About the Department of Adult and Pediatric Ophthalmology at University Hospital Halle (Saale)
The Department of Adult and Pediatric Ophthalmology at the University Hospital Halle (Saale) provides a full range of diagnostic and therapeutic services for patients with diseases of the eye and its appendages. The department admits patients of all ages, ranging from young children to the elderly. The department has earned a reputation as a center of excellence in the treatment of corneal diseases. It should be noted that it has gained more than 100 years of experience in the research and development of new methods for the treatment of ophthalmic diseases. Since 1998, one of the largest eye banks in Central Germany (Mitteldeutsche Corneabank Halle) has been operating on the basis of the department, which ensures the selection of the most suitable transplant for each patient. The medical facility has a well-developed laser surgery: selective laser trabeculoplasty, cyclophotocoagulation, YAG laser iridotomy and capsulotomy, phototherapeutic keratectomy, and other laser procedures are performed here. Microsurgical and minimally invasive surgical procedures are also successfully performed in the department. Therapeutic options are complemented by IVOM therapy – intravitreal injections of Lucentis, Avastin, and Ozurdex for the treatment of retinal diseases. In the field of pediatric ophthalmology, special attention is paid to the treatment of retinopathy of prematurity, congenital cataracts and glaucoma, refractive errors, eyelid diseases, strabismus, and eye injuries. The department is headed by Prof. Dr. med. Arne Viestenz.
Patients with glaucoma regularly seek medical help from the department. This pathology disrupts the outflow of aqueous humor from the eye, resulting in optic nerve atrophy and potentially irreversible vision loss. The main diagnostic manifestation of early glaucoma is elevated intraocular pressure. As the disease progresses, visual acuity decreases and peripheral vision deteriorates. Glaucoma most often develops in people over the age of 40, but in rare cases it can occur in children and adolescents. To make a diagnosis, the patient undergoes an examination that includes Heidelberg retinal tomography, optical coherence tomography, computerized perimetry, pachymetry, and tonometry. The department provides both conservative and surgical treatment of glaucoma. Conservative therapy is based on the use of eye drops to normalize intraocular pressure and is indicated for patients with early stages of glaucoma. In other cases, laser procedures or surgery are required: depending on the specific clinical case, selective laser trabeculoplasty, YAG laser iridotomy, cyclophotocoagulation, trabeculectomy, trabeculotomy, canaloplasty, iStent placement, Ahmed valve implantation, or XEN® implantation can be performed.
The medical facility specializes in the treatment of diseases of the sclera, cornea, iris, and ciliary body. The department's physicians offer a variety of effective laser procedures, such as penetrating and lamellar keratoplasty (DMEK and DALK), excimer laser corneal transplantation, crosslinking, and phototherapeutic keratectomy. The optimal type of laser procedure for each patient is selected based on the results of a preliminary examination and diagnosis.
One of the most important areas of daily clinical practice of the department's doctors is the treatment of retinal diseases such as retinal detachment, retinal dystrophy, retinal tears, macular dystrophy, age-related macular degeneration, diabetic retinopathy, retinopathy of prematurity, etc. The department's specialists have an impressive experience in the treatment of the above-mentioned pathologies and have all the therapeutic options to combat them. The medical facility offers laser coagulation, vitreoretinal surgery, and intravitreal injections (IVOM therapy) using highly effective drugs Lucentis, Avastin, and Ozurdex. IVOM therapy is an innovative treatment modality that has been shown to be effective in age-related macular degeneration, retinal hemorrhages, macular edema, and other conditions. Intravitreal injections are performed under local anesthesia with eye drops, so the patient feels no pain or discomfort. The medication is injected directly into the vitreous body. The procedure takes a few minutes and is performed on an outpatient basis, after which the patient can leave the clinic on their own because the injection has virtually no effect on visual acuity. IVOM therapy is administered in a course: in most cases, 3-4 injections are administered during the first month, after which the intravitreal administration of the drug is repeated every 2-3 months; the course of treatment usually consists of 7-8 injections.
The department's main clinical activities include the following:
- Diagnostics and treatment of glaucoma
- Drug therapy
- Selective laser trabeculoplasty
- YAG laser iridotomy
- Cyclophotocoagulation
- Trabeculectomy
- Trabeculotomy
- Canaloplasty
- iStent implantation
- Ahmed valve implantation
- XEN® implant placement
- Diagnostics and treatment of diseases of the sclera, cornea, iris, and ciliary body
- Penetrating and lamellar keratoplasty (DMEK and DALK)
- Corneal transplantation using excimer laser
- Crosslinking
- Phototherapeutic keratectomy
- Diagnostics and treatment of retinal diseases
- Laser coagulation
- Vitreoretinal surgery
- Intravitreal injections (IVOM therapy) using Lucentis, Avastin, and Ozurdex
- Diagnostics and treatment of tumors of the eye and eye appendages
- Surgery to resect tumors of the eye and its appendages
- Eyelid plastic surgery after tumor removal
- Diagnostics and treatment of diseases of the eyelids, tear ducts, and orbit
- Drug therapy for inflammatory processes
- Surgical correction of eyelid deformities
- Probing of tear ducts in children
- Diagnostics and treatment of conjunctival diseases
- Drug therapy
- Surgical procedures
- Diagnostics and treatment of lens diseases
- Laser procedures
- Surgical procedures
- Diagnostics and treatment of diseases of the vitreous body and eyeball
- Laser procedures
- Surgical procedures
- Diagnostics and treatment of diseases of the optic nerve and visual pathways
- Diagnostics and treatment of diseases of the eye muscles, eye movement disorders, and refractive errors
- Diagnostics and treatment of neuro-ophthalmological disorders
- Diagnostics and treatment of other diseases of the ocular apparatus
Curriculum vitae
Higher Education and Professional Career
- 1990 - 1997 Medical studies, Faculty of Medicine, University of Leipzig; internship abroad, Baylor College of Medicine, Houston, Texas, USA.
- 1993 - 2003 Research Fellow, Department of Ophthalmology, University Hospital Erlangen.
- 12.1999 Thesis defense, University of Erlangen-Nuremberg.
- 04.2003 International Council of Ophthalmology (ICO).
- 2005 Board certification in Ophthalmology, Department of Ophthalmology, University Hospital Erlangen.
- 2005 - 2010 Senior Physician, Department of Ophthalmology, University Hospital Magdeburg.
- 02.2008 Habilitation and Venia legendi in Ophthalmology, University Hospital Magdeburg.
- 2011 - 2016 Managing Senior Physician, Department of Ophthalmology, University Hospital Saarland Homburg.
- 2016 Extraordinary Professorship for Ophthalmology.
- Since 02.2017 Head Physician, Department of Adult and Pediatric Ophthalmology, University Hospital Halle (Saale).
- 2018 Representative of the Section for Ophthalmic Traumatology of the German Society of Ophthalmology (DOG).
- 2022 President of the International Society of Ocular Trauma (ISOT).
Photo of the doctor: (c) Universitätsklinikum Halle (Saale)