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Medical services

The different clinical services constitute the backbone on which the healthcare activity of MD Anderson Cancer Center Madrid – Hospiten is organised.

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Ophthalmology

Ophthalmology is the specialty responsible for the diagnosis and medical and surgical treatment of diseases of the eye, eyelids, tear ducts and socket, and for the correct refraction of the optical system.

The ophthalmology service at MD Anderson Cancer Center Madrid – Hospiten was set up as an integral service specializing in the treatment of cancer of the eye and surrounding area (eyelid, tear duct and socket), but is also responsible for the diagnosis and treatment of any eye disorder. Accordingly, the offer of services includes refractive surgery and that for cataracts, glaucoma, strabismus (crossed eyes) and the retina. As an added value, our experience in reconstructive and plastic surgery of the eye enables us to provide esthetic and cosmetic surgery of the eye area.

Due to the continuous advancements made in ophthalmology and with the aim of maintaining the degree of excellence in patient care, the department is made up of different specialized units providing the patient with access to state-of-the-art technology in diagnostics and the very latest techniques in microsurgery.

Integrated into the other specialties at the hospital, the unit forms part of different multidisciplinary units and collaborates on prevention campaigns.

  • Ocular and ocular adnexa oncology: in continuous collaboration with the medical oncology, radiation therapy and internal medicine units, the ophthalmology unit deals with the surgical treatment of all types of benign and malignant tumors. Among the most common are melanoma, basal cell carcinoma and epidermoid carcinoma. The Mohs Technique is often used on the basis of scientific evidence and to obtain the highest possible cure rates in eyelid tumors. This means that in a single surgical session the tumor is removed, the histopathological study ensuring that the whole tumor has been removed is carried out and defects are repaired.
  • Cataract and presbyopia (tired eye) surgery: microincision cataract surgery (less than 2 mm) by means of phacoemulsification and implanting the most suitable intraocular lens in each case (monofocal, toric or trifocal) to reduce the need for glasses as much as possible.
  • Refractive surgery: laser treatment of myopia (shortsightedness), hypermetropia (farsightedness) and astigmatism. The whole process is carried out by means of laser thanks to Femtosecond.
  • High myopia surgery: using a phakic ICL, intraocular lens.
  • Esthetic and reconstructive surgery of the eyelids:
  • Eye rejuvenation: surgery of upper and lower eyelid bags (blepharoplasty), botulinum toxin and fillers.
  • Reparation of functional static defects (ectropion, or turning outward of the eyelid and entropion, or turning inward of the eyelid) and of palpebral ptosis (drooping eyelids),
  • Anophthalmic socket (empty socket): evisceration (removal of the contents of the eye), enucleation (removal of the eye), reparation of the eye socket and eyelids to correctly accept the prosthesis.
  • Tear duct surgery: treatment of watery eyes and of chronic conjunctivitis caused by obstruction of the tear duct by means of endonasal endoscopic surgery (leaving no scars on the skin).
  • Eye socket: diagnosis, treatment and monitoring of inflammatory tumor disease (thyroid-associated orbitopathy (TAO), inflammatory pseudotumor (IPT), etc.) and trauma of the socket.
  • Glaucoma: early diagnosis and monitoring using the latest technological means. Glaucoma microsurgery by means of non-perforating techniques and drainage systems.
  • Neuro-ophthalmology: the study of defects in the pupil of the eye, fields of vision and double vision (diplopia).
  • Integral retina and vitreous unit:
  • Medical retina: treatment of diabetic retinopathy, age associated macular degeneration (AAMD), venous thrombosis, vitreous detachment (floaters). Intravitreal injection of anti-angiogenesis agents to treat choroidal neovascularization (AAMD, myopic membrane, macular edema) and prolonged steroid release).
  • Surgical retina: detached retina monitoring and surgery and treatment of retina-vitreous interface (macula hole, epiretinal membrane, etc.)
  • Ocular surface and corneal pathology: diagnosis and treatment of dry eye, corneal ectatic disorders (keratoconus, pellucid marginal degeneration) and malignant and benign conjunctival tumors (pterygium (surfer’s eye)).

  • Melanoma: in the periocular, conjunctival and choroidal region.
  • Medical check-up unit
  • Eye health of the patient in treatment with head and neck chemotherapy and/or radiotherapy.
  • Eye health of the patient with cardiovascular risk factors (high blood pressure, diabetes mellitus, dyslipidemia (high blood pressure), obesity, smoking).

En ese Servicio adaptamos prótesis oculares, elaboradas de forma personalizada, lo más parecido posible al ojo sano.  El ojo artificial se fabrica con resinas acrílicas antialérgicas de larga durabilidad y con el fin de ofrecer a los pacientes una máxima confortabilidad y un gran efecto estético.

Adaptamos prótesis oculares, elaboradas de forma personalizada, lo más parecido posible al ojo sano.  El ojo artificial se fabrica con resinas acrílicas antialérgicas de larga durabilidad y con el fin de ofrecer a los pacientes una máxima confortabilidad y un gran efecto estético.

Objetivos del Servicio

Restaurar el aspecto facial natural cuando se sufre la pérdida de un ojo ofreciendo al paciente:

  • Mejoría de su aspecto: Restaurar el aspecto facial del paciente y una correcta apertura de párpados.
  • Autoestima: Mejora la autoestima del paciente para que les haga sentir más cómodos y seguros.
  • Adherencias: Con el uso de la prótesis se evitan las adherencias en el ojo, deformaciones, retracciones en los tejidos y entradas de cuerpos extraños

Con la restauración del globo ocular mediante una prótesis ocular el paciente puede realizar cualquier tipo de actividad (menos la visión con ese ojo), se puede hacer deporte, correr, bañarse, y multitud de actividades.

¿A qué pacientes se dirige este Servicio?

A todos aquellos que por cualquier motivo han perdido uno o los dos ojos, que puede deberse a varias causas, como un traumatismo, por malformaciones congénitas, por problemas oncológicos, en casos de ptisis bulbis, en casos de queratitis o ulcera corneal.

El tratamiento consistirá en la fabricación a medida de una prótesis ocular o esclerocorneal totalmente personalizada, dependiendo del caso concreto de cada uno.

Responsable: Dr. Manuel Requena.