Refractive surgery

Phone: +7 499 906-50-01 +7 915 310-04-52

About

Laser refractive surgery involves using a high-precision excimer laser to reshape the cornea and permanently modify its refractive power. In S. Fyodorov Eye Microsurgery Federal State Institution we use the most modern excimer laser systems, which provide the top speed and accuracy of refractive correction and allow to achieve the best clinical outcomes.

Today the two most modern refractive surgery procedures are femtosecond laser-assisted in situ keratomileusis (Femto-LASIK) and Small Incision Lenticule Extraction (SMILE). Both procedures use only a femtosecond laser, which is programmed to harmlessly pass through the upper layers of the cornea.

Femto-LASIK

This operation is performed without the use of cutting tools which is microkeratome. The corneal flap is formed in 10-20 seconds and has personalised parameters determined by the surgeon. All involuntary movements of the patient’s eye during the procedure are compensated by eye-tracking system of the laser which ensures the highest accuracy and safety.

Femto-LASIK technology is characterised by rapid vision gain and low discomfort after surgery which allows our patients to return to their normal life in a very short time.

Laser refractive correction with Femto-LASIK is a rapid, precise  and painless surgery

ReLex SMILE

ReLex SMILE technology is mostly indicated to patients with moderate to high myopia up to 10 diopters as well as patients with high risk of corneal flap dislocation (sportsmen, military personnel etc.) and those who use contact lenses for a long time and have a risk of dry eye syndrome.

Advantages of ReLex SMILE technology:

the absence of corneal flap and related complications
doesn’t provoke dry eye syndrome
has minimal effect on biomechanical corneal properties
shorter rehabilitation period

At the late stage of glaucoma and terminal glaucoma, micropulse laser cyclophotocoagulation is performed on the newest Cyclo G6 Glaucoma laser system (IRIDEX, USA), following the original technique developed by our specialists

Micropulse laser cyclophotocoagulation

Glaucoma

In cases of open-angle glaucoma, whether it is a primary or a secondary uncompensated one, the non-penetrating deep sclerectomy has become widespread in recent years because of its high efficiency, minor injuries, minimum number of post-operative complications and rapid rehabilitation period. Non-penetrating deep sclerectomy is an operation technique developed by the first head of glaucoma surgery department professor Valentin Kozlov together with the academician Svyatoslav Fedorov. This technique allowed to minimize the surgical trauma but at the same time, it requires a highly qualified surgeon. The operation is performed under local anesthetic, with the obligate participation of anesthetists.

Modern operating microscopes Zeiss and Leica (both Germany) and special microsurgical instruments are used. The average duration of the procedure is 15-20 minutes.

In particularly serious cases, for example in repeated glaucoma, as well as in early interventions in patients with comorbid pathology, our specialists perform the most advanced surgical interventions with the use of drains (such as “Ex-press” or “Ahmed”) and implants (“Healaflow”) which are widely known in the world.