EYES PROGRAMS

Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. Cuba is considered to have some of the most experienced ophthalmologists in both surgical and medical ophthalmology who undergo six years of medical training and three years residency in the full spectrum of eye-care, medical treatment and complex microsurgery.  Currently there are 25 centers in Cuba dedicated to the prevention of eye problems and eye disease as well as treating already existing eye disorders such as cataracts, retinitis pigmentosa and glaucoma.

Cuba’s advancement and contribution in ophthalmology is internationally recognized and has through the development of Operation Miracle, a joint operation between Cuba and Venezuela started on July 8, 2004, improved or restored vision to an estimated 2.2 – 3.4 individuals through simple eye care and eye surgeries. The success of Operation Miracle has prompted the setup of ophthalmological centers in 31 countries with 55 surgical centers mostly in Latin America, the Caribbean as well as some in Africa and Asia. Since 1991, Cuba has become a leader in health tourism for eye surgery and eye care.

 

Consultation services program includes:

  • Consultation with the professor (on Request)
  • Consultation with specialists
  • Retina consultation
  • Weak Vision consultation
  • Glaucoma consultation
  • Lacrimal System consultation
  • Contact lens consultation
  • Cataract surgery consultation
  • Keratoconus surgery evaluation
  • Keratoprosthesis evaluation
  • Corneal transplantation (corneal grafting)
  • Refractive surgery consultation
  • Strabismus consultation
  • Evaluation with the optometrist
  • Initial neurological assessment
  • Neuro-ophthalmology consultation
  • Follow up consultation with the professor (on Request)
  • Interconsultation with medical specialist
  • Medical consultation requested from abroad
  • Refractive surgery consultation: (Excimer Laser)

Ophthalmological checkup program includes:

  • Retinitis Pigmentosa Checkup: Specialized Retinitis Pigmentosa consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, fundus¡, Visual acuity, refraction, electrophysiological studies, perimetry, optical coherence tomography
  • Myopia, Hyperopia and Astigmatism Checkup: Specialized Refractive Error consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, and fundus. Refraction, Corneal Topography, Perimetry, pneumotonometry, aberrometry endothelial microscopy
  • Retina Checkup: Specialized Retina Consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, and fundus. Indirect ophthalmoscopy
  • Glaucoma Checkup: Specialized Glaucoma Consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, and fundus. Refraction, computed erimetry,gonioscopy, ocular tomography, Central perimetry and pneumotonometry
  • Cataract Checkup: Specialized Cataract surgery consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, and fundus. Endothelial microscopy, Calculation of intraocular lens, refraction, pneumotonometry
  • Cornea Checkup: Specialized Cornea consultation includes ophthalmologic medical examination: Biomicroscopy, tonometry, fundus. Refraction, endothelial microscopy, tachometer, corneal topography, Aberrometry, pneumotonometry
  • Oculoplasty Evaluation: Specialized Oculoplasty consultation includes ophthalmologic medical examination: biomicroscopy, tonometry, and fundus. Refraction, Schirmer test, ocular ultrasound, Biometrics, exploration of tear ducts, exophthalmometry and Visual Field

Retinitis Pigmentosa Programs:

Retinitis Pigmentosa (PR)

Retinitis pigmentosa refers to a number of inherited eye diseases (including rod-cone dystrophy, usher’s syndrome, leber’s amaurosis and batten’s disease) that causes retinal degeneration leading to a slow progressive vision loss.  This condition is due to damage in the rod and cone  photoreceptors. Rod photoreceptors are the retinal cells responsible for peripheral vision and night vision and function best in dim light  while cone photoreceptors are the retinal cells responsible for color vision and color sensitivity and work best in bright light.  With PR the rods photoreceptors usually first disintegrate making loss of night vision the first symptom. The breakdown in the rod photoreceptors bring about a breakdown in the cone photoreceptors. On rare occasions, the cone photoreceptors are first affected bringing about an interruption in central vision and color perception. With time, damage to the cone cells causes damage to the rod cells leading to tunnel vision and loss of night vision.

PR affects about 1 in 3500 people and as many as 6% of deaf people. The most prevalent theory contributes the development of retinitis pigmentosa to genetics (though it might skip a generation or more before showing up).  Symptoms usually appear in childhood with serious vision loss normally occurs in early adulthood progressing throughout one’s life. Symptoms will include:

  • problems distinguishing colors
  • problems in reading
  • problems in seeing details
  • problems in seeing in dim light
  • loss in night vision
  • loss in side vision 

Treatment

Cubaheal offers specialized retinitis pigmentosa consultation which include ophthalmologic medical examination: biomicroscopy, tonometry, fundus, Visual acuity, refraction, electrophysiological studies, perimetry, optical coherence tomography.

No.

Program

Hospitalization

4

Retinitis pigmentosa treatment. First visit

21

5

Retinitis pigmentosa treatment. Second visit

14

6

Retinitis pigmentosa treatment. Third visit

14

Cataract Surgery:

Cataract

Cataract is a common, painless, non-contagious eye disorder in which the lens in the eye becomes clouded affecting the ability to see properly. The lens, a transparent and flexible part of the eye responsible for focusing light rays as they enter the eye, develops cataract breaking up light rays as they pass to the retina.  Blurry vision, difficulty seeing at night, sensitivity to light, monocular double vision, reduction in seeing colour (usually there is a yellow or brown tint) as well as finding a need to frequently change prescription glasses are some of the symptoms experienced by people with this disorder.

One of the main factors contributing to developing cataracts is related to aging though it is not uncommon for cataracts to develop at any age. Other factors include chronic exposure to UV rays, family history, diabetes, injury to the eye, genetic illness (such as galactosemia, homocystinuria and down syndrome), certain medications (such as prolonged use of statins), other eye conditions (such as retinitis pigmentosa) as well as smoking and chronic alcohol intake.

There are a number of different types of cataracts with nuclear sceloric catract most frequently diagnosed. It is a slow developing conditions that begins in the nucleus of the lens and is associated with aging. Cortical cataract, forms at the outer parts of the lens spreading slowly to the center and is most prevalent in people with diabetes. Posterior subcapsular cataract develops in the back of the lens and is also associated with people suffering from diabetes as well as retinitis pigmentosa, excessive use of medications such as steroids and people who have extreme nearsightedness. The rarest type of this disorder is congenital contract which is present at birth or during early childhood. It is often not clear as to why cataracts develop in children though it is thought to be associated with an infection a mother contacts during pregnancy, genetic diseases such as down syndrome or infectious diseases such rubella or herpes simplex. 

Treatment

When cataracts affect daily life or when the condition interferes with the treatment of other eye disorders, eye surgery is usually recommended. Cataract surgery is one of the most common, effective and safest surgery to restore vision.

Cubaheal offers one of two options for cataract surgeries: With or without an implementation of an intraocular lens (IOL). Both surgeries undergo similar procedure and are performed by making an incision in order to remove the clouded lens. Both surgeries can be as outpatient or with hospitalization.

Surgery with IOL

IOL, a clear and flexible lens, is positioned securely in place of the clouded lens and works in the same way as the natural lens by focusing light rays into the retina. IOL are non-intrusive and usually help to improve vision.

The program includes the following:

  • Specialized Ophthalmology consultation
  • Hemoglobin test
  • Hematocrit test
  • Glycemia test
  • Differential white blood cell count
  • HIV test
  • Serology test
  • Chest X-Rays test
  • Electrocardiogram test
  • Refraction and autorefraction checkup
  • Biomicroscopy checkup
  • Keratometry checkup
  • Tonometry checkup
  • Biometrics checkup
  • Ocular diagnostic ultrasound
  • Local anesthesia applied by anesthesiology specialist
  • Cataract Surgery with Implantation of an Intraocular Lens (IOL) in one eye
  • Right to Operating Room
  • Recovery after surgery
  • Skilled nursing service


Surgery without IOL

Due to other eye conditions or problems during surgery intraocular lens may be advised against.

The program includes the following:

  • Specialized Ophthalmology consultation
  • Hemoglobin test
  • Hematocrit test
  • Glycemia test
  • Differential white blood cell count
  • HIV test
  • Serology test
  • Chest X-Rays test
  • Electrocardiogram test
  • Refraction and autorefraction checkup
  • Biomicroscopy checkup
  • Keratometry checkup
  • Tonometry checkup
  • Biometrics checkup
  • Ocular diagnostic ultrasound
  • Local anesthesia applied by anesthesiology specialist
  • Cataract Surgery without Implantation of an Intraocular Lens (IOL) in one eye
  • Right to Operating Room
  • Recovery after surgery
  • Skilled nursing service