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Hospital Universitario La Moraleja Madrid

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ADULT AND PAEDIATRIC MEDICAL SPECIALISMS

Ophthalmology Department

Ophthalmology is the medical specialism that studies eye diseases and their treatments. Ophthalmologists also diagnose possible maladies by means of different tests to be able to establish an adequate treatment plan for each type of eye disease.

  • Diagnosis, treatment and prevention of eye diseases, following the principles of good clinical practice and evidence-based medicine, guaranteeing the best quality care and the ocular health of our patients.
  • Personalised, comprehensive, human care based on the mutual relationship of trust between doctor and patient.
  • Technology and advanced solutions for the problems of our patients, offering the possible treatment alternatives and information available in an understanding manner for their free choice and consent.
  • Protocolisation of clinical and surgical medical actions based on professional consensus and current standards, governed by the principles of scientific evidence and endorsed by the ophthalmological societies of greatest international prestige.
  • Health education using all the information supports available (articles, news, monographs, iconographic material, videos, web links, online consultations, discussion forums, libraries, conferences), as well as constant medical training.
  • Research of new technologies and treatments.

 

PORTFOLIO OF SERVICES

Diagnostic tests

  • Visual acuity: monocular/binocular, nearsighted/farsighted.
  • Automatic refraction (graduation of vision using a computerised autorefractor).
  • Dioptre measurement in glasses and lenses (digital lensmeter).
  • Cycloplegic refraction using a retinoscope.
  • Colour test.
  • Binocular vision: simultaneous perception, fusion and stereopsis.
  • Worth light test.
  • Contrast sensitivity test.
  • Preferential gaze test for measuring visual acuity in patients under tree years.
  • Photostress/glare test.
  • Amsler grid test.
  • Low-light visual acuity test.
  • Computerised perimetry test (Humphrey Visual Field Analyser).
  • Hichsberg test and cover test. Assessment of strabismus, phorias and oculomotor palsy.
  • Versions, ductions and convergences.
  • Maddox rod test.
  • Forced duction test.
  • Parks test.
  • Nystagmus.
  • Palpebral tests.
  • Intrinsic ocular motility Pupil reflex and accommodation/convergence.
  • Computerised keratometry (corneal diameters and curvature radii).
  • Ultrasonic pachymetry (cornear thickness).
  • Corneal topography.
  • A and B mode ultrasound.
  • Biometrics with interferometry (IOL Master) and ultrasonic contact and immersion biometrics for the calculation of power of intraocular lenses.
  • Exophthalmometry.
  • Digital pneumatic tonometry (breath of air).
  • Goldmann applanation tonometry.
  • Hand-held Perkins applanation tonometry.
  • Anterior segment biomicroscopy.
  • Gonioscopy.
  • Digital video-photograph of the anterior pole and ocular adnexa.
  • Optical coherence tomography (OCT).
  • Specular microscopy for endothelial cell .
  • Examination of the fundus by direct ophthalmoscopy and indirect binocular ophthalmoscopy.
  • Posterior segment biomicroscopy.
  • Scleral ansillumination.
  • Digital retinography with image analyser.
  • Digital fluorescein and indocyanine green angiography (FAG and ICGA).
  • Mode B ultrasound.
  • Optical coherence tomography (OCT).
  • Autofluorescence.
  • Schirmer's test for quantification of tears.
  • Tear break-up time (TBUT) test.
  • Fluorescein and rose bengal eye-surface staining.
  • Impression cytology.
  • Lysozyme.
  • Corneal aesthesiometry.
  • Syringing and catheterisation of excretory lacrimal ducts.
  • Jones tests on excretory lacrimal duct permeability.
  • Conjunctival smear/exudate.
  • Corneal scraping.
  • Aqueous humour paracentesis.
  • Vitreous aspirant.
  • Biopsies.
  • Anterior chamber paracentesis/puncture.
  • Extraction of corneal and conjunctival foreign bodies.
  • Sub-conjunctival and intratenonian injections.
  • 532 nm laser.
  • Nd-YAG laser.
  • Intraocular injections with anti-angiogenic drugs (anti-VEGF) for the treatment of age-related macular degeneration (AMD).
  • Orthoptics and pleoptics.
  • Cures.
  • Basic Eye Examination Unit for wheelchair users.

Surgical procedures

  • Phacoemulsification with topical anaesthesia and fitting of foldable intraocular lenses (IOLs).
  • Phacoemulsification in complex cases: small pupils, floppy iris, subluxated crystalline, high degree of myopia, hypermature cataracts without glare, swollen eyes, narrow chambers.
  • Microincision cataract surgery (MICS): Phacoemulsification by 1.5 mm incision.
  • Nd-YAG laser.
  • Trabeculectomy.
  • Laser trabeculectomy.
  • Phacotrabeculectomy (combined cataract + glaucoma surgery).
  • Non-perforating profound sclerectomy.
  • Valvular implants.
  • Keratoplasty.
  • Pterygium.
  • Limbal autografts.
  • Amniotic membrane.
  • Conjunctival tumours.
  • Astigmatic incisional surgery.
  • Implantable collamer lenses (ICLs).
  • Transparent crystalline ion (refractive lensectomy).
  • Multifocal and accommodating intraocular lenses.
  • Toric intraocular lenses.
  • Immediate response for retinal detachment surgery.
  • Vitrectomies.
  • Retinal detachments using extrascleral surgery.
  • Endolaser.
  • Cryotherapy.
  • Diathermy.
  • Expandable gases: SF6, C3F8.
  • Vitreous substitutes: silicone oil.
  • Retinopathy of prematurity.
  • Photocoagulation with 532 nm laser.
  • Surgery on horizontal and oblique strabismus.
  • Botulinum toxin treatments.
  • Eyelid tumours.
  • Entropion and Ectropion.
  • Palpebral ptosis and lagophthalmos.
  • Blepharoplasties.
  • Dacryocystorhinostomy (DCR).
  • Dacriocystectomy.
  • Canaliculorhinostomy.
  • Punctoplasties – stricturotomies.
  • Punctal plugs.
  • Lacrimal catheterisation.
  • Perforating eye injuries.
  • Extraction of intraocular foreign bodies.
  • Eyeball reconstruction.
  • Anterior chamber paracentesis/puncture.
  • Extraction of corneal and conjunctival foreign bodies.
  • Sub-conjunctival and intratenonian injections.
  • 532 nm laser.
  • Nd-YAG laser.
  • Intraocular injections with anti-angiogenic drugs (anti-VEGF) for the treatment of age-related macular degeneration (AMD).
  • Orthoptics and pleoptics.
  • Cures.
  • Electronic medical history connected online with the other departments of the hospital as well as with other Sanitas hospitals and centres.
  • Computerisation of radiological imaging tests, laboratory tests and pathological anatomy tests.
  • Basic Eye Examination Unit for wheelchair users.


OPHTHALMOLOGICAL SUB-SPECIALISMS

  • Basic eye examination.
  • Review of healthy patients
  • Vision check-ups
  • Minor ophthalmological surgery

 

  • Review of healthy children.
  • Visual acuity examination.
  • Detection of refractive errors.
  • Early detection of amblyopia.
  • Diagnosis and treatment of strabismus.
  • Common problems in children: conjunctivitis, eye allergy, external infections.
  • Phakic lenses.
  • Refractive lensectomy.
  • Multifocal lenses.
  • Intracorneal ring segments.
  • Crosslinking.
  • Phacoemulsification with topical anaesthesia
  • Outpatient surgery
  • Foldable monofocal, multifocal (correction of presbyopia), accommodating and toric (correction of astigmatism) intraocular lenses
  • Microincision lenses (1.5 - 2 mm)
  • The waiting period for intervention once the pre-operative tests have been carried out is less than 1 week.
  • Diagnosis and treatment of diseases of the cornea, conjunctiva and anterior sclera.
  • Diagnostic methods: Anterior biomicroscopy, pachymetry, keratometry, corneal topography, OCT, specular microscopy.
  • Dry eye.
  • Chronic blepharitis and alterations of the eye surface.
  • Contactology.
  • Anterior segment microsurgery.
  • Pterygium and conjunctiva tumour surgery.
  • Early diagnosis of ocular and glaucomatous hypertension.
  • Prevention of glaucomatous damage.
  • Diagnostic methods: perimetry, tonometry, gonioscopy, pachymetry, posterior biomicroscopy, retinography, OCT, polarimetry (GDx), confocal laser (HRT).
  • Application of new pharmacological, surgical and laser treatments.
  • Diagnosis and treatment of diseases of the optic nerve and visual pathways.
  • Oculomotor palsy.
  • Study of the visual field by computerised perimetry.
  • Treatments with botulinum toxin: blepharospasms and oculomotor palsy.
  • Radiology department for complementary imaging studies.
  • Diabetic retinopathy.
  • Age-related macular degeneration.
  • Retinal detachment.
  • Macular holes, epiretinal membranes.
  • Hereditary degenerative retinopathies.
  • Maculopathies.
  • Posterior vitreous detachment (floaters and flashes).
  • Vitreous opacities and haemorrhages.
  • Diagnostic means: FAG, ICGA, retinography, ultrasound, perimetry, OCT, electrophysiological studies (ERG, EOG, VEP).
  • Therapeutic means: 532 nm laser, PDT, anti-VEGF, intravitreal triamcinolone, vitrectomy, extrascleral surgery, cryotherapy, diathermy, endolaser, vitreous substitutes.
  • Autofluorescence.
  • Diagnosis of uveitis supported by computerised symptoms.
  • Personalised approximation to aetiological diagnosis, based on detailed medical history and complete physical examination.
  • Laboratory (biochemistry, immunology, molecular biology, microbiology, pathological anatomy, cytology, immunohistochemistry) and Radiology for complementary examinations and imaging studies.
  • Thyroid ophthalmology (Graves' disease).
  • Orbital tumours.
  • Orbital inflammation (pseudotumour) and infections (orbital cellulitis).
  • Diagnosis and treatment of lacrimal duct diseases.
  • Punctal plugs for dry eye.
  • Treatment of lacrimal duct obstruction (DCR).
  • Eyelid disorders: malpositions, tumours.
  • Eyelid reconstruction.
  • Blepharoplasties Plastic eye surgery.
  • Sudden losses of visual acuity.
  • Severe painful red eye.
  • Corneal ulcers.
  • Acute glaucoma.
  • Endophthalmitis.
  • Retinal vascular occlusions.
  • Acute optical neuropathies.
  • Eye burns and chemical burns.
  • Corneal erosion and superficial foreign bodies.
  • Eyelid injuries.
  • Eyeball perforation.
  • Intraocular foreign bodies.
  • Reconstruction of the eyeball in trauma injuries.
  • Organisation, Planning, Assessment and Control of the care activity.
  • Executive management of the lines of action.
  • Implementation of a care management model.
  • Development of a total quality plan based on the Chain of Care.
  • Development of High-Resolution Consultations and No-Appointment Consultations (non-urgent continued care).
  • Coordination with the A&E department and other departments of the hospital.
  • Coordination with the nursing and auxiliary staff (action protocols).
  • Agreements with universities for under- and postgraduate teaching.
  • Constant medical training.
  • Research projects. Clinical trials. Scientific communications and publications. Organisation of conferences, symposiums and meetings.
  • Clinical sessions.

 

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