\u00ed v\u011bt\u0161\u00edch ko\u017en\u00edch l\u00e9z\u00ed (v\u011bt\u0161\u00ed xantelasmata, basaliomy, entropia, ectropia, pterygia \u2026) jsou po p\u0159edchoz\u00ed konzultaci prov\u00e1d\u011bny na opera\u010dn\u00edm s\u00e1le a objedn\u00e1vaj\u00ed se na tel.\u010d. <a href=\"tel:+420567157330\"><span style=\"text-decoration: underline;\"><strong>+420 567\u202f157\u202f330<\/strong><\/span><\/a> <strong>12:00 &#8211; 14:00<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<h4><strong>Prov\u00e1d\u011bn\u00e1 vy\u0161et\u0159en\u00ed na na\u0161em pracovi\u0161ti:<\/strong><\/h4>\n<h5><strong>Ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed o\u010dn\u00edho bulbu:<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed, kter\u00fdm se pomoc\u00ed ultrazvuku zobraz\u00ed stavba oka. Pacienti jsou na ultrasonografick\u00e9 vy\u0161et\u0159en\u00ed objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance, l\u00e9ka\u0159e odborn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. Pacient je vy\u0161et\u0159ov\u00e1n vle\u017ee, na vy\u0161et\u0159en\u00ed nen\u00ed pot\u0159eba \u017e\u00e1dn\u00e1 speci\u00e1ln\u00ed p\u0159\u00edprava. L\u00e9ka\u0159 nanese na o\u010dn\u00ed v\u00ed\u010dko mal\u00e9 mno\u017estv\u00ed gelu a na n\u011bj pot\u00e9 p\u0159ilo\u017e\u00ed sondu, kterou vy\u0161et\u0159ovanou \u010d\u00e1st oka zobraz\u00ed na monitoru. Ultrasonografie bulbu se vyu\u017e\u00edv\u00e1 p\u0159i diagnostice haemophtalmu (krv\u00e1cen\u00ed do sklivce), p\u0159i z\u00e1n\u011btech a tumorech oka, diagnostice odchl\u00edpen\u00ed s\u00edtnice, \u2026<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Perimetrie (vy\u0161et\u0159en\u00ed zorn\u00e9ho pole):<\/strong><\/h5>\n<p>Vy\u0161et\u0159en\u00ed, kter\u00e9 pat\u0159\u00ed mezi z\u00e1kladn\u00ed diagnostick\u00e9 metody k vy\u0161et\u0159en\u00ed rozsahu zorn\u00e9ho pole, zm\u011bn jeho rozsahu \u010di ke stanoven\u00ed defekt\u016f v zorn\u00e9m poli. Pacienti jsou na vy\u0161et\u0159en\u00ed zorn\u00e9ho pole objedn\u00e1v\u00e1ni na doporu\u010den\u00ed l\u00e9ka\u0159e v\u0161eobecn\u00e9 ambulance, l\u00e9ka\u0159e odborn\u00e9 ambulance \u010di o\u0161et\u0159uj\u00edc\u00edho o\u010dn\u00edho l\u00e9ka\u0159e. Hodnot\u00ed se sv\u011bteln\u00e1 citlivost centr\u00e1ln\u00edho i perifern\u00edho zorn\u00e9ho pole. Jedn\u00e1 se o subjektivn\u00ed vy\u0161et\u0159en\u00ed, p\u0159i kter\u00e9m je nutn\u00e1 aktivn\u00ed spolupr\u00e1ce pacienta. Pacient se posad\u00ed p\u0159ed perimetr, kter\u00fd je ve tvaru dut\u00e9 b\u00edl\u00e9 polokoule. Vy\u0161et\u0159ovan\u00fd fixuje hlavu na op\u011brku brady a \u010dela. Nevy\u0161et\u0159ovan\u00e9 oko se zakryje klapkou \u010di zalep\u00ed n\u00e1plast\u00ed, vy\u0161et\u0159ovan\u00e9 oko v centru polokoule fixuje sv\u011bteln\u00fd bod. V p\u0159\u00edpad\u011b pot\u0159eby je mo\u017en\u00e1 korekce refrak\u010dn\u00ed vady pomoc\u00ed dioptrick\u00e9 \u010do\u010dky. Do okol\u00ed fixa\u010dn\u00edho bodu jsou n\u00e1hodn\u011b prom\u00edt\u00e1ny body o r\u016fzn\u00e9 sv\u011bteln\u00e9 intenzit\u011b. Jakmile vy\u0161et\u0159ovan\u00fd sv\u011bteln\u00fd bod uvid\u00ed, d\u00e1 to najevo zm\u00e1\u010dknut\u00edm tla\u010d\u00edtka. V\u00fdsledek vy\u0161et\u0159en\u00ed se pot\u00e9 zaznamen\u00e1v\u00e1 ve \u0161k\u00e1l\u00e1ch barev a grafech, kter\u00e9 hodnot\u00ed l\u00e9ka\u0159. Po\u010d\u00edta\u010dov\u00e1 perimetrie umo\u017e\u0148uje vy\u0161et\u0159ovat v n\u011bkolika rozd\u00edln\u00fdch programech, perimetr na na\u0161em pracovi\u0161ti m\u00e1 9 r\u016fzn\u00fdch program\u016f, nejv\u00edce se pou\u017e\u00edv\u00e1 glaukomov\u00fd a makul\u00e1rn\u00ed program, neurologick\u00fd program, vy\u0161et\u0159en\u00ed pln\u00e9ho zorn\u00e9ho pole.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Fluorescen\u010dn\u00ed angiografie:<\/strong><\/h5>\n<p>Minim\u00e1ln\u011b invazivn\u00ed vy\u0161et\u0159ovac\u00ed metoda, kter\u00e1 n\u00e1m pod\u00e1v\u00e1 informace o dynamick\u00fdch zm\u011bn\u00e1ch hematookul\u00e1rn\u00ed bari\u00e9ry. K\u00a0vy\u0161et\u0159en\u00ed se pou\u017e\u00edv\u00e1 roztoku fluoresceinu, kter\u00fd aplikujeme do kubit\u00e1ln\u00ed \u017e\u00edly. P\u0159ibli\u017en\u011b za 10 s\u00a0se l\u00e1tka objev\u00ed v\u00a0s\u00edtnicov\u00e9m \u0159e\u010di\u0161ti, kter\u00e9 sn\u00edm\u00e1me pomoc\u00ed digit\u00e1ln\u00ed s\u00edtnicov\u00e9 kamery. Toto vy\u0161et\u0159en\u00ed se pou\u017e\u00edv\u00e1 k\u00a0diagnostice stav\u016f s\u00a0poru\u0161enou c\u00e9vn\u00ed st\u011bnou, kdy se barvivo dost\u00e1v\u00e1 mimo \u0159e\u010di\u0161t\u011b a zobrazuje se pot\u00e9 v\u00a0podob\u011b hyperfluorescen\u010dn\u00edch lo\u017eisek na s\u00edtnici (mikroaneurysmata, ed\u00e9my, neovaskularizace), nebo u stav\u016f s\u00a0poruchou pln\u011bn\u00ed c\u00e9v \u010di ztr\u00e1ty vaskul\u00e1rn\u00ed tk\u00e1n\u011b, kter\u00e9 se projevuj\u00ed jako hypofluorescen\u010dn\u00ed lo\u017eiska. Toto vy\u0161et\u0159en\u00ed tedy slou\u017e\u00ed k\u00a0diagnostice a hodnocen\u00ed zm\u011bn u diabetick\u00e9 retinopatie a makulopatie a dal\u0161\u00edch vaskulopati\u00ed, d\u00e1le u degenerativn\u00edch proces\u016f na s\u00edtnici (VPMD), uz\u00e1v\u011br\u016f arteri\u00ed a \u017eil, nitroo\u010dn\u00edch n\u00e1dor\u016f,\u2026 V\u00a0n\u011bkter\u00fdch p\u0159\u00edpadech se mohou objevit alergick\u00e9 reakce na podanou kontrastn\u00ed l\u00e1tku, proto je p\u0159ed ka\u017ed\u00fdm vy\u0161et\u0159en\u00edm pod\u00e1na tabletka k\u00a0prevenci mo\u017en\u00e9 alergick\u00e9 reakce. Fluorescein se po vy\u0161et\u0159en\u00ed vyplavuje z\u00a0t\u011bla mo\u010d\u00ed, kter\u00e1 m\u016f\u017ee b\u00fdt po vy\u0161et\u0159en\u00ed zbarvena do \u017eluta, stejn\u011b tak doch\u00e1z\u00ed i k\u00a0zbarven\u00ed k\u016f\u017ee. Oboj\u00ed odezn\u00edv\u00e1 do n\u00e1sleduj\u00edc\u00edho dne.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Pachymetrie (vy\u0161et\u0159en\u00ed tlou\u0161\u0165ky rohovky):<\/strong><\/h5>\n<p>Toto vy\u0161et\u0159en\u00ed n\u00e1m umo\u017e\u0148uje z\u00edskat informaci o tlou\u0161\u0165ce (s\u00edle rohovky). S\u00edla rohovky je velmi d\u016fle\u017eit\u00fdm ukazatelem, slou\u017e\u00edc\u00ed ke spr\u00e1vn\u00e9 diagnostice o\u010dn\u00edch onemocn\u011bn\u00ed a z\u00e1rove\u0148 i pro spr\u00e1vn\u00e9 posouzen\u00ed hodnot nitroo\u010dn\u00edho tlaku, nap\u0159. u onemocn\u011bn\u00ed glaukomem. Toto vy\u0161et\u0159en\u00ed je bezbolestn\u00e9 a na na\u0161em pracovi\u0161ti se prov\u00e1d\u00ed modern\u00edmi bezkontaktn\u00edmi metodami \u2013 optickou koherentn\u00ed tomografi\u00ed (OCT) nebo pomoc\u00ed optick\u00e9ho p\u0159\u00edstroje Pentacamu, kter\u00fd je nav\u00edc je\u0161t\u011b schopen podat informace o celkov\u00e9 topografii rohovky.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Optick\u00e1 koherentn\u00ed tomografie (OCT):<\/strong><\/h5>\n<p>Neinvazivn\u00ed, nekontaktn\u00ed, transpupil\u00e1rn\u00ed zobrazovac\u00ed diagnostick\u00e1 metoda, kter\u00e1 umo\u017e\u0148uje prov\u00e9st a zn\u00e1zornit \u0159ezy s\u00edtnic\u00ed s vysokou rozli\u0161ovac\u00ed schopnost\u00ed. Pou\u017e\u00edv\u00e1 se p\u0159edev\u0161\u00edm v diagnostice zelen\u00e9ho z\u00e1kalu (glaukomu) a poruch s\u00edtnice (VPMD, \u2026). Je to nezbytn\u00e1 metoda ke stanoven\u00ed spr\u00e1vn\u00e9 diagn\u00f3zy, napl\u00e1nov\u00e1n\u00ed dal\u0161\u00edch l\u00e9\u010debn\u00fdch postup\u016f a sledov\u00e1n\u00ed dal\u0161\u00edho v\u00fdvoje onemocn\u011bn\u00ed. Vy\u0161et\u0159en\u00ed je rychl\u00e9, nebolestiv\u00e9, nen\u00ed pot\u0159eba rozkap\u00e1vat o\u010di.<\/p>\n<p>&nbsp;<\/p>\n<h5><strong>Optick\u00e1 koherentn\u00ed tomografie s angiografi\u00ed ( Angio OCT)<\/strong><\/h5>\n<p>&nbsp;<\/p>\n<h5><strong>Biometrie<\/strong><\/h5>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":17122,"parent":19217,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pgc_sgb_lightbox_settings":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[85],"class_list":["post-19256","page","type-page","status-publish","has-post-thumbnail","hentry","category-page-oddeleni"],"publishpress_future_action":{"enabled":false,"date":"2026-04-11 00:33:02","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19256","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/comments?post=19256"}],"version-history":[{"count":0,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19256\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/pages\/19217"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media\/17122"}],"wp:attachment":[{"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/media?parent=19256"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/webnemji.azurewebsites.net\/en\/wp-json\/wp\/v2\/categories?post=19256"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}