Eyesight check. Vision diagnostics (computer and others) Where to get an eye examination for inflammation

vision diagnostics- this is an important step in the prevention of eye diseases and maintaining good vision for many years! Timely detection of ophthalmic pathology is the key to successful treatment of many eye diseases. As our practice shows, the occurrence of eye diseases is possible at any age, so everyone needs to undergo a high-quality ophthalmological examination at least once a year.

Why is a complete eye examination necessary?

Vision diagnostics is necessary not only to identify the primary ophthalmic pathology, but also to resolve the issue of the possibility and expediency of performing a particular operation, the choice of patient treatment tactics, as well as the accurate diagnosis of the state of the organ of vision in a dynamic aspect. In our clinic, a complete ophthalmological examination is carried out using the most modern diagnostic equipment.

The cost of vision diagnostics

The cost of a diagnostic examination (diagnostics of vision) depends on its volume. For the convenience of patients, we have formed complexes, in accordance with common eye diseases, such as cataracts, glaucoma, myopia, hyperopia, pathology of the fundus.

Service name Qty
services
Price
Visometry, 2 eyes
Code: А02.26.004
1 350 ₽

Code: А02.26.013
1 550 ₽
Ophthalmotonometry, 2 eyes
Code: А02.26.015
1 300 ₽
Biomicroscopy, 2 eyes
Code: А03.26.001
1 900 ₽

Code: А03.26.018
1 700 ₽

Code: A12.26.016
1 350 ₽

Code: В01.029.001.009
1 700 ₽
Service name Qty
services
Price
Visometry, 2 eyes
Code: А02.26.004
1 350 ₽
Determination of refraction with a set of trial lenses, 2 eyes
Code: А02.26.013
1 550 ₽
Ophthalmotonometry, 2 eyes
Code: А02.26.015
1 300 ₽
Biomicroscopy, 2 eyes
Code: А03.26.001
1 900 ₽

Code: А03.26.003.001
1 1 950 ₽
Biomicroscopy of the fundus (central zone), 2 eyes
Code: А03.26.018
1 700 ₽
Autorefractometry with a narrow pupil, 2 eyes
Code: A12.26.016
1 350 ₽
Consultation with an ophthalmologist
Code: В01.029.001.009
1 700 ₽
Service name Qty
services
Price
Consultation with an ophthalmologist
Code: В01.029.001.009
1 700 ₽
Consultation with an ophthalmologist (surgeon)
Code: В01.029.001.010
1 1 700 ₽
Anesthesiologist's consultation
Code: В01.029.001.011
1 1 000 ₽
Consultation with an ophthalmologist (vitreoretinologist)
Code: В01.029.001.012
1 1 100 ₽
Consultation of a candidate of medical sciences
Code: В01.029.001.013
1 2 200 ₽
Doctor of Medical Sciences Consultation
Code: В01.029.001.014
1 2 750 ₽
Professor's advice
Code: В01.029.001.015
1 3 300 ₽
Consultation of professor, doctor of medical sciences Kurenkov V.V.
Code: В01.029.001.016
1 5 500 ₽
Service name Qty
services
Price
Visometry, 2 eyes
Code: А02.26.004
1 350 ₽
Color perception study, 2 eyes
Code: А02.26.009
1 200 ₽
Strabismus angle measurement, 2 eyes
Code: А02.26.010
1 450 ₽
Determination of refraction with a set of trial lenses, 2 eyes
Code: А02.26.013
1 550 ₽
Determination of refraction using a set of trial lenses in conditions of cycloplegia, 2 eyes
Code: А02.26.013.001
1 800 ₽
Ophthalmotonometry, 2 eyes
Code: А02.26.015
1 300 ₽
Ophthalmotonometry (iCare device), 2 eyes
Code: А02.26.015.001
1 650 ₽
Daily tonometry with iCare expert tonometer (1 day)
Code: А02.26.015.002
1 1 850 ₽
Ophthalmotonometry (IOP according to Maklakov), 2 eyes
Code: А02.26.015.003
1 450 ₽
Schirmer test
Code: А02.26.020
1 600 ₽
Accommodation study, 2 eyes
Code: А02.26.023
1 350 ₽
Determination of the nature of vision, heterophoria, 2 eyes
Code: А02.26.024
1 800 ₽
Biomicroscopy, 2 eyes
Code: А03.26.001
1 900 ₽
Examination of the posterior corneal epithelium, 2 eyes
Code: A03.26.012
1 600 ₽
Gonioscopy, 2 eyes
Code: A03.26.002
1 850 ₽
Inspection of the periphery of the fundus using a three-mirror Goldman lens, 2 eyes
Code: А03.26.003
1 1 950 ₽
Inspection of the periphery of the fundus using a lens, 2 eyes
Code: А03.26.003.001
1 1 950 ₽
Keratopachymetry, 2 eyes
Code: A03.26.011
1 800 ₽
Biomicrograph of the eye and adnexa, 1 eye
Code: A03.26.005
1 800 ₽
Biomicrograph of the fundus using a fundus camera, 2 eyes
Code: A03.26.005.001
1 1 600 ₽
Biomicroscopy of the fundus (central zone), 2 eyes
Code: А03.26.018
1 700 ₽
Optical examination of the retina using a computer analyzer (one eye), 1 eye
Code: A03.26.019
1 1 650 ₽
Optical examination of the anterior part of the eye using a computer analyzer (one eye), 1 eye
Code: А03.26.019.001
1 1 200 ₽
Optical examination of the posterior part of the eye using a computer analyzer in the angiography mode (one eye), 1 eye
Code: А03.26.019.002
1 2 500 ₽
Optical examination of the optic nerve head and nerve fiber layer using a computer analyzer, 1 eye
Code: А03.26.019.003
1 2 000 ₽
Optical examination of the posterior segment of the eye (optic nerve) using a computer analyzer, 1 eye
Code: А03.26.019.004
1 3 100 ₽
Computer perimetry (screening), 2 eyes
Code: A03.26.020
1 1 200 ₽
Computerized perimetry (screening + thresholds), 2 eyes
Code: А03.26.020.001
1 1 850 ₽
Ultrasound examination of the eyeball (B-scan), 2 eyes
Code: А04.26.002
1 1 200 ₽
Ultrasonic eye biometry (A-method), 2 eyes
Code: А04.26.004.001
1 900 ₽
Ultrasonic biometrics of the eye with the calculation of the optical power of the IOL, 2 eyes
Code: А04.26.004.002
1 900 ₽
Optical biometrics of the eye, 2 eyes
Code: А05.26.007
1 650 ₽
Load-unload tests for the study of the regulation of intraocular pressure, 2 eyes
Code: А12.26.007
1 400 ₽
Autorefractometry with a narrow pupil, 2 eyes
Code: A12.26.016
1 350 ₽
Videokeratotopography, 2 eyes
Code: A12.26.018
1 1 200 ₽
Selection of spectacle correction of vision, 2 eyes
Code: А23.26.001
1 1 100 ₽
Selection of spectacle correction of vision (with cycloplegia)
Code: A23.26.001.001
1 1 550 ₽
Selection of spectacle correction of vision (when undergoing a comprehensive examination)
Code: А23.26.001.002
1 650 ₽
Selection of spectacle correction of vision (with cycloplegia during a comprehensive examination)
Code: А23.26.001.003
1 850 ₽
Prescribing drugs for diseases of the organ of vision
Code: A25.26.001
1 900 ₽
Repeated appointment (examination, consultation) with an ophthalmologist
Code: В01.029.002
1 850 ₽
Training in the use of MKL
Code: DU-OFT-004
1 1 500 ₽
Determination of the dominant eye
Code: DU-OFT-005
1 400 ₽

What studies are included in a complete diagnostic examination of the visual system and what are they?

Any ophthalmological examination begins, first of all, with a conversation, identifying complaints from the patient and taking an anamnesis. And only after that they proceed to the hardware methods of studying the organ of vision. The hardware diagnostic examination includes determining visual acuity, studying the patient's refraction, measuring intraocular pressure, examining the eye under a microscope (biomicroscopy), pachymetry (measuring the thickness of the cornea), echobiometry (determining the length of the eye), ultrasound examination of the eye (B-scan), computed keratotopography and careful (fundus) with a wide pupil, determination of the level of tear production, assessment of the patient's field of view. When an ophthalmic pathology is detected, the scope of the examination is expanded for a specific study of clinical manifestations in a particular patient. Our clinic is equipped with modern, highly professional ophthalmological equipment from such companies as ALCON, Bausch & Lomb, NIDEK, Zeiss, Rodenstock, Oculus, which allows for examinations of any level of complexity.

In our clinic, special tables with pictures, letters or other signs are used to determine the visual acuity and refraction of the patient. With the help of an automatic phoropter NIDEK RT-2100 (Japan), the doctor, alternately changing the diopter glasses, selects the most optimal lenses that provide the best vision for the patient. In our clinic, we use NIDEK SCP - 670 halogen sign projectors with 26 test charts and analyze the result obtained under narrow and wide pupil conditions. A computer study of refraction is carried out on a NIDEK ARK-710A autorefkeratometer (Japan), which allows you to determine the refraction of the eye and the biometric parameters of the cornea as accurately as possible.

Intraocular pressure is measured using a NIDEK NT-2000 non-contact tonometer. If necessary, the measurement of intraocular pressure is carried out by contact method - Maklakov's or Goldman's tonometers.

To study the state of the anterior segment of the eye (eyelids, eyelashes, conjunctiva, cornea, iris, lens, etc.), a NIDEK SL-1800 slit lamp (biomicroscope) is used. On it, the doctor evaluates the condition of the cornea, as well as deeper structures such as the lens and vitreous body.

All patients undergoing a complete ophthalmological examination are required to undergo an examination of the fundus, including areas of its extreme periphery, in conditions of maximum pupil dilation. This makes it possible to detect degenerative changes in the retina, to diagnose its ruptures and subclinical detachments - a pathology that is not clinically determined by the patient, but requires mandatory treatment. To dilate the pupils (mydriasis), fast and short-acting drugs (Midrum, Midriacil, Cyclomed) are used. When changes in the retina are detected, we prescribe prophylactic laser coagulation using a special laser. Our clinic uses the best and most modern models: YAG laser, NIDEK DC-3000 diode laser.

One of the important methods for diagnosing a patient's vision before any refractive surgery for vision correction is computer topography of the cornea, aimed at examining the surface of the cornea and its pachymetry - measuring the thickness.

One of the anatomical manifestations of refractive errors (myopia,) is a change in the length of the eye. This is one of the most important indicators, which is determined in our clinic by a non-contact method using the IOL MASTER device from ZEISS (Germany). This is a combined biometric device, the results of which are also important for calculating the IOL in cataracts. Using this device, during one session, directly one after another, the length of the axis of the eye, the radius of curvature of the cornea and the depth of the anterior chamber of the eye are measured. All measurements are carried out using a non-contact method, which is extremely comfortable for the patient. Based on the measured values, the built-in computer can suggest optimal intraocular lenses. The basis for this is the current international calculation formulas.

Ultrasound examination is an important addition to the generally recognized clinical methods of ophthalmic diagnostics; it is a widely known and informative instrumental method. This study makes it possible to obtain information about the topography and structure of normal and pathological changes in the tissues of the eye and orbit. The A-method (one-dimensional imaging system) measures the thickness of the cornea, the depth of the anterior chamber, the thickness of the lens and the inner membranes of the eye, as well as the length of the eye. The B-method (two-dimensional imaging system) allows assessing the state of the vitreous body, diagnosing and assessing the height and extent of choroid and retinal detachment, identifying and determining the size and localization of ocular and retrobulbar neoplasms, as well as detecting and determining the location of a foreign body in the eye.

Study of visual fields

Another of the necessary methods for diagnosing vision is the study of visual fields. The purpose of determining the field of view (perimetry) is:

  • diagnosis of eye diseases, in particular glaucoma
  • dynamic monitoring to prevent the development of eye diseases.

Also, using a hardware technique, it is possible to measure the contrast and threshold sensitivity of the retina. These studies provide an opportunity for early diagnosis and treatment of a number of eye diseases.

In addition, other parametric and functional data of the patient are examined, for example, determining the level of tear production. The most diagnostically sensitive functional studies are used - the Schirmer test, the Norn test.

Optical tomography of the retina

Another modern method for studying the inner shell of the eye is. This unique technique allows you to get an idea of ​​the structure of the retina throughout its depth, and even measure the thickness of its individual layers. With its help, it became possible to detect the earliest and smallest changes in the structure of the retina and optic nerve, which are not available to the resolving abilities of the human eye.

The principle of operation of an optical tomograph is based on the phenomenon of light interference, which means that the patient is not exposed to any harmful radiation during the examination. The study takes several minutes, does not cause visual fatigue and does not require direct contact of the sensor of the device with the eye. Similar devices for diagnosing vision are available only in large clinics in Russia, Western Europe and the USA. The study provides valuable diagnostic information about the structure of the retina in diabetic macular edema and allows you to accurately formulate a diagnosis in complex cases, as well as get a unique opportunity to monitor the dynamics of treatment based not on the doctor's subjective impression, but on clearly defined digital retinal thickness values.

The study provides comprehensive information about the state of the optic nerve and the thickness of the layer of nerve fibers around it. Highly accurate measurement of the latter parameter guarantees the detection of the earliest signs of this formidable disease, even before the patient has noticed the first symptoms. Considering the ease of implementation and the absence of discomfort during the examination, we recommend repeating control examinations on the scanner for glaucoma every 2-3 months, for diseases of the central retina - every 5-6 months.

A re-examination allows you to determine the activity of the pathology, clarify the correctness of the chosen treatment, as well as correctly inform the patient about the prognosis of the disease, which is especially important for patients suffering from macular holes, since the likelihood of such a process developing on a healthy eye can be predicted after a tomography examination. Early, "preclinical" diagnosis of fundus changes in diabetes mellitus is also within the power of this amazing device.

What happens after hardware research is completed?

After the completion of hardware studies (diagnosis of vision), the doctor carefully analyzes and interprets all the information received about the state of the patient's organ of vision and, based on the data obtained, makes a diagnosis, on the basis of which a treatment plan for the patient is drawn up. All research results and treatment plan are explained in detail to the patient.

Many diseases can be prevented if detected early. The same applies to the visual system - the sooner problems are identified, the better. By the way, modern vision diagnostics is very conducive to this. Neither serious diseases nor hidden pathologies can slip past the perfect equipment ...

Why is it necessary to follow the recommendations of ophthalmologists and check at least once a year?

Probably not from “nothing to do” ophthalmologists around the world trumpet: “Check your eyesight at least once a year! Especially if you are in any risk group! They care about the health of every person. After all, today, in the age of innovative industry, vision problems are on a large scale. Assistants to this are televisions, computers, our carelessness, laziness and many other things.

Meanwhile, as world practice shows, preventive examination allows:

  1. Reveal hidden pathologies.
  2. Diagnose significant vision problems.
  3. Choose the right means of correction.
  4. Timely prescribe adequate treatment: medicines, devices, surgery.
  5. Significantly reduce the side effects of treatment.

But, alas and ah, a small number of people listen to the recommendations of ophthalmologists. Basically, they turn for help when even an operation does not guarantee a successful outcome. After all, the causes of vision loss can be different. For example, with cataracts, it decreases due to clouding of the lens, with glaucoma - due to circulatory disorders and increased intraocular pressure, etc.

In any case, these and other diseases without timely detection and treatment can lead to significant loss of vision, and often to complete darkness, i.e. blindness...

What is a complete diagnostic examination?

In many clinics, they limit it to a simple check according to Sivtsev's tables. But this may not always reflect the true picture of the state of the visual system. Therefore, it is necessary to insist on a comprehensive check.

If the polyclinic at the place of residence does not have the opportunity to conduct it, then you can take a free referral to an ophthalmological center or use paid services.

Comprehensive vision diagnostics includes:

  1. Measurement of visual acuity.
  2. Determination of the refraction of the eye.
  3. Measurement of intraocular pressure.
  4. Biomicroscopy (examination of the eyeball through a microscope).
  5. Pachymetry (measurement of the depth of the cornea).
  6. Echobiometry (measuring the length of the eye).
  7. Ultrasound of the internal structures of the eye, including opaque ones.
  8. Computer keratotopography.
  9. Diagnosis of hidden pathologies.
  10. Determining the level of tear production.
  11. Checking the visual field.
  12. Examination of changes in the retina (with a wide pupil), the optic nerve.

Such diagnostics allows you to identify all the features of the visual system and the causes of visual impairment. Also, the prediction of the outcome of a particular treatment depends on the results.

Comprehensive vision diagnostics helps to detect diseases such as hypertension, diabetes, atherosclerosis and rheumatism at the initial stages of development. And also tuberculosis, cervical osteochondrosis, problems with the thyroid gland and many other diseases.

How is a comprehensive examination carried out?

As a rule, the diagnosis of vision in children and adults begins with checklists. They can contain letters, pictures and other signs.

Additionally, a test can be carried out on an autorefractometer - a device that automatically determines the refraction of the eye and the parameters of the cornea and immediately gives the result.

If vision problems are identified, the ophthalmologist will begin to select lenses of the required optical power. For this, special glasses can be used, where test glasses are inserted, or a phoropter, a device where lenses change automatically.

Intraocular pressure is measured using a tonometer. If glaucoma is suspected, computer perimetry is additionally performed - checking the visual field.

The anterior segment of the eye (eyelashes, eyelids, conjunctiva, cornea, etc.) is examined using a biomicroscope. This is necessary to assess the condition of the cornea, check for scarring on it, clouding in the lens, etc.

A complete picture of the state of the eye is obtained by examining the fundus through the dilated pupil. This allows you to determine whether there are changes in the retina, what is the condition of the optic nerve, etc.

Pachymetry allows you to calculate the maximum depth of the cornea allowed for laser exposure. And in cases of a high degree of myopia, it helps to establish how complete the correction can be carried out and which method is better to choose for this.

And if you need topography and the refractive power of the cornea, then a keratotopograph will come to the rescue. It can be used to examine individual optical defects of the cornea. Such diagnostics last only a few seconds, but during this time its entire surface has time to be scanned.

The information obtained from the keratotopograph is also necessary to perform laser refraction correction. Indeed, during its implementation, the cornea is directly affected. At the same time, the machine provides results in the form of digital data, which allows you to predict visual acuity after laser correction. In general, diagnostics on a keratotopograph helps to identify the initial signs of keratoconus (changes in the shape of the cornea) and many of its other diseases.

Echobiometry allows you to measure the length of the eyeball, determine the size of the lens and the depth of the anterior chamber. Wave aberrometry - measure the optical system of the eye, identify all deviations from the norm on the retina and its other structures.

Why is it important to examine children in a timely manner (video):

A comprehensive examination allows you to more fully cover the human visual system, identify its features and weaknesses, and, of course, prescribe the most effective treatment. Do you agree? Your answer is in the comments!

Regular and thorough eye examination is the best prevention of eye diseases. Vision testing in patients under the age of 40 in the absence of complaints and hereditary risk factors should be carried out every 3-5 years. Diagnosis of vision in patients 40-60 years of age is carried out once a year. After the age of 60, ophthalmologists advise to conduct an eye examination 2 times a year.

However, if you have such aggravating factors as hereditary predisposition, previous inflammatory eye diseases or eye trauma, concomitant general somatic diseases (diabetes mellitus, rheumatism, and others), vision diagnostics should be performed more often.

Thorough vision diagnostics includes a number of instrumental and hardware examination methods. And if you have never had an eye exam, now is the time. The latest generation of diagnostic equipment allows you to measure most of the necessary parameters of the eye completely painlessly, without touching the surface of the eye. This significantly reduces the risk of any inflammation of the eye and reduces the time of the eye examination procedure itself.

So, ten reasons to see an ophthalmologist:

  1. A wide range of ophthalmological services provided.
  2. Using the most modern scientific developments, professional modern equipment, high-quality consumables.
  3. Eye examination, complete comprehensive examination of vision and diagnosis on the day of treatment.
  4. Individual approach to examination of patients.
  5. Unified computer system for processing and storing information about patients.
  6. Accurate calculations of the parameters of operations for myopia, cataracts and other diseases of the organ of vision.
  7. Vision diagnostics, initial consultation, surgery and treatment until complete recovery by one specialist.
  8. Consultations with the involvement of related specialists (neuropathologist, cardiologist, endocrinologist, nephrologist) according to indications.
  9. Preparation for surgery and postoperative rehabilitation.

Thanks to our perfect methods of examination and treatment, we manage to preserve the sight and joy of life for the majority of patients.

Visual impairment can be caused by many reasons. Diagnosis of vision using modern equipment makes it possible to identify these causes, make the correct diagnosis, decide on the possibility and expediency of performing a particular operation, and determine the tactics of conservative treatment of the patient. Below we will try to give a brief description of the main and most informative methods of examining an ophthalmic patient performed in our eye clinic.

Visometry

Computer diagnostics of refraction - determination of the optical power (refraction) of the eye. Vision testing is carried out on an autorefkeratometer, which allows you to objectively and accurately determine the degree of refraction of the eye (nearsightedness, farsightedness, astigmatism), measure the radius of curvature and refractive power of the cornea, pupil diameter (which is necessary to determine the laser exposure zone during excimer laser correction). Examination data obtained on an autorefkeratometer are necessary for calculating the artificial eye lens (IOL) during cataract removal, refractive surgery for myopia, hyperopia, astigmatism, selection of contact lenses and glasses.

Measurement of intraocular pressure is of great importance in the diagnosis of glaucoma, as well as a number of eye diseases accompanied by an increase or decrease in intraocular pressure. In clinical practice, tonometry is performed by applanation (non-contact) and impression (contact) methods. With non-contact tonometry, a pneumotonometer, using a directed air jet, without touching the surface of the eye, quickly and safely measures intraocular pressure. This technology makes the measurement process more comfortable for the patient. The speed of the procedure is only 3 ms. If necessary, the measurement of intraocular pressure is carried out with a Maklakov contact tonometer or Goldman tonometer, which consists in instillation of anesthetic drops and measurement of the degree of corneal deflection under the pressure of a weight (plunger) lowered onto the surface of the eye.

Eye biomicroscopy is a method of visual examination of optical media and eye tissues using a slit lamp, based on creating a sharp contrast between illuminated and unlit areas, which allows you to study in detail the condition and identify diseases of the auxiliary apparatus of the organ of vision (eyelids, lacrimal organs, conjunctiva), pathology of the cornea , opacity in the lens under high magnification. The use of special lenses makes it possible to perform gonioscopy (examination of the drainage system of the eye) for glaucoma. Biomicroscopy of the eye allows you to study the state of the vitreous body with hemorrhages and opacities in it, assess the nature, scale and prospects for subsequent treatment of such pathologies of the retina as vascular lesions of the retina, hereditary retinal diseases, retinal detachment (retinal detachment), retinal dystrophy, retinopathy.

Ophthalmoscopy is a method of studying the choroid, retina, optic nerve in the rays of light that is reflected from the patient's fundus. In the clinic, ophthalmoscopy is performed with a direct ophthalmoscope, a head binocular ophthalmoscope, or with a slit lamp and aspherical lenses or a Goldmann contact lens. Ophthalmoscopy is carried out in conditions of the widest possible pupil, which makes it possible to qualitatively examine not only the central sections of the fundus, but also peripheral sections of the retina that are difficult to see, to identify peripheral retinal dystrophies, retinal detachment (retinoschisis), subclinical forms of retinal detachment (retinal detachment), then there is a pathology in the fundus, which is not clinically manifested, but requires mandatory treatment. Short-acting mydriatics are used to dilate the pupil.

This is the so-called "standard complex of primary diagnostics". If necessary and in agreement with the patient, the diagnosis of vision can be expanded with additional studies.

Tonography

Tonography is a method for studying the hydrodynamics of the eye, which consists in graphic recording of the results of multiple measurements of intraocular pressure against the background of prolonged compression of the eyeball with a tonometer. Tonography allows you to measure fluctuations in intraocular pressure, the rate of production and outflow of intraocular fluid for a given period of time. Conducting this study is especially important for verifying the diagnosis in case of suspected glaucoma and as a control of the effectiveness of the treatment of those patients in whom glaucoma was detected earlier.

Perimetry

Perimetry is designed to diagnose the state of the visual field - the space that the human eye sees when it is fixed. Often a person does not notice the appearance of defects (losses) in the field of vision due to the ability given by nature to look at the world with two eyes. Modern perimeter models have a wide range of threshold studies and highly specialized tests, which makes it possible to detect eye pathologies such as glaucoma, retinal dystrophy, retinal vascular pathology (occlusions and thromboses of retinal vessels), retinopathy, retinal detachment at the initial stages. Significantly expanding diagnostic capabilities in inflammatory and vascular pathology of the optic nerve, optic nerve atrophy, neuro-ophthalmic pathology. Perimetry with short screening test methods is reliable enough to detect even minimal visual field defects without a lot of time.

Ultrasound examination of the eye and orbit

Ultrasound examination of the eye and orbit is a highly informative, safe, non-invasive instrumental research method that allows you to obtain a two-dimensional image of the vitreous cavity, posterior segment of the eye and orbit. A/B scanning provides a high-resolution image and allows measurement of the dimensions of intraocular structures with an accuracy of 0.01 mm. Ultrasound examination of the eye is performed according to the following main indications:

  • Measurement of the thickness of the cornea, the depth of the anterior chamber of the eye, the thickness of the lens, the size of the vitreous body, the anterior-posterior size of the eyeball. This information is necessary when performing a variety of operations, including cataract removal.
  • Identification and determination of the size and topography of neoplasms of the ciliary body, choroid and retina, retrobulbar tumors. Quantitative assessment of their changes in dynamics. Differentiation of clinical forms of exophthalmos.
  • Identification, assessment of the height and prevalence of retinal detachment, detachment of the ciliary (ciliary) body and choroid and their relationship with the vitreous body. Differentiation of primary retinal detachment from secondary, due to tumor growth.
  • Identification of destruction, exudate, opacities, blood clots, mooring in the vitreous body. Determination of their localization, density and mobility, relationships with the retina of the organ of vision.
  • Identification of foreign bodies in the eye in case of injury to the organ of vision, including clinically invisible and X-ray negative. Determination of their location in the eye and relationship with intraocular structures.
  • Calculation of the refractive power required for the implantation of an artificial eye lens (IOL).

Recently, a new method of acoustic visualization of intraocular structures of the anterior segment of the eye has been introduced into clinical practice - ultrasound biomicroscopy. This method allows you to explore the anterior segment of the eye at the microstructural level. Ultrasound biomicroscopy is a B-scanning line-scan ultrasound immersion diagnostic procedure that provides quantitative and qualitative information about the structure of the anterior segment of the eye (cornea, iris, anterior chamber angle, lens) in order to diagnose glaucoma, anterior neoplasms, consequences of eye injuries.

Fluorescein angiography with computer registration

Today, not a single clinic in the world can do without this informative diagnostic study. Fluorescein angiography based on the contrasting of retinal vessels with a special dye is the only method of its kind for accurate and effective diagnosis of diseases of the retina, optic nerve and choroid. It reveals the structure of the vascular bed of the retina, gives a clear idea of ​​hemodynamics, the state of the permeability of the vascular walls, pigment epithelium and Bruch's membrane, allows you to differentiate inflammatory changes with vascular, dystrophic and tumor processes.

Fluorescent angiography is performed on a retinal camera both for diagnostic purposes and to determine the indications, tactics and timing of laser treatment, as well as to evaluate the results of the treatment. This study allows to identify ischemic zones and newly formed vessels, which is important to identify in diseases such as diabetic retinopathy, thrombosis of the central retinal vein and its branches, occlusion of the central retinal artery and its branches, vasculitis, anterior ischemic neuropathy, pathology of the central retinal zone (edema, cysts, ruptures), recurrent hemophthalmos and a number of other diseases.

Electroretinography (ERG) is a method of recording changes in the bioelectric potential of the retina, graphically expressing the electrical activity of the cellular elements of the retina in response to light stimulation. Electroretinography makes it possible to judge the functional state of the photopic and scotopic systems of the organ of vision, regardless of the transparency of the optical media of the eye. The study of the thresholds of electrical sensitivity and electrical lability of the visual analyzer makes it possible to assess the functional state of the inner layers of the retina and the axial bundle of the optic nerve.

Electroretinography is performed:

  • when it is impossible to visually assess the state of the retina,
  • in the presence of an inflammatory process in the eye,
  • with suspicion of sympathetic ophthalmia,
  • for early diagnosis of retinitis pigmentosa,
  • for the diagnosis of macular degeneration,
  • with acute circulatory disorders in the retina,
  • for early diagnosis of metallosis,
  • in case of poisoning with neurotropic poisons.

Keratotopography

Optical coherence tomography (OCT)

Optical coherence tomography (OCT) is a non-invasive method of visualization of biological structures, which makes it possible to obtain in vivo ("in vivo") two-dimensional image of transverse optical sections of biological tissues with a resolution approaching the cellular level (10-15 microns). The technological basis of this method is the measurement of optical reflectivity (reflectivity) of biological structures. The device is based on a new diagnostic technology that allows you to obtain a two-dimensional high-resolution image of a section of the membranes of the eyeball and optic nerve, measure the thickness of their longitudinal section by analyzing the light signal reflected from the boundaries of biological layers. The device makes it possible, with a minimum load on the patient's eye, to conduct an examination of vision even in cloudy environments.

What happens after the vision test?

So the eye test is complete. What's next? After a thorough and complete examination, our specialist will talk with you and, based on all the diagnostic data received, will prescribe an appropriate conservative or

Most often, the retina of the eye undergoes inflammatory or dystrophic pathological processes. Diseases of this part of the eyeball can be hereditary, but often they are associated with the influence of external factors, that is, they are acquired. Usually damage to the retina occurs as a result of a traumatic effect on the eye itself or its environment. The presence of concomitant systemic pathology (cardiovascular, endocrine) can have a significant impact on the condition of the eye itself. Sometimes the retina is damaged as a result of tumor growth or other neoplasms.

To diagnose pathologies that directly affect the retina, it is necessary to conduct a set of examinations and a thorough examination.

Basic principles of diagnosis in retinal pathology

  • The patient should be examined for visual acuity. In this case, the doctor establishes the safety of the function of the central regions, which can be affected in the pathology of the retina.
  • Be sure to measure the level of intraocular pressure.
  • All patients determine the boundaries of the field of view. For this, computerized perimetry is more often used. This study helps to diagnose peripheral retinal lesions.
  • Electrophysiological examination of the patient helps to establish the safety of the function of the optic nerve, to determine the viability of retinal cells and the neurons themselves.
  • During direct or indirect ophthalmoscopy, the doctor examines the features of the fundus, based on the examination, it is possible to establish areas of retinal tear, as well as their number and tendency to detach. In addition, it is possible to determine the relationship of the detachment area with the substance of the vitreous body, to identify the areas of thinning, since they require special attention during surgical treatment of the eyes.

Diagnostic methods for diseases of the retina

Patients with suspected retinal pathology undergo the following studies:

  • Determination of visual acuity of the patient.
  • The study of contrast sensitivity, which with high accuracy allows you to judge the state of the central macular zone.
  • Study of color perception, as well as color thresholds.
  • Ophthalmoscopy.
  • Perimetry, the purpose of which is to determine the boundaries of the field of view.
  • Electrophysiological methods of examination.
  • Fluorescent angiography, which allows you to thoroughly study the pathology of the vascular system of the eye.
  • Optical coherence tomography is aimed at qualitative determination of the pathology of the retina, as well as the severity of the process.
  • Photographing the fundus is carried out to register pathological changes that can be assessed over time.

Cost of retinal diagnostics

  • Initial consultation with a retinal specialist (laser surgeon) - 3 000 rub.
  • Repeated consultation with a retinal specialist (laser surgeon) - 1 000 rub.
  • Examination of the fundus with a narrow pupil - 1 000 rub.
  • Inspection of the fundus with a wide pupil - 1 200 rub.
  • Amsler test (for macular degeneration) - 500 rub.
  • Electrophysiological examination of the retina and optic nerve (KChSM) - 500 rub.
  • Ultrasound of the eyeball - 1 500 rub.
  • Optical coherence tomography of the retina - 2 000 rub.

Above are the prices for the main diagnostic services of our ophthalmological center at the time of publication of the material. You can specify the exact cost of services and make an appointment by calling the numbers listed on our website.

Why is it so important to undergo a comprehensive high-tech diagnostics of vision?

Comprehensive diagnostics of vision is a necessary condition for maintaining its sharpness for many years. The VISION ophthalmological clinic uses innovative diagnostic equipment to detect eye diseases at the earliest stage, and the qualifications of doctors ensure an accurate diagnosis. The experience of our specialists and advanced examination methods guarantee the selection of effective treatment methods. We have been working for more than 11 years so that you can enjoy the bright colors of the world.

Why is early vision diagnostics on innovative equipment necessary?

According to statistics, up to 65% of eye diseases proceed without symptoms for a long time, imperceptibly for the patient. Therefore, it is important to regularly examine the entire visual apparatus: check visual acuity, the condition of the tissues of the eyeball, the work of the visual analyzer. The VISION clinic has technological capabilities for diagnosing all parts of the eye, including at the cellular level. This allows you to prescribe the right treatment in a timely manner and stop the processes that lead to loss or deterioration of vision.

We take care of patients by choosing the best methods of diagnosis and treatment

Examination at the VISION clinic is suitable for patients of any age. So, the initial manifestations of retinal dystrophy can occur as early as 18-30 years. An optical tomograph allows you to get a 3D image of the structure of the retina and see the slightest changes in it. After 30 years, prerequisites for retinal detachment, glaucoma, and the first stages of neoplasms are revealed. And after 50 years, you can detect cataracts or macular degeneration - diseases that lead to complete blindness. The diagnosis always includes a consultation with an ophthalmologist who will select the optimal therapy regimen or recommend surgery to correct vision. Surgical treatment can also be performed by experienced ophthalmic surgeons of our clinic.

Advantages of the VISION clinic

1.High-precision diagnostics

The use of modern equipment, including optical tomographs. Some of the diagnostic methods are unique.

2. Qualification of doctors

The clinic employs qualified specialists - ophthalmologists and ophthalmic surgeons who love their job and have expert knowledge. We do not have visiting doctors, only permanent employees.

3.Innovation in treatment

The latest methods of surgical and non-surgical treatment of myopia, cataracts, glaucoma and other pathologies. Compliance with the international quality standard GOST ISO 9001-2011.

4. Top level eye surgery

Ophthalmic surgeons with unique experience and the latest generation of operating equipment - a high chance of maintaining and improving vision even in difficult cases.

5. Responsible approach

Our doctors are responsible for the accuracy of the diagnosis and the effectiveness of the treatment. You will receive a detailed consultation on the state of eye health.

6.Transparent prices

There is a fixed cost in accordance with the price list. No hidden co-payments or unexpected costs once treatment has begun.

7. Social orientation.

Our clinic has loyalty programs and social discounts for veterans, pensioners, and the disabled. We want new technologies in ophthalmology to be accessible to everyone.

8.Convenient location

The clinic is located in the center of Moscow, on Smolenskaya Square. From the metro Smolenskaya Filevskaya line just 5 minutes on foot.

The cost of the examination includes a consultation with a highly professional ophthalmologist.

The level and depth of research enable the ophthalmologist, based on the analysis of the data obtained, to make a complete diagnosis, determine tactics, prescribe and carry out treatment, as well as predict the course of some pathological processes in the vascular, nervous and endocrine systems of the body.

A complete ophthalmological examination takes from one to one and a half hours.

Protocol of ophthalmological examination of patients in the ophthalmological center "VISION"

1. identification of complaints, collection of anamnesis.

2. visual study anterior segment of the eyes, for the diagnosis of diseases of the eyelids, pathology of the lacrimal organs and the oculomotor apparatus.

3.Refractometry and Keratometry- study of the total refractive power of the eye and cornea separately in order to detect myopia, hyperopia and astigmatism with a narrow pupil and in conditions of cycloplegia.

4. Measurement of intraocular pressure using a non-contact tonometer.

5. Determination of visual acuity with and without correction, using a character projector and a set of trial lenses.

6. Definition of character vision (binocular)- test for latent strabismus.

7. Keratotopography- study of the relief of the cornea using automatic computer keratotopograph in order to determine congenital, degenerative and other changes in the shape of the cornea (astigmatism, keratoconus, etc.).

8. Point selection taking into account the nature of visual work.

9. biomicroscopy- study of eye structures (conjunctiva, cornea, anterior chamber, iris, lens, vitreous body, fundus) using a slit lamp - biomicroscope.

10. Gonioscopy- study of the structures of the anterior chamber of the eye using a special lens and a biomicroscope.

11. Schirmer's test- determination of tear production.

12. Computer perimetry- examination of the peripheral and central fields of vision using an automatic projection perimeter (diagnosis of diseases of the retina and optic nerve, glaucoma).

13. Ultrasound eye to study the internal structures, measure the size of the eye. This study allows you to identify the presence of foreign bodies, retinal detachment, eye neoplasms in opaque internal environments.