Your eyesight is one of your most important senses, accounting for 80% of what we perceive. That is why we chose to focus on the eyes to improve your overall health. Healthy vision leads to healthy brain function. Our most vital organ, the brain, allows us to live complex lives. Because your optic nerve connects your eyes and the brain, they must have a healthy cooperation-dependent relationship. You keep your brain healthy by keeping your eyes healthy, which improves your overall quality of life!

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Your eyesight is one of your most important senses, accounting for 80% of what we perceive. That is why we chose to focus on the eyes to improve your overall health. Healthy vision leads to healthy brain function. Our most vital organ, the brain, allows us to live complex lives. Because your optic nerve connects your eyes and the brain, they must have a healthy cooperation dependent relationship. You keep your brain healthy by keeping your eyes healthy, which improves your overall quality of life!

The three main areas we focus exclusively on for your eye health are as follows:

1. Smart Lens Exchange

2. Cataract Surgery

3. Excimer Laser Procedure

Smart Lens Exchange

Lens Replacement Surgery, or refractive lens exchange, involves the removal of the natural crystalline lens of your eye and then replacing it with an artificial intraocular lens (IOL) for vision correction.

A patient is suitable for a lens exchange if they

• over the age of 40,

• have early signs of cataracts,

• need reading glasses to read,

• have poor night vision.

In patients over 40 seeking glass independence, this procedure is often chosen over laser vision correction because it offers the added advantages of:

• Being less susceptible to focus variations that occur from the ageing natural lens (which is removed and replaced in this procedure, unlike in laser eye surgery where the natural lens is not treated)

• Allowing for full simultaneous distance and near vision with each eye independently. To maintain reading vision after laser eye surgery for older patients, there needs to be some minor separation where one eye is more weighted for distance and the other eye for near (monovision format).

There are different smart lenses for different purposes. After your eye examination, your ophthalmologist will tell you which lens will fit your needs. Here are the most commonly used lens types and their purposes:

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Specialised premium lens implants used in lens replacement surgery

Astigmatism Corrective (Toric) lenses:

These are specialized lenses that have different curves on different axes to counteract the axes' shape abnormalities in patients’ eyes. It is used when astigmatic incisions alone will not be sufficient to achieve higher errors. Patients achieve excellent glasses-free vision from these. The surgeon uses the fine lines on the lens to align the lens with marks made on the eye at a pre-calculated axis.

Multifocal and Trifocal lenses:

These specialised lenses enable a patient to see far and near with minimal to no dependence on glasses. How these lenses work The lenses have micro-rings built in their very precise technological design. The rings enable light to bend differently when arriving from different distances, thereby allowing focus for light coming from a distance and near objects.

Mixed Astigmatism and multifocal lenses:

These specialised designs can simultaneously correct astigmatism and provide multidistance vision (distance & near). It combines the mechanisms of the lenses as described above to achieve these effects.

The Process:

Following detailed assessments and checks to confirm safety parameters, the appropriate lens is selected, and the treatment is performed one side at a time or both eyes simultaneously, as agreed upon during the initial consultation.The whole treatment usually takes between 20 and 40 minutes. Surgery is usually performed with local anaesthesia and is painless for patients. General anesthesia is available when sought. Soon after surgery, patients are free to go with drops to facilitate effective healing. Regular follow up checks are undertaken to confirm appropriate healing.

Cataract Surgery

Cataracts may be causing your vision to become cloudy. The normally transparent lens in your eye becomes opaque. Our vision will deteriorate as a result of this. Cataracts become more common as we age and can only be treated surgically. The lenses used in smart lens replacement surgery are the same as those used in cataract surgery. So, following an examination of your eyes, your ophthalmologist will determine which lens is best suited to your needs. The procedure and the lenses used for cataract surgery are the same as in smart lens exchange. The only thing that differs is that the patient's natural lens has developed a cataract.

There are different smart lenses for different purposes. After your eye examination, your ophthalmologist will tell you which lens will fit your needs. Here are the most commonly used lens types and their purposes:

Excimer Laser Procedure

Excimer Laser is the name given to the process of correcting the refractive errors on the cornea, which are called Myopia, Astigmatism, and Hyperopia, caused by the errors in the structure of the eye. It is hoped that after correction, the person will no longer require distance glasses or contact lenses.

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Although it is a very short procedure, it is necessary to reveal and evaluate the structure of the eye by performing a detailed conformity examination. With these examinations and tests, it is very important to determine the social indication, which includes the technical information required for the procedure, the health of the eye, as well as the expectations of the candidate.

The technical knowledge gained is necessary to know which method can be used in laser application and for possible diseases to be experienced in the future after the procedure. The method to be used does not change the intended result, but it is very important to protect the future of the person's eye health. These methods are commonly referred to as:

• LASIK

• PRK

• FEMTO LASIK

• NO-TOUCH LASER

• LASEK

• RELEX SMILE

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A thin layer called the "flap" is removed, and the laser beam can be focused on the area below this layer. Only with the RELEX-SMILE method, no flap is opened. This is the latest technology with which laser correction can be carried out. The methods listed above are for the removal of the flap layer. The choice of method depends on the refractive error and corneal thickness. The flap thickness removed in each method is different. Some flap incision thickness can be controlled while others cannot. However, today's technology has developed so much that uncontrollable methods have been gradually abandoned. Therefore, the results obtained are much more reliable.

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Some corneal thickness is evaporated as the laser beam regulates the cornea. During flap removal, the cornea also becomes thinner. When the laser process is finished and the flap is put back in place, the remaining corneal thickness is important for the patient's future eye health, and the more thickness remains, the healthier it is. However, it is generally not recommended to go below 400 microns.

In the social indication, the expectations of the person and the effects of their work and private lives on their lives after the laser should be evaluated within the doctor-patient relationship. The person has to have realistic expectations. For example, people who do not use reading glasses due to their age may expect that they will not wear distance glasses after the laser procedure (if the patient is older than 40 years). However, while some people do not need distance glasses after the laser procedure, the need for reading glasses may arise after the laser procedure. In this case, the patient should answer the question of whether it is more important to wear near or farsighted glasses in their work and private lives. For example, if someone who is constantly working in front of a computer uses reading glasses due to age, quitting distance glasses and wearing close-up glasses does not increase the quality of life of the person; on the contrary, it decreases it. Although there are techniques that will provide both near and far vision without glasses, if the patient has a constantly examining and questioning nature, this may not be considered an optimal situation for the patient. By simulating the post-laser situation of the doctor before the laser, a prediction can be made about how he will see after the laser.

Another social indication is that in cases where the corneal thickness is not sufficient to correct all eyeglass numbers, the remaining numbers cannot be corrected again. There is also the possibility of using thinner glasses, whether the person will be satisfied with his life with the remaining numbers. In cases where the cornea will not correct all the numbers, if the eye structure is suitable, smart lens replacement is an alternative solution. 

The Excimer Laser is an irreversible procedure, so examination and evaluation must be done very carefully. If corneal disease (such as keratoconus), cataracts, retinal problems, or a problem or disease in the visual point of the eye is detected during the conformity examination, different procedures may be recommended or not treated at all, depending on the condition. However, if all the results are suitable, the person can lead a more comfortable life with the results of the excimer laser process.