Hannover Medical School (MHH)

location_on Hannover, Germany
9.8/10 from 43 Votes

Department of Ophthalmology (229639)

Carsten Framme

Prof. Dr. med.

Carsten Framme

Specialized in: ophthalmology

The Department of Ophthalmology at the Hannover Medical School offers the full range of services in this medical focus and specializes in the diagnostics, conservative, microsurgical treatment of eye diseases and urgent ophthalmic care. The department treats more than 2,900 inpatients and more than 20,000 outpatients every year. The department has three state-of-the-art operating rooms, in which about 3,800 ophthalmologic interventions are performed every year. The department is headed by Prof. Dr. med. Carsten Framme, who according to the prestigious magazine FOCUS was included in the rating of the top ophthalmologists in Germany in 2017.

The main focuses of the department’s clinical activities include drug and surgical treatment of diseases of the retina and macula, diseases of the cornea, as well as the treatment of glaucoma and cataract. For these purposes, it has cutting-edge medical technologies: 23G and 25G seamless vitrectomy (removal of the vitreous body), selective laser trabeculoplasty (SLT), thrombectomy for glaucoma treatment, perforating keratoplasty (corneal transplantation), transplantation of the internal corneal layer (DMEK), crosslinking for keratoconus treatment and many other treatments.

It's no secret that the key to successful treatment is accurate diagnosis. To date, the department offers the very latest methods of imaging diagnostics, as well as innovative systems, through which it is possible to record, analyze and compare examination results. The department employs specially trained, experienced physicians with additional qualifications in the field of imaging diagnostics, which guarantees a 100% accuracy of the diagnosis. In addition, the examination results are stored digitally, and therefore they are available to all doctors of the department.

Diagnostic services of the department:

  • Objective refractometry, including testing of the corneal curvature radius
  • Sonography (A-Scan, B-Scan, ultrasound biomicroscopy, calculation of the intraocular lens size by means of sonography)
  • Schirmer's test
  • Testing in anisocoria (including pilocarpine 1%/0,1% and cocaine eye drops)
  • Measurement of the number of endothelial cells
  • Orthoptic service
    • Orthoptic status
    • Use of prisms
    • Skiascopy
    • Molecular genetic testing
    • Electrophysiological studies (for example, multifocal electroretinography, electrooculogram, VEP)
    • Other examinations
  • Spectral optical coherence tomography
    • Anterior segment of the eye: imaging of the corneal structure, evaluation of lamellar keratoplasty, examination of changes in the conjunctiva, iris, monitoring of the size and growth intensity of small tumors
    • Posterior segment of the eye: retinal imaging with the analysis of separate retinal layers, monitoring of subsequent changes in retinal thickness, diagnosis and monitoring of retinal edema and macula, diagnosis of congenital diseases
  • Spectral optical coherence tomography with Heidelberg Spectralis (HRA + OCT)
    • Infrared scans
    • Autofluorescence scans of the fundus
    • Multicolor scans
    • Fluorescent angiography (combined/isolated indocyanine green angiography)
    • Integrated spectral optical coherence tomography
  • Pentacam tomography of the anterior segment of the eye
    • Imaging of the corneal structure/corneal thickness/corneal refractivity
    • Testing of regular and irregular astigmatism
    • Measurement of the anterior chamber depth
    • Assessment of lamellar and perforating keratoplasty
    • Keratoconus examination
  • Optical wide angle imaging (posterior segment of the eye)
    • Retinal imaging without dilated pupils
    • Compilation of coherent images of the whole retina within a single procedure
    • Documentation of results and further monitoring after receiving the examination results
    • Fluorescein angiography with blood flow imaging
  • Heidelberg laser retina tomography with Rostock Cornea Module
    • Diagnosis of corneal infections and the search for pathogens of the genus acanthamoeba
    • Assessment of corneal transplantation results
    • Measurement of the number of endothelial cells as an index of endothelial function and graft function
    • Optic nerve examination in patients with diabetes mellitus
  • Visual field diagnosis
    • Visual field testing by means of Goldmann perimeter
    • Visual field testing by means of Octopus-900 (Haag-Streit) perimeter, especially to detect glaucoma and macular diseases
    • Visual field testing by means of Heidelberg Edge Perimeter
  • Other diagnostic methods

The therapeutic options of the department include conservative treatment (the use of eye drops, systemic treatments with the help of various drug groups), surgical treatment of the eyelids and orbits (the interventions are performed without damage to the eye, for example, to correct overhanging eyelids, remove superficial skin of the eyelid, remove periorbital tumors and enucleate eyes in severe disease), surgical treatment of the anterior segment of the eye (typical operations include corneal transplantation, glaucoma and cataract surgery) and surgical treatment of posterior segment of the eye (typical operations include interventions to treat retinal detachment, epiretinal membrane peeling, placement of subretinal implants).

The department’s service range includes:

  • Laser surgery
    • Argon laser surgery
    • Nd:YAG laser surgery
    • Selective laser trabeculoplasty
    • Photodynamic therapy
    • And other treatment methods
  • Cataract surgery
    • Computer-assisted cataract surgery
    • Implantation of multifocal intraocular lenses
    • Implantation  of toric intraocular lenses
    • Other treatments
  • UV crosslinking
  • Corneal transplantation
    • Perforating keratoplasty
    • Lamellar keratoplasty (DMEK)
    • Other treatment methods
  • Glaucoma surgery
    • Laser interventions (for example, selective laser trabeculoplasty, YAG laser iridotomy, cyclophobic coagulation)
    • Trabeculotomy ab interno (also in combination with cataract surgery)
    • Mitomycin C trabeculectomy
    • Other interventions
  • Seamless 23G and 25G vitrectomy (removal of the vitreous body)
  • Placement of subretinal implants
  • Other medical services

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