Cyclosporin A
in highly risk
perforating keratoplasties. Clinical examinations of patients with early glaucoma by uncoventional methods.Implantology,
transplantology, vitreoretinal surgery, constructive
ophthalmosurgery, laser surgery.
Diagnostics and
therapy for glaucoma, patients with diabetes. Ophthalmic
ultrasonography, electrophysiology, topography and endotelial
microscopy of the cornea, fluoroangiography.
Cyclosporin A
in highly risk
perforating keratoplasties.
Clinical examinations of patients with early glaucoma by uncoventional methods.
The clinic is divided
into Out-patients´ and Ward
(In-patients´) parts. 
This involves two specialized consulting centres:
seven diagnotic
laboratories:
and four
specialized workplaces:
Consulting centre for Glaucoma
This centre is the only workplace in Moravia that performs both
therapy and screening, registration and superconsiliary
activities for patients with glaucoma. Complex care is secured in
cooperation with
perimetrical and laser (out-patients´ surgery)
laboratories and ward
department. Due
to its top material and technical and staff equipment it is a
training centre of the Czech Republic for glaucoma.
Diabetological consulting centre
The consulting centre for ophthalmic complications fo diabetes is
specialized in screening, registration and treatment of
ophthalmic complications of diabetes whose number has been
increasing. The consulting centre works in close cooperation with
a laser
laboratory where out-patientsˇ
laser therapy for diabetic retinopathy is carried out, and with a
ward department where late complications of diabetes are treated
surgically (vitreoretinal surgery). The hinterland for surgical
treatment covers a large part of Moravia Region. The concept of
care of patients with ophthalmic complications of diabetes is a
problematic sphere of ophthalmology particularly in early
indications for laser peripheral out-patientsˇ or even ward
departments, it aims at building up a system of early complex
care of patients with diabetic retinopathy.
Electrophysiological laboratory
This laboratory belongs to the best technically equipped
wrkplaces in the Czech Republic. It performs electroretinographic
(ERG) and electrooculographic (EOG) examinations including the
examinations of optic evoked potentials (VEP or VER) for the
whole region of Moravia and partly even for Bohemia. It is a
training centre for electroretinography.
Ultrasound laboratory
This laboratory is a top workplace dealing with ultrasound
diagnostics of intraocular and orbital affections. The prior
position of the laboratory is geven by the erudition of its
workers who are pupils of the founders of ultrasound diagnostics
in the whole world (Prof. Vanýsek, Dr. Preisová). For
diagnostics there are applied the visualization of A and B for
the lesions of the eye and orbit, including standardized
echography for differential diagnostics. Besides close
cooperation with other laboratories, there is also carried out
biometry necessary for the calculation of dioptric value of IOL
at the implantation of an artificial intraocular lens after the
cararact extraction. Due to its high professional character, it
is a training workplace of the Czech Republic.
Fluoroangiographic laboratory
Using contrast, it analyses the dynamics of blood flow in the
blood-vessels of the retina and choroid. It is the base for
making decision on conservative and laser therapy in a number of
diseases (diabetes, inflammations, degeneration). It is carried
out at ward department of hospitals. Contrast angiographic
examination of the iris blood-vessels can be performed only at
our workplace within the Moravian Region. The laboratory is a
training workplace for Moravia.
Laser laboratory
works with three types of lasers. Continuous thermal Argon
and Dye lasers serves for the treatment of diseases of the
posterior eye segment (diabetes, degeneration, vascular changes).
Dye laser, which enables special interventions within the area of
the central region, was the first one in Moravia. Pulse Nd-YAG
laser is used for the surgery of lesions in the anterior segment
by disruption (secondary cataract, adhesions, fibrous bands). Due
to the staff erudition and experience, the laboratory has become
a consiliary workplace for the treatment of macular lesions in
the hinterland. By introducing excimer laser
therapy for removing refractory
defects of the eye, the workplace has been a completely equipped
laser centre.
Perimetrical laboratory
It serves for examining visual field by means of statical and
kinetic perimetry. Computer perimeter enables quantitative na
qualitative analyses of the visual field. The laboratory
cooperates closely with glaucoma and diabetological
consulting centres and with electrophysiological
laboratory. Special programs enable
to examine various diseases of the eye. Several computer
perimetres are being used within the region. These are the basic
examinations. The hinterland involves large parts of southern and
partially northern Moravia.
Laboratory of corneal topography
A short time ago, corneal topography - computer videokeratoscope
enabling quantitative and qualitative analyses of the corneal
surface was the only apparatus within the whole Czech Republic.
In connection with excimer laser technique
it is spreading gradually, mostly at private excimer-laser
workplaces. It is needed in pre-operative and post-operative
analyses mainly at transplantation of the cornea and in
refractive surgery.
Laboratory of endothelial microscopy
Endothelial microscopy makes possible to judge the state of the
corneal endothelium and thus to improve the diagnostics of
patients before risk transplantations of the cornea.
Excimer-laser workplace
The workplace of excimer refractive surgery performs the
corrections of visual refractory defects. Besides superficial
PRK, it also uses, as the only centre within the region, LASIK
technique, nowadays the only suitable technique for the
correction of higher degrees of myopia, astigmatism and
hypermetropia. PTK method is applied here in the therapy for
corneal disorders.
Out-patients´ department
In compliance with the world tendency, the Clinic of
Ophthalmology, as one of the first workplace in our republic, has
started with the out-patients´ performance of some operations -
particularly the operations for non-complicated cataract.
Infusotherapy
This workplace is designed for patients with indicated infusion
administration of medicaments, but whose conditions do not
require hospitalization. Patients can be given adequate treatment
even at decreasing the number of beds at the clinic.
Laboratory of computer technique
This laboratory serves for calculating intraocular implants
(lens) and their registration. It takes care of database of
patients with various disorders requiring statistical processing.
The ward department serves for the treatment of
the most severe diseases of the eye and for post-operative care.
It comprises 32 beds (in 1995, there were only 62 beds).
In compliance with the present tendency, the period of
hospitalization is shortened, and the exploitation of a bed is
increasing. Further restriction of beds is very difficult because
of increasing interest in treatment at the Clinic of
Ophthalmology, both from the party of private physicians and
health-service in-patients´ institutions from the whole region
of Moravia and from a part of Bohemia.
The spectrum of in-patients involves especially patients after extraction of complicated cataract, pars plana vitrectomies, perforating keratoplasties and more severe eye traumas. A lot of operations, including non-complicated cataracts, were shifted into the out-patients´ sphere. Hospitalization for diagnostic reasons is exceptional at the Clinic of Ophthalmology. Most examinations necessary for establishing the diagnosis are carried out at the out-patients´ centres.
The basic content of demanding ophthalmic microscopy, both from the view of material, technical and personnel equipment, is the surgery for cataract using all known techniques, incl. phacoemulsification of the lens (high-frequency ultrasound) with implantation of both soft and hard intraocular lens. This clinic, as one of few workplaces, also carries out implantations of thoric lens and it has, as the only workplace in the Czech Republic, a licence for the implantation of intraocular contact lens made by Ameracan firm STAAR. This licence has been given only to a few out-standing ophthalmologic workplace in Europe.
Another sphere of interests is microsurgery of glaucoma, including implantations of special silicone grafts in infaust forms of glaucoma.
