How do we work?

General and specialized ophthalmology

Our Medical team consists of 3 ophtalmologists and has a strong reputation as regards to general ophthalmology. Each of our ophthalmologists have also specialized themselves in a specific ophthalmology sub-area. Ranging from a common visual acuity measurement, over a specialized digital fluo-angiography to laser treatments for diabetic patients. Doctor De Wilde is also specialized in cataract surgery and refractive surgery. Eyelid corrections with carbon dioxide laser are also part of the operations done in the Eyecenter.

Eyecenter Latem Consulations

Welcome at our Eyecenter Location in Sint-Martens-Latem. On this website you can acquire information about a number of common ocular issues as well as practical information about making an appointment with Dr. Fernand De Wilde or Dr. Katrien Vandekerckhvoe.After contact by phone (0032) (09/225.61.90) the secretary will give you an appointment – in accordance to your issue – at the earliest possible date. Unfortunately we have been suffering a growing waiting list as a consequence of a growing number of both chronical and new patients. The Eyecenter takes notice of the fact that this does not correspond with an efficient treatment service and therefore makes an effort to do all within it’s power to resolve this situation. The limited influx (numerus clausus) in medicine makes it extremely challenging to attract new ophthalmologists.To be able to assist you in shortest amount of time, it is essential that the secretariat receives some prior information about your complaints as to take into account the urgency of certain ocular diseases and/or issues. We ask you to formulate a short summary of your ocular issue (for example : Rapid deterioration of the sharpness of your sight in one eye, an ocular injury or a clear infection(redness) and/or pain in your eye(s), information about femtolasik, you wan’t to quit wearing glasses etc…). In case you have a past history with ocular issues, it is useful to mention this. (for example: cataract, glaucoma, macular degeneration…).Urgent issues will always have priority and are inserted into the short term schedule. We ask you to consider the fact that not all issues are given the same level of urgency, otherwise we risk having our whole schedule dislocated which would result in nobody being satisfied.

Examinations

  • General eye examination for both minors and adults
  • Eyeglass prescription
  • Driver examination (medical selection for driver’s license)
  • Ocular Tonometry (tracking of the fluid pressure inside the eye / glaucoma)
  • Glaucoma follow-up through tonometry and visual field tests, non mydriatic camera
  • Follow up of diabetec patients through retinal examination and fluo-angiography (taking pictures of the retinal blood vessels after injection of a radiographic contrast agent called fluoresceine)
  • B Scan echography of the eye as preparation for surgery
  • Measurement of endothelial function (rear side of the cornea) as preparation for cataract surgery , phake implanted lenses

Step-by-step plan

I want to get rid of my glasses or contact lenses”QuickscanWe can offer you a provisional and free quickscan. A quickscan examination takes approximately 20 minutes and consists of the necessary measurements in order to see if you are suitable for a certain treatment. When agreed upon before the examination itself, a positive result can lead to an immediate preliminary examination or the making of a new appointment

Preliminary examination

We conduct both ophthalmological and optometrical preliminary examinations to determine if you can be considered for refractional surgery. Among other things we measure the size of the pupil and the refractive ametropia.All preliminary’s are conducted by qualified optometrists together with the ophthalmologist.Necessary:

  • If you wear soft contact lenses, a period of 2 weeks of not wearing the lenses before the preliminary examination is required. Alternative: wearing glasses during this period
  • If you wear hard lenses (oxygen permeable) a period of 4 weeks of not wearing the lenses before the preliminary examination is required. Alternative: wearing glasses during this period or wearing soft lenses the first 2 weeks and glasses the last 2 weeks.

During the preliminary examination we also use the Orbscan.

The Orbscan is used to conduct a topography of the cornea.We take measurements of the thickness and the curvature from 3000 spots on the front- as well as -backside of the cornea. This way we can determine if the parameters are sufficient to safely correct the refractional deviation with a laser. If one is suffering from myopia, the retina is examined. When necessary, a widening of the pupil with an eye drop(dilatation) will be conducted.Post-dilatation we discourage driving a vehicle, so we advise bringing someone with you to the preliminary examination. Preliminary examination can take up to one hour.

Calculation of contact lens power:

With the IOL-master we measure the axis length and the curvature of the eye.Counting of corneal endothelial cells:An insufficient number rules out a number of surgeries.OCT(Optical coherence tomography) of the macula:A type of retinal scan which determinas if your macula (yellow spot) is intact

ORA

This apparatus measures corneal rigidity. A too elastic cornea CANNOT be lasered.
Corneale biomechanica analyse
Corneal response analyser of Reichert

Laser Treatment (femtolasik, PRK)

Polyclinical treatment at the BOLC (at the city of Drongen). Therefore hospitalization isn’t necessary.PreparationCease the use of mascara and eye shadow 2 days prior to the treatment and start cleansing of the eyelids and eyelashes with a product supplied by us.In our waiting room you will be given a small sedative.While you are being guided to the operation room, the person accompanying you can take a seat in the videoroom where the surgery can be viewed on-screen.A moment before the laser treatment initiates, the nurse will put a sedative drop in the eyes.

On the operating table:

The ok-assistant inserts a second sedative drop. A sterile cloth will be draped over the patient’s face whereupon an eyelid spreader will be applied to prevent blinking. During FEMTOLASIK-treatment the surgeon creates a flap in the cornea with the femtosecondlaser. You won’t feel a thing during this process which is bladeless!The surgeon will then ask you to look at a green fixation light. The flap will then be folded aside, after which the surgeon will regrind the cornea with the excimer laser. This barely takes a full minute. You will experience some blur of vision during this part of the treatment.When the flap is folded back into place, the green fixation light will sharpen in your vision again. The flap immediately reattaches itself on the cornea. We move on to the treatment of the second eye after carefully and presicely recalibrating the laser. Both surgery and post-operative period are painless.

Aftercare

You can go home immediately after the surgery takes place. You will be given protective glasses for the first day and for each night of the first week that follows after the surgery. The coming days, antibiotics in the form of droplets, anti-inflammatory agents and artificial tears will be applied to the eyes to – among others- prevent infection. The assistant will herefore explain to you a droplet schedule, which stipulates the methodology and course of the medication to use. Some irritation of the eyes in the days following after the surgery may occur. When visual sharpness is at a minimum of 50%, you can drive a car, use the solarium or execercise intensive sports.The first year post-treatment requires good utraviolet protective eyewear when facing bright solar light.MonitoringDuring the afternoon post-surgery we monitor visual sharpness and the position of the flap.follow-up monitoring.

  • After one week
  • subsequently after one month(topography)
  • after 6 months
  • one year post-surgery

Evidently, if the patient wishes it, you can in the meantime call to make an appointment.If necessary we can lift the flap after the surgery and make an extra correction. This seems to be necesarry with approximately 2 percent of the patients and principally with those patients that have a high refractive ametropia. The frequency of retouchings is slighty higher with patients that have laser blended vision.A residual ametropia of plus or minus 0.50D will not be corrected. All consultations within a period of 3 months are free of charge.

Complications

No form of surgery is without risk, so with contact lens implants or eye laser surgery complications may occur. A good thing the risks from this treatment are very low, especially when conducted at the Eye Center. We employ the best ophthalmologists, ophtometrists and medical auxiliaries. They are all highly educated and follow seminars on a yearly basis to keep their knowledge up to date. Our hardware is also top notch and subject to the highest of standards.his all helps us to minimize the risk of complications.Because we want to provide you with full and complete information, below you will find a summary of the possible complications.

1. Under- or overcorrections

Refractive surgery cannot guarantee a 100 percent succes rate. No form of surgery can.It is possible the correction can prove a bit too much or a bit too little. Generally speaking, undercorrections are more prevalent than overcorrectoins and occur in 2 % of the cases. As the deviation grows in size, so does the probability of under- or overcorrection.

2. Glare symptoms

In the early post-operative period, 5 to 10 percent of the treated patients have the following issues:

  • Glare (starbursting)
  • halo’s(circle around a lightsource) Especially people with a very large pupil suffer this when dark. The phenomenom dissapears generally after a few months. Research has proven that the possible post-treatment glare is less significant if the patient wears contact lenses.

3. Infections

A lot of the time patients think that this is the most apparent complication. In reality the probability of an infection is very small. Statistics prove it to be 1/5000Comparision:

  • Wearing soft contact lenses give the patient a 1/600 probability to an corneal infection with permanent corneal damage as a consequence.
  • The annual probability of having a car accident is 1/150

Early discovery generally makes for a good medicinal treatment. We urge the patient to meticulously folow the ophthalmologist’s counsel.

  • Use of antibiotic droplets after the surgery.
  • No rubbing of the eyes during a 3-week period after the surgery.
  • No swimming or use of the solarium during a 3-week period after the surgery.

In case the patient still get’s a red eye, counsel your treating ophthalmologist as soon as possible.

4. Flap complications (femtosecond laser)

Using the FEMTOSECOND LASIK-technique we create a flap in the cornea. Hereby a number of things can go wrong. What follows is a list of possible solutions, which can consequently lead to a slower healing process.a. Wrinkles: : Occasionally, wrinkles can get into the flap some days after the surgery took place. If these wrinkles deteriorate the vision, we can simply re-open the flap and have the wrinkles smoothened.b.ingrowth of epithelial cells: The epithelium is the upper layer of the cornea. During the LASIK-technique this layer remains intact. In the course of the healing process a number of cells, emanating from the border of the wound, can develop under the crest of the flap. This happens only to 1/1000 of all the treatments , more so in the case of a redo. Most of the times, it is self-limiting and nothing has to be done about it. If the cell growth is too centric, we remove the cells. This takes place by carefully lifting the flap and removing the ingrowing epithelial cellsc. Shifting of the corneal flap: This is extremely rare because the flap is stuch under the crest that is created by the femtosecond laser. It is mostly due to rubbing in the eye. For the reasons we advise you to be prudent the first week after the surgery: especially do not rub the eye and wear protective glasses. If the corneal flap shifts after all, you will notice this by a sudden decrease in image sharpness. We can then simply put the corneal flap in it’s original spot again, without permanent consequences.d. dry eyes: Following a LASIK-treatment, sometimes the tear film can be a bit disturbed, causing your eyes to be insufficiently moistened. This can feel as you have sand or grit in your eye and bit of sight deterioration. This should only remain for a few weeks, after which the tear film will heal itself. For these reasons, you have to intensively use the eye drops in the 2 months after the surgery. The femtosecondlaser creates very thin flaps, causing fewer nerve fibres being cut.

5. Regression

After lasertreatment there can be a certain relapse. This occurs mostly with people suffering from heavy myopia or strong hyperopia, which we then treat. Usually, correctional surgery is an option.

6. Corneal Ectasia

After a lasik-treatment, corneal ectasia may occur. This complication is extremely rare. By implementing the ORA before surgery we virtually exlude this complication. At the interior of the cornea a vesicle originates due to a weakening of the cornea. Risk factors for this complication are: a steep cornea, high myopia, lasering too deep so in depth only 250 micrometer remains. Sometimes the causes are genetical and the patient is rubbing his eyes chronically, leading to a deterioration in corneal elasticity. Treatment includs intacs, riboflavinUVA ( corneal crosslinking, CXL)

Administration

Approval form

Before we proceed to the treatment, we as you to fill in and sign our approval form. Within you confirm having received, read and understood the information with regard to the nature, risks and expectations.

Privacy

We strictly abide the privacy law. Your confidential data will not be provided to third parties without your consent. Only the treating doctor or optometrist will consult your file. With a simple request you can recove all data concerning your dossier.