Информации за тековно работење во услови на Ковид - 19


With monofocal lenses the patient will have a clear focus on one distance. Patients typically choose to have a clear vision for distance and to wear glasses with a fixed diopter for reading.

They are implanted in the patient’s eye with a surgical method – the natural lens is removed and replaced with a multifocal intraocular lens. If the patient has cataracts, the benefit of these lenses is that with one operation the patient will solve both problems forever.


Monofocal lenses allow vision at one distance – near or far.

The different designs of multifocal lenses that are available both in the world and in our hospital, allow through an individualized approach to the patient to choose the design that best suits the patient’s habits.


All persons over 30 years of age, healthy eyes and no retinal diseases are in the group of diseases that are a contraindication to the return of multifocal lenses.

Monofocal lenses are implanted for diopter correction and / or cataract surgery. These lenses are mostly used during cataract surgery as well as during glaucoma surgery, vitrectomy, etc.

Monofocal lenses are also recommended for people who are not candidates for multifocal lenses.

Monofocal lenses are not recommended for people who have significantly reduced vision due to an eye disease (advanced glaucoma, large corneal scars, chronic retinal inflammation).


The need for a monofocal lens can also be determined at a subspecialist examination.

The subspecialty examination is a detailed examination and consists of anterior segment examination, as well as diopter determination (new diopter, diopter change, hidden diopter examination) and examination of the posterior segment of the eye (fundus and optic nerve).

If necessary, additional diagnostics such as OCT are performed.

OCT is an Optical Coherence Tomography – it examines the structure of the macula and the optic nerve to find out if there are any defects in that structure that are invisible when viewed with a magnifying glass. In people over 60 years of age with diopters, this diagnosis is made due to the possibility of macular degeneration.

If you are diagnosed with cataract, you should schedule a examination for cataract.

If you are interested in multifocal lenses that allow vision at all distances (near, far and middle), you should schedule an examination for multifocal lenses.

The examination is performed by a team of an ophthalmologist, optometrist and nurse. The team is trained to make: an appropriate detailed examination of the eye, appropriate measurements of the intraocular lens and all diagnostic tests needed to detect the presence of a hidden eye disease, which could affect the quality of vision in the future.

Accurate measurement and calculation of diopters of intraocular lenses is very important for acute postoperative vision, which is why we use the most modern computer device “IOL Master”.

Preoperative preparation

Preoperative preparation takes about 20 minutes. Patients with chronic diseases, depending on the therapy they receive, have special preparations for which they are informed on the day of the operation.

The preparation is started by the nurse, during which the vision, tone and refractive measurement are taken again.

The patient is then transferred to the preoperative block and a history is taken. Blood pressure and blood sugar are checked. Then, in consultation with the ophthalmologist, if necessary, additional diagnostics are made and the preparation ends with dilation of the pupils.

Once the patient is fully prepared, they are admitted to the operating room.

Course of surgery

The patient lies on the operating bed, where anesthetic drops are instilled. The operation can take about 20 minutes.

The operation with the installation of multifocal lenses can be done on both eyes on the same day. During the operation, the patient is awake and communicates with the ophthalmologist and feels no pain.

Due to the advanced technology and design of intraocular lenses, the operation when performed by experienced surgeons is a successful, safe, fast and painless operation.

Postoperative care

After the operation, the patient is taken to an apartment. About half an hour after the operation the patient is checked out of the hospital (one-day surgery) without bandages, except at the request of the patient.
The following day is the first follow up after the operation, while the next follow up is after 7 days and then after a month.

The patient is prescribed therapy (antibiotic / corticosteroid drops and ointment) and is obliged to use it according to the time period prescribed by the ophthalmologist.

Most patients already see an improvement in vision the very next day. It is normal to feel discomfort in the operated eye, such as occasional tingling and scratching. The eye may be red and teary, have a feeling of blurring, a halo, as well as blurred vision and double vision. All these symptoms are normal and will gradually disappear.


Restrictions after surgery are temporary and do not last long and are always in accordance with the recommendation of the ophthalmologist.

For the first 3 days after surgery, the patient should avoid washing their face with plain water and rubbing their eyes, and for the first month, they should avoid strenuous physical exertion (such as lifting heavy objects). It is especially important to use the prescribed therapy regularly and correctly.

Sports activities are usually allowed 2-3 weeks after the operation, depending on the patient’s age and the intensity of the exercises.

Medical staff are available 24/7 for any consultation required after the intervention.


The package includes: intervention with local anesthesia, preoperative preparation and two follow-ups.

There is an opportunity to pay in installments without interest and additional costs.

You can check more about the payment method on the current price list of Sistina Ophthalmology.

Detailed eye examination

Refraction, visual acuity measurement, eye pressure measurement, evaluation of posterior segment – examination of anterior and posterior segment.



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