Cagin Eye Hospital

Cagin Eye Hospital is one of the Turkey’s largest private eye hospital, dedicated to providing the best, personalised healthcare with a breadth of surgical and medical expertise.
The hospital moved into its new facilities in December 2011 and has been operating as a hospital since December 2012. It is a specialty hospital with approximately 4000 m2 indoor area and indoor/outdoor parking area that can accommodate 40 vehicles.
It offers quality service to its patients with 7 full-time and 1 part-time specialized ophthalmologists. Cagin Eye Hospital has got 26 beds and three operating theatres one of which is dedicated to Excimer Laser. 
Cagin Eye Hospital offers quality service to its patients from Turkey and abroad in the examination and treatment of eye diseases. Its specialized team performs all types of treatment and surgical interventions (laser surgery, keratoconus, vitrectomy, oculaplastics, strabismus, cataract etc.) for all eye diseases in its operation theatres fully equipped with the latest technology equipment. Diagnosis and treatment methods are compliant to modern scientific standards. The wide range of treatment methods and quality of the of medical services is not inferior to that of a large international medical institutions. At the same time, the clinic applies scientifically based innovative methods, including the development of its own ophthalmic surgical techniques and technologies.
Cagin Eye Hospital has got contracts with state and private enterprises.
Our entire Cagin Eye Hospital staff is committed to ensuring the comfort and satisfaction of each and every patient. Cagin Eye doctors have extensive experience and training in the treatment of cornea diseases, such as keratoconus, and other eye conditions. Each year they see about 500 people with keratoconus.

Top surgeons of the clinic are:

• Expert on laser surgery, keratoconus treatment and corneal transplantation: Dr. Kursat Cagin, Prof. Dr. Mehmet Borazan
• Specialist in the Vitreous body and Eye Retina: Associate Prof. Dr. Ates Yanyali
• Specialist in Glaucoma: Dr. Erkan Tirak and Dr. Levent Tahsin Ozdoker
• Specialist in Cataract Surgery: Prof. Dr. Mehmet Borazan and Dr. Kursat Cagin
• Specialist in Strabismus: Dr. Gurkan Tatar and Dr. Bekir Koc
• Specialist in Oculoplasty: Dr Kursat Cagin

They are considered pioneers in their respective fields and are known worldwide. In their work they use the latest minimally invasive techniques of operational implementation.Cagin Eye Hospital include specialized centers such as:

Keratoconus Treatment Center

Keratoconus is a progressive eye disease in which the normally round cornea thins and begins to bulge into a cone-like shape. This cone shape deflects light as it enters the eye on its way to the light-sensitive retina, causing distorted vision.
Keratoconus can occur in one or both eyes and often begins during a person's teens or early 20s.
Keratoconus Treatment:In the mildest form of keratoconus, eyeglasses or soft contact lenses may help. But as the disease progresses and the cornea thins and becomes increasingly more irregular in shape, glasses and regular soft contact lens designs no longer provide adequate vision correction.
Corneal Ring:Corneal implants are flexible, crescent-shaped rings of polymethyl methacrylate that are placed in the periphery of the cornea. They affect refraction in the eye by physically changing the shape of the cornea, flattening the front of the eye, and so correcting the irregular corneal shape.
There are various types of corneal rings (INTACS, Kerarings, or Ferrara rings). All types are offered at Cagin Eye Hospital by our surgeon Dr. Kursat Cagin.
Corneal rings like INTACS are used in cases of corneal ectasia (thinning and weakness of the cornea) which can be congenital corneal dystrophy such as keratinous and pellucid marginal degeneration or acquired like after corneal laser refractive surgery or corneal disease. 
Corneal crosslinkingCorneal cross linking is a procedure used to strengthen corneas. Cagin Eye Hospital is proud to be one of the few eye hospitals in the country to offer this innovative new treatment.
Corneal cross linking is a minimally invasive procedure that uses ultraviolet light and eye drops in order to strengthen the collagen fibers in the cornea. The procedure is used for patients with keratoconus, a condition in which the cornea grows thin and weak.
During a corneal cross linking procedure, your doctor will first apply riboflavin (vitamin B-12) eye drops, and then shine a specific type of ultraviolet light directly onto your cornea. The eye drops consist of a substance conducive to photo enhancing, which enables cross linking to take place. The procedure causes new corneal collagen cross-links to develop. Those cross links cause the collagen fibrils to shorten and thicken, leading to a stiffer, stronger cornea.
Corneal cross linking is an outpatient procedure that typically lasts for about an hour.

Corneal Transplant Center

A corneal transplant, also known as a corneal graft, or as a penetrating keratoplasty, involves the removal of the central portion (called a button) of the diseased cornea and replacing it with a matched donor button of cornea. Corneal grafts are performed on patients with damaged or scarred corneas that prevent acceptable vision. This may be due to corneal scarring from disease or trauma. A common indication for a corneal transplant is keratoconus.
Penetrating Keratoplasty: is the most frequent and most successful organ or tissue transplant performed in the world. The newest, approach to corneal transplantation at Cagin Eye Hospital is lamellar and penetrating keratoplasty with a femtosecond laser. The laser replaces the trephine by using ultra-fast energy pulses to make incisions in the cornea. This enables the surgeon to create precisely shaped incisions so that the transplanted tissue fits into the cornea like an interlocking puzzle piece, resulting in faster visual rehabilitation and less astigmatism.
The procedure is most appropriate for patients who have not had a prior corneal transplant or incisional corneal surgery and don’t have dense corneal scarring. It is ideal for patients with keratoconus, in whom the cornea is clear but misshapen, affecting their vision.

Cataract Treatment Center

A cataract is a clouding of the normally clear lens of your eye. For people who have cataracts, seeing through cloudy lenses is a bit like looking through a frosty or fogged-up window.
Clouded vision caused by cataracts can make it more difficult to read, drive a car (especially at night) or see the expression on a friend's face.
Most cataracts develop slowly and don't disturb your eyesight early on. But with time, cataracts will eventually interfere with your vision. The only effective treatment for cataracts is surgery.
What happens during cataract surgery?Cataract surgery involves removing the clouded lens and replacing it with a clear artificial lens. The artificial lens, called an intraocular lens, is positioned in the same place as your natural lens, and it remains a permanent part of your eye.
Cataract surgery is generally done on an outpatient basis, which means you won't need to stay in a hospital after the surgery.
During cataract surgery, your eye doctor uses local anesthesia to numb the area around your eye, but you usually stay awake during the procedure. After the procedure, you'll have some discomfort for a few days. You generally will be healed within eight weeks.
Cataract Surgery with Femtosecond Laser SurgeryCagin Eye Hospital offer Femtosecond Laser Cataract Surgery, which allowing us to restore our patients' vision more safely and effectively than ever before. To learn more about our advanced technology and how it can benefit you, contact our office today and schedule a consultation.
Laser cataract surgery with a femtosecond laser offers patients a level of precision that is unmatched by manual eye surgery. Unlike manual cataract surgery, which is performed with microkeratome blades, laser cataract surgery applies a cool laser beam to cut and alter ocular tissue. The laser emits pulses in femtoseconds, which are incredibly small units of time. This speed reduces heat and improves patient comfort. The laser performs minimally invasive treatment, which natural reduces recovery time and allows tissue to heal more promptly.

Glaucoma Treatment Center

Glaucoma is a complicated disease in which damage to the optic nerve, leads to progressive, irreversible vision loss. Glaucoma is the second leading cause of blindness. Glaucoma is actually a group of diseases. The most common type is hereditary.
Treatments of Glaucoma

1. MedicationEye drops used in managing glaucoma decrease eye pressure by helping the eye’s fluid to drain better and/or decreasing the amount of fluid made by the eye. Drugs to treat glaucoma are classified by their active ingredient. These include: prostoglandin analogs, beta blockers, alpha agonists, and carbonic anhydrase inhibitors. Combination drugs are available for patients who require more than one type of medication.
2. Laser Surgery
   • Selective Laser Trabeculoplasty (SLT)For the treatment of primary open-angle glaucoma (POAG). SLT uses a laser that works at very low levels. It treats specific cells "selectively,” leaving untreated portions of the trabecular meshwork intact. For this reason, SLT may be safely repeated.
   • Argon Laser Trabeculoplasty (ALT)For the treatment of primary open-angle glaucoma (POAG). The laser beam opens the fluid channels of the eye, helping the drainage system work better. In many cases, medication will still be needed.
3. Surgery (Trabeculectomy)When medicines and laser surgeries do not lower eye pressure adequately, doctors may recommend a procedure called filtering microsurgery (sometimes called conventional or cutting surgery).In filtering microsurgery, a tiny drainage hole is made in the sclera (the white part of the eye) in a procedure called a trabeculectomy or a sclerostomy. The new drainage hole allows fluid to flow out of the eye and helps lower eye pressure. This prevents or reduces damage to the optic nerve.

Center for Laser Technologies and IOL Implantation

Excimer – Laser (LASIK, PRK, PTK)Lasik with the Excimer Laser is carried out in the treatment of ametropia or (by removal of the plate (so-Called Flap) of the cornea) around the world as a standardized treatment. But the cornea of each patient may not be suitable for this treatment. In such cases, superficial treatments should be preferred.
PRKPhotorefractive Keratectomy (PRK) is elective outpatient type of refractive surgery that uses lasers to correct vision defects while at the same time eliminating dependency on glasses or contact lenses. It is used to correct common vision problems such as myopia (short-sightedness), hypermetropia (long-sightedness) and astigmatism (unequal curvature on the surface of the eye). In PRK surgery, the eye surgeon uses an excimer laser to reshape the patients’ eye curvature. To achieve the expected shape, the surgeon first removes the cornea’s surface layer (epithelium); but it is regenerated within 2-5 days. Your PRK surgeon will then smoothen the eye area and then apply computer controlled pulses of laser light, which will reshape the curvature of your eye. Cells in the deeper parts of the eye remain virtually untouched.
After the PRK correction procedure, your eye may experience slight irritation or the feel of a foreign body after a few days, but the discomfort can be managed effectively with medication. Your surgeon will prescribe eye drops to be used for several months following the procedure.
LASEKLASEK stands for Laser Assisted Sub-Epithelial Keratectomy. It’s a better choice if you have a thin cornea or a medical condition that makes laser eye surgery more challenging to complete. During the surgery only one laser will be used to correct your vision— rather than the two that are used in LASIK.
An alcohol solution is put on to the surface of your eye and an ultra-thin sheet applied. This alcohol solution loosens the thin layer of cells on your eye’s surface called the epithelium. These cells then stick to the sheet, which is then gently moved to the side of your eye, giving your surgeon access to the layer of your cornea which will be treated by the laser.
After the laser has reshaped your cornea, a special protective contact lens will be put on your eye to increase your comfort whilst it heals. This lens is normally taken off after about four days. Like LASIK, both eyes can be treated on the same day. A lot of patients can see an immediate improvement in their vision, but it may take a number of days for your vision to settle. The recovery process can take slightly longer— usually a couple of weeks. The slightly longer recovery time of LASEK is a small compromise to make when it comes to correcting your vision for the long term with laser eye surgery— something that you wouldn’t be able to benefit from otherwise. On average, in 7-10 days, patients see more clearly. In this treatment method the patient will receive a clear result, and after 3 months you can carry on with their daily activities without glasses.
LASIKLASIK stands for Laser-Assisted In-Situ Keratomileusis. It’s been performed for over 20 years and it’s helped to improve the vision of millions of people in that time. Believe it or not, the treatment is considered so effective that NASA has even approved it for use on their astronauts.
During LASIK treatment, the first laser will create a very thin protective flap on the clear layer of your eye (your cornea). This protective flap will then be lifted, and the second laser will then be used to correct your vision. Both eyes are usually treated on the same day.
The recovery process is fairly quick and you should be able to drive and return to work within 24 hours of the treatment. Many people notice an immediate improvement in their vision but for others it may take a few weeks for their vision to settle properly. 
LASIK surgery in 5 steps

1. In the case of the LASIK method, the thin layer before performing the Excimer Laser on the cornea.
2. The resulting layer (corneal Flap) is moved to the rear, where in the central portion of the cornea remains open.
3. In the center of the horn approx. 20 is directed to skin for 30 seconds, a laser beam and for correcting the ametropia, the required new surface shape is formed.
4. Last, the rear - suspended layer (corneal Flap) is created. The Flap stick to it after a couple of minutes at your place.
5. The ablated layer (corneal Flap) has a natural adhesive property, for this reason, it is not applied to the seam of the flap in these operations, the eyes with bandage covered, instead, a temporary contact lens is used, and the patient dismissed.

Wavefront (Advanced Customvue)The development of wavefront technology has been central to driving recent improvements in the safety and improved quality of vision delivered by laser vision correction. The Wavefront CustomVue from AMO-VISX continues to be on the forefront of these advances. In order to understand how the CustomVue technology works it is helpful to learn some detail regarding the science of optics. With this treatment, it is possible to obtain more successful results.
This treatment is particularly effective in patients with high astigmatism who are disturbed by light reflection and scattering, which is a night vision problem.
WAVEFRONT, CUSTOM LASERWith the help of Custom Laser incl. astigmatism, all irregular defects on an excellent way corrected. After the treatment the patients get in terms of their vision, a significant increase.After the Laser implementation in the Custom Laser System, may be the vision grade of the patient, 150% even 200%.
IMPLEMENTATIONThe Patient will be examined in detail. After the necessary Test runs, the Custom run-Laser measurements. During these Tests, the iris tissue of the patient by means of one wave scan device will be displayed on special cards. With these cards, the people are specific, person-specific treatment issued protocols.After a few minutes of pain-free Laser treatment, can see the patients again. Within 2-3 hours, his vision is clear. The Patient can return after 1 day in his daily life. 
INTRALASE LASIK (iLASIK)Intralase, is a system that provides a more stable and healthier results can be understood in the case of refractive laser applications better every day. The Intralase infrared Laser and intralasik Software, the corneal flap to produce pre-programmed depth and Position. With Intralase-LASIK, which is in the last 50 years, the most important development in the Flap-display technology, skin is the thin layer of the cornea using a Computer controlled Laser removed.
With this computer-controlled program Intralase can create a individuale Flap, on-time and with high sensitivity during the Flap formation can be accessed. With the removal of the Flaps is the tissue on the bottom of the Stroma with an eye observation system, the Excimer Laser treatment is performed.iLasik is the most advanced laser technology that is used today and it is a new treatment method, which is formed by the combination of the Intralase laser technology with personalized computerized corneal flap and Advanced Customvue (Wavefront) treatment is a special treatment for the Person, is. Everything iLasik is found according to the Eye and the eye structure of the patients is planned, and a special treatment is applied to the Person.
Treatment with iLasik is not only approved by the FDA for treatment, but also the certification of NASA allows astronauts and U.S. fighter aircraft. This is a Form of treatment, the people who work in perfectly to tasks such as astronauts and war pilots, provides the necessary visual acuity. Everything is carried out according to the Basis of the personal vision quality.
Some of the people methods, such as Lasik operations, which are an Alternative to spectacles, may not be suitable or inadequate. In these cases, the eyes are “indoor lenses” is a very good Alternative. Patients with high myopia and hyperopia (e.g., corneal thickness is thin), which are not suitable for Laser eye treatment, can also according to the Fakik-IOL surgery, a clear and healthy vision.
This method, which installs an artificial lens in the eye, is sometimes Performed with the combination of a LASIK - Op., and myopia patients from 7 dioptrid - up to 25 dioptrid, hypermetropia patients of 5 dioptrid - up to 13 dioptrid can be treated.
WHAT REQUIREMENTS SHOULD BE MET FOR A LASIK TREATMENT?

• At Least 18 Years Old
• No Glaucoma (eye pressure)
• No Specific retinal diseases
• No Cataract
• With a Excimer Laser not correctable high myopia, hypermetropia or astigmatism - patients
• In patients whose corneal thickness does not allow the Laser
• The glasses number is fixed

If this treatment is carried out according to the structure of their eyes, can only be made after a detailed eye examination was noted.
OPERATION TECHNOLOGYA Fakik-IOL – op takes for an eye approximately 20 minutes and it is performed under local anesthesia. Each eye is operated on at a distance of at least 7 days after the row and the operated eye in 1 day only with a landscaped association. The next day the bandage is removed and he begins to see clearly and is back to his normal life again. In the inner eye implanted lens is a transparent material and may remain life-long in the eye. These lenses are not noticeable from the outside, and will not be felt by the patient in the eye.
Multifocal Intraocular LensesPresbyopia problems can be cured with the new technologies (multifocal intraocular lenses). In cataract surgeries, multifocal intraocular lenses are a very important technological development for patients who have hyperopia, myopia, astigmatism, presbyopia disease. These lenses allow patients to do their daily activities comfortably. New generation lenses that are used in our hospital are placed in the patient's eye with a very short time operation. In the case of cataract surgery, the natural lens of the patient is removed and a new artificial lens inserted, which is adapted to the structure of the patient eye and a clear vision. In the multifocal intraocular lenses, both nearsighted and farsighted lenses are placed.

Strabismus Treatment Center

Strabismus is a disorder in which the two eyes do not line up in the same direction, and therefore do not look at the same object at the same time. The condition is more commonly known as "crossed eyes.Six different muscles surround each eye and work "as a team" so that both eyes can focus on the same object.
In someone with strabismus, these muscles do not work together. As a result, one eye looks at one object, while the other eye turns in a different direction and is focused on another object.When this occurs, two different images are sent to the brain -- one from each eye. This confuses the brain. In children, the brain may learn to ignore the image from the weaker eye.If the strabismus is not treated, the eye that the brain ignores will never see well. This loss of vision is calledamblyopia. Another name for amblyopia is "lazy eye." Sometimes amblyopia is present first, and it causes strabismus.
Treatment:The first step in treating strabismus in children is to prescribe glasses, if needed.Amblyopia or lazy eye must be treated first. A patch is placed over the better eye. This forces the weaker eye to work harder.
Your child may not like wearing a patch or eyeglasses. A patch forces the child to see through the weaker eye at first. However, it is very important to use the patch or eyeglasses as directed.If the eyes still do not move correctly, eye muscle surgery may be needed. Different muscles in the eye will be made stronger or weaker.
Eye muscle repair surgery does not fix the poor vision of a lazy eye. A child may have to wear glasses after surgery. In general, the younger a child is when the surgery is done, the better the result.

Vitreus Treatment Center

Vitrectomy is a type of eye surgery that treats disorders of the retina and vitreous. The retina is the light-sensing tissue found lining the inside back part of the eye. The vitreous is the clear, jelly-like substance that fills the inside of the eye. The vitreous is removed during vitrectomy surgery and usually replaced by a saline-type solution.
Why do you need a vitrectomy?

• Diabetic retinopathy, where there is bleeding and scar tissue
• Retinal detachments
• Wrinkling of the retina (macular pucker)
• Macular hole (partial loss of vision for fine details)
• Certain problems after cataract surgery
• Infection inside the eye
• Severe eye injury

Vitrectomy surgery can often improve or stabilize your vision. The operation removes any blood or debris (from infection or inflammation) that may be blocking or blurring light as it focuses on the retina. Vitrectomy surgery removes scar tissue that can displace, wrinkle or tear the retina. Vision is poor if the retina is not in its normal position. A foreign object may be stuck inside the eye as the result of an injury. Most foreign objects will damage vision if they are not removed.

Oculoplasty Treatment Center

Oculoplastic surgery is the cosmetic, corrective, and reconstructive surgery of the eye. It manages and repairs problems primarily related to the tissues or structures surrounding the eye, rather than the eyeball itself. These structures include the eyelids, the tear ducts, and the orbit (bony socket surrounding the eye).
Blepharoplasty, also known as an eyelift, removes excess skin and fat in the upper eyelids and excess fat in the lower lids. The procedure can also be done on just the upper or lower eyelids. It may be accompanied by an eyebrow lift and cheek lift as well.
This procedure is done for cosmetic reasons. Over time, the eyelids become baggy or droopy because the skin stretches and fat pockets become more prominent. This is most commonly a result of aging, but sagging eyelids also run in families. When eyelids droop, it may give the impression of being tired or appearing older.

Macula Degeneration Treatment Center

Age-related macular degeneration (yellow spot disease) occurs when the area of the "macula", the center of the eye for vision, degenerates and loses its function. SML (Scharioth Macular Lens) intraocular lens implantation, the latest technique in the treatment of this disease, was successfully carried out by Cagin Eye Hospital for the first time in Kocaeli.
Macular Degeneration, commonly known as yellow spot disease, developed mainly in relation to the age. With increasing age, the macular layer, which for the detail of the light-sensitive cells in the retina responsible for is lost. Macular Degeneration is a disease that should be followed in relation to early diagnosis and treatment, if it is seen in one out of 10 persons aged 55-64 years, and in every two people over 85 years. If it is diagnosed on the basis of regular eye examinations and treated early, can keep the current vision and the progression can be stopped of loss of sight. In addition to the ANTI-VEGF medication injection in the treatment of these dry and moist disease of the SML is also the most popular alternative to the Intra-lens Implantation.