EVO ICL Surgery Suitability Screening
₱ 15,077.00
EVO ICL Surgery Suitability Screening.
This extensive screening package is used by individuals desiring EVO Visian ICL or EVO Viva ICL phakic lens implantation surgery.
This package is a combination of the following exams:
- Refractive Surgery Suitability Screening Package
- Dry Eye Screening Package
- Optos Ultra Wide-Field Color Fundus Photos
- Ultrasound Biomicroscopy
Once the package has been purchased, please book your visit at http://eye.com.ph/book.
OCULAR HISTORY AND EXAMINATION
PERSONAL INFORMATION.
Your personal information will be logged into the electronic medical records.
CLINICAL HISTORY.
Clinical history taking will be performed. Your ophthalmic history, medical history, and family history will be reviewed. Please take note of all the medications that you rare currently taking.
PRESCRIPTION GLASSES.
Please hand over all of your current prescription eye glasses so that our optometrist may record the power.
VISION AND REFRACTION.
Your visual acuity will be taken with and without your current prescription eye glasses. Automated refraction, manual/manifest refraction and dilated/cycloplegic refraction will be done. All these measurements are critical in determining your best potential visual acuity.
SLIT LAMP BIOMICROSCOPY.
Your eyelids, eyelashes, and the anterior segment (conjunctiva, cornea, pupil, iris, and lens) of your eye will be examined with a slit beam of light. This examination is performed to search for lid and lash conditions, corneal diseases, pupil and iris abnormalities, and lens status.
OCULAR SURFACE EVALUATION.
Fluorescein dye applied on your eye will be used to examine the ocular surface for signs of dry eye disease. Your tear break up time (TBUT) will be measured. In some instances, the use of a Rose Bengal or Lissamine Green dye strip may be necessary.
APPLANATION TONOMETRY (Haag Streit Goldmann).
A topical anesthetic, proparacaine, will be instilled into your lower eye lid pocket in order to numb your eye. A fluorescein dye will be used together with a cobalt blue filter to measure your ocular pressure. Your eye pressure will be correlated with your corneal thickness. This examination is used to screen for glaucoma.
OCULAR DIAGNOSTIC TESTS
PUPILLOMETRY (Oasis Medical Colvard)
An infrared pupillometer will be used in a dark room to check for your pupil size at night. This will assist us in selecting an appropriate optical zone for best night vision. This examination is performed prior to pupil dilation.
OPTICAL BIOMETRY (Zeiss IOL Master)
Your ophthalmic ‘time capsule’ will be taken to secure your pre-refractive surgery corneal curvature and eyeball length. This will be useful once you have cataract surgery in the future. This examination is performed prior to pupil dilation.
SPECULAR MICROSCOPY (Topcon)
This measures endothelial cell density (ECD). Low ECD is a risk factor for refractive (corneal and cataract) surgeries that can be missed without the use of a specular microscope. This examination is performed prior to pupil dilation.
CORNEAL TOPOGRAPHY (Zeiss Atlas Pathfnder)
The corneal curvature is measured using this diagnostic test. It will show the flat and steep areas of your cornea. This helps in screening for keratoconus, which is a contraindication to laser refractive laser surgery. This examination is performed prior to pupil dilation.
SCHEIMPFLUG ANALYZER (Oculus Pentacam)
This is an improved version of a corneal topographer. It has the benefit of giving refractive surgeons more information on the curvature and thickness of the cornea. It is very useful in identifying even early keratoconus. This examination is performed prior to pupil dilation.
ABERROMETER (Zeiss WASCA)
Think of this as a super automated refraction machine. Traditionally our refractive errors are determined using an auto refractor, phoropter, or trial lenses. These are able to determine the amount of myopia, hyperopia and astigmatism. However, our eyes as an optical system have higher wavefront measurements that are of consequence to the quality of our vision. The wavefront aberrometer measures the way a wavefront of light passes through the cornea and the crystalline lens, which are refractive components of the eye. Distortions that occur as light travels through the eye are called aberrations, representing specific vision errors. This examination is performed before and after pupil dilation.
OCT MACULA (Zeiss Cirrus OCT )
A special photo of the macula is taken with this machine. The macula is responsible for the central 30 degrees of functional vision. So a fully functioning macula will allow us to see the face of an individual who we are looking at. If this is diseased, we will see a central obstruction in vision. This examination is performed before or after pupil dilation.
OCT OPTIC NERVE (Zeiss Cirrus OCT)
A special photo of the optic nerve is taken with this machine. The optic nerve may be damaged because of glaucoma. Early detection is possible with this diagnostic test. This examination is performed before or after pupil dilation
DRY EYE PACKAGE
Dry eye package examinations including tear break up time, Meibomian Gland examination, Eye lash examination, tear miniscus height measurement.
OPTOS WIDE-FIELD FUNDUS PHOTOS
Non-dilated wide-field fundus photos for general screening of the retina.
ULTRASOUND BIOMICROSCOPY (UBM)
High definition examination of the following measurements: corneal thickness, anterior chamber depth, angles, sulcus-to-sulcus.
DILATED FUNDUS EXAMINATION
Dilating ophthalmic drops will be instilled into your lower eye lid to make your pupils dilate. It usually takes around 30 minutes to achieve full pharmacologic pupillary dilation. Dilation will allow us to examine your retina for congenital/acquired posterior segment diseases. We can see retinal tears/holes, macular degeneration, optic nerve diseases, among other things. The presence of any posterior segment condition may disqualify one from having refractive laser surgery. This is performed by Dr. Roque at the end of the refractive surgery screening process.
REFRACTIVE COUNSELING
Dr. Roque will evaluate the results of your refractive surgery screening and determine if your eyes are fit to undergo refractive surgery. It is at this time that you will be able to ask all your questions about the possible surgical options. If you are accompanied by a decision maker prior to surgery, you may have this person join you for this session.
Related products
ReLEx SMILE
₱ 135,318.00We are proud to offer the latest generation premium minimally-invasive laser refractive surgery procedure for patients with nearsightedness and astigmatism, VisuMax ReLEx SMILE (Small Incision Lenticule Extraction). This is a flapless, bladeless form of laser eye surgery which effectively turns laser eye surgery into a keyhole or pocket procedure. Patients with very high prescriptions, drier eyes, contact lens intolerance and/or thinner corneas may now be qualified for surgery.
Laser refractive surgery procedures using the Excimer Laser such as PRK (Photorefractive Keratectomy) and LASIK (Laser Assisted in-situ Keratomileusis) and have been successfully performed on several millions of patients over the past two decades around the world. These procedures are very effective in restoring spectacle-free clear vision with a few associated issues such as delayed visual recovery and discomfort in PRK and corneal flap complications in LASIK.
Refractive Lenticule Extraction (ReLEx) in the form of SMILE was developed by Carl Zeiss Meditec to address Excimer issues with the VisuMax Femtosecond laser platform.
During the procedure, eye anaesthetic drops are used to completely numb the eye, and the state-of-the-art Carl Zeiss VisuMax laser places a series of pulses in the centre of the cornea with extraordinary 3D placement accuracy. These pulses form bubbles that are less than 1/100th the width of a human hair, and which outline the tissue that needs to be removed to effectively change the shape of the cornea. The laser then creates a tiny connecting tunnel through which the surgeon draws out this tissue.
With ReLEx SMILE, no flap is created, so the healing time is faster than conventional LASIK. The procedure takes a matter of minutes, and the vision is 80% better instantly and reaches 100% within a few days. No other laser platform has been able to match the accuracy of the Carl Zeiss VisuMax (which is accurate enough to inscribe a word on a grain of sand) in producing this keyhole type of laser eye surgery.
Ultrasound Biomicroscopy
₱ 4,828.00Ultrasound Biomicroscopy is a technique used for imaging of the anterior segment of the eye.
Clinical Applications for phakic IOL implantation (EVO ICL)
- Corneal thickness
- Anterior chamber depth
- Angle opening distance
- Angle recess area
- Lens vault
- Sulcus to sulcus measurement
This package is for both eyes. One eye test may be done, at half the price.
Location: St. Luke’s Medical Center Global City Tan Eng Gee Eye Institute
Contrast Sensitivity
₱ 680.00Contrast sensitivity test measures a person’s ability to detect low contrast images. This is helpful in grading cataract progression and assessing functional vision.
This package is for both eyes. One eye test may be done, at half the price.
Location: St. Luke’s Medical Center Global City Tan Eng Gee Eye Institute
