Информации за тековно работење во услови на Ковид - 19


Presbyopia or age diopter is part of the natural aging process of the eye. It most often begins to occur in people in their early forties. It occurs due to a decrease in the function of the eye muscles that “bend” the natural lens (the lens has the shape of a disc when viewed from a distance, and looks like a ball when viewed from close).

Age diopters are corrected by the installation of intraocular lenses which, in addition to diopters, remove the cataract if the patient has a cataract. Choosing the optimal lens depends on your eye health and your visual needs.


Aging diopters or vision loss over the years is a common occurrence in everyone. After entering the fortieth year of life, changes in vision slowly occur.

If the vision is good by then, the near vision suddenly begins to weaken, i.e. “Your arms are getting shorter.” Consequently, the distance vision begins to weaken. Most people have to wear glasses to read, to work on a computer, as well as to wear glasses while watching TV, while driving a car, and so on. Special problems arise for people who do sports.

  • Symptoms

The main symptoms of presbyopia are:

  • Difficulty focusing and blurred vision, which are most often noticed when reading – words become blurred and too small.
  • Looking closer for a longer period of time causes eye strain and fatigue and is often accompanied by tearing and sometimes headaches. These changes are more often expressed in low light conditions.


It most often begins to occur in people in their early forties. The process of attenuation of accommodation (the ability to clarify the image at close range) ends around the age of sixty, and then people who can see well at a distance need diopters to read.


People with age-related diopters (presbyopia) usually have a subspecialty 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 the patient is interested in multifocal lenses that allow vision at all distances (near, far and middle), an examination for multifocal lenses is performed.

The examination for multifocal lenses consists of:

  • Refraction;
  • Determining visual acuity;
  • Measurement of intraocular pressure;
  • Examination of the fundus – retina;
  • Echo;
  • Biometrics;
  • IOL master.

The examination is performed by a team of 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.

Course of operation

There are several options for correcting diopters. One option is to wear glasses or contact lenses. Today, an increasing number of patients are opting for surgical diopter correction.

It is an operative process in which the natural lens of the eye is replaced by an artificial lens that provides excellent vision at different distances. Getting rid of eyeglasses significantly improves the quality of life.

We approach each patient individually, in order to be able to choose the appropriate intraocular lens, taking into account the needs and lifestyle characteristics of each individual (working on a computer, reading, driving a car).


Monofocal lenses are intraocular lenses that allow vision at a distance. After surgery, the patient may be prescribed glasses depending on which diopter is corrected. For example, if the patient has long-distance diopter correction, glasses for near vision may be prescribed.

Monofocal lenses are a reliable solution for diopter correction in patients who are not candidates for multifocal lenses, as well as patients who are more comfortable with reading glasses.


Multifocal lenses are intraocular lenses that allow the patient to see at all distances (near, far and middle). After the operation, the patient does not need glasses for near and far.

Multifocal intraocular lenses are the most modern solution for removing age-related diopters and all diopters, but not every person is a candidate for them.


The package includes: intervention with local anesthesia / general anesthesia in children.

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.



Оptical coherent topography on anterior segment or posterior segment.


YAG laser capsulotomy

Treatment of secondary cataract. Price for one eye.


Implantation of monofocal lens (MA)

Monofocal three-piece acrylic intraocular lens. Price for one eye.


Implantation of monofocal lens (SA)

Monofocal one-piece acrylic intraocular lens. Price for one eye.


Implantation of monofocal lens (SN)

Monofocal aspheric yellow intraocular lens. Price for one eye.


Implantation of monofocal toric lens

Intraocular lens for correction of diopter and astigmatism. Price for one eye.


Implantation of multifocal lens

Intraocular lens for correction of diopter. Price for one eye.


Implantation of multifocal toric lens

Intraocular lens for correction of diopter and astigmatism. Price for one eye.


Старосна диоптрија

Што означува старосната диоптрија (далековидост)?

Пресбиопија или старечка далековидост е дел од природниот процес на стареење на окото. Најчесто почнува да се јавува кај лица во раните четириесетти години. Се јавува поради намалување на функцијата на очните мускули што ја „виткаат“ природната леќа (леќата има облик на диск кога гледаме на далечина, а личи на кугла кога гледаме на близина). Исто така, со текот на годините се случуваат и промени во структурата на леќата и таа ја губи еластичноста што ја имала во младоста.

Процесот на слабеење на акомодацијата (можноста да се избиструва сликата на близина) завршува приближно во шеесеттите години и тогаш на лицата што гледаат добро на далечина им треба диоптрија +3,00 за читање.

Постојат повеќе можности за корекција на старосна диоптрија. Едната можност е носење очила или контактни леќи. Денес, сè поголем е бројот на пациентите што се одлучуваат на оперативна корекција на старечка далековидост со имплантација на мултифокални интраокуларни леќи. Станува збор за оперативен процес при кој природната леќа од окото се заменува со вештачка леќа што овозможува одличен вид на различни далечини. Ослободувањето од очилата за гледање значително го подобрува квалитетот на животот.

Можам ли да вежбам после имплантација на интраокуларни леќи?

По операцијата две до три недели, можете да започнете со лесни вежби како што се трака за трчање, возење на статичен велосипед, но сепак, треба да се внимава потта да не ви влезе во очите. По еден месец можете да пливате во море или базен. Потешко физичко вежбање, како што е теретана или контактни спортови можете да започнете еден месец по операцијата.

Можам ли да летам со авион после операцијата?

Со авион може да летате ден по операцијата на старосна диоптрија. Ова правило важи за сите операции, освен во случај на посложените операции на задниот сегмент на окото.

Колку време ми е затворено окото по операцијата?

По операцијата на катаракта, окото обично се затвора додека не се вратите дома, ако се извршат операции на двете очи, тогаш се става заштитна леќа на окото и окото не е затворено.

Колку чини операцијата на имплантација на мултифокални интраокуларни леќи?

Подетално за цените може да погледнете на нашиот Ценовник.