Macular Degeneration Surgery in Thailand

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About the Macular Degeneration Surgery

What is macula and macular degeneration?

Macula is the yellowish oval area surrounding the retina of the eye, and it is the finest part where images are received. Degeneration of the macula occurs mostly at the age of 60, and hence, it is termed as age-related macular degeneration (AMD). Patients experiencing macular degeneration may not experience total blindness, but they may lose most of their central vision. The symptoms observed in this condition are the need for brighter light while reading, difficulty recognizing faces, decreased intensity of colors, etc.

Macular degeneration is mainly associated with aging. However, other factors such as smoking, hereditary, sedentary life style also cause macular degeneration.

What are the types of macular degeneration?

There are two types of macular degeneration. Each have different macular degeneration symptoms and are diagnosed with the help og macular degeneration test.

Dry AMD- It is the most common form of eye disease, and it is the early-intermediate stage of macular degeneration. The patients may experience slight vision changes; however, they may not notice the symptoms.

Wet AMD- It is the most severe form of macular degeneration that leads to complete vision loss. This occurs due to abnormal growth of blood vessels beneath retina and macula which leads to the destruction of healthy cells. It is proved that nearly 10% of people with macular degeneration have this type of AMD. If you have Wet AMD, macular degeneration symptoms may include seeing wavy lines, or dark spots throughout the day.

Juvenile MD- In some cases, macular degeneration can also affect young people, a condition called as juvenile macular degeneration. Scarring of macula is seen in such patients.

How is Macular Degeneration Surgery performed?

There is no special macular degeration treatment for dry AMD as it does not have any effect on side vision and it does not cause total blindness. But the progression of the disease can be prevented by a healthy lifestyle. It is proved that taking specific high-dose formulation of antioxidants and zinc decreases the risk of advanced AMD and the vision loss.

But in some cases, when the patients have advanced dry macular degeneration, Surgery can be done to implant a telescopic lens in one eye. This helps in improving both distance and close-up vision.

Some macular degeneration treatment options help slow down vision loss associated with wet AMD. These include:

1.Laser surgery

It is used to destroy abnormal blood vessels within the retina. A high beam of light is directed onto the blood vessels to destroy them. This treatment is effective in slowing vision loss in patients who have developed new blood vessels away from the cornea.

2.Anti-vascular endothelial growth factor (VEGF)

injections are prescribed to prevent abnormal blood vessels. Over expression of VEGF can cause vascular disease in the retina of the eye; which is inhibited by the anti- VEGF drugs that control or slow those diseases. Drugs which are classified as anti-VEGF drugs include aflibercept, bevacizumab, and ranibizumab.

3.Photodynamic laser therapy (PDT):

This involves laser treatment for selected areas of the retina. Your physician administers a drug called verteporfin into the vein of your arm. The drug travels the blood vessels and is absorbed by new blood vessels. Then, a low-power laser light is applied to the newly grown blood vessels; which activates the drug present in the blood vessels.

Once activated, the drug slows the growth of new blood vessels and slows the rate of vision loss.

Recovery from Macular Degeneration Surgery

The physician will prescribe eye drops to keep your eyes moisturized after the macular degeneration treatment. This also helps in preventing the infection after surgery. It takes nearly three to six weeks to heal after the AMD treatment.

Risks and complications

Laser therapy damages some of the nerve cells in the macula which may cause vision loss.

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Frequently Asked Questions

What is the health care infrastructure of Thailand / Why should opt for Thailand as a destination for your medical treatment
Hospitals in Thailand have seen an increase in number in the past few years. One of the many reasons for such surprise growth in the healthcare division can be the development of the public health sector which comprises 9,765 health locations along with 1,002 hospitals. As the Public Hospitals in Thailand are operated by the MOPH (Ministry of Public Health), the Private Hospitals in Thailand are regulated under the Medical Registration Division. The treatments in Thailand are also keeping up with that of other major countries all across the globe. As of 2002, the Thai Government has provided a countrywide general healthcare system that covers 99.5% of the Thai population and ensures high-quality treatments in Thailand and affordable primary medical amenities to each and every citizen of Thailand. In the year 2009, the total national expenditure on healthcare was 4.3% of the GDP of Thailand. Due to such medical advancements in Thailand, the country has become the most preferred medical destination in the world providing wide-ranging medical treatments at highly-reasonable rates at good hospitals in Thailand.
What are the conditions of the hospitals in Thailand? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Thailand :
  • Yanhee Hospital
  • Bumrungrad Hospital
  • Bangkok Hospital
  • Chaophya Hospital
  • BNH Hospital
  • Ramkhamhaeng Hospital
  • Vejthani Hospital
  • Bangkok Hospital Phuket
  • Samitivej Sukhumvit Hospital
  • Praram 9 Hospital
  • Chiangmai Ram Hospital
  • Sikarin Hospital
  • Synphaet Hospital
  • Bangkok Hospital Samui
  • Nonthavej Hospital
  • Bangkok Hospital Pattaya
  • Samitivej Srinakarin Hospital
  • Samitivej Sriracha Hospital
Are the doctors/surgeons in Thailand of the best quality?
Thailand is gaining recognition for the quality of its healthcare services after the US magazine CEOWORLD placed Thailand 6th in its 2019 list of countries with the best healthcare systems. Thai doctors gain a lot of skills during their course and this helps them practice effectively. Many doctors and surgeons also visit other countries for training and certification courses to enhance their skills and knowledge. Most doctors are exposed to a public and private healthcare system in order to be able to work in any condition. It is a collective effort from all the professionals to maintain the standard of health and Thailand is doing just that.
What is the process for obtaining a medical visa in Thailand?
Currently, medical tourists To Thailand are allowed in from 34 countries. All visitors must have proof of travel health insurance that covers a minimum of US$100,000 of medical costs incurred in Thailand, including medical costs in the event that they contract COVID-19. Under the CCSA regulations, medical tourists have to arrive by air to ensure effective disease control, not via land border checkpoints. All must have an appointment letter from a doctor in Thailand and entry certificates issued by Thai embassies across the globe. People wanting to visit Thailand for medical procedures need to contact the Thai Embassy in their country to organize the visa and paperwork. Thailand’s major hospitals will provide potential candidates with an appointment letter. Permission for medical tourists to be accompanied by up to three attending persons is intended to allow such patients to have spouses, parents, or assistants in attendance during their treatment in Thailand. However, such persons will have to conform to all the same entry requirements as the medical tourists themselves, including visas and health status.
What support services does MediGence provide in Thailand?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Thailand for medical treatment?
Bangkok is the capital of Thailand and the most sought - after destination for healthcare. It has more than 10 of the major hospitals in Thailand. The cost of treatment in Thailand is reasonable here. People tend to spend their recovery time in Bangkok as well as it is a beautiful city to visit as a tourist.

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