Ophthalmology Dexeus University Hospital

Área Oftalmológica Avanzada heads the ophthalmology department of Hospital Dexeus in order to provide our patients with the best quality of care and a hospital ophthalmology to the extent that eye diseases are related to other specialties and multidisciplinary control is necessary.

Additionally, we have operating rooms with updated technology and research laboratories for the development of new therapies, such as those referring to the regenerative therapies of retina, cornea and ocular surface or for the refractive surgery and Cataracts, with the new laser and micropulsed ultrasound.

Ophthalmology Dexeus University Hospital

Área Oftalmológica Avanzada directs the department of ophthalmology of Dexeus in order to provide our patients with the best quality of care and a hospital ophthalmology to the extent that eye diseases are related to other specialties and multidisciplinary control is necessary.

Additionally, we have operating rooms with updated technology and research laboratories for the development of new therapies, such as those referring to the regenerative therapies of retina, cornea and ocular surface or for the refractive surgery and Cataracts, with the new laser and micropulsed ultrasound.

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Ophthalmology Dexeus

Área Oftalmológica Avanzada directs the ophthalmology service of the Dexeus University Hospital (Dexeus Ophthalmological Institute). The team of professionals deals with the diagnosis and treatment of all those pathologies that have to do with the visual apparatus. We perform the most advanced medical and surgical treatments in the treatment of diseases related to sight and have a medical team of more than 30 professionals.

For professionals of Área oftalmológica Avanzada visual problems are closely related to the general health of the patient. With this approach we seek to offer a solution that treats not only the eye problem, but the symptoms that cause said pathology. The purpose is to improve the quality of life of the person. For this, we collaborate closely with all medical specialties such as internal medicine, endocrinology and nutrition, rheumatology, gynecology and others, to offer a complete treatment.

To make an appointment you can call: 93 551 33 00

Patient care schedule:
Monday to Friday: 8: 00 - 21: 00
Saturdays, Sundays and holidays: 8:00 - 20:00

Ophthalmological emergencies

The ophthalmological emergency unit of Hospital Universitari Dexeus, composed of the Área Oftalmológica Avanzada, is fully trained and equipped to treat all those ophthalmological pathologies susceptible to be treated urgently.

In the ophthalmology department we have ampThe team of specialist ophthalmologists to treat all those ophthalmological pathologies susceptible to be treated urgently, both medical and surgical.

Additionally, we provide the patient with all the diagnostic equipment necessary to perform a correct analysis of the pathology as well as the technical personnel for its management.

The on-site ophthalmological emergency department is open during patient care hours:

Monday to Friday 8:00 - 21:00.
Saturday, Sunday and holidays from 8:00 a.m. to 20:00 p.m.

Ophthalmological emergency phone: 93 551 33 00

Address: Gran Via de Carles III, 71 Edifici Jardi Plant 0 08028 Barcelona

Ophthalmological specialties of the Dexeus Ophthalmological Institute

In order to comprehensively treat our patients, we have professionals from all ophthalmological subspecialties.

The structure of specialties of the Dexeus Ophthalmological Institute is organized Subspecialty units, directed to the different areas of ophthalmology and formed by 23 ophthalmologists.

Functional units of the Dexeus Ophthalmological Institute

Together with the subspecialty Units, we have designed what are called Functional Units and are present in the most prestigious Hospitals in the world, such as the Massachusetts General Hospital in Boston or the Moorfields Eye Hospital in London.

The functional units have a cross-sectional structure, where both ophthalmologists and other specialists in the hospital field participate, taking advantage of the high level of the Dexeus University Hospital. They are multidisciplinary units, both in terms of collaboration with various subspecialties of ophthalmology and other hospital specialties.

It is an innovative project that appears to respond to the new needs of modern ophthalmology. The functional units are highly specialized and are multipurpose and multidisciplinary.

Among the functional units highlights the Eye and Diabetes unit, where specialists in the retina, cornea and endocrine specialists specialized in diabetes converge.

Other functional units are:

Eye and Thyroid Unit
Vision and sport
Eye and Nutrition
Eye and neurodegenerative disorders
Eyes and pathology of women
Eye and occupational pathology

The latter, focused on the pathology of women, is the first to appear in Spain and it does so thanks to the specialization of the IOD ophthalmologists and the team of professionals from the Women's Institute of the Hospital Universitari Dexeus, with a long and recognized national and international reputation.

Address

For the first time, Dexeus University Hospital has an ophthalmology unit within the center. If the patient follows the indications until the Edifici Jardí which is next to the hospital cafeteria can find us. Once inside, we place ourselves in the plant 0 (same plant through which one enters the edicifi) and the plant -1.

We have an area of 200 m² approximately. It also consists of two operating rooms located in the area of ambulatory surgery (CMA).

Área Oftalmológica Avanzada directs the Dexeus Ophthalmological Institute

Dexeus University Hospital is one of the most renowned private medical centers in Barcelona. It stands out not only for the quality of its services and its professionals, but also for being the teaching hospital headquarters of the Faculty of Medicine of the Autonomous University of Barcelona.

Always with the desire to improve its services, this hospital center has made an alliance with Área Oftalmológica Avanzada to take the ophthalmology consultations of the Dexeus Ophthalmological Institute from the hands of its professionals. The Barcelona ophthalmology center is a pioneer in the application of the most advanced technology to improve dry eye, in laser vision operations and in the control of conditions such as glaucoma and cataracts.

After a remarkable journey in the treatment and correction of various ocular conditions, Dexeus is undoubtedly committed to an alliance that will expand the quality of its services, offering personalized attention to patients with ophthalmological needs.

Dexeus ophthalology: Comprehensive and advanced eye medicine

For professionals of Área Oftalmológica Avanzada, eye problems are highly linked to the general health of the patient, so they offer a comprehensive medical treatment in which not only address the particular ophthalmic problem, but also all those underlying conditions that can cause many of the pathologies that affect our eyes.

With this approach, they seek to understand perfectly the disease that affects the patient and find the opportune treatment that will help him improve his quality of life. Undoubtedly, this way of dealing with ophthalmological medicine with a perspective always aimed at an integral improvement, marries perfectly with the quality and care offered at the Dexeus University Hospital, so this union promises to be very beneficial for all those patients who they receive treatment for eye conditions in this center.

Área Oftalmológica Avanzada: the patient comes first

Although they are dedicated to a specific branch of medicine, the professionals at this ophthalmological center in Barcelona expand to be integrated into a hospital center and be able to offer a more complete service to their patients. In Area Oftalmológica Avanzada It seeks to personalize patient care, with one main objective: treating people, not just the eyes.

With the goal of finding the best alternatives to improve eye pathologies and with the years of experience that guarantee the quality of its services, it is clear that patients in the area of ophthalmology at Dexeus can begin to enjoy a service tailored to this Hospital center: personalized and of the highest quality.

What is the Dexeus Ophthalmological Institute?

El Dexeus Ophthalmological Institute (IOD) is located in the University Hospital Dexeus of Barcelona and despite its recent creation, it has a long tradition in the ophthalmology of this city. The IOD was created as a result of the fusion of the Ophthalmological Institute of Barcelona and Área Oftalmológica Avanzada, with more than 30 years of experience in both cases. It is about seeking the convergence between clinical experience with teaching and research.

Organization

The Dexeus Ophthalmological Institute is structured to develop three fundamental activities:

Clinical activity
Teacher
Research activity

Regarding clinical activity, thanks to the professionals who make up the service and the technology available to the IOD, it allows us to carry out all the activities of ophthalmology and for this the specific subspecialties of our specialty have been created: Retina-Vitreous Glaucoma, Cornea-Conjunctiva, Cataracts, Refractive, Pediatrics, Neuro-ophthalmology, Oculoplastics and Contactology.

Vision services

The Dexeus Ophthalmological Institute is equipped with the best technology to carry out all the activities of the ophthalmological specialty. In the same way, it incorporates a highly qualified and specialized human staff, both in the administrative staff, nursing, clinical optometry and ophthalmology specialists, under the medical direction of the Dr. Carlos Vergés.

Distribution of the Dexeus Ophthalmological Institute

The Department of Ophthalmology (IOD) in the consultation area, is constituted by:

Consultations

5 ophthalmological offices.
4 rooms for optometric study and complementary explorations.
1 room for contactology, visual therapies and low vision.
1 room for the campimetry.
1 room for the study of the retina (OCT and Retinography).
1 laser treatment room.
1 room for dry eye treatment.

In this area there is also a reception area, with 3 administrative people for patient care, 1 area to inform the surgical patient, 1 area for administrative staff in charge of billing and service organization and 1 office area for staff.

Operating room

In the operating room area you have an operating room for major surgery (cataract operation, glaucoma surgery, retinal operations, orbit surgery, etc), a second operating room for the refractive surgery and small interventions, such as intravitreal injections, removal of sutures and others and a room where fluoresceingraphies are performed and the preparation of blood products, such as autologous serum or platelet derivatives (PRP).

Activity and technology of the Dexeus Ophthalmological Institute

The distribution of the technology is carried out according to the functions to which each IOD room is assigned, both in the consultation spaces and in the spaces allocated to the operating room:

Ophthalmological consultation area

Ophthalmological consultations: They are equipped with refractive columns with slit lamp, projector for far and near vision optotypes, test box with lenses, retinoscope, Goldman type tonometer, lenses for the exploration of the anterior and posterior segment, direct and indirect ophthalmoscope.

Refraction rooms and complementary explorations: They are equipped with refraction and phoropter columns for refraction as well as lenses and frames for adults and children. Prisms for the study of ocular motility, schiascopy bars, projectors for far and near vision, computerized system for the study of contrast sensitivity, system for the study of vision by glare (Halometro) and crossed cylinders of Jackson.

Contactology: Consists of table and mirrors for the adaptation of contact lenses. Cases for contact lenses, designed for storage and identification. Cleaning and disinfection system for contact lenses, Wood light and Slit lamp and Keratometer for patient evaluation.

Visual Therapy and Low Vision: It consists of the furniture (table and chairs) appropriate for this type of activity as well as the specific study systems: computerized equipment for the study of visual perception, selective and sustained visual attention and dynamic vision. We have the specific computer programs to carry out the treatment to improve static and dynamic vision and reaction times.

In this room we also have the equipment for the study and treatment of patients with low vision (alterations of the campor visual, central vision and visions below 0.1). We have the lecterns and texts for this activity and the computerized systems to study the campor vision and ocular motility. Along with diagnostic technology, we have systems to improve vision, both for telescopes, galileos, and eyewear.ampo ampmess for reading.

living roomampimetry: It is intended for the exploration of the campor visual and consists of a campHunphrey 750 computerized meter and a campor Humphrey's dynamic visual FDT.

Retina examination room: It consists of a Zeiss OCT for the study of the anterior segment and the posterior segment and a narrow pupil Canon Retinograph for the study of the retina, Optic Nerve and retinal fibers.

Supplementary testing rooms: There are 3 rooms with technology for the study of the eye and visual function and consist of: 2 Sirius surveyors, 1 Pentacam surveyor, 1 Oculus surveyor, Keratograph equipment for dry eye, SBM Meibograph, HDA visual quality analyzer (Viometrics) , 3 Topcon Endothelial Biomicroscopes, 1 OptoVue OCT for anterior and corneal segments, 2 IOL Master Bionetros, 1 Lenstar Zeiss Biometer, GDx Retinal Fiber Analyzer, HRT Optical Nerve Analyzer.

Laser Treatment Rooms: Equipped with 2 YAG lasers (ZEISS), 1 ALCON thermal laser, 1 ZEISS thermal laser, 2 high intensity pulsed light equipment (Thermaeye MDS) and a Radio Frequency equipment (Theca MDS).

Surgical area

Major Surgery Operating Room: This operating room has all the necessary technology to perform any ophthalmological surgery: Centurion Phacoemulsifier (ALCON), Constellation Vitrectome (ALCON), Microscope with reversal system for ZEISS retina, ENDOPTICS intraocular diode laser endoscopy system, Cryocoagulation System, External cyclocoagulation system. In addition to this proprietary technology of ophthalmology, the operating room has all the necessary equipment to enhance surgeries with sedation or general anesthesia (specific medication, ventilator, anesthesia car, vacuum cleaner, etc.), in the same way, it has cleaning systems and sterilization of non-disposable surgical material.

Minor and refractive surgery operating room: This operating room consists of 1 Excimer Laser AMARIS (Schwind), 1 Femtosecond Laser IntraLase, 2 Microqueratomos MORIA, 1 ZEISS microthoscope and high definition screen.

Objective of the Dexeus Ophthalmological Institute

Another of the fundamental objectives that we have marked in the new Dexeus Ophthalmological Institute, is to participate inampyears of information and prevention of eye diseases.

We know that the ophthalmological patient, in most cases, the eye problem is related to other systemic disorders and therefore collaboration with other specialists is essential. These two circumstances lead us to integrate the new ophthalmology service in a hospital environment such as that of the Instituto Universitari Dexeus.

Treatments of the Dexeus Ophthalmological Institute

With the human team and the technology that we have detailed, we carry out an activity in external consultations, with a schedule from 8 a.m. to 21 p.m. from Monday to Friday and from 8:00 a.m. to 20:00 p.m. on Saturdays, Sundays and holidays, of arranged visits and Complementary examinations as well as emergencies that come directly to our service or through the Hospital emergency service. We also carry out consultations of patients admitted to the Hospital, check-ups and international visits.

In the section on surgery, we went on to detail the surgical ophthalmological treatments that we are currently doing:

Refractive surgery

Surface techniques without cutting
- PRK (Photo Refractive Keratectomy).
- ASA (Advance Surface Ablation).
- FABRIC-PRK. TELA-ASA (Trans Epithelial Laser assisted PRK or ASA).
- LASEK (Laser assisted epithelial keratomileusis).
- EPI-LASIK (Epithelial LASIK).
Cutting techniques
- LASIK (Laser Assisted In situ Keratomileusis).
- Ultrathin-LASIK.
- FemtoLASIK.

Refractive surgery with intraocular lenses

Epicapsular Lenses (ICL and others)
Iris Fixation Lenses (Artisan and Artiflex).

Presbyopia surgery

Presbyopia surgery with laser
- Monovision.
- Blended Monovision.
- Presbylasik
Presbyopia surgery with intraocular lenses
- Multifocal phakic lenses.
- Multifocal pseudophakic lenses.

Cataract surgery

Conventional surgery using ultrasound (phacoemulsification).
MICS surgery (Micro Incisional Cataract Surgery).

IOLs intraocular

Monofocal lenses
Bifocal and Multifocal lenses.
Extended Focus Lenses.
Toric Lenses

Glaucoma surgery

Laser treatment that does not require an operating room
- Thermal laser trabeculoplasty.
- YAG laser trabeculopuncture.
- Selective trabeculoplasty.
Laser surgery that requires an operating room
- Transscleral cyclophotocoagulation.
- CyclophotocoagulSalus1234.
- Endoscopic Sation
Filtering Surgery
- Trabeculectomy.
- Trabeculotomy
- Non-perforating deep sclerectomy.
Valve implant surgery
MIGS surgery (Minimally Invasive Glaucoma Surgery)

corneal surgery

Cornea transplant o keratoplasty
- Lamellar Keratoplasty
  - DMEK endothelial transplant (Descemet's Endothelial Membrane Keratoplasty)
  - Endothelial transplantation DSAEK (Descemet Stripping Automated Endothelial Keratoplasty)
  - Deep anterior lamellar transplant (DALK)
laser assisted ablative keratoplasty
Amniotic Membrane and Stem Cell Implants
Intracorneal Implants (INTACS)
Laser Assisted Pterygium Surgery

Dry eye treatment

Although the dry eye treatment It has evolved beyond artificial tears and anti-inflammatory and regenerative drugs, new technologies have appeared.

The most innovative is the treatment with High Intensity Pulsed Light (IPL), la Pulsed radiofrequency and Infrared laser. They are treatments that, despite the scientific evidence of their advantages, are still performed by very few centers. This is because expensive technologies and trained personnel are required. At IOD we have everything necessary to carry it out and in our case we have been pioneers at a national and international level.

These are treatments that are performed in consultation, such as thermal laser treatments in diabetics or YAG lasers. They are painless, do not present complications and lasts a few minutes.

From the interventionist point of view and where an operating room is required, new treatments stand out, such as Exfoliation of the free eyelid margin and Probing- Blepharoplasty of the Meibomian glands (glands that are arranged inside the eyelid). They are very innovative treatments with a high level of efficacy and safety. They are still carried out in very few centers but in the IOD we have the technology and personnel to carry them out.

Interventional treatment of the lacrimal ducts

La tear duct obstruction It is one of the most frequent pathologies in ophthalmology. In many cases it is not an irreversible obstruction, a fact that is confirmed by the radiological study with contrast and the CT scan to assess the tear sac and nasal turbinates. In cases of partial obstruction, probing treatment is performed and occasionally, it is accompanied by dilatation of the tear duct.

When the obstruction is complete, if it is located in the lacrimal canaliculi, it will be necessary to reconstruct these but, if the obstruction is located in the lacrimal duct, in the area of the lacrimal duct close to the mouth of the nostrils (the most frequent), a classic reconstructive surgery can be performed or Dacryocystorhinostomy (DCR) or selective surgery using the Diode laser.

The DCR is very aggressive and has a high failure rate, whereas when it is performed endoscopically with the laser, it is much less aggressive, more efficient and with a faster recovery, as well as a much lower failure rate.

Surgical treatment of the eyelids and orbital (Thyroid, Tumors)

Thyroid pathology
1. Dry Eye
2. Eyelid Retraction
3. Eyelid ptosis
4. exophthalmos mild
5. advanced exophthalmos
Ocular-palpebral tumors
Blepharoplasty and oculo-palpebral aesthetics

Retinal and macula surgery

Vitrectomy in vitreous degeneration (myodesopsia or floaters).
Surgical treatment of Diabetic retinopathy.
Surgical treatment of the macula.

Strabismus surgery and neurosensory treatments

La strabismus surgery It has evolved a lot in recent years. Currently it can be done with adjustable sutures, which allow correcting the position of the eyes even after surgery. Some cases can also be performed with the help of botulinum toxin, reducing surgical trauma.

This type of surgery, more frequent in children, can also be performed in adults, even for aesthetic purposes. The additional fact of having an anesthesia team specialized in ophthalmology is also a differentiating factor, it reduces the anxiety of patients and especially parents.

Perhaps the most important advance in this campor is the combination of surgery, conventional or with botulinum toxin, with neurosensory therapies. We know that many patients with strabismus suffer from amblyopia (lazy eye), which hinders functional recovery and even induces the failure of surgery when a new deviation of the eyes becomes evident with the passage of time. Until that time, visual therapy exercises were carried out that helped in the treatment but were not very effective, so they were almost abandoned. Currently we have newer methods of exercises with computer screens that can stimulate, selectively, the different ways of visual perception, achieving results that, in isolation or, combined with surgery, greatly improve the results we achieved until the current moment.

At IOD we have the technologies and experts in the field to be able to carry out this type of therapy.

Treatments of vision and sport and vision and driving

We think that the IOD is the ideal framework to create these two units: vision and sport and vision and driving. They are transversal functional units, which involve different departments of the ophthalmology service and even of other Dexeus services (endocrine, psychology).

We have seen that every time there is more demand for people who want to improve their visual levels when doing sports, from elite athletes to young people, who want to perform refractive surgery and know that dry eyes or other problems may appear, not serious but that make it difficult practice sports such as tennis, skiing, etc. In the same way, there are people who after cataract or other surgery have changes in visual perception and are not comfortable with their vision in sports or do not feel safe driving (reflections with lights, calculation of distances, etc).

All these cases require a specific study, with a technology and experts in this field, to establish a treatment guideline that improves the conditions of visual perception in each person.

The treatments include from the drugs to improve the tear, the pupilar dynamics, therapies of neurosensory exercises to improve the reflections and the sensitivity to the contrast, until the specific surgical treatments. In the cases of surgery, it is about offering treatments such as refractive surgery, but with less aggressive techniques and offering better visual quality.

Treatment of childhood myopia

The treatments of myopia in children they deserve a separate mention because it is something new and is a great demand for patients. They are combined treatments with drugs (eye drops) and sensorineural stimulation exercises, which slow down the evolution of myopia.

In many cases it is combined with the adaptation of lenses that control the accommodation of the eyes or contact lenses that are used only at night to mold the cornea and correct myopia, which is what is called Orthokeratology. This technique is relatively new but has proven its effectiveness and in IOD we have the means and experience to carry it out.