Philosophy

Patients should feel comfortable with us

We at the ADMEDICO Eye Center strive to offer our patients a comprehensive service. You will receive competent advice and treatment from us and should feel at ease. We want to be an understanding and helpful partner. Our standards for high-quality services are high. For this reason, we only work with carefully selected partners.

Our team

Dr. med. Nicole Fichter Specialist FMH for ophthalmic surgery, especially reconstructive and oculoplastic surgery

Dr. med. Helga Reinshagen Specialist FMH for ophthalmic surgery, especially corneal surgery, cataract surgery and dry eye surgery

Dr. Antje Hersener Specialist in ophthalmology

PD Dr. med. Alexandra Anton Specialist in ophthalmic surgery, glaucoma specialist

Tabea Karrer Certified orthoptist

Barbara Peter B.Sc. optometrist FHNW

 

Jacqueline Iseli Certified nursing specialist HF

Sabina Zaugg qualified consultation assistant

Michelle Wagner Consultation hours assistant

Karin Wihler Head of Finance and Human Resources

 

Eye diseases (keyword phrases)

Amotio retinae or retinal detachment

Eye herpes, eye diseases

Corneal diseases, inflammation of the cornea

Corneal transplants, corneal bank

Astigmatism or astigmatism, keratoconus

Blepharitis or inflammation of the eyelid margins

Dry eye syndrome

Diabetic retinopathy - diabetes of the eye

Glaucoma or glaucoma

Hyperopia or farsightedness

Cataract or cataract

Conjunctivitis or conjunctivitis,  conjunctival diseases

Myopia or nearsightedness, Botox

Presbyopia or presbyopia

Strabismus or strabismus of the eyes

Uveitis or choroiditis

Glasses prescription

MFK eye test

Foreign bodies in the eye

Basedow's disease, endocrine orbitopathy, hyperthyroidism, Graves' disease, EO

Children's ophthalmologist, ophthalmologist for children, children's ophthalmologist Olten, children's ophthalmologist Zofingen, children and strabismus, children's vision test, my child sees badly, my child squints, ophthalmologist for children, ophthalmology practice

Eyes Olten, eyes Solothurn, eyes Zofingen, eyes Oftringen, eyes Aarburg
 

Symptoms of Graves' disease

Hyperthyroidism is a systemic disease and can manifest itself with various symptoms in different organ systems. The disease can creep into the lives of sufferers almost unnoticed. However, there can also be a sudden onset of the disease with acute symptoms. In addition to symptoms of hyperthyroidism, symptoms of the immune disease also occur. However, Graves' disease can occasionally occur without symptoms of hyperthyroidism, or even with symptoms of hypothyroidism. All variants are therefore theoretically possible. Sometimes sufferers get used to the symptoms, which may be mild at the beginning, and attribute them to particular life circumstances or stress. If the disease is not recognized, hyperthyroidism can lead to a life-threatening condition with hormone poisoning (thyrotoxic crisis) due to massively increased hormone levels in the blood. In addition to the signs of the change in hormone metabolism, symptoms may occur that are attributable to the effect of the antibodies in the patient's body. After the initiation of hyperthyroidism therapy, hypothyroidism often occurs in the further course of the disease. In order to recognize the symptoms of hyperthyroidism and/or hypothyroidism as early as possible and consequently be able to treat them, those affected should be aware of the symptoms themselves and contact their doctor if they occur.

A special feature of Graves' disease are the symptoms when the eyes are involved. The cause of the eye disease (endocrine orbitopathy) is also thought to be the production of antibodies against antigens (special protein structures on the cell surface) of the eye muscles and other tissues of the eye sockets. There is a close connection to the amount of thyroid hormone in the blood. Some people suffering from Graves' disease may also have other autoimmune diseases. It is always important to consider looking for or ruling out other autoimmune diseases if the symptoms of Graves' disease are unclear or confusing.

 

For more information on Graves' disease, visit www. basedow.ch
Symptoms of hyperthyroidism
Symptoms of hormone toxicity (thyrotoxic crisis)
Symptoms of immune disease
Symptoms of hypothyroidism
Symptoms of eye disease
Diabetes and thyroid disease

 

Corneal diseases and corneal transplantation 

The cornea is the windshield of the eye and is about half a millimeter with a diameter of 10 - 11 millimeters. It essentially consists of three layers: On the surface is the outer layer, the epithelium, which is about 70 micrometers (70 hundredths of a millimeter) thick: it is impermeable to bacteria and water, constantly grows back from the edge to the center of the cornea and releases its uppermost cell layers into the tear fluid. It heals very well and is therefore similar to the skin. Together with the tear film on top, it forms the optical surface of the eye, which is very important for imaging. Underneath it lies the middle layer (stroma) of the cornea (approximately 500 micrometres =  half a millimetre), which is formed from specialized connective tissue cells. The stroma is a special tissue because it has no blood vessels, has a high mechanical strength and at the same time is optically perfectly permeable to the visible parts of light. It is in a dehydrated state, which is only maintained by constantly pumping out water. The inner layer, the endothelium, which covers the inner membrane of the cornea (Descemet's membrane)  as a single layer of cells and borders on the inside of the eye with the ocular fluid (aqueous humor), is responsible for the pumping and therefore the transparency of the cornea. The endothelium and also the corneal stroma are nourished from the aqueous humor of the eye.

The cornea can experience a deterioration in its optical properties for very different reasons. Some are briefly described here.

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Changes in the shape of the cornea

Protrusions, bulges or distortions caused by scars disrupt the image to such an extent that patients can only have very poor visual acuity even with an otherwise clear cornea. A particular, hereditary, progressive protrusion is keratoconus, a cone-like taper of the cornea. In the initial stages, sufficient correction or stabilization of the protrusion can be achieved with a contact lens or hardening of the cornea through cross-linking therapy. If the protrusion is severe or the contact lens is unstable, surgical replacement of the deformed cornea is necessary (= corneal transplantation). The entire cornea is transplanted centrally with a diameter of approx. 8 mm.

Clouding and deposits in the middle layer of the cornea (corneal stroma)

They can be caused by metabolic diseases, which are usually hereditary and only affect the cornea or the whole person. Scar tissue in the cornea, which can occur after herpes infections or corneal injuries, for example, can lead to a considerable deterioration in vision that can no longer be influenced by medication. A corneal transplant with a complete transplant can help here.

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Failure of the inner corneal layer (corneal endothelium)

Failure of the pumping function of the inner layer leads to chronic swelling of the cornea. In this state, the tissue is no longer clear and transparent, but milky cloudy with a corresponding deterioration in optical properties. The finest water bubbles reach under the uppermost cell layers of the cornea, where they can cause a foreign body sensation, burst painfully or even facilitate the penetration of bacteria into the cornea. With this disease, only the inner layer can be transplanted using the latest technology, i.e. a lamellar corneal transplant.

 

Dry eye

Dry eye is defined as a chronic inflammatory wetting disorder. This manifests itself with a variety of symptoms such as eye pain, burning, foreign body sensation, itching, pressure or eye fatigue. The tear film, which consists of 90% water and 5% each of mucus and fat, no longer moistens the eyes continuously and sufficiently. The composition of the tear film is often no longer balanced and there is a lack of lipids. The fat comes from the sebaceous glands of the eyelids, the so-called meibomian glands. If these no longer function well for various reasons, the oily part of the tear film is missing, with the result that the watery part evaporates too quickly and the above-mentioned symptoms occur.

In addition to the use of tear substitutes, dry eyes often also require easy-to-clean eyelid margins and the temporary use of anti-inflammatory eye drops. For more severe forms, other therapeutic components are also used

 

Surgery for cataracts

Cataract surgery is one of the most common and best standardized operations worldwide.
Cataracts cannot be treated with medication. The principle of the operation is based on removing the clouded lens and replacing it with an artificial lens (intraocular lens). The necessary refractive power of this artificial lens can be precisely calculated beforehand based on the length of the eyeball and the curvature of the cornea.
One eye is always operated on first. If the other eye is also affected, the second operation can be performed a few days later.

The eye is only locally anaesthetized before the operation, i.e. made insensitive by eye drops. General anesthesia is only necessary in exceptional cases. During the operation, a 1.8 to 2.5 mm incision is made at the edge of the cornea. A tiny piece of the anterior capsule is removed through this incision. The contents of the lens are then finely crushed using a special ultrasound device (phacoemulsification), removed with a suction flushing device and removed. What remains is the wafer-thin capsular bag, which serves as a support for the artificial lens. Next, the artificial replacement lens is inserted. It consists of an elastic transparent material that is pushed through the tiny opening and then unfolds and centers itself. The access incision is so small that it does not need to be closed with a suture, but closes like a valve.

The artificial lens remains in the eye for life, meaning it does not need to be removed or replaced later.



There are different types of lenses:


Standard lens
The costs for the standard lens are covered by health insurance. Depending on the power, you can usually see clearly with this lens either at a distance or close up without glasses. You will need corrective glasses for the other distance.

Aspherical lens
This lens improves contrast vision, especially in poor light conditions such as twilight, night or fog.

Toric lenses for astigmatism
A corneal astigmatism can be corrected with individually calculated and manufactured artificial lenses. As a result, the perception of the environment is less distorted and blurred.

Combined near and distance lenses
In certain cases, this artificial lens enables largely spectacle-free vision at distance and near. If you are interested in this, a comprehensive preliminary examination will determine whether you are suitable for it.

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Glaucoma surgery

Glaucoma is an eye condition in which the intraocular pressure is increased and/or insufficient blood flow leads to a change in the optic nerve (optic disc) in the affected eye, which is typical of glaucoma. The aim of treating the disease is to slow down or prevent the progression of the disease by lowering the intraocular pressure.

 

If a sufficient reduction in intraocular pressure cannot be achieved despite careful use of medication (drops, ointments, tablets), the following surgical treatment options are available, which vary depending on the type of glaucoma and stage of the disease.

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    □      Laser coagulation of the meshwork (selective laser trabeculoplasty (SLT))

After the cornea has been anaesthetized and a contact lens has been fitted, selected sections of the chamber angle are treated with low-dose laser light. During the treatment, you sit with your chin propped up against a laser slit lamp. This procedure is suitable for minor increases in intraocular pressure or in the early stages of the disease.

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      □    Iridotomy with the laser

The iris is incised with the intense light of a laser, allowing the       intraocular fluid to pass directly from the posterior to the anterior       eye chamber. The surface of the eye is anaesthetized with drops so that a special contact lens can be painlessly placed on the cornea. A precisely targeted laser beam is directed through this lens onto the iris with numerous individual "shots", where it causes the tissue that has been hit to disintegrate. This produces a cracking sound. As the iris is largely insensitive to pain, the iridotomy is usually painless.

During the treatment, you will sit with your chin propped up against a laser slit lamp.

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    □      Sclerotherapy of the ray body (cyclophoto-, cryocoagulation)

In this method, the production of intraocular fluid is reduced by destroying       part of the iris with cold (cryocoagulation) or heat           (laser coagulation). This is done with the eyelids open by placing a cold or laser probe on the conjunctiva at various points. The cold or heat then    penetrates the conjunctiva and eye wall without damaging them              and leads to scabbing of the underlying iris. As a result, less aqueous humor is subsequently formed.

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    □      Filtration surgery, trabeculectomy, goniotrepanation

By cutting out a small section of the eye wall, an additional drain is created and an iris window is created in this area. A slight protrusion forms on the conjunctiva, which is known as a filter cushion. The aqueous humor can now drain out of the eye under the conjunctiva into the eye socket.

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    □      Filtration surgery with implants (XEN, Preserflow)

The aqueous humor is drained via a small implant (gelatine tube, plastic tube) from the eye chamber under the conjunctiva and thus into the eye socket, thereby lowering the intraocular pressure.

 

    □      Valve surgery

             A thin tube is passed from the anterior chamber of the eye through the eye wall into       the tissue behind the eye. This tube drains the    intraocular fluid into the area around the eye.

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    □      Trabeculectomy ab interno (e.g. trabectome, Kahook Dual Blade)

Using an instrument, the trabecular meshwork is removed from the inside over a few times in order to reduce the outflow resistance of the natural drainage pathways

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□           chamber angle implants (e.g. i-stent)

In this procedure, small implants are inserted into the trabecular meshwork in the chamber angle. This improves the outflow into the Schlemm canal behind it. These implants are often implanted as part of cataract surgery.

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What are the chances of success?

The success of glaucoma surgery cannot be guaranteed with any of the various surgical procedures. However, depending on the underlying disease, a satisfactory and long-lasting reduction in pressure is achieved in most cases after glaucoma surgery. Sometimes additional eye drops are required to lower the eye pressure. A repeat operation or another glaucoma operation may be necessary.

Surgery cannot reverse existing damage to the optic nerve and retina. The operation is only performed to preserve the remaining visual field and vision.

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My child needs to see an ophthalmologist / pediatric ophthalmology

You have been recommended an ophthalmological check-up by your pediatrician?

Or have you noticed a visual impairment, concentration disorder or even strabismus in your child yourself?

 

During the examination, our orthoptist will sensitively assess your child's visual acuity and check for any existing strabismus. In the event of a visual impairment as a result of a necessary spectacle correction, she will first suggest an additional examination to determine the spectacle prescription (so-called skiascopy). For this purpose, pupil-dilating eye drops are administered directly in the practice, which allow the ophthalmologist to objectively measure the necessary spectacle correction. For children under the age of 2 or children with strabismus, it is more reliable to dilate the pupils at home before the examination. In these cases, the eye drops will be given to you to take home with the appropriate instructions.

 

If your child does have strabismus, it is usually advisable to temporarily mask one eye in order to train the weaker eye. As you can imagine, this requires regular check-ups in our orthoptic consultation to ensure good visual development. However, if strabismus surgery is necessary in the longer term as a result of the diagnosis, the child will be gently prepared for this.

 

 

Our partners

We work closely with the following partners:

EUGOGO European Group on Graves Orbitopathy
University Eye Clinic Basel
Orbita Centrum Amsterdam
Hirslanden Klinik Aarau
Augenklinik Luzern
Solothurner Spitäler AG

 

Directions to the Olten Eye Center

Bus
from the train station (5 minutes): Use the Stadt exit and take bus line 2 (direction Trimbach) to the Kantonsspital stop.

Taxi
Taxi Bur: 062 205 22 22
Aare Taxi Sigrist: 062 296 26 26

On foot
From Olten train station approx. 10 min.
From Olten train station (10 minutes): Use the Stadt exit, cross the station bridge and then turn right into Amthausquai (along the Aare), after 400 meters turn left along a short forest path to the hospital (follow the signs).

By car
General direction Basel. In Olten Stadt, take the junction towards Trimbach.
After approx. 200m you will see the cantonal hospital.

Parking facilities in front of the building.

 

Ophthalmology practice in Solothurn

ADMEDICO Eye Center AG

Gurzelngasse 14, 4500 Solothurn / Tel. 062 206 87 37