Tongren Ophthalmology has been in the leading position in Beijing and even the whole country for a long time, and is one of the best ophthalmology departments in China. In the 2015 and 2016 "China Hospital Specialty Reputation Rankings" released by Fudan University (based on the combination of hospital SCI and scientific research awards, comprehensive consideration of discipline construction, clinical technology and medical quality, scientific research level and other factors), colleagues ranked second only to Zhongshan Eye Center of Sun Yat-sen University in Guangzhou with a very small score gap.
Whether it is the hospital's reputation, equipment or the level of doctors, colleagues are in the first echelon of the industry in all aspects. Since 1993, it is the first hospital approved by the Ministry of Health to carry out excimer laser corneal refractive correction surgery, and it is also the refractive specialty with the largest number of refractive surgeries completed every year in China. The huge number of surgeries makes the doctor's proficiency and accuracy higher and higher, and at the same time brings good revenue benefits, and the strong financial support and policy inclination allow colleagues to afford the maintenance and operation of the most sophisticated and advanced equipment, such as the Visumax femtosecond laser machine of Zeiss in Germany, the VisxS4 excimer laser treatment system of AMO in the United States, and the Wavelight of Alcon in the United States FS200 femtosecond laser and EX-500 excimer laser treatment system, wavefront aberration inspection system WaveScan/iDesign (wave frontTM system, AMO/Visx, USA), optical coherence tomography (OCT): RTVue-100 (optovue, USA), glare contrast sensitivity tester, whole corneal topographic map photography system and other instruments, these instruments are sufficient to carry out LASIK, SBK, wavefront aberration/ Topographically guided LASIK, LASIK combined with corneal cross-linking, femtosecond laser Smile, ICL corneal stromal lens implantation, femtosecond laser combined with ultraviolet riboflavin cross-linking for the treatment of keratoconus and other domestic mainstream refractive correction surgery types. Colleagues are almost crushing the advantage of ordinary public hospitals that are still using second-hand or outdated models of machines that have been eliminated from the market.
Refractive correction surgery is not complicated, but it still requires doctors to receive long-term training, and at the same time to carry out a lot of surgical training accuracy and proficiency, so for smaller ophthalmic institutions, clinics or hospitals, inviting famous doctors to practice in our hospital and perform surgery is the safest, most convenient, and most attractive to patients. The expert team of colleagues is the golden sign that major private hospitals are vying to grab, among which Zhou Yuehua and Zhai Changbin are the most famous. Dr. Zhou Yuehua is currently the director of the Optometry Center of the Eye Center of Beijing Tongren Hospital and a member of the optometry group of the Ophthalmology Branch of the Chinese Medical Association. The more famous the doctor, the longer the schedule, among which the most patients come to Dr. Zhou Yuehua for surgery, and often have to wait for more than 3 months before they can perform surgery at the same time. Physicians such as Zhang Fengju, Guo Ning, and Qi Ying also have solid academic standards and rich clinical experience, and compared with the previous two, it is easier to register for consultation and schedule surgery, so patients can rest assured that they can see a doctor, and there is no need to stumble on the halo of famous doctors.
It is well known that it is difficult for colleagues to register, but the registration situation of the refractive surgery department on the third floor of the East District is quite optimistic, and the hospital has opened four appointment registration channels. The WeChat public account of "Jingyitong" is the most convenient, the balance of the day's number source is released at 7:00 a.m. every day, and the number source of the eighth day is released at 15:00 p.m., and the number source in the middle period can be reserved throughout the day; The release time of the self-service machine in the lobby is the same as above; 010-114 telephone registration and Beijing appointment registration unified platform website registration can not be registered on the same day, every morning at 8:45 to release the 8th day number source, every day at 14:00 in the afternoon to stop the appointment of the next day number source. If you want to find a doctor to inquire or see, you can check the doctor's visit time on the WeChat public account of "Beijing Tongren Hospital" or the hospital lobby guidance office, it should be noted that after the registration is successful, if you do not take the number on the day of treatment, it will be regarded as a no-show, and after 3 times of no-show within 3 months, you will not be able to enjoy the appointment service in the next 3 months, and the patient needs to arrange the time for consultation, initial consultation, review or surgery, and do not waste the number source.
At present, the registration fee for refractive surgery of colleagues ranges from 50 yuan to 100 yuan, and it is of little significance to hang a high-priced expert number, because the preoperative examination is basically a standardized content of the doctor's assistant's consultation, and the doctor who does the operation can make another choice. The preoperative examination fee is about 1,000 yuan, 15,000-18,000 yuan/eye for femtosecond LASIK surgery, and 25,000 yuan/eye for full femtosecond LASIK surgery, excluding postoperative medication and re-examination costs. Although colleagues have a strong reputation, there are still many common diseases in large hospitals, with many patients, and the waiting time is not in the order of registration, but in the order of queuing; The staff's service attitude is perfunctory, the consultation process is standardized, the patient treatment is not patient, and the follow-up of the review is not in place. Tongren is definitely the authoritative choice for refractive correction surgery, but in the case of the same machine and multiple doctors practicing in multiple places, how long can Tongren maintain the position of the first choice in the hearts of consumers?
Risk Warning:Laser correction surgery is not mysterious, nor complicated, the operation takes as little as tens of seconds, as long as about 20 minutes, rigorous preoperative screening, scientific surgical plan design and surgical selection, standardized surgical operation and correct postoperative medication, is to reduce the patient's worries, restore clear vision of the guarantee. At present, the mainstream surgical methods are classified into two categories: superficial surgery and stromal surgery, with superficial surgery including PRK, LASEK, Epi-LASIK, T-PRK, and stromal surgery including LASIK, F-LASIK, SMILE. Superficial surgery cuts the cornea from the outermost layer, and the wound can heal completely, and the risk of sequelae such as keratoconus is small. However, PRK uses lamellar knife and LASER requires the corneal epithelium to be soaked in alcohol, and the technology is relatively backward, and large hospitals with advanced equipment basically no longer perform these two types of surgery. Epi-LASIK and T-PRK use excimer laser technology, especially T-PRK has been continuously improved by major hospitals and has become one of the mainstream types of surgery. It can complete high-speed cutting in one step, no alcohol, no epithelial scraping, small wounds, fast healing, and stable long-term visual quality. However, T-PRK is only suitable for patients with moderate and low myopia below 600 degrees, and the postoperative pain is strong, the recovery time is long, and ultraviolet radiation needs to be avoided for 4 months after surgery.
LASIK and SMILE are the most mainstream and advanced types of surgery. LASIK uses a laser to open the surface layer to create a corneal flap, and then uses an excimer laser to cut the thickness of the corneal stromal layer and reset the corneal flap. The incision caused by SMILE is very small, and the laser is used to create a thin layer of corneal tissue in the shape of a convex lens in the middle of the cornea, and then a 2-4mm incision shaped like a smile is made on the corneal surface, and the "convex lens" is removed from the incision. The biggest advantage of the former is that it can use femtosecond laser to set and make different corneal flap diameters, corneal flap thickness, corneal flap position and pedicle width according to the patient's corneal size, corneal thickness, pupil size, corneal tissue, etc., which is more stable for patients with high astigmatism or thin corneal thickness. The latter has the advantage of a shorter recovery time, avoids corneal flap-related complications (such as flap displacement due to trauma), less corneal sensory nerve damage, mild postoperative dry eye symptoms, and strong impact resistance. There are pros and cons to both types of surgery, and the degree of postoperative recovery also has a lot to do with the individual's physique, not to mention which method is superior.
Commercial slogans often refer to LASIK as "femtosecond", which seems to be a cut short of "femtosecond", but in fact, this is a complete marketing fallacy. Half femtosecond is completed by femtosecond excimer laser, and full femtosecond is the entire surgical process is completed by femtosecond laser, so all femtosecond is all in "femtosecond", not all in "function", it consumes a lot of corneal thickness, and can not import wavefront aberration, corneal topography and other data for personalized tailor-made cutting correction, can not carry out accurate eye tracking positioning, can not correct farsightedness, and is almost powerless in the face of irregular astigmatism. Due to the expensive cost of ReLEx equipment, many hospitals and doctors pretend to be confused and turn a blind eye to the congenital deficiencies of patients. Or they don't know how to pretend to understand, but the merchants are promoting the horse's head and trying to promote the full femtosecond, and some patients who are more suitable for other types of surgery are forced to pay for the "high-end" in the continuous brainwashing, resulting in avoidable postoperative sequelae, such as vision loss, halos and glare, which is really sad.
In addition, not every myopic patient can undergo femtosecond laser corneal refractive surgery, so it is important to undergo a comprehensive eye examination and refractive status examination to determine whether the surgery is suitable before deciding to undergo surgery. In simple terms, the following must be met at the same time to be considered for surgery:
(1) Age 18 years or older
(2) Stable diopter (no more than 25 degrees change in one year)
(3) There are no other active and infectious lesions in the eye
(4) The corneal morphology is normal (keratoconus must be excluded), the corneal thickness is appropriate, and if it is too thin, it is impossible to perform full femtosecond SMILE.
(5) plus astigmatism, myopia within 1400 degrees (femtosecond LASIK) or within 1000 degrees (SMILE); Astigmatism within 600 degrees; If the farsightedness is 800 degrees, you can consider doing femtosecond LASIK, but you can't do SMILE.
(6) Those who wear contact lenses: soft lenses should be stopped for 1-2 weeks, hard lenses should be stopped for 2-3 weeks (depending on the recovery of corneal epithelium and corneal topography), and OK lenses should be stopped for 3-6 months.
Finally, there are risks associated with any surgery, although femtosecond laser refractive surgery is a minimally invasive surgery with high safety, it will also have a greater or lesser impact on the normal anatomy of the cornea, the higher the correction, the greater the change, the greater the impact, and the higher the risk. Although refractive surgery has been continuously developed and advanced, it is still not possible for all patients to achieve a perfect postoperative visual experience or eagle-eye vision, and patients should have a reasonable expectation before surgery.
