Pantheo Eye Center
Because sight is precious!
The PANTHEO Eye Center was founded in 2004 and has been operating purely as an eye clinic in Limassol since then. The cornerstone of the philosophy at the PANTHEO is the personalized approach towards the patient by a team of ophthalmologists in different sub specialties and the provision of a legeartis care in simple and complicated ophthalmic cases.
It is no coincidence that the PANTHEO is a center of referral cases from all over Cyprus. The team of PANTHEO has as its goal the best possible provision of high-quality and integrated services covering the entire spectrum of eye diseases at the level of that equivalent of the major European ophthalmological centers.
Our outpatient department is open on a daily basis. Appointments for examinations are available both on a pre-arranged basis and on an emergency basis. On arrival to our clinic you will be escorted from reception by a trained nurse for a pre assessment and detailed history of your problem. A basic ophthalmologic examination involves visual acuity test, intraocular pressure, refraction and fundoscopy. All necessary tests will then be performed in preparation for your medical consultation.
PANTHEO Eye Center operating theatre is equipped with state of the art technology. Focused solely on eye treatment and eye surgery for Cyprus, our Operating Department is made of three operating theatres. The procedures performed range across both fields of anterior and posterior segment surgery, covering numerous cases in the districts of Limassol, Paphos, Larnaca and Nicosia.
Laser vision correction is an alternative to glasses and contact lenses. The concept behind laser vision correction is simple – to reshape the cornea (the front of the eye) in order to change its focusing power. The technology used is of the latest generation of femtosecond and excimer laser platforms known as Visumax (Zeiss) and Alegretto (WaveLight) and the procedures performed are listed as follows: PRK, LASEK, LASIK (Custom-LASIK, Femto-LASIK, Wavefront Optimised, Wavefront-Quided, Oculink-Topography Customised). There are many benefits to this method, such as the recovery is quick and associated with little pain, vision is corrected almost immediately and adjustments can be made quite readily if required.
Corneal and Anterior Segment Surgery
Keratoplasty, a corneal transplantation, is a procedure that takes place when a damaged cornea is replaced by a donor graft. The reasons for undergoing a corneal transplantation may vary, such as an injury or an infection that may have caused corneal scarring; corneal ulcers; keratoconus-a medical condition that makes your cornea bulge out; thinning; clouding or swelling of the cornea; inherited eye diseases such as Fuchs’ dystrophy and others or problems caused by an earlier eye operation.
There are three methods of keratoplasty. There is PKP (Penetrating Keratoplasty) where the entire cornea is replaced, DALK (Deep Anterior Lamellar Keratoplasty) where the anterior part of the cornea is replaced and lastly, DSAEK (Descemet’s Stripping Automated Keratoplasty) where the posterior part of the cornea is replaced.
A cataract is a clouding of the eye’s natural lens. The only treatment currently available for cataracts that are impacting visions is that of Cataract Surgery or Intra-Ocular Lens (IOL) impantation. The technology used is the femtosecond laser (LenSx-Alcon) and phacoemulsification (Centurion-Alcon) employing minimally invasive small incision techniques. The procedures performed are FALCS (femtosecond-assisted laser cataract surgery), Small Incision Phacoemulsification and Scleral Fixation of IOLs. These methods will allow you to see more clearly again and also reduce your dependency on glasses.
YAG Laser Iridotomy: in cases of narrow angles and angle closure glaucoma.
MDLT (Micropulse Diode Laser Trabeculoplasty): this laser aims to reduce the intraocular pressure by stimulating the trabeculum (the drainage channel of the eye) to drain more fluid. It has the advantage of the micropulse technique which causes minimal tissue damage.
Laser Peripheral Iridoplasty: in cases of plateau iris syndrome when the YAG laser iridotomy is not sufficient to open the drainage angle.
Diode Laser Cyclophotocoagulation: frequently used laser which reduces the production of the fluid circulating in the eye and hence reducing the intraocular pressure.
Trabeculectomy: the most commonly performed glaucoma surgery worldwide. The object of this operation is to open a new drainage channel for the fluid of the eye to drain so that the intraocular pressure is controlled
Ahmed Glaucoma Valve: an artificial tube is inserted in the eye to drain the fluid, but it also has a valved mechanism to avoid excessive drainage.
Vitreoretinal Surgery is used for the treatment of conditions behind the lense of the eye, such as the macula, vitreous fluid and the retina. This is called Posterior Segment Surgery or Vitrectomy and it includes Vitrectomy for Trauma; Retinal Detachment Repair; Diabetic Tractional Detachment Repair; Macular Hole Surgery and Epiretinal Membrane Peeling. These are standard procedures performed on a very frequent basis and the most standard routine is the Small Incision Sutureless Vitrectomy.
Anti-VEGF Therapy (Intravitreal Injections of Lucentis, Eylea and Avastin) is used for Wet Macular Degeneration and Diabetic Retinopathy as a host of other more rare disorders of the retina.
Paediatric and Strabismus Surgery
Eye surgery in children is unique in many ways and requires specialisation. Treatment of Retinopathy of Prematurity (ROP), Amblyopia Screening and Squint Surgery including Adjustable Strabismus Surgery are all part of our Paediatric Teams routine and are usually performed under general anaesthesia.
Management of both cosmetic and functional abnormalities which affect the eyelids, eyebrows, orbital tissues, and tear drainage system.
The Oculoplastic Surgeons at the Eye Centre combine in-depth knowledge of the eye with expertise in reconstructive surgery to treat a broad range of conditions such as drooping eyelids (Ptosis), turning out of the eyelids (Ectropion), in-turning of the eyelids (Entropion), misdirection of eyelashes (Trichiasis), excessive eyelid skin, wrinkles, eye muscle spasms (BOTOX Injections) and eyelid injuries.
Surgery to the tear drainage system (Dacrocystorhinostomy or DCR for short) is a commonly performed procedure to relieve the symptoms of constant or excessive tearing (otherwise known as Epiphora) and recurrent tear sack infections.
Optometry and Contact Lens Fitting
Our optometry department is staffed by an experienced UK trained optometrist. Apart from routine adult refractions, paediatric refractive work is performed and there are pre arranged specialist refractive days dealing with difficult contact lens management problems including keratoconus contact lens fitting.
Orthoptics concerns the investigation, diagnosis and treatment of: eye movements; binocular vision defects and problems relating to vision. It includes visual screening and the assessment of babies, small children and children with special needs. Early detection and intervention of strabismus (squint) and amblyopia (lazy eye) is crucial for a good prognosis. Treatment can also be provided to adults with double vision associated with conditions including: Diabetes, Thyroid disease, and neurological disorders such as Multiple sclerosis.
The Ocular Prosthetic Department provides custom made ocular prostheses, cosmetic scleral shells and facial prostheses to patients who have undergone enucleation or evisceration and to patients with microphthalmia or anophthalmia. Also to patients who have suffered trauma, congenital deformity, or have undergone reconstructive or corrective surgery for malignancy or disease. An impression procedure is carried out to obtain an accurate model of the socket. A wax model of the impression is made and sculptured to obtain optimum contour, eyelid closure, mobility and comfort. The artwork of the iris is hand painted by the Ocularist. The patient is fitted and a full instruction is given on how to remove, refit and care for the ocular prostheses. In the laboratory procedures, the materials used are the most recent medical Polymethylmethylacrylate/ P.M.M.A.
Electrodiagnosis is a method of obtaining information about diseases by recording the electrical activity of eye in response to visual stimulation. The electrical activity is recorded painlessly by attaching sticky electrodes to the skin around the eye. The information is used to accurately diagnose a number of eye conditions and monitor their progress. Our EDTs department provides a full range of tests including VEP, ERG, EOG.
- Visual acuity check (Snellen, EDTRS)
- Refraction (prescription of glasses for distant and near vision)
- Tonometry (measurement of intraocular pressure)
- Slit lamp examination
- Contact Lenses fitting for refractive errors and Keratoconus
- Orthoptic assessment in adults and children
- Contrast sensitivity test
- Endotheliometry (Topcon)
- Biometry –IOL master
- Ultrasound (A-scan, B-scan)
- Ultrasound Biomicroscopy – UBM (Aviso)
- Corneal topography and tomography (Allegro topolyzer)
- Eye wavefront analysis (Zywave analyzer)
- Visual fields (Humphrey Field Analyzer)
- OCT disc and macula (Cirrus-Zeiss)
- OCTA-OCT Angiography (Spectralis HRA+OCT imaging platform-Heidelberg Engineering)
- Wide field fluorescein angiography (Spectralis HRA, Heidelberg Engineering)
- Electrodiagnostics – EDTs (ERG, EOG, VEP) - For more details click here
- Femtosecond laser assisted cataract surgery –FLACS (LenSx-ALCON)
- Phacoemulsification (Centurion Vision System – ALCON)
- Vitrectomy- macula hole surgery, Epiretinal membrane peeling
- Retinal detachment repair with and without Vitrectomy
- Anti-VEGF injections –AVASTIN, LUCENTIS, EYLEA
- Femtosecond LASIK (visumax-ZEISS)
- Cornea Refractive Surgery –PRK, LASIK (Alegretto WAVELIGHT)
- Conreal Cross Linking for keratoconus (PESCHKE-Platinum PXL)
- Pterygium and limball transplantation surgery
- Corneal transplantation Full thickness transplantation (PKP) and partial thickness transplantation (DESAEK,DEAMEK)
- Amniotic Membrane Transplantation
- Cyclodiode laser ablation
- Ahmed glaucoma valve implant
- Lid surgery
- Dacryocystorhinostomy –DCR
- Other Oculoplastic surgeries
- Retinal Photocoagulation (PASCAL Laser system)
- YAG-Laser system (ZEISS) - For more details click here
What is a cataract and how is it removed.
Instructions for Cataract surgery under local anaesthetic.
- On the day of surgery have a light breakfast and if you have been prescribed drops to use prior to surgery do so as instructed.
- You can come dressed in your normal clothing. There is no need to bring any nightclothes with you. You will be taken to the operating theatre by the nursing staff when its time for your surgery, this is usually between 1 to 3 hours after your arrival depending on the preparation time necessary and how busy the theatre timetable is on that day.
- In the operating theatre you will receive some local anaesthetic drops 15 to 20 minutes before your surgery. Usually an injectable local anaesthetic is not necessary, if it is this will be explained to you. During the operation you will be wide-awake and you will be able to hear everything but you will not see or feel any part of the operation. You will be able to talk to the surgeon at any time and tell him if you have a problem. At the end of the procedure your eye will be closed with an eye pad and you will go home.
- During your first evening after the surgery feel free to do as you please as long as you keep your eye pad dry and intact. If you develop a headache you can take your normal pain relief that you would use at any other time.
- The following day you will need to attend for a post operative visit as instructed and have your eye pad removed. Your eye will remain open from then on. You will have good vision from day one but will continue to improve for about one month. You will then be examined again and told if you need to go to your optician for new glasses.
- Refractive surgery Refractive surgery is the operation using laser technology (excimer laser) to change the refractive status of the eye. It has become one of the most popular procedures in medicine and since 1983 over 20 million such procedures have been performed worldwide.
- What are the benefits? - Reduce or eliminate dependence on glasses, improve appearance and give the ability to play sports unhindered
- Is the procedure effective and permanent? - One year after treatment over 95% of people with low to moderate prescriptions are able to pass a driver’s license vision test without corrective lenses.
- How the excimer laser works? - It uses a cool ultraviolet beam to precisely remove (ablate) very tiny bits of tissue from the surface of the cornea in order to reshape it. When you reshape the cornea in the right way it focuses light into the eye and onto the retina, providing clearer vision than before.
What is retinal detachment?
Retinal detachments often develop in eyes with retinas weakened by a hole or tear. This allows fluid to seep underneath, weakening the attachment so that the retina becomes detached – rather like wallpaper peeling off a damp wall. When detached, the retina cannot compose a clear picture from the incoming rays and vision becomes blurred and dim.
- In general a good proportion of the vision lost will be recovered.
- The vision does not fully recover to its original pre detachment level
- The vision would be totally lost unless surgery is performed
Dos and don’ts
From day one after the surgery you can:
- eat and drink what you like
- read and watch television as much as you like
- return to normal activities as long as you keep your eye clean
- use your old glasses if you find these helpful. If not then don’t use any glasses at all
- wear dark glasses if you want to and if they make you feel more comfortable but they are not necessary
For 15 days you must NOT:
- lift weights greater than 20Kg
- get shower water or tap water into your eye
- go swimming
- get dirt or dust into your eye
Call the doctor and inform him if:
- you have severe pain
- your eye becomes very swollen
- your vision is deteriorating rather than improving
Who is at risk of retinal detachment?
What are the symptoms?
What is the treatment?
How much vision can I expect after a successful operation?
What happens after the operation?
What happens if the detached retina is not put back in place?
Can retinal detachment be prevented?
What about my other eye?