It is composed of a professionals’ specialized group in the different medical-surgery fields of ophthalmology. Thus, any type of disease can be treated, with the leading technology, both for diagnosis and for medical and/or surgical treatment.
Cataract is the clouding or crystalline lens loss of transparency, provoking a progressive loss of vision. A patient with cataract frequently observes dazzles when driving at night or with the sunshine during the day. Cataract treatment is always surgical when vision is decreasing significantly, and he is unable to do the daily activities. Surgery lies in making a clouding Crystalline withdrawn (by means of the Phacoemulsification technique), replacing it by an intraocular lens. All this is performed thanks to a micro incision surgery performed on an outpatient basis and under topical anaesthesia (drops) in most cases, which eases fast recovery. Now, diffractive-refractive lenses can be brought in, allowing certain patients to recover a good distance vision, near and intermediate without the need for glasses.
Glaucoma is a severe disease caused by an intraocular pressure increase. It may appear roughly and painfully (acute glaucoma) as a chronic disease without pain, but with a significant visual impairment if the disease is not properly diagnosed and treated. Ocular hypertension (intraocular pressure) causes irreversible damage to the optic nerve, which, in a disease advanced stage, could be unnoticeable for the patient.For this reason it is recommendable a ophthalmologic examination and control, in patients older than 40 years. There is an early diagnosis program in our Unit, which is crucial in patients with Glaucoma, Myopia or Diabetes family background. We have also a leading technology to carry out the most precise diagnosis, as OCT (Optimal Coherence Tomography), Campimetry and Tonometry.Glaucoma treatment can be medical (through eye drops usage), with laser or surgical, making a perforating Trabeculectomy, not perforating, with or without Mitomycin in both cases, depending on the type and the Glaucoma evolution.Our patients are diagnosed and included in a monitoring protocol and appropriate treatment in each case.
The ametropies are impaired vision, caused because the image is not formed in the retina. The sphericametropies are Myopia and farsightedness. In Myopia, the image of a point placed in the infinite is formed before the retina. The myope eye sees clearly closed objects, but it hardly perceives the distant ones. Whatever the patient could go to an optician once a year until his stabilization in order to discard further related problems, he must be checked up by his ophthalmologist. The adult patient with a steady myopia can be subjected to treatment through Lasik or Lasek, depending on the corneal thickness and the number of dioptres. It is necessary for its surgical correction to insert into the eye an intraocular lens (IOL) or perform the surgery of transparent crystalline in some cases of severe Myopies. Willingly advising our patients about the best surgical solution for an optimal result in our service, we analyze each case. Hypermetropy is characterized as the image formation behind the retina.The farsighted hardly sees nearby objects. During childhood, the farsightedness can provoke eye’s turnings (strabismus). If they are not fixed wearing glasses, it could lead to a reduction (lazy eye). In adult, farsightedness may also be fixed with Lasik.Astigmatism is a corneal irregularity that impedes to focus clearly both distant objects as close ones. It involves both children and adults and can be treated by laser.
It is the loss of ocular parallelism, therefore one eye becomes dominant (fixative eye) and the other one turns at any way, vertically, horizontally or obliquely. It can appear at any age, and may be triggered by different factors. It is normal if newborns do not fix their gaze. Nevertheless, if this deviation remains after the three first months of life, he should be evaluated by an ophthalmologist in order to early diagnose it and treat it. Vision development is formed during the first years of life; therefore, periodically children check-ups are really crucial. Hypermetropies, myopias and astigmatisms, along with amblyopia (“lazy eye”) may be fixed.As soon as the problem may be solved, better will be the visual prognostic as after 6 years old is hard to recover the lazy eyes, moreover the vision would not be fully developed if it has not been completed at 10. Occasionally, disorders are not altogether noticeable. Thus, particularly in children, we should suspect of any existent pathology if they frequently rub their eyes, if they often get away or get closed for reading, if they turn their head trying to see better, if they have persistent headaches or if their eyes turn red.
The retina is the most inner layer of the eyeball and can be affected by several diseases, always with a significant impact on the visual prognosis. An early diagnosis to prescribe the proper treatment in each case is therefore required.
Macular degeneration:This is gradually a more frequent problem, related to aging, limiting central vision and increasingly disabling the patient to tasks as essential as reading, writing, driving, etc. It is really important to attend the specialist to detect any image distortion considering that in other ophthalmological diseases as myopia, there can appear also macular injuries.
Diabetic-hypertensive retinitis eye disease:Diabetic and hypertense patients have an additional risk of developing a vascular problem in the back of the eye (retina).This condition can cause repeated bleedings and could generate important vision damages. Currently we trust in our advanced diagnosis and treatments to prevent as possible, the vision damage caused by this pathology.
Retinal detachment: The retina can detach suddenly, basically in myope patients, and can provoke part or total vision loss. Any reduction of limited vision must be considered an emergency; a specialist should assist for an early diagnosis and appropriate treatment.
Palpebral tumors: Eyelids can be affected by benign or malign tumor injuries which diagnosis and treatment must be early performed, in order to prevent the disease development.
Entropion and ectropion: Over the years, the eyelid loses its anatomical stability, rotating inside (entropion) or outside (ectoprion). Both situations produce very unpleasant symptoms for the patient, as eyelashes rubbing against the eyeball, foreign body sensation, tearing, and conjunctival irritation or stinging.
Ptosis:Superior eyelid drop can currently come forth congenitally, from birth or acquired over the years, as a consequence of several factors. This eyelid drop, especially in short aged patients can lead to an inappropriate development of visual acuteness (lazy eye) and therefore, a precise evaluation by the ophthalmologist must be done as soon as possible.
Aesthetics problems:The excess of skin and fat in eyelids is appearing over the years, provoking, not only an aesthetic defect, but also a weight sensation on the eyelids, as well as ophthalmological inconveniences related to this situation. Surgical rectification has rather positive effects, both for fatty bags as for skin excess.
Orbital disease: Tyroidorbitopathy and tumors. Ruber International Hospital bring the opportunity to treat pathologies jointly with other services (radioterapia, neurocirugía, Gammacirugía), in order to achieve the optimum result.
Orbita is the bone area where is placed as the eyeball as surrounding structures (muscles, fat, vessels and nerves). Malignant tumors can appear in this complex area, as well as inflammatory annoyances requiring surgical treatment.
Lacrimal via diseases: the drain system of the tear is called Lacrimal gland Via. The most frequent affectation is the obstruction; it can be congenital (from birth) or occur during over the years. Our service has a wide experience in the surgical treatment of this disease, as by outside via or by the ultimate technological generation Laser.
Departamento de Ciencias Morfológicas y Cirugía, de la Facultad de Medicina de la Universidad de Alcalá de Henares, años 1993-1995. En septiembre de 1995 presenté el proyecto de tesis doctoral: “Parálisis del sexto par. Tratamiento con toxina botulínica”.
– Estudios de Medicina cursados en la Facultad de Medicina de la Universidad Autónoma de Madrid, Examen de licenciatura calificación: SOBRESALIENTE
– Lectura Tesis Septiembre de 2004. Universidad de Alcalá
Calificación: PREMIO EXTRAORDINARIO DE DOCTORADO CURSO 2003-2004
– Profesor Honorario Departamento de Cirugía, Facultad de Medicina de la Universidad de Alcalá 2006-2010.
– PROFESOR ASOCIADO OFTALMOLOGÍA Departamento de Cirugía, Facultad de Medicina de la Universidad de Alcalá 2010- hasta actualidad.
– Prueba Selectiva de Médico Interno Residente (MIR): plaza de oftalmología en el Hospital “La Paz”.
– Facultativo Especialista de Área (FEA) de Oftalmología adscrito a la sección de Retina del S. de Oftalmología del Hospital “Príncipe de Asturias” de Alcalá de Henares desde Mayo de 1997. Plaza en propiedad (estatutario) desde Junio 2005.
– Miembro del Panel de Expertos Elaborador Preguntas Examen M.I.R. convocatoria 2004 (especialidad Oftalmología) y convocatoria 2012 (especialidad Oftalmología).
– Miembro de la Comisión Técnica “Concepto de la Especialidad” dentro del Plan Estratégico de la Especialidad de Oftalmología de la Consejería de Sanidad, Comunidad de Autónoma de Madrid 2010-2012.
1- Editor de un libro (ISBN 84-89085-21-8) y autor de 33 capítulos en libros de la especialidad
B- ARTICULOS EN REVISTAS CIENTÍFICAS:
B-1 REVISTAS INTERNACIONALES:- Autor de 23 artículos, 15 de ellas en el tercio superior de la clasificación.
B-2 REVISTAS NACIONALES– Autor de 22 publicaciones
C- COMUNICACIONES A CONGRESOS
COMUNICACIONES LIBRES ORALES / PANEL / VIDEO: Autor de 74/31/14 comunicaciones en congresos nacionales e internacionales.
– Investigador principal en 5 ensayos clínicos; Investigador en 1 ensayo clínico
– Director de 5 Tesis Doctorales: 2 calificadas con Premio Extraordinario de Doctorado
– Jurado evaluador de las comunicaciones en Congreso de la Sociedad Española de Oftalmología en 6 ocasiones.
– Director de 4 Proyectos de Investigación.
– Miembro del Comité Editorial de 2 Revistas Científicas de la especialidad.
– Revisor/Reviewer de 6 Revistas Científicas, 4 de ellas internacionales.
– Premios a Publicaciones Científicas: 4; a Comunicaciones: 1
– Miembro Junta Directiva Sociedad Española de Retina y Vítreo desde 2013
Visual field: Through this test field, vision is measured; it may be altered as a consequence of suffering diseases such as: Glaucoma, optic neuritis, brain tumors, neurological diseases, etc.
OCT (Optic Coherence Tomography): by this examination, a scanner is made from the different parts of the eye to be studied, bringing significant information of structures as optic nerve, macula or angle. At the present, this is a test is crucial, both for the glaucoma valuation as for retina diseases.
Topography: It is for the corneal anatomy study, and the potential deformations and illnesses related. In addition, it is basic to perform refractive surgery (Myopia, Hypermetropia and astigmatism).
Pachymetry: with this technique we can measure the thickness of the cornea. This information together with the provided with the topography are essential to precise the patients suitability with refractive surgery.
Argon Laser and Yag Laser: used for diseases treatment affecting retina (diabetic retinopathy, retinal holes, macular degeneration).
Fluorescent angiography jointly with OCT is the diagnosis test that allows the study of retina diseases through the injection of iodinated contrast.
Biometry: is a method through the intraocular lens power is calculated, it is used in Cataract surgery.
Ultrasonography AIB: it analyses ocular structures (crystalline, vitreous, retina) if there is a bleeding direct study is not allowed, giving information of the eyeball situation.
LASIK Refractive surgery:
What is it? It is a technique that allows to correct myopia, hypermetropy and astigmatism.
How?It modifies the corneal curve in order to form again images sharply on the retina. It is performed on an outpatient basis.Local anaesthetic drops. It is painless and short time.Quick recovery and carry on with daily tasks.
Which cases are suitable for being operated? It is crucial to perform an entire ophthalmological study to assess the best surgical customized procedure. A high percentage of people can be operated with Lasik surgery.For the rest other techniques should be considered (PRK, ICL, Transparent Crystalline).
Results:The obtained results by this technique mean a big change in patients’ daily life. For patients who do not accept glasses, contact lenses, or want to leave them away, this is a good option. Proven technique 20 years ago. The quick and painless recovery has turned it in the Premium technique in refractive surgery correction.
Cataract surgery: Phacoemulsification – Diffractive-refractive lenses.
Retina surgery: retinal detachment.Vitrectomy and retina membranes.
Glaucoma surgery: laser treatment and perforating and not perforating trabeculectomy.
Strabismus surgery: muscle surgery and botulinum toxin (BOTOX).
Eyelid, orbit and lacrimal glad via:
In the oculoplastics section the following pathologies are treated:
Palpebraemalpositions:Entropion, ectoprion and ptosis.
Aesthetic treatment of eyelids.
Congenital obstruction of lacrimal via (catheterization).
Chronical obstruction via lacrimal (outpatient surgery and laser surgery).