A significant portion of women that does not have any disease, but there are currents. Physiological stream as this stream is the most important features of the stream a long time to be there almost every day to find, is odorless, color of the transparent-white or clear to yellow, with pain, urine while burning, bleeding and other symptoms at any one does not. This feature has caused a stream to a disease is unlikely.
Will be used to pad the more physiological discharge sometimes can. In fact, manufacturers of sanitary pads "daily pad" under the name of a product improvements for women because of physiological discharge is a relatively common condition.
Physiological discharge, uterine mouth constantly renews itself with secretory tissue in the vagina is not throwing anymore. From this perspective, is actually an important physiological function of the currents can be said to be.
Physiological discharge controlled by hormones and hormone production to continue when they are particularly active in the reproductive age are seen.
On each day of each cycle of physiological currents may exist only on certain days may occur. Spawning period, egg white consistency in the mouth of the uterus, a clear liquid that can stretch like rubber, and the fluid secreted by women is felt mostly "downstream" as is.
Remember: you do not comply with the rip up the properties of this may indicate you have a problem. Especially the beginning, ie a stream that is not accustomed yourself "physiological discharge" diagnosis and the doctor should not put.
Saturday, March 21, 2009
treatment of infertility in women
Medicine treatment methods, operations, spawning and / or vaccination, auxiliary reproductive techniques (tüpbebek, mikroinjeksiyon) can be summarized as.
Which method should be selected according to the decision would only cause infertility. Even in the few years to protect children have not, the woman's age and wealth ovaries, the number of times before trying the treatment plays a role in selecting the method.
Using the simple and inexpensive method Objectives reasonable period of time is to a healthy birth. Drug or with a simple vaccination could conceive of a couple of unnecessary test tube baby test-tube baby than not, or on the contrary a couple of simple methods can not conceive of other methods should not spend time and money in vain. Therefore, the doctor's decisions, it is important to have experienced. In some cases, compensation is not lost time.
For example, in the mid-level and movements in the number of sperm is low, try a few years, but can not achieve pregnancy, and surgical correction is possible as a young couple that does not have any abnormalities in the grafting treatment is appropriate. Despite the seriousness of the problem in the sperm infertility duration longer than 3 years in a couple likely to achieve pregnancy with the vaccination is very low and this should double to suggest mikroinjeksiyon. The sampling period of infertility can understand how well your methods of selection decisions. Duration of infertility, unexplained infertility tube problems and also is very important phenomenon.
Woman's age and ovarian wealth is very important in the approach. Women of men make a significant difference is the new reproductive cells. Women are born with a certain number of eggs, are not new and every day will reduce the number of eggs and the quality drops. Especially 40? Lı upcoming years to determine treatment methods for women in mind the last time most likely need to choose to give.
Which method should be selected according to the decision would only cause infertility. Even in the few years to protect children have not, the woman's age and wealth ovaries, the number of times before trying the treatment plays a role in selecting the method.
Using the simple and inexpensive method Objectives reasonable period of time is to a healthy birth. Drug or with a simple vaccination could conceive of a couple of unnecessary test tube baby test-tube baby than not, or on the contrary a couple of simple methods can not conceive of other methods should not spend time and money in vain. Therefore, the doctor's decisions, it is important to have experienced. In some cases, compensation is not lost time.
For example, in the mid-level and movements in the number of sperm is low, try a few years, but can not achieve pregnancy, and surgical correction is possible as a young couple that does not have any abnormalities in the grafting treatment is appropriate. Despite the seriousness of the problem in the sperm infertility duration longer than 3 years in a couple likely to achieve pregnancy with the vaccination is very low and this should double to suggest mikroinjeksiyon. The sampling period of infertility can understand how well your methods of selection decisions. Duration of infertility, unexplained infertility tube problems and also is very important phenomenon.
Woman's age and ovarian wealth is very important in the approach. Women of men make a significant difference is the new reproductive cells. Women are born with a certain number of eggs, are not new and every day will reduce the number of eggs and the quality drops. Especially 40? Lı upcoming years to determine treatment methods for women in mind the last time most likely need to choose to give.
Men are responsible for Cancer of the mouth of the uterus
Virus that causes cancer of the mouth of the uterus in women of polygamous men go to the experts stressed that the issue of uterine cancer is unknown aspects unfold.
Turkey Chairman Prof. Gynecological Oncology Association. Dr. Macit Arvas,? This virus is placed in the mouth of the uterus during sexual contact. Men to women living with polygamous relationships, especially sexual contact with a virus last. However, women can not be aware of the true men. Thus, after a long period of time when this virus into the uterus mouth cancer, even if you do not know that this man caused. Public language? Had cysts in the uterus? they are also? he says.
Prof. Dr. med. Arvas male condom use prevents the spread of viruses is significant is saved.
Turkey Chairman Prof. Gynecological Oncology Association. Dr. Macit Arvas,? This virus is placed in the mouth of the uterus during sexual contact. Men to women living with polygamous relationships, especially sexual contact with a virus last. However, women can not be aware of the true men. Thus, after a long period of time when this virus into the uterus mouth cancer, even if you do not know that this man caused. Public language? Had cysts in the uterus? they are also? he says.
Prof. Dr. med. Arvas male condom use prevents the spread of viruses is significant is saved.
May I swim in my periods?
Swimming in the women's menstrual period is objectionable about the widespread belief that the Anadolu Health Center with the Department of Women's Health? Nden Dr. Abraham Sözen, not in pieces, and the unstable sea remaining women were illuminated.
Is it possible to enter DENİZE buffering?
Entry of women into the sea in one period is disadvantageous to have a basis for saying the medical profession, Dr. Abraham Sözen,? Piece is possible to enter into the sea. One of the most intense because of the exceptions to this 1st or 2 may day. This may be inconvenient to go to sea for days. Piece of the other days, the women became sexually active as a buffer in place by vajen can enter into the sea? he said.
Normal use tampons use pads on each channel to be more healthy that the Dr. Sözen,? Buffer microbiological environment for long periods of time vajen change is to remain vajenin, and some bacteria produce normal to above may cause a rapid. Therefore, women who use tampons tampons frequently, for example, between 4-6 hours is recommended to replace? I was talking.
QUICK SEARCH with the MODIFY BUFFER IMPORTANT
Dr. Sözen words continued as follows:? Sea into the possibility of increased summer days of the bumper pad can be used instead. Because the channel buffer to absorb vajen, the channel switching off the front of the swimsuit. Changing the rule is to call attention to the often vajende also eliminated the risk of infection.?
Women's big issue: Endometriosis
Endometriozis, as normal tissue of the uterus must be within the space of the body moved to another place to place as a result there is a problem emerging. This tissue in the abdominal organs (ovaries, uterus channel within the membrane of the stomach, intestine, urinary bladder) can be found outside the abdomen such as ulunabilir.
Piece bleeding occurs in the membrane inside the uterus in time with the area of focus in this Endometriosis symptoms like bleeding, and cause many complaints. The most common complaint is painful to see one. Most commonly occur in the abdominal cavity is Endometriozis.
Accumulates in the tissues outside the uterus, groin pain and permanent future periods may cause some problems such as infertility.
Exact cause is not known currently Endometriozisin. In this regard, the most widely accepted theory, each channel in the tissue of the uterus during the woman's tube passed into the abdominal cavity and there is continuing development. To allow the immune system also are thought to differ from normal.
Thought to be an important factor Endometrioziste are hereditary predisposition, his mother or another relative is in endometriozis will increase the likelihood of Endometriosis.
Sometimes the ovaries of women in the formation Endometriosis cysts (chocolate cysts) may occur and these can lead to serious problems if they are much larger. Chocolate cysts can be seen with ultrasound are not always accurate. Laparoscopy or open only the definitive diagnosis can be by surgery.
Laparoscopy, a procedure is useful in disease diagnosis, but also gives ideas on the severity of the disease. This process also doctor the best treatment plan for you that will help you prepare. Was diagnosed simultaneously the focus of the surgical treatment of Endometriosis can be applied.
Endometriozisin common symptoms are:
Painful One
Painful sexual intercourse
Pieces of abdominal pain before
Back pain
Big John is in pain.
These symptoms may be that all of the other reasons. Not see any other symptoms of the illness, but some pregnant women having endometriozise are rare.
How Endometriozis affect fertility?
To pregnant women who have difficulty seeing in endometriozis diseases are likely to increase. In some of these women, especially in advanced stages of disease who Endometriosis, fallopian tube damage caused in endometriozisin (womb channels) leads to congestion.
However, most affect women's fertility in endometriozisin why exactly is not known yet. Here are other theories on this matter. Endometriozis:
Affect the spawning occur in the ovary development and spawning damage.
Produces toxin kills sperm.
Hold to prevent the embryo in the womb.
Toxic effect on the embryo is
The channel causes congestion, sometimes Endometriosisin not a complete blockage to the sperm could allow the transition .. but the channel is partially destroyed by attaching the embryos may occur in ectopic pregnancy.
Endometriosisin treatment
The aim of treatment is applied primarily to resolve the pain and infertility, and conception is to provide eliminated. For this purpose, various medical and surgical treatments can be applied. In addition to medical treatment, cutting pain, endometriozisin östrojene (the female hormone) is based on the principle that a disease-dependent.
Pregnancy and prevent the formation of two endometriozis menopause is a natural state. Hormonal treatments aim to actually emulate the two natural cases. In both cases, the inner membrane of the uterus (endometrium) will be eliminated on the effect of estrogen has been placed in the wrong place in the endometrial tissue is expected to be printed. Of course, trying to resolve problems with medical treatment should be first, but if large chocolate cysts, or problems like pain that can not be resolved with medical treatment if surgical treatment should be considered.
Medical (medical) treatment
Light painkillers (paracetamol and various non-steroidal painkillers, etc.)
Hormone therapy (birth control pills v.b.)
Hormone therapy
Hormone therapy, by blocking the normal term, slow down or stop the formation endometriozis to apply. The simplest way to do this? Birth control pills? to use. Also, to be effective to reduce pain caused endometriozisten other hormone treatments are identified.
In recent years, is quite effective, but the person into a temporary menopause and therefore the ovary is called analog endometriozis disease baskılayan monthly or 3 monthly depot injections are available. Known to be very effective in pain resolved that the use of drugs more than 6 months, this period is more than inconvenient if you need to use some additional measures to be taken absolutely, especially the need to protect our bones.
It should be noted that none of the medical treatment of affected persons to improve the chances of conception do not have. In fact, the use of needles in stores that people enter into menopause already conception is not likely to see even one.
Some women with hormone therapy may cause some side effects. However, these side effects can usually handle is of type.
Surgical Treatment
Seriousness of the illness, the woman's infertility story, to conception, age, surgical treatment will determine the format. Unfortunately, even the woman's uterus to remove 30% of patients in pain can not make up. Usually the first surgery is quite effective, recurrence is less effective than the initiatives in this regard. Laparoscopy is performed with the most common surgical procedures around the cohesiveness of the ovary-tube-uterus is cut, endometriotik focus and the chocolate cyst of ovary removal, incineration, or is destroyed by laser.
And cut the nerves to the uterus to be burned (LUNA), a certain percentage is useful to resolve the pain.
Experienced in these matters and careful in Yumurtalık endometriomalar necessarily a surgeon should be removed by the descendants of dice. Contact us to have a child who previously had operations in Endometriosis-chocolate cysts pregnancy chances for women is not very high, even with test-tube baby treatment. This applied for women in previous operations or technical operations of the damage to the ovarian reserve that are frequently seen.
Therefore, in this very important issue to pregnancy. If the 3-4 cm diameter? Well, maybe if there are more small chocolate cyst them without ever touching the vaccination or test-tube baby treatment can increase a person's chance of pregnancy to be taken. In this regard, the other ovary, the patient's age and other factors need to be good by the surgeon.
Endometriosis in the treatment of the most important issue is whether the child is the desire ..!
If pregnancy is desired, and leave aside the medical and surgical treatment for pregnancy direct access to treatment is the most rational. Because medical (medical) and surgical treatment increases the chance of pregnancy has not been fully proven ..
Thus if the ovaries remain in the treatment of pregnant women have not put the size of a chocolate cyst, and the channels are open for a moment before the vaccination is known to the child (infertility) to access to treatment is needed.
If you mentioned your doctor if you have a çikulata cysts are primarily of interest should not be removed will be discussed with you.
Following surgical treatment, pregnancy does not occur spontaneously in the sperm and eggs and the uterus to be warned this chance can be increased by immunization. However, the advanced age of 35 and above endometriosiste and women or the cause of infertility may be some additional factors, such as problems in the presence of sperm directly into test-tube baby treatment should be quick to apply.
What is Varislere? Therapy?
Her illness seriously and scientific methods, such as spider veins to be treated is a vascular disease.
Her illness seriously and scientific methods, such as spider veins to be treated is a vascular disease. Lung and heart move blood back to the heir of the vein to expand to a progressive isimdir.Yaptığı pain, cramps, and creates images of people unhappy that psychological statements. To work long hours during Varislere disease so difficult to remain standing in the modern era, the people is a gift. Intensive and long working conditions of daily life and still walk short distances, even the location of the area with cars and transport vehicles for people who reached a disease successor became more common. 25? 35% in the age group of 30 - by 35%, 55? 65 age group is 50? Can be seen at a rate of 60. A large part of the heir of the patient with leg pain for years, but begin to live when the treatment need. at the first occurrence of the successor to the aesthetic concerns of physicians, even in patients who müracat is called deep vein incompetence for venous disease may have started. Varislere with and try to live the greatest disadvantage of the people who get into this situation over time as you need a treatment more difficult.
Varislere and the other collects the most important factors in disease predisposition heredity is from the family. Mother, father and other relatives in the first degree as successor a person if you stay long standing or permanent resident as hard a job, you smoke, you are fat, excessive exposure to heat, the women have a pregnancy and birth should be aware that he's heir disease is inevitable.
Spider veins and venous insufficiency in the treatment of disease is delayed as a result of the illness of serious side effects can be seen that these feet and legs and not running sores, called thromboflebitis intravenous and inflammation are the most serious consequences of venous thrombozlar results in lung, heart goes to the clot that sometimes, even death may result.
Diagnosis of spider veins and venous insufficiency in vascular system after the Doppler ultrasound examination and radiological examinations are necessary venografi name will be placed with.
As a result of these examinations for the degree of progress of disease by lowering the venous pressure drugs, surgical stocking, skleroterapi name given to the intravenous injection, laser, and the veins clot necessary successor to the operation through the implementation of treatment is possible. In recent years the use in the treatment of disease began to apply laser treatment of varicosity recent scientific studies with surgery still apply müdahelelerin of the successor operation is the final and permanent solution is.
Valve in the main vein of the disorder and to increase the pressure, starting with heir illness on the appearance of the skin and thin curly heir capillary vessels in the form of violet and visible parts, such as iceberg, so the source of the problem are deep-vein. Therefore next year for serious health problems that may occur in the treatment of neglected diseases is the successor person's life is very important in terms of comfort. Varislere in the treatment of simple rules is this: how much is new Varislere treatment is so easy.
Her illness seriously and scientific methods, such as spider veins to be treated is a vascular disease. Lung and heart move blood back to the heir of the vein to expand to a progressive isimdir.Yaptığı pain, cramps, and creates images of people unhappy that psychological statements. To work long hours during Varislere disease so difficult to remain standing in the modern era, the people is a gift. Intensive and long working conditions of daily life and still walk short distances, even the location of the area with cars and transport vehicles for people who reached a disease successor became more common. 25? 35% in the age group of 30 - by 35%, 55? 65 age group is 50? Can be seen at a rate of 60. A large part of the heir of the patient with leg pain for years, but begin to live when the treatment need. at the first occurrence of the successor to the aesthetic concerns of physicians, even in patients who müracat is called deep vein incompetence for venous disease may have started. Varislere with and try to live the greatest disadvantage of the people who get into this situation over time as you need a treatment more difficult.
Varislere and the other collects the most important factors in disease predisposition heredity is from the family. Mother, father and other relatives in the first degree as successor a person if you stay long standing or permanent resident as hard a job, you smoke, you are fat, excessive exposure to heat, the women have a pregnancy and birth should be aware that he's heir disease is inevitable.
Spider veins and venous insufficiency in the treatment of disease is delayed as a result of the illness of serious side effects can be seen that these feet and legs and not running sores, called thromboflebitis intravenous and inflammation are the most serious consequences of venous thrombozlar results in lung, heart goes to the clot that sometimes, even death may result.
Diagnosis of spider veins and venous insufficiency in vascular system after the Doppler ultrasound examination and radiological examinations are necessary venografi name will be placed with.
As a result of these examinations for the degree of progress of disease by lowering the venous pressure drugs, surgical stocking, skleroterapi name given to the intravenous injection, laser, and the veins clot necessary successor to the operation through the implementation of treatment is possible. In recent years the use in the treatment of disease began to apply laser treatment of varicosity recent scientific studies with surgery still apply müdahelelerin of the successor operation is the final and permanent solution is.
Valve in the main vein of the disorder and to increase the pressure, starting with heir illness on the appearance of the skin and thin curly heir capillary vessels in the form of violet and visible parts, such as iceberg, so the source of the problem are deep-vein. Therefore next year for serious health problems that may occur in the treatment of neglected diseases is the successor person's life is very important in terms of comfort. Varislere in the treatment of simple rules is this: how much is new Varislere treatment is so easy.
Change of safe breast cancer!
Weight control, exercise, medications that contain hormones, such as less use of simple methods for the risk of breast cancer can be greatly reduced.
UK Cancer Research Foundation by the results of an investigation, made some lifestyle changes, one of every 10 breast cancer cases revealed that önlenebileceğini. According to experts, the use of women in menopause period, the reduction of the extra hormones, weight control, ensuring the reduction of alcohol use, breastfeeding and exercise to increase the rate only in the UK in 5800 breast cancer cases less than the emergence of the will.
Control of women on a regular basis is also important that the experts do, increases in breast cancer cases were pointed out time. The research team president Prof. Dr. Max Park, changing lifestyle of women in in 2024 with 58,000 new breast cancer cases wait for the emergence of that, this year to make lifestyle changes in this figure of 10 per cent decrease, he said.
Herbal term solution to the pains
Celebrities expert Prof Plant women Dr.İbrahim Saraçoğlu term against the painful effects of plants to benefit them would suggest.
Celebrities expert Prof Plant women Dr.İbrahim Saraçoğlu term against the painful effects of plants to benefit them would suggest. So in this period in which plants or plant works?
Women who take the pains and pain in one particular period in each month of this period with horror and unbearable pains bekliyor.Bazen into pieces at this point, the solution alabiliyor.işte comes from nature.
Painful and painful passing of Prof. Dr.İbrahim Saraçoğlu term against women yarrow plant to start three days within the period öneriyor.Bu per application is continued until the end of the curing. Term cure is applied as follows:
A sprinkle yarrow (around five grams) to half a liter of boiling water is thrown into. Mouth closed as light (dimmer) on fire after 3 minutes, cooled by dem is filtered. Within three days to the start of term and the daily morning into the evening by a glass of water is consumed. Every day fresh until the end of the preparation gerekiyor.ayrıca One of her menstrual period, this cure must be applied five-six months.
Piece pains are very severe, that if one application before starting a week before the curing.
One of 3 women osteoporosis patients
Tetra Pak Inc. with the support of the Ministry of Health, Turkey Endocrinology and Metabolism Society, and launched the campaign in cooperation with Hacettepe University, Turkey? public awareness about the disease to osteoporosis and the formation of this disease Tetra Pak Inc. with the support of the Ministry of Health, Turkey Endocrinology and Metabolism Society, and launched the campaign in cooperation with Hacettepe University, Turkey? public awareness about the disease to osteoporosis and to prevent formation of this disease are aimed at?
Health care in the 11 provinces, the campaign carried out by health personnel in Turkey to reach 2.5 million people are targeted.
This project targets, Turkey? De osteoporosis (bone to dissolve) the prevention of disease? Because of the 8 million osteoporosis patients in Turkey, every 3 women and 1 of every 5 men? I osteoporosis patients?
There are over 8 million osteoporosis patients
Osteoporozun for women 40? Lı years, especially after the menopause and 40 years in the period from the point of view then for men underlining Endocrinology and Metabolism Department of the Hacettepe University Faculty Member Prof.. Dr. Miyase Bayraktar, in Turkey in the number of osteoporosis patients is between 8 to 10 million means.
The average of every 3 women, 1? In view of this disease Prof. attention. Bayraktar, issues relating to the following description continued:
Affect the quality of life
? Osteoporosis primarily affects your quality of life. Start of the pain, change in body form, movement, and experienced shortness of fractures can make you addicted and can not live alone. A modeling study of the 50-year-old woman's life is 17 percent the risk of breaking hip show. Broke the women's thighs 1 / 4? ü not stand up any more at all. Start with our campaign, we aim to pass in front of this negativity.?
Healthy nutrition important
Hacettepe University Department of Nutrition and Professor Diyetetik. Dr. On issues relating to the description Tanju besler was addressed these issues:? This disease is on the age you are diversion. Received from the beginning stages of childhood illness, especially associated with nutrition and a healthy amount of calcium
In this case, the calcium-containing nearly the entire body and thus can be used by the best source of calcium is also in terms of bone health is very important a lot of healthy foods containing milk and milk products osteoporozun prevention is important.
new invention in breast cancer
Breast cancer patients will rejoice in the scientific world a new invention came about.
Mount Sinai Hospital in Toronto of Canada within the Samuel Lunenfeld Research scientists Dr Entitüsü. Method developed by Marc Wrana, breast cancer rates 80 percent in the final treatment of the disease is expressed.
Dr. The last issue published in Journal Nature Wrana'nın Marc Biotechnology'nin according to the scientific article, DyNeMo (Dynamic Network Modularity) method is called, the body of cancer cells in breast cancer is determined in advance of the wound area is to be distracted.
New technology, the structure of each patient's cancerous tumor and determine the direction of the dispersion, suspension of these cells can be provided. Article, the new method so far, with 350 female patients with breast cancer follow-up of the tumor was performed indicating Dr. Marc Wrana, "Every tumor has separate organizations have identified a protein network. So, what kind of treatment over the course of an intervention in which the network can do more easily now and I'll be able to decide quickly. This, at a rate of 80 per cent of the illness means definitive treatment, "he wrote.
Cancer research in various places of the world's DyNeMo method centers on a network can be used to indicate common Wrana, "thus, more experience on several cases of disease to be eliminated can use" was recorded.
Stages of menopause ...
Premenopoz (before menopause)
This definition is still often possible to fertility, each year for the regular channel of the previous year includes kullanılır.Yaşam changes.
Perimenopoz (during menopause)
In general, around the age of forty are still emerging menstruate regularly, menopause is the first phase. This period, once in the poll, will take between two to ten years. Showing similarities with the women at this stage of puberty the body and peace are not comfortable with. Strange things happen. Piece severe bleeding of one month, the next months may be very little. Much longer term, then you can shorten. May be sudden blush and aura. May decrease sexual desire, insomnia or anorexia can be seen. In general, the body out of the natural order.
Downturn is a phase. This period have entered menopause, hormone therapy and other reinforcements on the possible options is time to your instructor, is. This alerts the body's very important that we have come to a decision stage shows.
Menopause
A year after the last one you see bleeding starts. After experiencing all the stages, but it also can be sure. Therefore,? Officially? enter into menopause, and suggest you keep a calendar to be sure not.
Postmenopoz (after menopause)
Finally after a year of each channel to be seen? Menopause? I characterized by the following year, it is also known as postmenopoz.
Early menopause!
Sudden stress or a long period of time remaining under stress early menopause in women can be seen. Stress reduces the function of ovaries and thirties at any time since the end of the causes temporary menopause. Although a new phenomenon for us, even if our generation, today's woman for reasons such as sexual harassment and ambition for advancement, work is work under pressure. All of these other, our generation has to live with the environment and against toxic waste is also very sensitive. Always want more life, the woman of the nineties the power consumed by long-term stress is the breast.
Chemotherapy also is one of the causes of early menopause. After you see this treatment of women are beginning to see one again, but the vast majority can not get rid of premature menopause. Your doctor before treatment has not spoken about this possibility, a very uncomfortable situation.
Surgical intervention of the ovaries and uterus to be fully is the most common cause of early menopause. Cancer, tumors, and inflammation and thus has lost the function of ovaries by surgery is taken. Menopause is the time to buy is also the two ovaries. One ovary or ovaries also like a part of the two ovaries and eggs varmışcasına may continue to secrete hormones.
Wednesday, March 4, 2009
Laser eye''method''to draw attention to
Gazi University Medical Faculty Department of Eye Diseases Faculty Prof. Dr. Kamil Bilgihan, popularly know as''the''is''to draw laserle lasik eye''method gave information about the mind.
Prof. Dr. Bilgihan, correction of defects laserle breaking application in Turkey in recent years, a frequently applied treatment modality has become, today, both public and private health organizations to apply laser treatment of many people, a good vision without glasses level can meet, he said.
In Turkey, laser applications, the most preferred method is the method that the''Prof.''Lasik. Dr. Bilgihan, however, discovered in recent years,''with''konfokal microscope investigations on the contrary supposition, lasik method applied, and in cells of patients with persistent corneal nerve damage occurred in the potential of said.
Prof. Dr. Bilgihan,''of the period after the surgery is painless and very quick fix to see the most important advantages of this method to be considered as''I spoke to was.
Today, tens of thousands have Lasik surgery and Lasik method adopted pioneer Dr. Investigate other methods that emphasize even Pallikaris'in Prof. Dr. Bilgihan, the method was explained in the application:
In the top section of the corneal epithelium name''that, with a thickness of about 50 microns and self-renewal must be removed before the laser is a layer. Lasik method is called the microkeratome device using 120-130 micron thick layer of the cornea is removed. This device tracks and more damage to the cornea inceyeayarlandıklarında. So, under the epithelium uygulanırken Lasik 70-80 microns thick, is removed in one piece and want During this process a very large part of the cornea of the sensory nerves are cut.''
Lasik surgery because of the failure of nerve fibers in the patient's pain after surgery to have, but the nerve cut indicating good Prof. zamaniçinde completely. Dr. Bilgihan, a significant portion of these patients have a dry eye in the light of the complaints revealed that many were saved.
Lasik'in, the fear of side effects of the late period after surgery in the middle of the corneal melt (ektazi) stated that the Bilgihan, said:
''This will take the patient to corneal transplantation, and are observed more frequently applied to high-grade myopic. Exactly the reason open, with konfokal microscope examinations Lasik laser is applied, especially for patients with corneal cells in regions of up to 40 percent reduction in rates that has revealed. Corneal melting in the development levels decrease over time to see patients and glasses numbers are rising gradually. Besides, the clinical research in patients after Lasik complaints of night vision and contrast to see much more than other methods of reduction that has been identified as.''
Prof. Dr. Bilgihan, correction of defects laserle breaking application in Turkey in recent years, a frequently applied treatment modality has become, today, both public and private health organizations to apply laser treatment of many people, a good vision without glasses level can meet, he said.
In Turkey, laser applications, the most preferred method is the method that the''Prof.''Lasik. Dr. Bilgihan, however, discovered in recent years,''with''konfokal microscope investigations on the contrary supposition, lasik method applied, and in cells of patients with persistent corneal nerve damage occurred in the potential of said.
Prof. Dr. Bilgihan,''of the period after the surgery is painless and very quick fix to see the most important advantages of this method to be considered as''I spoke to was.
Today, tens of thousands have Lasik surgery and Lasik method adopted pioneer Dr. Investigate other methods that emphasize even Pallikaris'in Prof. Dr. Bilgihan, the method was explained in the application:
In the top section of the corneal epithelium name''that, with a thickness of about 50 microns and self-renewal must be removed before the laser is a layer. Lasik method is called the microkeratome device using 120-130 micron thick layer of the cornea is removed. This device tracks and more damage to the cornea inceyeayarlandıklarında. So, under the epithelium uygulanırken Lasik 70-80 microns thick, is removed in one piece and want During this process a very large part of the cornea of the sensory nerves are cut.''
Lasik surgery because of the failure of nerve fibers in the patient's pain after surgery to have, but the nerve cut indicating good Prof. zamaniçinde completely. Dr. Bilgihan, a significant portion of these patients have a dry eye in the light of the complaints revealed that many were saved.
Lasik'in, the fear of side effects of the late period after surgery in the middle of the corneal melt (ektazi) stated that the Bilgihan, said:
''This will take the patient to corneal transplantation, and are observed more frequently applied to high-grade myopic. Exactly the reason open, with konfokal microscope examinations Lasik laser is applied, especially for patients with corneal cells in regions of up to 40 percent reduction in rates that has revealed. Corneal melting in the development levels decrease over time to see patients and glasses numbers are rising gradually. Besides, the clinical research in patients after Lasik complaints of night vision and contrast to see much more than other methods of reduction that has been identified as.''
Laser eye surgery
Laser application, where did you learn?
Excimer Laser shaping of the cornea in an article the first time in 1986 that it issued the American Professor. Stefan Trokel'dir.
We've worked with Stefan and Trokel did with the first surgery.
We've invited him to Turkey, and 2 times in a conference with the Turkish doctors have given to the Swiss Hotel.
Moreover, this laser surgery in 1991 about 15 years since the international meeting I attended almost all of them.
Once again, please do laser eye defects?
Between the ages of 6 and 18 defects in the eye as a great change. 18 years after the change is very small and slow. Structured treatment does not stop this change. PRK is the first laser treatment method is back in the patients was 10%. Now back with new methods of treatment, the level can be neglected.
Wavefront, such as LASIK eye surgery is relatively new. You can create side effects of surgery in the future is that? And how about this?
Laser treatment is applied worldwide for 15 years, the world's most common surgery is made. And the world's most successful, patient satisfaction is the highest surgical methods:
We know all the side effects and adverse effects of patient selection, the treatment is done in good shape at very low levels. Side effects will occur in the future, I do not think different. But perhaps the new technologies, new treatment methods will be developed. Laser treatment of genetic therapy, but I think that will help to prevent.
Until now, few have done laser application?
Clinics with our friends in total 120,000, of more than 50,000 individual as we have managed to perform laser application.
I am so afraid to be excited by laser.
Laser therapy, a drop of eye drops does not require general anesthesia and the treatment period by a maximum of 10 minutes treatment.
All phases of the laser to tell patients. Physicians who rely on and believe that the patient's fever is reduced automatically. Sedative drugs and excitement rarely give a corrector. Until now, because of fear and excitement of a patient who did not give up surgery
What is the success rate of the laser do?
Success is a relative concept. Patient satisfaction is expressed by our patients less grouchy. Meet the expectations of patients and does not meet that depends. However, we success + - 0:50 + or - to stay within 1 diopter test as expressed in ederiz. By 99% to 90% degree of success Miyopinin between changes.
Lasik treatment method, which improved after treatment and how long will it take to have pain?
Lasik treatment is not painful, but after 3 - 4 hours of watering can be burning and sinking.
2 days old in the treatment of PRK is the pain was too severe.
A new method in the 3-day decline Lasek treatment, mild degree of pain, watering and burning complaints are
Which do you use a laser and camera
What is it?
We developed the world's Turkey Hospital eye clinic, the best use two different lasers.
One "Ziess" company that developed the model in 2005 MEL-80, one of America's largest companies VİSX, Corporation. Moreover, the Intralase laser. Technology received the Nobel prize Buda is an American laser.
Laser application in Turkey, where doctors are learning?
In this regard, Turkey is in the hospital, prepared with the Excimer Laser surgery with peer application describes considerations to be aware yöntemeleri "Lasik" Our books, all read by colleagues and published in English is the only reference book. Theoretical information in this book provides up-to-date and efficient as, application and practice is described. Many books are written in foreign languages are available.
The meeting of the Association of Ophthalmology of the important topics of laser treatment. Also in this issue of Turkey Hospital eye clinic developed hundreds of practical knowledge of our physicians are clinical reference.
Is that a result can be guaranteed for?
There is no warranty that any medical treatment. I can not say 1 hour after yaşacağınızı. However, you can give statistical information. Therapy can provide information about your possible side-effects. Therapy can provide information about the results.
Laser surgery is the price difference is there is an effect on the quality of the surgery?
Laser surgery is the key factor of success 3.
1. new technology
2. the best use of this technology in terms of
3. 1 physician trained in this area
They have a cost. And this cost is a significant cost. All organs of the body is precious. But gözün place is completely different. Will use this precious life of an organ can not be considered in the treatment of tassaruf. Therefore I can not understand the cheap treatment
Laser treatment in Turkey is the doyen Who?
Excimer Laser treatment clinic in Turkey, we started our first (Turkey Hospital eye clinic). Dr. And Dr Sinan Göker. And simultaneously the common clinical Bozkurt Sener Dr. Moved to treatment in their own clinical Emrullah is of the first start. And yet these friends (which would include kendimizide) Laser treatment is among the doyen.
Technology and new devices are constantly renewed. Starting out in practice. Is it enough yet to try this device may not have been?
Sure can. Very true. But we are not a proven international quality equipment and treatment methods do not strictly apply.
How many have your clinical doctoral education?
More than 100 eye doctors have shared our information with our friends.
What is Wavefront? Is that a different method is surgery?
Wavefront is a surgical method, an application form. Cornea of the eye, not the breaking point as hundreds of defects in bulk single laser le is measured from the point, is the map. This is a topographer.
Accordingly, a special treatment is done, and people. In this way, with visual disturbances or image to be hair (aberration) is treated to obtain a better quality vision. Often this vision, the spectacle is to see more clearly. Therefore this treatment kartal eagle eye treatment or eye de (eagle eye) is called.
What is called Intralase laser treatment?
Lasik in the treatment of 1st 160 microns thickness, similar to stage a flap in the creation of contact lenses, 2 Excimer Laser treatment is the stage of le defects.
This flap job creation (ie the cornea of the eye to remove the contact lenses in the form of action) with a device called microkeratome is a mechanical process. For this, special knives are used. The quality of the knife is extremely important. Because the highly sensitive job is a job. Deposited 90% of the side effects of Lasik mikrokeratomla occurs during layer to remove.
Very advanced device with a standard microkeratome to create a treatment. Removal of the layer, the flap thickness, diameter, it is desirable standards. Flat cornea, the steep cornea, the thinner the cornea, there are difficulties. Intralase is a new technology. Ministry of Health of USA (FDA) has received a license in 2004, a 0 in the flap preparation had side effects. Any risk can be applied easily. In diameter and thickness desired in the flap can be obtained. Extremely reliable, a new and modern look yöntemdir.bütün been advised of the defects just mentioned diopter of 40 (degrees) below the flat cornea in the steep 47 diopter on the cornea, the farsighted and always should be used in mixed astigmatism. Great, but unfortunately is an expensive treatment method.
Does laser treatment in the U.S.?
We all have to apply methods of treatment with the approval of the U.S. Department of Health is being implemented in the U.S..
How far can correct myopic?
Excimer laser with 12 degree miyopiyi method
It is possible to correct higher-eye can be corrected, but additional actions are required kusurlarıda.
What if my eyes played during the treatment?
Patient, "or if I play my eyes," he is concerned. Patients do not need the help. Eyes can play as many times as you want. Technology is no longer minimize the risk. During surgery, electricity is cut off, as the earthquake, the system is almost self-locking, then we go on "
Is that all you can do laser eye doctor?
Eye is a great booze. It's exactly all it is not possible to grasp a single physician. Between the eye itself is divided into many branches. If an eye doctor is not possible to do the laser surgery. In this regard, the theoretical and practical training is a must.
The following sections of Ertuðrul Pearl Laser treatment in Turkey with Newspapers
ropörtajından were related.
Click for full Ropörtaj ...
The following sections of Ertuðrul Pearl Laser treatment in Turkey with Newspapers
ropörtajından were related.
Click for full Ropörtaj ...
Who can be operated with the laser, can be treated?
There are three group patients.
First, medically necessary for the disease in two if there are defects of the eye between the eyes.
0 of 4 is one of numbers. You can not balance with the glasses.
5-6 numbers out over the treatment of eye defects is required, because to remove the glasses can not walk in the house. Such patients should be operated. Eye of the illness, stains remain, patients should be treated.
In the second group, "social indication" that the phrase is. For any reason they can not do with the profession of glasses are they. Athletes, soldiers, pilots, divers say.
Most of patients' psychological indication "he is the group that, for some reason aesthetic concerns olanlarHerhangi do not want to wear glasses. Bored, and is a headache. Write to the dust, says tired of winter and the mist on my face is not worthy, my nose is also another way to disrupt "
Did you know the way this treatment been applied to everyone ... I've heard from an easy application, Is it really so ...
Various ways and all kinds of laser can treat eye defects.
Patients must have completed 18 years of age. No upper age limit. You can apply up to the age of 60-70.
Another eye disease, dry eye in an advanced level, such as rheumatic diseases do not have eyes.
Contact lenses are used according to the type of lens should be a minimum of 7 days previously issued. After that, the decision of the physician. The treatment is extremely simple.
Ten minutes would be a two-eye surgery, 2-3 hours is starting to see enough to drive a car. To work the next day, you can go home.
Almost all of the treatment of eye defects Laserle may have become. Nearsighted, you have astigmatism, you are farsighted, you mixed astigmatism. One problem seems to be emerging after 45 years of near vision problems. I need to work a little more for the treatment of old age hipermetropisinin
As sensitive as a body of work in the eyes without thinking, people can not share the risk. This method Is it safe?
If there is a small risk of treatment if patients do not.
Alternative treatments are directed to.
To do this the application infrastructure, information and skills is required. Disease is well-known and need to decide right. If you make one of these mistakes will cause damage to the patient.
Is a permanent loss
How this operation the patient is being prepared ... Is that local anesthesia is applied?
Oral anesthesia are doing. Patients are coming in too afraid, will not be any pain, the risk does not explain the relief.
Half of the work is itself already Doktora trust. Eye drops that are a drop. If you're scared you sedate.
Patient, "or if I play my eyes," he is concerned. Patients do not need the help. Eyes can play as many times as you want. Technology is no longer minimize the risk. During surgery, electricity is cut off, as the earthquake, the system is almost self-locking, then we go on
For many years, people with thick glasses after the surgery are living what ...
Patients are confused after surgery. After surgery "is history" he can not believe is over.
Will see around a little myopic, grew by around after surgery, the astonishment and joy is. Who wear glasses, glasses for a long time to wake up the morning they are told.
Treatment is not appropriate to say is that among patients who cry ...
Patients will know how the quality and selection of hospitals to do so ...
Team work with experienced clinics are required to choose.
Reduce profit margins in a competitive environment but to a certain figure in the bottom of the renewal, you do technology, you can not use enough material.
Laser surgery is not cheap!
Consumables used in the eye of each patient has a cost that is available. Now this turned into an economic race. Prices below the cost of that equipment is operated. It is necessary to warn patients. Supplies to be used for an eye, the three eyes, four eyes, five, you can apply on the eye.
In the end, "I'll get rid of glasses" we would see a decrease in your quality.
There are many eye hospital in Turkey. And these new ones are added. As a profitable patients do not have too much you see?
Approximately 40 percent of society have eyes flaw. Maybe the future will be possible to prevent genetic, but as for now the fourth child born on the vision impairment is available. I used to wear glasses or contact lenses have to be treated by. More or less do not have eyes, nobody is defects. Great changes and developments have Gözde.
Laser surgery to have started in the hospital and in 1992 Turkey became a huge demand. Eye hospital in the opening of the success of Turkey in the hospital I think is effective. This progress towards European Union, which Turkey is a good development. Competition is the motor power of each development. Competition, but it is ethical.
To make a business, scientific background information, to track developments, should be able to manage complications. By ignoring these factors, "we'll do the job" and only machine and receive the ad by making believe that desirable health services can not be granted.
You have mentioned a very fast development. Who in the world on this front ...
All of the countries of the world have contributed to the development of this business.
The world's information is collected at a location, right in front of America in this business. But before we began this treatment in America. I believe that our experience of them more than us. Because the Ministry of Health much more conservative in America.
This treatment control and follow-up was five years. We began in 1992 with European countries for treatment, was started in America in 1998.
Wavefront method is now point "super vision" to provide. We also have eagle eyes. Eliminate defects in the eye is seeing very high levels of interest and can see the ratings ..
The following section Ferhan Kaya Poroy / Oya's Mail newspaper for Özdilek with the laser treatment has been iglili ropörtajlarından.
Click for full Ropörtaj
The following section Ferhan Kaya Poroy / Oya's Mail newspaper for Özdilek with the laser treatment has been iglili ropörtajlarından.
Click for full Ropörtaj
Is it possible to get rid of the glasses with the surgery?
Dr. TOP: We as a commercial establishment, but would act as a health kurulşu.
Who wants to get rid of glasses, of course, we all do not do surgery.
In this type of surgery, we observed that patients who need urgent surgery will not apply. The person's request, a moment ago to get rid of glasses.
Careful at this stage what the doctor and the patient's life and thought of the next period, a decision should not harm him. "Refraction surgery" for surgical operations to eliminate defects in the eye doctor is a very important initiative.
Who may be surgery?
Dr. PER: First, patients need to be carefully examined. Retina of the eye is checked. Do you have been in the retina, has torn right, do you have holes in their examinations are made. The cornea in the eyes of the transparent layer is removed topogrfaik methods map. Do you have a favorite slimming, tears Does the system work correctly, do you have dry, they will look carefully. After making all kinds of research which is the second stage. A person's eye-zero, the other eye is number 7, that person must necessarily be an operation. Because there are large differences between the two eyes and this person is disturbing.
Others require surgery to be a reason is the social factor. An example is used as eye glasses because of defects in the profession can give. For example, developers ample basket, divers can not work with glasses. Another group who should have surgery Mutlaka the glasses because of the psychological disorders are heard. People can not adapt to eyeglasses. Glasses or earthquake If you think the offensive stopped, my glasses are broken, such as having concerns.
Psychological or social reasons in the decision to have surgery patients with later stages of what will?
Dr. PER: At this stage the patient is suitable for surgery and the percentage of risk is determined. For example, patients have a defect in the eye, but the 10 numbers, 5 numbers, but there is no risk to be minimized. Been observed on the 5 to numbers more increases the risk. In such a case, we "are not suitable for this treatment" they are called. A patient's retina, for example, if you do not have a slimming. In this way, many patients have to be upset. But we would warn their patients.
A person should not be operated if surgery reveals what problems?
Dr. TOP: The first stage occurs at a bad result, but then started to see deterioration in the quality.
If you have holes in the retina, a greater than two years later, tears may occur. Corneal been more then, the patient may be forced to make eye transplant surgery.
This operation is not necessarily to be done for patients at risk in any way should not encroach.
Under the decision of the examination before the surgery how long is?
Dr. PER: takes about two hours: that in all the tests and doctor's examination is included.
A specific age limit for this type of surgery there?
Dr. PER: 18 years of age must have completed an upper limit, but things are even yok.80 year-old patient.
The reason for the lower limit, in particular showing an increase until the age of 18 is myopic. However, the progress of 18 is quite low.
This operation Is there a risk of losing the eye?
Dr. TOP: This is not a risk would be blind in the operation.
Although it can not even ask the doctor can say.
This operation increased the risks are two important elements. First surgery the doctor's knowledge level. The business must be well aware and experienced. The second of used equipment and maintenance of modern equipment should be made. This part of the device must be changed in certain period of time. But institutions do not give importance to it, with a longer duration of surgery will decrease the quality of her work gets done. This can not evaluate the quality of the patient. Therefore, the job security is very important. Patient and physician to establish a trust will do the job must be.
What is a preparation before surgery?
Dr. PER: First, patients wear contact lenses are soft lenses 7, semi-soft lenses for 15 days previously issued want hotfix.
Because lens and cornea of the water, the amount of cash during surgery can remove the problem. Therefore, patients are recommended during this time the nickname glasses.
Patients with the course of disease, it is informative 10-15 minute speech. Decision to again leave the surgery patients. Surgery as patients in the clinical encounter, we can tell all kinds of things.
What is going on in the surgery?
Patients are taken to the operating room. Hair is inserted into a bone. And are given slippers or shoes with a sterile rubbers having apron. Patients are coming on foot and will be operated above lies back on the table.
This is different from a classical operating environment. Patients want to look into a laser light spot. We're starting a special tool and review process would remove a small part. First, we do have a look, takes two minutes. Patients do not feel no pain. Too shy to make the patient calm and quiet give diazem types. Patients look into the water table up like when you see blurry, when viewed from the outside is flush.
Eye defects which are treated with this surgery? Do you nearsighted farsighted, or astigmatism?
Dr. PER: in 1992 alone treatment was shortsighted. Then become myopic astigmatism was also treated. Hypermetropia in 1997, then began to treat the hypermetropic astigmatism.
These days 95 percent of people with eye defects are treated. Using Excimer Laser - +12 degree myopia, 6 degree astigmaztizma, + 6 can be treated hipermetropiyi degree. May require additional methods to higher defects. The same is valid for all time.
Then see how long it is clear?
Dr. PER: 3-4 hours later to see the percentage of patients can reach 70 and get a car to use until the visibility can be.
Is diabetes the surgery is done?
Dr. PER: Sugar is needed in patients with a little more careful. Because the risk of infection with the control of sugar should be the opener. Carefully controlled and can be treated in a way from them.
periodic
I've seen none of this operation myopic eye doctors apply their, all glasses are used.
9 look doctor's surgery is klinigimizde our friends know. Personally, I've realized surgery doctors have friends. These doctors also look hereby would like to point out olduklarini Laser surgery.
Why doctors use eye glasses glasses to ask them "for future treatment of cataract is interfering in the" type of answers they give. I believe ordinary citizens as well in case I had to, in the end, the subject will know better than I am not an eye doctor. However, the scientific as you are for your page was satisfactory. What is your comment on this subject?
Laser surgery gozlerinde ones in the future olusmasi likely, their cataract surgery if the problem yasayacaklari dogrudur results.
Cataract within mercegin look anything dedigimiz and opaklasmasidir disturbance. We failed ameliyatlarinda cataract lenses mercegi cikarip artificial yerlestiriryoruz instead. The corneal front surface mercegin determined Yerlestirdigimiz number caplarindan are exploited. However, laser surgery on a patient to become the front surface bahsettigimiz cornea degismektedir in diameter. This causes some errors in yerlestirilen artificial olusabiliyor number mercegin.
I would like to point out that the new calculation methods and new technologies developed from this problem completely kaldirmistir. However, we do olcumleri will appreciate that the devices are quite expensive and this device with Turkey sartlarinda her look doctors olamiyor. Specialized centers in major ameliyatlari laser now has a more common way kullanilacagini hope future devices. Make your own devices for 5 years is used klinigimizde bahsettigim measurement instruments available, and 2.
This baglamda, artik laser
cataract surgery patients gecirmis problem yasamamaktadirlar a ameliyatlarinda
periodic
LASIK eye doctor on operations (to you) Do you know there are problems and we do not know us?
I would liken nacizane Lasik operation elektirige we use at home. What if you know where and how the electric kullanacaginizi house isitabilir, no danger at home and having the machines do not calistirabilirsinzi.
Eliminate defects in more than 10 different Laserle eye surgery procedures available. What is important here is the implementation of the eye but not the method kararidir.
If you decide right here, no damage is observed. I also want soylemek presented that all the other countries of the world, including Lasik is the very beginning ameliyatlarin applied.
Night vision after laser eye surgery is not properly hear from many people. When asked in an eye doctor is correct that, at night around the light source of the water olcağını, said it is impossible to fix. Does it correct?
Eyeball diameter than the treatment of the region made little significant problem in view of the night out.
It is possible to correct for.
But such a treatment method to apply the complaints should not occur. If the treatment or alanine zonunu from pupilla problem that you mentioned look bebeginden wider tutarsaniz absolutely uninhabitable.
Here you decide the level of knowledge and experience of the physician is important
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My doctor after laser surgery between -1.00 and -0.50 would be a return, he said. What are your opinions?
Yes, that possibility is available. However, in 5 of 100 patients can be. In such cases, even bold face is always possible duzeltilmesinin soylemek I would.
My eyes were said to be suitable method of Lasek. But the process of improvement will be very painful and will take a long time has been specified, and frankly I did not want a little bit scared.
Lasek method of applying the 11 different ways. Patients are given a good secilirse excellent results. My intent secilmesinden good patient, to be certain conditions that patients should have yontemin is efficient.
Healing process can be very painful, but in part 1 weeks time and see may be normal. But Açisindan results, as already indicated, the patient made a good choice and a very good method Methods uygulanirsa good stop.
between 47
Is there a big difference between and Intralase Lasek is it?
With Intralase Lasek quite different things. Mukayase to them is not the right Esasinda.
I have read in my head confused about astigmatism. Laser surgery is appropriate for astigmatism and could not understand. An upper limit such as 5 or 6 numbers are mentioned. Astigmatism-specific
techniques that we have mentioned. Can I get information on this topic.
6 degree possible to treat astigmatism. Higher degrees may be treated, but the laser must be added to the surgical yontemler. Very high astigmatism may accompany different diseases. These are detailed in cikarilir control.
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The difference between the phases of the flap with the Intralase Lasik that we consider, lasik, Intralase technique behind by too
After the success of operations, we do not think has been almost no difference can not we?
First, I would like to point out that, Intralase Lasik operations dedigimiz operations is at the same time.
As you have mentioned, 2 types of devices used kaldirilirken Lasik flap operasyonlarinda.
Someone manually microkeratom other a laser'li microkeratom used, which means that we intralase.
The same operations, ie operations lasik operation but during the operation as one of the most important asamalarindan devices used flap'in kaldirilmasinda different. A special device used for manually microkeratomlar. However, some eyes microkeratom used manually used olusabilmekteydi risk.
Boyle gozlerin use Intralase inevitable.
The flap is cut and precise as cutting Laserle further azaliyor risk. But the cost difference between them will appreciate it for everyone with intralase olamiyor surgery.
Laser surgery will be done during the process because I want to be sleeping with local anesthesia instead aneztezi. Is it possible that I wonder? If not why?
Possible, of course, but the action under anesthesia for the trouble you take after anesthesia, anesthesia-free surgery than your eyes will be irritating.
Of more than 50,000 of these operations gerceklestirdim. The patients like you want to receive anesthesia oldu.
All very comfortable way of operation gecirdiler have already been satisfied. He, therefore, be comfortable.
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Intralase (intralasik) technology was applied every patient right?
All patients also go unused because the Intralase, artiriyor so the cost of lasik surgery.
Patient financial condition, opinions and expectations of the overall risk durumlarina place for handling microkeratomları kulanmaktayız intralase. This bahsettiginiz üzre with pain, yes intralase kullanilamamaktadir in every case, but from any angle is an excellent and very high teknolojidir.Bir Femtosecond laser is a laser that is, a second shot at a third of 10 to 13. Received the Nobel prize is a technology. Therefore you may safely intralase lasik. .
Do some patients being implemented as required Intralase?
In some cases been used as mandatory Intralase'in is correct. Because (eg thin Kornea'larda) risk ratio is much higher for us instead of the normal microkeratom, due to demand excellence intralase'i prefer that keratomu laser.
periodic
Wondering what to do with surgery wavefront technology
ediyorum. In Turkey, for this operation * Wavelight Allegretto
* VISX
* Zeiss 80 devices are preferred mel. 3 give information about this device?
Which is the newer, more secure, more
without risk, is used more often?
3 Would this device are comparable?
And the world, most American construction Visx the device being used.
FDA'in all approvals are available. Eye tracking and recognition systems and iris making the wrong treatment or incorrect treatment of risk has been removed. We used this equipment is 13 years. 4 defa üst modelleri ile değiştirdik hepsinde de memnun kaldık.
İkinci cihaz ihtiyacımız için farklı bir marka olsun istedik bu nedenle Zeiss'in mel-80 dedigimiz son modelini aldık, bunuda kullanmaktayiz. Bu Alman yapımı bir cihazdır. Mel- 80 inde Wavefront tedavisi vardır fakat henüz FDA onayı almamıştır.
Zeiss tan ayrılan bir kısım mühendisler Allegretto yu üretmişlerdir. Çalışma sistemi mel-80 ' e benzemektedir.
Hangi lazer daha iyidir sorusuna cevap vermek oldukça güç benim icin. Hepsi de üstün teknolojidir ve hepsinin bir takım teknik konularda üstünlükleri vardır. Örneğin, küçük miyop ve miyop astigmat vakalarında hepsi iyidir ancak hipermetrop ve yüksek miyop astigmatlarda Visx in sonucları daha iyi.
Biz vakalarımızn %75 inde Visx s-4 ü, %25 inde mel-80 i kullanmaktayiz.
Intralase yöntemi ne kadar süredir Türkiye'de uygulanıyor? Sizin bu konudaki tecrübeniz nedir?
Intralase'in gelişimini 5 yıldır takip ediyor idim. Intralase 3 sene önce Amerikan Sağlık Bakanlığı olarak nitelendirebileceğimiz FDA onayını aldı. Ben ise Nobel Ödüllü Intralase laserini 18 aydır uygulamaktayım. Türkiye'de bu cihaz ilk kez bizim kliniğimizde, ben ve arkadaşlarım tarafından kullanılmıştır.
ara
ara
İnsanların, sadece Türkiye de değil tüm dünyada, hala deney tahtası gibi kullanıldığı düşünülüyor. Bu konuda ne düşünüyorsunuz?
Gelişmiş ülkelerde araştırma ve geliştirme çalışmalarının insanlar üzerinde uygulanması çok sıkı prosedürlere bağlıdır.
Ancak gelişmemiş ve gelişmekte olan ülkelerde insanın çokta değerli kabul edilmediğini biliyoruz.
Bu bahsettiğiniz durum söz konusu olabilir. Fakat bizim uygulamakta olduğumuz laser tedavileri ile ilgili böyle bir durum söz konusu bile olamaz, kullandığımız cihazlar yalnızca Amerika da onayından geçmiş cihazlar değildir. Avrupa Birliği ülkeleri, Japonya, İngiltere gibi gelişmiş ülkelerde de onaylanmıştır ve güvenle kullanılmaktadır.
Intralase yönteminin komplikasyon riskini çok aza indirdiği söyleniyor ancak bu oran nedir 1/1000 mi ,1/10000 mi ,daha mı fazla ,daha mı az? İstatistikler ne diyor?
Lasik ameliyatlarında komplikasyonların %80'i corneal flap oluşumu esnasında olmaktadır.
Intralase bu komplikasyonları önemli derecede azaltmıştır.
Komplikasyon oranı, çalışmayı yapan hekime ve çalışmanın şekline göre değişir.
Microkeratomla gördüğümüz komplikasyonların büyük bir kısmını Intralase de görmüyoruz ancak bu ameliyatın diğer komplikasyonları olarak kabul edebileceğimiz, enfeksiyon, flap altında yabancı cisim kalması, flapte kırışıklık vs gibi komplikasyonlar olabilmektedir, Intralase bunu engellemez.
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İster Intralase yöntemi ister Klasik Lasik yöntemi uygulansın her iki yöntemde de "korneal flep" oluşturma yani gözün kornea kısmının kesilmesi söz konusu.
Bu kesme işleminde bir şeylerin hatalı yapılması ,bıçağın yada laser ışınlarının milimlik kayması, derine inmesi,alt tabakaya zarar vermesi gibi riskler yok mudur?
Söyleşinizin birisinde kör olma riski yok demişsiniz ancak ufak bir hata buna sebep olmaz mı?
Lasik ameliyatlarının en önemli aşaması corneal flapin oluşturulmasıdır. Bu esnada bazı şeylerin yanlış yapılması hastanın gözüne zarar verebilir. Bu körlükle de sonuçlanabilir. Peki ama nasıl?
Şimdiye dek literatürde 10 dan az körlük vakası bildirilmiştir. Bu vakalar LASIK'in ilk başladığı dönemlerde yani bundan 10 sene önce meydana gelmiş ve microkeratom cihazının içinde bulunan kalınlık halkasının takılmaması sonucu gözün delinmesi şeklinde gerçekleşmiştir.( Bir otomobile gaz pedalının konulup, fren pedalının unutulması gibi örnekleyebiliriz, kaza kaçınılmazdır ve kabul edilemez bir hatadır.)
Ülkemizde böyle bir komplikasyon olmamıştır ve tamamen hekim hatasıdır. Bu gün gelişen teknolojide böyle bir şey mümkün değildir.
Kesilen Flap in kalınlığı microkeratom cihazlarında + - 60 mikrona kadar değişebilmektedir. Bu Intralase de ise + - 10 mikrondur. Yani inanılmaz incelik oranında kornea yüzeyi kesilir. Kör olma riski bu bağlamda yoktur çünkü Korneaya yapılacak müdahale hesaplanırken daima maksimum güvenliğin hesap edilmesi gereklidir. Eğer bu güvenlik sınırlarına riayet edilmezse göz zarar görebilir. Bu zarardan maksat gözün kör olması değil gözün direncinin travmalara karsı azalmasıdır.
Excimer Laser shaping of the cornea in an article the first time in 1986 that it issued the American Professor. Stefan Trokel'dir.
We've worked with Stefan and Trokel did with the first surgery.
We've invited him to Turkey, and 2 times in a conference with the Turkish doctors have given to the Swiss Hotel.
Moreover, this laser surgery in 1991 about 15 years since the international meeting I attended almost all of them.
Once again, please do laser eye defects?
Between the ages of 6 and 18 defects in the eye as a great change. 18 years after the change is very small and slow. Structured treatment does not stop this change. PRK is the first laser treatment method is back in the patients was 10%. Now back with new methods of treatment, the level can be neglected.
Wavefront, such as LASIK eye surgery is relatively new. You can create side effects of surgery in the future is that? And how about this?
Laser treatment is applied worldwide for 15 years, the world's most common surgery is made. And the world's most successful, patient satisfaction is the highest surgical methods:
We know all the side effects and adverse effects of patient selection, the treatment is done in good shape at very low levels. Side effects will occur in the future, I do not think different. But perhaps the new technologies, new treatment methods will be developed. Laser treatment of genetic therapy, but I think that will help to prevent.
Until now, few have done laser application?
Clinics with our friends in total 120,000, of more than 50,000 individual as we have managed to perform laser application.
I am so afraid to be excited by laser.
Laser therapy, a drop of eye drops does not require general anesthesia and the treatment period by a maximum of 10 minutes treatment.
All phases of the laser to tell patients. Physicians who rely on and believe that the patient's fever is reduced automatically. Sedative drugs and excitement rarely give a corrector. Until now, because of fear and excitement of a patient who did not give up surgery
What is the success rate of the laser do?
Success is a relative concept. Patient satisfaction is expressed by our patients less grouchy. Meet the expectations of patients and does not meet that depends. However, we success + - 0:50 + or - to stay within 1 diopter test as expressed in ederiz. By 99% to 90% degree of success Miyopinin between changes.
Lasik treatment method, which improved after treatment and how long will it take to have pain?
Lasik treatment is not painful, but after 3 - 4 hours of watering can be burning and sinking.
2 days old in the treatment of PRK is the pain was too severe.
A new method in the 3-day decline Lasek treatment, mild degree of pain, watering and burning complaints are
Which do you use a laser and camera
What is it?
We developed the world's Turkey Hospital eye clinic, the best use two different lasers.
One "Ziess" company that developed the model in 2005 MEL-80, one of America's largest companies VİSX, Corporation. Moreover, the Intralase laser. Technology received the Nobel prize Buda is an American laser.
Laser application in Turkey, where doctors are learning?
In this regard, Turkey is in the hospital, prepared with the Excimer Laser surgery with peer application describes considerations to be aware yöntemeleri "Lasik" Our books, all read by colleagues and published in English is the only reference book. Theoretical information in this book provides up-to-date and efficient as, application and practice is described. Many books are written in foreign languages are available.
The meeting of the Association of Ophthalmology of the important topics of laser treatment. Also in this issue of Turkey Hospital eye clinic developed hundreds of practical knowledge of our physicians are clinical reference.
Is that a result can be guaranteed for?
There is no warranty that any medical treatment. I can not say 1 hour after yaşacağınızı. However, you can give statistical information. Therapy can provide information about your possible side-effects. Therapy can provide information about the results.
Laser surgery is the price difference is there is an effect on the quality of the surgery?
Laser surgery is the key factor of success 3.
1. new technology
2. the best use of this technology in terms of
3. 1 physician trained in this area
They have a cost. And this cost is a significant cost. All organs of the body is precious. But gözün place is completely different. Will use this precious life of an organ can not be considered in the treatment of tassaruf. Therefore I can not understand the cheap treatment
Laser treatment in Turkey is the doyen Who?
Excimer Laser treatment clinic in Turkey, we started our first (Turkey Hospital eye clinic). Dr. And Dr Sinan Göker. And simultaneously the common clinical Bozkurt Sener Dr. Moved to treatment in their own clinical Emrullah is of the first start. And yet these friends (which would include kendimizide) Laser treatment is among the doyen.
Technology and new devices are constantly renewed. Starting out in practice. Is it enough yet to try this device may not have been?
Sure can. Very true. But we are not a proven international quality equipment and treatment methods do not strictly apply.
How many have your clinical doctoral education?
More than 100 eye doctors have shared our information with our friends.
What is Wavefront? Is that a different method is surgery?
Wavefront is a surgical method, an application form. Cornea of the eye, not the breaking point as hundreds of defects in bulk single laser le is measured from the point, is the map. This is a topographer.
Accordingly, a special treatment is done, and people. In this way, with visual disturbances or image to be hair (aberration) is treated to obtain a better quality vision. Often this vision, the spectacle is to see more clearly. Therefore this treatment kartal eagle eye treatment or eye de (eagle eye) is called.
What is called Intralase laser treatment?
Lasik in the treatment of 1st 160 microns thickness, similar to stage a flap in the creation of contact lenses, 2 Excimer Laser treatment is the stage of le defects.
This flap job creation (ie the cornea of the eye to remove the contact lenses in the form of action) with a device called microkeratome is a mechanical process. For this, special knives are used. The quality of the knife is extremely important. Because the highly sensitive job is a job. Deposited 90% of the side effects of Lasik mikrokeratomla occurs during layer to remove.
Very advanced device with a standard microkeratome to create a treatment. Removal of the layer, the flap thickness, diameter, it is desirable standards. Flat cornea, the steep cornea, the thinner the cornea, there are difficulties. Intralase is a new technology. Ministry of Health of USA (FDA) has received a license in 2004, a 0 in the flap preparation had side effects. Any risk can be applied easily. In diameter and thickness desired in the flap can be obtained. Extremely reliable, a new and modern look yöntemdir.bütün been advised of the defects just mentioned diopter of 40 (degrees) below the flat cornea in the steep 47 diopter on the cornea, the farsighted and always should be used in mixed astigmatism. Great, but unfortunately is an expensive treatment method.
Does laser treatment in the U.S.?
We all have to apply methods of treatment with the approval of the U.S. Department of Health is being implemented in the U.S..
How far can correct myopic?
Excimer laser with 12 degree miyopiyi method
It is possible to correct higher-eye can be corrected, but additional actions are required kusurlarıda.
What if my eyes played during the treatment?
Patient, "or if I play my eyes," he is concerned. Patients do not need the help. Eyes can play as many times as you want. Technology is no longer minimize the risk. During surgery, electricity is cut off, as the earthquake, the system is almost self-locking, then we go on "
Is that all you can do laser eye doctor?
Eye is a great booze. It's exactly all it is not possible to grasp a single physician. Between the eye itself is divided into many branches. If an eye doctor is not possible to do the laser surgery. In this regard, the theoretical and practical training is a must.
The following sections of Ertuðrul Pearl Laser treatment in Turkey with Newspapers
ropörtajından were related.
Click for full Ropörtaj ...
The following sections of Ertuðrul Pearl Laser treatment in Turkey with Newspapers
ropörtajından were related.
Click for full Ropörtaj ...
Who can be operated with the laser, can be treated?
There are three group patients.
First, medically necessary for the disease in two if there are defects of the eye between the eyes.
0 of 4 is one of numbers. You can not balance with the glasses.
5-6 numbers out over the treatment of eye defects is required, because to remove the glasses can not walk in the house. Such patients should be operated. Eye of the illness, stains remain, patients should be treated.
In the second group, "social indication" that the phrase is. For any reason they can not do with the profession of glasses are they. Athletes, soldiers, pilots, divers say.
Most of patients' psychological indication "he is the group that, for some reason aesthetic concerns olanlarHerhangi do not want to wear glasses. Bored, and is a headache. Write to the dust, says tired of winter and the mist on my face is not worthy, my nose is also another way to disrupt "
Did you know the way this treatment been applied to everyone ... I've heard from an easy application, Is it really so ...
Various ways and all kinds of laser can treat eye defects.
Patients must have completed 18 years of age. No upper age limit. You can apply up to the age of 60-70.
Another eye disease, dry eye in an advanced level, such as rheumatic diseases do not have eyes.
Contact lenses are used according to the type of lens should be a minimum of 7 days previously issued. After that, the decision of the physician. The treatment is extremely simple.
Ten minutes would be a two-eye surgery, 2-3 hours is starting to see enough to drive a car. To work the next day, you can go home.
Almost all of the treatment of eye defects Laserle may have become. Nearsighted, you have astigmatism, you are farsighted, you mixed astigmatism. One problem seems to be emerging after 45 years of near vision problems. I need to work a little more for the treatment of old age hipermetropisinin
As sensitive as a body of work in the eyes without thinking, people can not share the risk. This method Is it safe?
If there is a small risk of treatment if patients do not.
Alternative treatments are directed to.
To do this the application infrastructure, information and skills is required. Disease is well-known and need to decide right. If you make one of these mistakes will cause damage to the patient.
Is a permanent loss
How this operation the patient is being prepared ... Is that local anesthesia is applied?
Oral anesthesia are doing. Patients are coming in too afraid, will not be any pain, the risk does not explain the relief.
Half of the work is itself already Doktora trust. Eye drops that are a drop. If you're scared you sedate.
Patient, "or if I play my eyes," he is concerned. Patients do not need the help. Eyes can play as many times as you want. Technology is no longer minimize the risk. During surgery, electricity is cut off, as the earthquake, the system is almost self-locking, then we go on
For many years, people with thick glasses after the surgery are living what ...
Patients are confused after surgery. After surgery "is history" he can not believe is over.
Will see around a little myopic, grew by around after surgery, the astonishment and joy is. Who wear glasses, glasses for a long time to wake up the morning they are told.
Treatment is not appropriate to say is that among patients who cry ...
Patients will know how the quality and selection of hospitals to do so ...
Team work with experienced clinics are required to choose.
Reduce profit margins in a competitive environment but to a certain figure in the bottom of the renewal, you do technology, you can not use enough material.
Laser surgery is not cheap!
Consumables used in the eye of each patient has a cost that is available. Now this turned into an economic race. Prices below the cost of that equipment is operated. It is necessary to warn patients. Supplies to be used for an eye, the three eyes, four eyes, five, you can apply on the eye.
In the end, "I'll get rid of glasses" we would see a decrease in your quality.
There are many eye hospital in Turkey. And these new ones are added. As a profitable patients do not have too much you see?
Approximately 40 percent of society have eyes flaw. Maybe the future will be possible to prevent genetic, but as for now the fourth child born on the vision impairment is available. I used to wear glasses or contact lenses have to be treated by. More or less do not have eyes, nobody is defects. Great changes and developments have Gözde.
Laser surgery to have started in the hospital and in 1992 Turkey became a huge demand. Eye hospital in the opening of the success of Turkey in the hospital I think is effective. This progress towards European Union, which Turkey is a good development. Competition is the motor power of each development. Competition, but it is ethical.
To make a business, scientific background information, to track developments, should be able to manage complications. By ignoring these factors, "we'll do the job" and only machine and receive the ad by making believe that desirable health services can not be granted.
You have mentioned a very fast development. Who in the world on this front ...
All of the countries of the world have contributed to the development of this business.
The world's information is collected at a location, right in front of America in this business. But before we began this treatment in America. I believe that our experience of them more than us. Because the Ministry of Health much more conservative in America.
This treatment control and follow-up was five years. We began in 1992 with European countries for treatment, was started in America in 1998.
Wavefront method is now point "super vision" to provide. We also have eagle eyes. Eliminate defects in the eye is seeing very high levels of interest and can see the ratings ..
The following section Ferhan Kaya Poroy / Oya's Mail newspaper for Özdilek with the laser treatment has been iglili ropörtajlarından.
Click for full Ropörtaj
The following section Ferhan Kaya Poroy / Oya's Mail newspaper for Özdilek with the laser treatment has been iglili ropörtajlarından.
Click for full Ropörtaj
Is it possible to get rid of the glasses with the surgery?
Dr. TOP: We as a commercial establishment, but would act as a health kurulşu.
Who wants to get rid of glasses, of course, we all do not do surgery.
In this type of surgery, we observed that patients who need urgent surgery will not apply. The person's request, a moment ago to get rid of glasses.
Careful at this stage what the doctor and the patient's life and thought of the next period, a decision should not harm him. "Refraction surgery" for surgical operations to eliminate defects in the eye doctor is a very important initiative.
Who may be surgery?
Dr. PER: First, patients need to be carefully examined. Retina of the eye is checked. Do you have been in the retina, has torn right, do you have holes in their examinations are made. The cornea in the eyes of the transparent layer is removed topogrfaik methods map. Do you have a favorite slimming, tears Does the system work correctly, do you have dry, they will look carefully. After making all kinds of research which is the second stage. A person's eye-zero, the other eye is number 7, that person must necessarily be an operation. Because there are large differences between the two eyes and this person is disturbing.
Others require surgery to be a reason is the social factor. An example is used as eye glasses because of defects in the profession can give. For example, developers ample basket, divers can not work with glasses. Another group who should have surgery Mutlaka the glasses because of the psychological disorders are heard. People can not adapt to eyeglasses. Glasses or earthquake If you think the offensive stopped, my glasses are broken, such as having concerns.
Psychological or social reasons in the decision to have surgery patients with later stages of what will?
Dr. PER: At this stage the patient is suitable for surgery and the percentage of risk is determined. For example, patients have a defect in the eye, but the 10 numbers, 5 numbers, but there is no risk to be minimized. Been observed on the 5 to numbers more increases the risk. In such a case, we "are not suitable for this treatment" they are called. A patient's retina, for example, if you do not have a slimming. In this way, many patients have to be upset. But we would warn their patients.
A person should not be operated if surgery reveals what problems?
Dr. TOP: The first stage occurs at a bad result, but then started to see deterioration in the quality.
If you have holes in the retina, a greater than two years later, tears may occur. Corneal been more then, the patient may be forced to make eye transplant surgery.
This operation is not necessarily to be done for patients at risk in any way should not encroach.
Under the decision of the examination before the surgery how long is?
Dr. PER: takes about two hours: that in all the tests and doctor's examination is included.
A specific age limit for this type of surgery there?
Dr. PER: 18 years of age must have completed an upper limit, but things are even yok.80 year-old patient.
The reason for the lower limit, in particular showing an increase until the age of 18 is myopic. However, the progress of 18 is quite low.
This operation Is there a risk of losing the eye?
Dr. TOP: This is not a risk would be blind in the operation.
Although it can not even ask the doctor can say.
This operation increased the risks are two important elements. First surgery the doctor's knowledge level. The business must be well aware and experienced. The second of used equipment and maintenance of modern equipment should be made. This part of the device must be changed in certain period of time. But institutions do not give importance to it, with a longer duration of surgery will decrease the quality of her work gets done. This can not evaluate the quality of the patient. Therefore, the job security is very important. Patient and physician to establish a trust will do the job must be.
What is a preparation before surgery?
Dr. PER: First, patients wear contact lenses are soft lenses 7, semi-soft lenses for 15 days previously issued want hotfix.
Because lens and cornea of the water, the amount of cash during surgery can remove the problem. Therefore, patients are recommended during this time the nickname glasses.
Patients with the course of disease, it is informative 10-15 minute speech. Decision to again leave the surgery patients. Surgery as patients in the clinical encounter, we can tell all kinds of things.
What is going on in the surgery?
Patients are taken to the operating room. Hair is inserted into a bone. And are given slippers or shoes with a sterile rubbers having apron. Patients are coming on foot and will be operated above lies back on the table.
This is different from a classical operating environment. Patients want to look into a laser light spot. We're starting a special tool and review process would remove a small part. First, we do have a look, takes two minutes. Patients do not feel no pain. Too shy to make the patient calm and quiet give diazem types. Patients look into the water table up like when you see blurry, when viewed from the outside is flush.
Eye defects which are treated with this surgery? Do you nearsighted farsighted, or astigmatism?
Dr. PER: in 1992 alone treatment was shortsighted. Then become myopic astigmatism was also treated. Hypermetropia in 1997, then began to treat the hypermetropic astigmatism.
These days 95 percent of people with eye defects are treated. Using Excimer Laser - +12 degree myopia, 6 degree astigmaztizma, + 6 can be treated hipermetropiyi degree. May require additional methods to higher defects. The same is valid for all time.
Then see how long it is clear?
Dr. PER: 3-4 hours later to see the percentage of patients can reach 70 and get a car to use until the visibility can be.
Is diabetes the surgery is done?
Dr. PER: Sugar is needed in patients with a little more careful. Because the risk of infection with the control of sugar should be the opener. Carefully controlled and can be treated in a way from them.
periodic
I've seen none of this operation myopic eye doctors apply their, all glasses are used.
9 look doctor's surgery is klinigimizde our friends know. Personally, I've realized surgery doctors have friends. These doctors also look hereby would like to point out olduklarini Laser surgery.
Why doctors use eye glasses glasses to ask them "for future treatment of cataract is interfering in the" type of answers they give. I believe ordinary citizens as well in case I had to, in the end, the subject will know better than I am not an eye doctor. However, the scientific as you are for your page was satisfactory. What is your comment on this subject?
Laser surgery gozlerinde ones in the future olusmasi likely, their cataract surgery if the problem yasayacaklari dogrudur results.
Cataract within mercegin look anything dedigimiz and opaklasmasidir disturbance. We failed ameliyatlarinda cataract lenses mercegi cikarip artificial yerlestiriryoruz instead. The corneal front surface mercegin determined Yerlestirdigimiz number caplarindan are exploited. However, laser surgery on a patient to become the front surface bahsettigimiz cornea degismektedir in diameter. This causes some errors in yerlestirilen artificial olusabiliyor number mercegin.
I would like to point out that the new calculation methods and new technologies developed from this problem completely kaldirmistir. However, we do olcumleri will appreciate that the devices are quite expensive and this device with Turkey sartlarinda her look doctors olamiyor. Specialized centers in major ameliyatlari laser now has a more common way kullanilacagini hope future devices. Make your own devices for 5 years is used klinigimizde bahsettigim measurement instruments available, and 2.
This baglamda, artik laser
cataract surgery patients gecirmis problem yasamamaktadirlar a ameliyatlarinda
periodic
LASIK eye doctor on operations (to you) Do you know there are problems and we do not know us?
I would liken nacizane Lasik operation elektirige we use at home. What if you know where and how the electric kullanacaginizi house isitabilir, no danger at home and having the machines do not calistirabilirsinzi.
Eliminate defects in more than 10 different Laserle eye surgery procedures available. What is important here is the implementation of the eye but not the method kararidir.
If you decide right here, no damage is observed. I also want soylemek presented that all the other countries of the world, including Lasik is the very beginning ameliyatlarin applied.
Night vision after laser eye surgery is not properly hear from many people. When asked in an eye doctor is correct that, at night around the light source of the water olcağını, said it is impossible to fix. Does it correct?
Eyeball diameter than the treatment of the region made little significant problem in view of the night out.
It is possible to correct for.
But such a treatment method to apply the complaints should not occur. If the treatment or alanine zonunu from pupilla problem that you mentioned look bebeginden wider tutarsaniz absolutely uninhabitable.
Here you decide the level of knowledge and experience of the physician is important
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My doctor after laser surgery between -1.00 and -0.50 would be a return, he said. What are your opinions?
Yes, that possibility is available. However, in 5 of 100 patients can be. In such cases, even bold face is always possible duzeltilmesinin soylemek I would.
My eyes were said to be suitable method of Lasek. But the process of improvement will be very painful and will take a long time has been specified, and frankly I did not want a little bit scared.
Lasek method of applying the 11 different ways. Patients are given a good secilirse excellent results. My intent secilmesinden good patient, to be certain conditions that patients should have yontemin is efficient.
Healing process can be very painful, but in part 1 weeks time and see may be normal. But Açisindan results, as already indicated, the patient made a good choice and a very good method Methods uygulanirsa good stop.
between 47
Is there a big difference between and Intralase Lasek is it?
With Intralase Lasek quite different things. Mukayase to them is not the right Esasinda.
I have read in my head confused about astigmatism. Laser surgery is appropriate for astigmatism and could not understand. An upper limit such as 5 or 6 numbers are mentioned. Astigmatism-specific
techniques that we have mentioned. Can I get information on this topic.
6 degree possible to treat astigmatism. Higher degrees may be treated, but the laser must be added to the surgical yontemler. Very high astigmatism may accompany different diseases. These are detailed in cikarilir control.
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The difference between the phases of the flap with the Intralase Lasik that we consider, lasik, Intralase technique behind by too
After the success of operations, we do not think has been almost no difference can not we?
First, I would like to point out that, Intralase Lasik operations dedigimiz operations is at the same time.
As you have mentioned, 2 types of devices used kaldirilirken Lasik flap operasyonlarinda.
Someone manually microkeratom other a laser'li microkeratom used, which means that we intralase.
The same operations, ie operations lasik operation but during the operation as one of the most important asamalarindan devices used flap'in kaldirilmasinda different. A special device used for manually microkeratomlar. However, some eyes microkeratom used manually used olusabilmekteydi risk.
Boyle gozlerin use Intralase inevitable.
The flap is cut and precise as cutting Laserle further azaliyor risk. But the cost difference between them will appreciate it for everyone with intralase olamiyor surgery.
Laser surgery will be done during the process because I want to be sleeping with local anesthesia instead aneztezi. Is it possible that I wonder? If not why?
Possible, of course, but the action under anesthesia for the trouble you take after anesthesia, anesthesia-free surgery than your eyes will be irritating.
Of more than 50,000 of these operations gerceklestirdim. The patients like you want to receive anesthesia oldu.
All very comfortable way of operation gecirdiler have already been satisfied. He, therefore, be comfortable.
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Intralase (intralasik) technology was applied every patient right?
All patients also go unused because the Intralase, artiriyor so the cost of lasik surgery.
Patient financial condition, opinions and expectations of the overall risk durumlarina place for handling microkeratomları kulanmaktayız intralase. This bahsettiginiz üzre with pain, yes intralase kullanilamamaktadir in every case, but from any angle is an excellent and very high teknolojidir.Bir Femtosecond laser is a laser that is, a second shot at a third of 10 to 13. Received the Nobel prize is a technology. Therefore you may safely intralase lasik. .
Do some patients being implemented as required Intralase?
In some cases been used as mandatory Intralase'in is correct. Because (eg thin Kornea'larda) risk ratio is much higher for us instead of the normal microkeratom, due to demand excellence intralase'i prefer that keratomu laser.
periodic
Wondering what to do with surgery wavefront technology
ediyorum. In Turkey, for this operation * Wavelight Allegretto
* VISX
* Zeiss 80 devices are preferred mel. 3 give information about this device?
Which is the newer, more secure, more
without risk, is used more often?
3 Would this device are comparable?
And the world, most American construction Visx the device being used.
FDA'in all approvals are available. Eye tracking and recognition systems and iris making the wrong treatment or incorrect treatment of risk has been removed. We used this equipment is 13 years. 4 defa üst modelleri ile değiştirdik hepsinde de memnun kaldık.
İkinci cihaz ihtiyacımız için farklı bir marka olsun istedik bu nedenle Zeiss'in mel-80 dedigimiz son modelini aldık, bunuda kullanmaktayiz. Bu Alman yapımı bir cihazdır. Mel- 80 inde Wavefront tedavisi vardır fakat henüz FDA onayı almamıştır.
Zeiss tan ayrılan bir kısım mühendisler Allegretto yu üretmişlerdir. Çalışma sistemi mel-80 ' e benzemektedir.
Hangi lazer daha iyidir sorusuna cevap vermek oldukça güç benim icin. Hepsi de üstün teknolojidir ve hepsinin bir takım teknik konularda üstünlükleri vardır. Örneğin, küçük miyop ve miyop astigmat vakalarında hepsi iyidir ancak hipermetrop ve yüksek miyop astigmatlarda Visx in sonucları daha iyi.
Biz vakalarımızn %75 inde Visx s-4 ü, %25 inde mel-80 i kullanmaktayiz.
Intralase yöntemi ne kadar süredir Türkiye'de uygulanıyor? Sizin bu konudaki tecrübeniz nedir?
Intralase'in gelişimini 5 yıldır takip ediyor idim. Intralase 3 sene önce Amerikan Sağlık Bakanlığı olarak nitelendirebileceğimiz FDA onayını aldı. Ben ise Nobel Ödüllü Intralase laserini 18 aydır uygulamaktayım. Türkiye'de bu cihaz ilk kez bizim kliniğimizde, ben ve arkadaşlarım tarafından kullanılmıştır.
ara
ara
İnsanların, sadece Türkiye de değil tüm dünyada, hala deney tahtası gibi kullanıldığı düşünülüyor. Bu konuda ne düşünüyorsunuz?
Gelişmiş ülkelerde araştırma ve geliştirme çalışmalarının insanlar üzerinde uygulanması çok sıkı prosedürlere bağlıdır.
Ancak gelişmemiş ve gelişmekte olan ülkelerde insanın çokta değerli kabul edilmediğini biliyoruz.
Bu bahsettiğiniz durum söz konusu olabilir. Fakat bizim uygulamakta olduğumuz laser tedavileri ile ilgili böyle bir durum söz konusu bile olamaz, kullandığımız cihazlar yalnızca Amerika da onayından geçmiş cihazlar değildir. Avrupa Birliği ülkeleri, Japonya, İngiltere gibi gelişmiş ülkelerde de onaylanmıştır ve güvenle kullanılmaktadır.
Intralase yönteminin komplikasyon riskini çok aza indirdiği söyleniyor ancak bu oran nedir 1/1000 mi ,1/10000 mi ,daha mı fazla ,daha mı az? İstatistikler ne diyor?
Lasik ameliyatlarında komplikasyonların %80'i corneal flap oluşumu esnasında olmaktadır.
Intralase bu komplikasyonları önemli derecede azaltmıştır.
Komplikasyon oranı, çalışmayı yapan hekime ve çalışmanın şekline göre değişir.
Microkeratomla gördüğümüz komplikasyonların büyük bir kısmını Intralase de görmüyoruz ancak bu ameliyatın diğer komplikasyonları olarak kabul edebileceğimiz, enfeksiyon, flap altında yabancı cisim kalması, flapte kırışıklık vs gibi komplikasyonlar olabilmektedir, Intralase bunu engellemez.
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İster Intralase yöntemi ister Klasik Lasik yöntemi uygulansın her iki yöntemde de "korneal flep" oluşturma yani gözün kornea kısmının kesilmesi söz konusu.
Bu kesme işleminde bir şeylerin hatalı yapılması ,bıçağın yada laser ışınlarının milimlik kayması, derine inmesi,alt tabakaya zarar vermesi gibi riskler yok mudur?
Söyleşinizin birisinde kör olma riski yok demişsiniz ancak ufak bir hata buna sebep olmaz mı?
Lasik ameliyatlarının en önemli aşaması corneal flapin oluşturulmasıdır. Bu esnada bazı şeylerin yanlış yapılması hastanın gözüne zarar verebilir. Bu körlükle de sonuçlanabilir. Peki ama nasıl?
Şimdiye dek literatürde 10 dan az körlük vakası bildirilmiştir. Bu vakalar LASIK'in ilk başladığı dönemlerde yani bundan 10 sene önce meydana gelmiş ve microkeratom cihazının içinde bulunan kalınlık halkasının takılmaması sonucu gözün delinmesi şeklinde gerçekleşmiştir.( Bir otomobile gaz pedalının konulup, fren pedalının unutulması gibi örnekleyebiliriz, kaza kaçınılmazdır ve kabul edilemez bir hatadır.)
Ülkemizde böyle bir komplikasyon olmamıştır ve tamamen hekim hatasıdır. Bu gün gelişen teknolojide böyle bir şey mümkün değildir.
Kesilen Flap in kalınlığı microkeratom cihazlarında + - 60 mikrona kadar değişebilmektedir. Bu Intralase de ise + - 10 mikrondur. Yani inanılmaz incelik oranında kornea yüzeyi kesilir. Kör olma riski bu bağlamda yoktur çünkü Korneaya yapılacak müdahale hesaplanırken daima maksimum güvenliğin hesap edilmesi gereklidir. Eğer bu güvenlik sınırlarına riayet edilmezse göz zarar görebilir. Bu zarardan maksat gözün kör olması değil gözün direncinin travmalara karsı azalmasıdır.
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