Dr. Jordan Pulas - Surgeon Ophthalmologist



   Dr. Jordan Pulas - surgeon ophthalmologist

    Refractive Surgery
    Phakic Lenses
    Myopia-Hypermetropia      with Laser
    Astigmatism Surgery


In normal eyes the transparent lens is located behind the iris,its functional purpose is to focus the emerged light from the surrounding space on the retina (fig. 1). The progressive cloudiness of the normal transparent lens is called Cataract (fig. 2). It starts as a whitish spot and in time ends up in a solid white lens named Mature Cataract.

The initial symptoms are: blurred images, halos around lights and poor colour discrimination, which after some years leads in complete loss of vision. The more frequent cause of Cataract is the ageing of human organism. In rare cases Cataract may present at birth (Congenital Cataract), after long-lasting reception of medication, after eye injuries and as consequence of chronic eye and systematic diseases.
The only effective way of treatment is the surgical removal of Cataract and the implantation of a synthetic lens at the same place, where it was located the blurred lens. Today with the modern surgical methods that are in practise (phacoemulsification), the Cataract can be removed successfully at the initial stages, long before maturation. The success rate of the surgery is very high and the re-establishment of vision approaches the physiological levels.

The applied method of anaesthesia is called "Topical anaesthesia with drops" and it is the most modern method of anaesthesia in Cataract surgery.

It is completely painless, because the anaesthetic is administered in form of drops and no in painful injections.
The results are impressive, the patient may see few hours after surgery without any bruises or swelling in the eyelids.
The cataract is removed with a special instrument of ultrasounds and the utilised technique is named Phacoemulsification.
From a small incision of 3.0 mm, the Cataract is emulsified and aspirated through a small needle tip that is inserted inside the eye.(fig. 3)
In the continuity without enlarging the incision, a special foldable lens is implanted inside the eye.

The small incision is left without sutures and heals in most cases in two weeks.
The intraocular lens remains in the eye forever.(fig. 4)
The advantages of the method are: very short time of hospitalisation and quick recovery of vision, enabling the patient to regain his or her daily activities very soon.

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