• Creating a connection between the lacrimal sac and the nasal cavity (dacryocystorhinostomy, Toti procedure)
• Probing and insertion of tubes into the tear ducts
• Surgery on the tear-duct openings, including widening or closure with synthetic implants

The tear drainage system carries fluid produced by the lacrimal glands into the nose and throat. A variety of congenital or acquired changes can obstruct this flow and cause troublesome watering and recurrent inflammation.

• Probing the tear ducts
• Insertion of tear-duct tubes
• Creating a connection between the lacrimal sac and the nasal cavity (Toti procedure)
• Widening or closure of the tear-duct openings

• For central retinal holes and membrane formation
• For retinal detachment
• For bleeding or clouding in the vitreous body
• For complications after lens surgery and inflammation

The rear inner wall of the eyeball is lined by a delicate, light-sensitive layer called the retina. Its sensory cells convert incoming light into visual information. Environmental factors, congenital changes and age-related processes can damage the retina, impair its function and reduce vision.

Abnormal changes around the centre of the retina, the macula, can cause particularly severe impairment.

Surgical treatment of:

• Retinal holes
• Problematic retinal membranes, such as an epiretinal membrane
• Retinal detachment
• Bleeding or clouding in the vitreous body
• Complications after lens surgery
• Inflammation

Improving vision and correcting refractive errors with lens surgery

• Ultrasound lens removal
• Insertion of artificial lenses, including standard and special lenses

The eye’s natural lens is an essential part of its optical system. Located behind the pupil between the iris and vitreous body, the transparent lens focuses incoming light onto the retina.

Over the course of life, the lens can become cloudy, causing a cataract and progressively reducing vision. Today, sight can be restored by implanting an artificial intraocular lens.

• Ultrasound lens removal
• Insertion of artificial lenses, including standard and special lenses
• Exchange of artificial lenses

• Operations to reduce intraocular pressure
• Improving the drainage of aqueous humour or reducing its production
• Inpatient daytime pressure profiles for glaucoma or suspected glaucoma

The optic nerve carries visual information to the brain and therefore plays a central role in how we perceive the world around us.

Risk factors such as raised intraocular pressure can damage the optic nerve over time, causing glaucoma and potentially leading to blindness. Regulating intraocular pressure, for example with various surgical procedures, can help stop further damage to the optic nerve.

• Pressure-lowering surgery by improving aqueous humour drainage or reducing its production
• Inpatient daytime pressure profiles to diagnose glaucoma and optimise treatment

• Corneal and conjunctival surgery
• Removal of conjunctival tumours

(A hospital referral from your ophthalmologist is required.)

• For excess skin and protruding fatty tissue (blepharoplasty, “hooded eyelids”)
• For eyelid malposition (ectropion, entropion)
• For eyelid tumours

Our eyelids play an important role in protecting the eye. Blinking spreads the tear film evenly across the conjunctiva and cornea, preventing them from drying out. Healthy eyelid structure and function are therefore essential for healthy eyes and clear vision.

• Removal of eyelid tumours
• Correction of eyelid malposition, such as entropion or ectropion
• Correction of sagging eyelid skin (dermatochalasis or ptosis, commonly called “hooded eyelids”)
• Cosmetic eyelid surgery

(A hospital referral from your ophthalmologist is required.)

You need a hospital referral from your ophthalmologist for surgery.

• In the morning: Do not take diabetes tablets.
• Long-acting insulin in the evening: Reduce the dose.
• On the day of surgery: Do not inject insulin.
• Ozempic, Wegovy (weekly injectable diabetes medicines): Stop for one week before surgery.
• Other morning medication (e.g. blood pressure tablets) may be taken with a small sip of water.

• Phenprocoumon (Marcumar): Stop seven days before surgery, but only with the agreement of your GP or cardiologist. A temporary switch to heparin injections may be needed. The Quick value on the previous day must be > 50% (approximately INR 1.5).
• Plavix, clopidogrel, Iscover or similar: Stop ten days before surgery, but only with the agreement of your GP or cardiologist.
• Xarelto, Pradaxa, Brilique, Lixiana, Eliquis or similar: Stop two days before surgery, but only with the agreement of your GP or cardiologist.
• If treatment cannot be stopped, the anaesthetic technique will be planned individually.
• Aspirin/ASA 100 mg: does not need to be stopped.

Yes.

• Food: Do not eat during the six hours before surgery.
• Drinks: Water, tea, coffee and clear carbohydrate-containing drinks are permitted.
• Inpatients: Drink as needed until you are collected for the operating theatre.
• Outpatients: Drink as needed until you arrive at the hospital.
• Recommendation: Carbohydrate-containing drinks, such as apple or orange juice without pulp or iced tea, can help prevent a calorie deficit before surgery.

Please call one day before your appointment to ask: 04102 605 152.

• Full blood count, electrolytes, coagulation (Quick test or INR, PTT), creatinine
• Current INR/Quick value when taking phenprocoumon (ideally from the previous day)
• ECG
• List of pre-existing conditions
• Medication plan
• Regular medication, in case an inpatient stay becomes necessary
• Internal medicine findings in the event of serious pre-existing conditions

• Full blood count: no more than 3 months old
• ECG: no more than 6 months old

Approximately 3–5 hours.