The Department of Ophthalmology at NB Kadikoy Hospital provides an exclusive service with the patients in regard of diagnosis and treatment of refractive errors and routine eye examination using advanced technologies.

Diabetes and Ophthalmology

Patients with diabetes must not delay their routine eye examinations!

One of the damages caused by diabetes in the body is eye disorders.

Some disorders might develop such as the following:

• Cataract
• Retinal Detachment
• Macular Holes (Macular Degeneration)
• Intraocular Bleeding
• Diabetic Retinopathy (Visual Impairment Due to Diabetes).

The Department of Ophthalmology at NB Kadikoy Hospital provides an exclusive service with the patients in regard of diagnosis and treatment of eye disorders using advanced technologies.

Diabetic Eye Diseases

• Diabetes plays a vital role in developing diseases such as: Diabetic Retinopathy
• Retinal Detachment
• Macular Holes
• Intraocular Bleeding Secondary to Diabetes
• Cataract.

Diabetic Retinopathy

What Is Diabetic Retinopathy?

High blood glucose is a disease developed with damaging blood vessels of eyes. A leakage may occur due to degeneration of venous wall as well as it might congested and then prevent blood flow. Profoundly obstructing patients’ vision, this condition absolutely requires regular follow-up examinations and treatment.

Treatment of Diabetic Retinopathy

How Is Diabetic Retinopathy Treated?

Vitrectomy Making a small incision on the eye, the tissue congesting blood and retinal area is removed in the middle zone (vitreous) of the eye. It can be performed either under general or local anesthesia.

Scatter Laser Treatment Scatter treatment is used to slow the growth of new abnormal blood vessels in the eye. Patients may need more than one treatment session. After the procedure, the patients may experience blurry vision just for 1 day.

Focal Laser Treatment Focal laser eye treatment is performed to stop leakage of fluid and blood vessel inside the eye.

Retinal Detachment

What Is Retinal Detachment?

It is a visual disorder that develops due to tear or holes in retina.
In general, it is more common in patients with myopia.
It requires immediate treatment as the disease leads to risk of permanent visual loss.

What Is Treatment of Retinal Detachment?

How Is Retinal Detachment Treated?

Argon Laser Treatment The holes developed in retina is treatable with argon laser if detachment is not present. The areas which may cause tear at advanced stage can be taken under control with laser treatment, as well.

The Retinal Detachment is a disease that requires a surgical intervention. This procedure is decided and performed by your physician depending on structure of the tear having caused retinal detachment, its size and number.
During the surgery, vitreous causing the tear is removed and retina is tightened. Afterwards, the tear is closed, and laser treatment is performed in peripheral area.

Macular Holes

What Are Macular Holes?

A macular hole is a small gap that opens in visual cortex.

Macular Holes, also known as Macular Degeneration, involve areas approximately measuring 2 mm.
Macular region is a layer located at the center of retinal layer.
There is fovea of retina measuring in size of a needle tip that focuses on light in the middle of the visual cortex.

What Causes Macular Holes?

• Black Spots in Visual Cortex
• Visual Impairment
• Hole caused by tractive force of intraocular fluid to the visual cortex
• High myopia
• Traumas
• Age-associated Causes

What Is Treatment of Macular Holes?

How Are Macular Holes Treated?

It can be performed by means of vitrectomy.
Applying a local anesthesia, air or gas is placed into the eye and patients’ visual quality is increased.

Intraocular Bleeding Secondary to Diabetes

What Is Intraocular Bleeding Due to Diabetes?

Diabetes is one of the most common diseases seen in individuals aged 20 to 65 and is known to be causing visual disorders.
It damages multiple organs, including eyes. Various disorders might develop in the eyes due to diabetes.

What Are The Symptoms of Intraocular Bleeding? 

• Tissue edema
• Bleeding and venous dilation developed due to leakage from blood vessels secondary to tissue edema
• Retinal detachment developed due to leakage from blood vessels
• Glaucoma that occurs at advanced stages of the disease (high intraocular pressure).

Treatment of Intraocular Bleeding

How Is Intraocular Bleeding Treated?

Intraocular bleeding can heal spontaneously within 4 months as well as new bleedings may occur.  As a result of the intraocular bleeding, blurry vision develops.
In cases that require surgery, vitrectomy is performed, through which small tubes measuring 0.5 mm are inserted into the eye from 3 different areas. In this way, the bleeding and membranous formations inside the eye are removed. Afterwards, laser treatment is performed.

Macular Degeneration

What Is Macular Degeneration?

It is an important disease ending up in visual loss in patients aged over 50.
It develops due to damage of the macula located nearly to the retina that ensures vision.
There are two types: dry and wet.

What Are Symptoms of Macular Degeneration?

• Sensitivity to light
• Refracted or distorted vision
• Difficulty or decrease in night vision
• Color vision deficiency, color sensitivity
• Blurry and distorted vision of writings and letters
• Difficulty in recognizing faces
• Dark shapes and empty spaces in vision.

Treatment of Macular Degeneration

How Is Macular Degeneration Treated?

In dry macular degeneration, no surgery is needed. It can be reduced with vitamin supplement.

As for wet macular degeneration, there are 3 treatment methods:

1. Anti-VEGF Medicine Injection: The VEGF allowing cells inside the eyes to grow stops chemical secretion and prevents new venous formation. It can be performed with the help of a needle under local anesthesia.
2. Photodynamic Therapy: It is performed by administering an injection of photosensitizing medication that is absorbed by abnormal blood vessels. In order for the medication to have an effect, laser therapy is then applied, which eventually eliminates the abnormal blood vessels.
3. Laser Therapy: It is used to remove growing blood vessels with high-energy laser rays.

Cataract

The Most Effective Treatment for Cataract at NB Kadikoy Hospital!

What Is Cataract?

A cataract is a cloudy area in the lens of your eye that develops with protein buildup. Transition of lights becomes difficult due to cloudy area, resulting in visual impairment. It is one of the most important threatening causes of visual loss.

What Causes Cataract?

• Aging
• Congenital factors
• Diabetes
• Medication use such as radiation, ultraviolet light, corticosteroid etc.
• Trauma (damage on the eye)

What Are Symptoms of Cataract?

• Double or blurry vision
• Changes in color vision
• Decreased effect of eyeglasses, insufficiency of eyeglasses
• Difficulty in driving at night.

Cataract Treatment

The only treatment is surgery for the cataract.
It is a procedure that requires no needle, pain or anesthesia.
Patient can go back to their home on the same day of the procedure.

Major Eye Diseases

Retinal Diseases

What Is Retina?

The retina is a layer of the eye consisting of cells that allow us to see.
In retinal diseases, vision can be retained with early diagnosis and treatment.

Particularly:

• Diabetic Retinopathy,
• Hypertensive Retinopathy,
• Retinal Vein Occlusion
• Age-Related Macular Degeneration are the main diseases that cause vision loss and require early diagnosis and treatment.

Treatment of Retinal Diseases

How Are Retinal Diseases Treated?

We perform retinal evaluations and follow-ups at our clinic with the following next-generation technologies:

• Color Fundus Photography,
• Fundus Autofluorescence (AF),
• Fluorescein Angiography (FFA),
• Indocyanine Green Angiography (ICGA).

 

 

In addition, sections of the retina can be visualized with Optical Coherence Tomography (OCT), and deeper layers under the retina can also be seen with EDI (Enhance Depth Imaging) OCT.

As with intraocular hemorrhages and tumors, in cases where the posterior part of the eye cannot be evaluated, important pathologies can be visualized with A and B Illustrated Ultrasonography.

Especially Diabetic Retinopathy, Retinal Vascular Occlusions and, in some other cases, Argon Laser Treatment are the gold standard.
Laser Treatments can be performed using a Pattern Laser (Multiple Shots) at our clinic, which increases patients’ comfort.
Also, various intravitreal (intraocular) medications treatments and intraocular implants are applied in the treatment of many diseases.

Vitrectomy (Retinal Surgery)

What Is Vitrectomy?

Vitrectomy is a surgical procedure performed by specialist doctors, through which the vitreous liquid gel filling the eye cavity is removed in order to provide better attachment with the retina.
As a result of technological developments in vitrectomy, now the complication rate has decreased and vitrectomy surgeries have become performable to a more common group of diseases.

Vitrectomy Treatment

How Is Vitrectomy Treatment Performed?

Surgeries can be performed on an outpatient basis, and the recovery process after the surgery has also been shortened.

Our Department of Ophthalmology includes a wide range of treatments such as:

• Vitreoretinal Surgery
• Retinal Detachment
• Intraocular Bleeding Due to Diabetes
• Retinal Bands and Membranes
• Epiretinal Membranes (Macular Pucker)
• Macular Holes
• Pneumatic Retinopexy

Uveitis and Ocular Immunology

What Is Uveitis?

Uveitis is a disease that occurs as a result of inflammation of the vascular layer (uvea) inside the eye.
Being one of the rare eye diseases, etiology – the causes leading to uveitis – and early diagnosis are important in the treatment of uveitis and these diseases.
Although 50% of uveitis is limited to the eye, the other 50% is associated with other diseases.
The uveitis has a wide spectrum ranging from rheumatic diseases to parasites, tuberculosis to sarcoidosis and viral origins such as herpes and zoster.
In addition, the incidence of Behcet's Disease is higher than the world average in our country.

As it is understood, there are treatments that are not standard, at doses that vary according to the patient, and due to their side effects, they should be followed-up very well with laboratory findings.
Otherwise, visual loss or permanent eye damage can develop. And, due to a lack of understanding of the disease that causes uveitis - for example, tuberculosis and Behcet's Disease- other organs in the body will also be damaged and the quality of life will be affected.

Treatment of Uveitis

How Is Uveitis Treated?

Uvea is a separate specialty and patients with uveitis are evaluated and followed-up by a specialist physician at our hospital.
Medication treatments, intraocular medication applications, and vitrectomy in cases that do not respond to treatment, are among the options.
In addition to the Anterior-Posterior Eye Segment Imaging Systems required for the diagnosis and follow-up of a patient with uveitis, there is a substructure for Cranial and Whole Body Imaging and Laboratory systems at our hospital, as well as the opportunity to consult with various branches.

Pediatric Ophthalmology and Strabismus

Strabismus and amblyopia are the diseases that should be treated at a very early age and followed-up very well.
With the right treatment, psychosocial impacts of the diseases can also be prevented.

Strabismus Treatment

How Is Strabismus Treated?

The strabismus can be treated depending on different conditions of each patient by means of eyeglasses, surgery, closure and other new applications.

Also, other eye pathologies that might lead to strabismus, for instance, intraocular tumors, high refractive errors, infancy cataracts, retinopathy of prematurity and hereditary retinal diseases, can be evaluated and treated.

Retinopathy of Prematurity

 

What Is Retinopathy of Prematurity?

Retinopathy of prematurity is also one of the diseases that can be observed in babies born with a weight of 1200 grams before 32 weeks and have not completed the development of the retinal layer. Therefore, it requires early diagnosis and treatment.

Treatment of Retinopathy of Prematurity

How Is Retinopathy of Prematurity Treated?

Retinal screening is required at intervals of 15 days-one month
Endolaser, vitrectomy and, in some cases, intraocular injections are among the current treatment methods and the eyes can be saved in this way.

Glaucoma

What Is Glaucoma?

Glaucoma refers to the diseases that cause progressive damage to the optic nerves.
Glaucoma is the second leading cause of vision loss in the world and is considered among preventable visual loss.
Early diagnosis is very important, since it can progress without notable symptoms and complaints.
Although it can usually be detected during a routine eye examination at the age of 30-40, it can also be seen in infants or develop due to another eye disease (secondary glaucoma).
After nerve fiber damage has occurred, it is irreversible.

Glaucoma Treatment

How Is Glaucoma Treated?

At our clinic, the evaluation of glaucoma is carried out practicing routine examination, visual field testing, OCT scan (Comparative Imaging of the Ganglion Cell Layer), pachymetry, etc. Moreover, it can be treated with medication, surgery, laser treatments.

Neuro-ophthalmology

What Is Neuro-ophthalmology?

The visual layer of the eye consists of nerve fibers and nerve cells that extend directly to the brain.  For this reason, brain diseases affect our sense of vision and eye movements.
The branch of science that deals with headaches caused by eye diseases and optic nerve disorders is called Neuro-ophthalmology.
Vascular occlusions in the brain, hemorrhages, tumors, degenerative diseases such as Alzheimer's, multiple sclerosis, Behcet's disease, infectious and autoimmune diseases show findings that concern the eye and the brain separately or together.

Inflammation of the optic nerves and paralysis of the eye muscles also come within the Neuro-ophthalmology’s area of expertise.

Neuro-ophthalmology Treatment

What Are Neuro-ophthalmology Treatments?

Being evaluated at our clinic, these diseases can be treated by conducting further investigations and consultations and can be referred to the relevant branches.

Lenses That Help Poor Vision

Examinations can be performed for patients with poor vision whose vision cannot be improved with eyeglasses or surgery, and assistive devices might be recommended to these patients.

Among these devices are the following;

• Telescopic Glasses
• Hand Lens
• Special Eyeglasses
• Computed Systems.

By using one or more of all these devices together, the patients’ quality of life can be improved.

Contact Lenses

Contact lens examinations, including multifocal and toric (astigmatic) contact lenses, can be performed at our clinic and patients are provided with contact lens training.

Internal Medicine

The Department of Internal Medicine provides service in regard of diagnosis or treatments of all internal diseases both on an outpatient basis and by hospitalization. We are one step ahead in endocrine diseases such as diabetes, obesity and thyroid diseases by especially benefiting from 60 years of experience, knowledge, and institutional guidance of the Turkish Diabetes Association. In addition to hypertension, rheumatic diseases, geriatric and lung diseases, infectious diseases are also among our fields of interest. Within the scope of our department and hospital, we provide medical services such as personal check-up programs, disease prevention, treatment planning and vaccination and medical second opinion services.

Our mission is to provide the best healthcare service with our patients, ensure your happiness by preventing your physical and spiritual integrity.

Our Vision is to provide healthcare services with our patients with the support of our well-trained and experienced healthcare professionals under the guidance of modern and scientific technical opportunities.