Tokuda Hospital Sofia


New Glaucoma Microsurgery in Bulgaria Performed at Acibadem City Clinic Tokuda Hospital

24 march 2017

Microimplants save patients long and severe surgery with multiple postoperative risks

Innovative microimplants for the treatment of glaucoma were placed in three patients at Acibadem City Clinic Tokuda Hospital. Each of the three interventions lasted some 10 minutes. The goal of the surgical procedure is to achieve an intraocular pressure of 13-15 mm of range, where vision is not threatened by loss or further deterioration. Standard glaucoma surgeries are performed with long duration and risks of postoperative complications such as hypotension, bleeding, corneal edema, etc. Here, implants themselves are 6 mm in size and placed bloodlessly under local anesthesia without the need for incisions and thread insertion.

“Microimplants and this surgical technique enable patients to adequately and safely control high levels of intraocular pressure through a very short intervention and does not carry the risks of glaucoma surgeries performed so far”, said Dr. Alek Topov, Head of the Department of Ophthalmology at Acibadem City Clinic Tokuda. The surgery is performed with a very small incision of 1-1.2 mm, the implant-like tube is placed through, discharging the fluid, causing the elevated intraocular pressure. Patients stay in the hospital for one day, and upon discharge they may return to their usual activities. I am glad we already have these innovative implants in Bulgaria in order improve the quality of life of glaucoma patients”, added Dr. Topov.

Glaucoma is one of the most treacherous diseases characterized by progressive and irreversible weakening of vision due to ocular nerve damage caused by high eye pressure. Half of the patients do not know about their illness and turn to a specialist when their eyesight is already severely damaged. Everyone over 35 years of age needs to have a prophylactic examination with an ophthalmologist with intraocular pressure measurement, specialists advise. Contemporary early-stage treatment offers an opportunity to master the condition and then glaucoma patients may enjoy good quality of life while being actively monitored once in three months.

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Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.