Macular Degeneration Surgery in Tunisia

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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 Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? 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.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
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 Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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