The technical platform of the ophthalmology department of the Clinique Honoré Cave is one of the most complete and modern in all the greater South West region of France.

All explorative tests required for your care can be carried out in the same unit.

3 surgical units:

3 surgical units dedicated exclusively to ophthalmology ensure full safety for all ophthalmological operations throughout the year. These units are situated on the 3rd floor, which is completely reserved for surgical units and the recovery room. They are fitted with a state-of-the-art sterile ventilation system, so that the units meet the ISO 5 standards for particles (more sterile than current regulations for ophthalmology).

Leica and Möller microscopes and the other equipment are the latest in innovative ophthalmology: Abbott ® Signature phaco-emulsifiers, Alcon ® Constellation vitrectomy equipment, Stryiker ® tables for patients’ comfort etc.

Imagery and functional explorations:

OCT: Optical Coherence Tomography

2 latest model OCT Spectral Domain machines are available in the Clinique Honoré Cave: Cirrus by Zeiss and Optovue

OCT provides very precise images of the retina, optic fibres or the cornea. It can be useful in helping reach a diagnosis or for the follow-up of a pathology. It may guide choices for treatment. It is often called a retina scanner for short. This non-invasive examination is painless and glare-free. It is a routine procedure in many situations.

Further information here

Digital confocal retinal angiography with fluorescein and indocyanine green (ICG), image in auto fluorescence

Retinal angiography is an additional examination in order to analyse the blood vessels of the retina and fundus. Contrast material is injected intravenously: fluorescein or indocyanine green. Photographs are taken of the fundus. The dye shows the blood vessels clearly.

The clinic is equipped with the latest digital confocal angiograph, the Heidelberg HRA 2, for high precision angiography with very useful auto fluorescence images. This angiograph is generally considered to be the best for macular pathologies.

Further information here

 

 

Non-mydriatic fundus camera

Non-mydriatic fundus camera can take colour photographs of the fundus so that it can be analysed with precision. Pupillary dilation is not required. These photographs can be taken during a routine consultation and complete your medical record. 3 latest fundus cameras (Canon, Topcon and Nidek) are available to the team in the Clinique Honoré Cave.

Electrophysiology

Electrophysiological examination of the retina allows the diagnosis and management of complex retinal diseases.

The ophthalmology department is equipped with a Métrovision dome stimulator for the following examinations:

  • – Electroretinogram: ERG
  • – Multifocal electroretinogram: MF ERG for macular pathologies and monitoring of treatment with APS (Plaquenil)
  • – Visual event-related potential: PEV
  • – Electro-oculogram: EOG

Static and dynamic visual field

Study of the visual field is often used for monitoring glaucoma or optic nerve damage, for example.

A-scan and B-scan ultrasound

These two types of ultrasound are used to analyse the retina and choroid when a fundus examination is impossible.

Biometrics Iolmaster®.

Before any cataract operation, your ophthalmologist will calculate the strength of the individual implant he will use for you. Several apparatuses can be used for this calculation.

The IOLmaster® biometer can determine easily and reliably the strength of the eye implant lenses corresponding exactly to the expectations of each patient. In this way, it optimises results while also ensuring excellent visual well-being. The IOLmaster biometer is the best apparatus in the world to assess all the data needed to calculate the eye implant lenses without the slightest contact. It is the product of over ten years of clinical experience and has been constantly updated, establishing it as the reference apparatus for biometrics.

2 IOLmasters are available to all the ophthalmologists operating at the Clinique Honoré Cave

Comptage cellulaire

Le comptage cellulaire permet de connaître la qualité de l’endothélium de votre cornée.

L’endothélium est une couche de votre cornée lui permettant de rester transparente. Certaines pathologies, comme la cornéa guttata, abiment les cellules de l’endothélium entrainant un œdème de la cornée. Le comptage cellulaire endothélial permet de dépister, de quantifier et de surveiller ces pathologies.

Cell counting

Cell counting shows the quality of the endothelium of the cornea.

Corneal topography is an examination to study the curvatures of the cornea.
The main function of this corneal topography is to measure the “topographical” form of the anterior surface of the cornea.

It is used to detect and follow up keratoconus of the cornea, which is a disease causing significant distortion or ectasia of the cornea.

This topography is also essential in the pre-operative assessment for refractive surgery
La topograhie est aussi indispensable au bilan pré opératoire pour une chirurgie réfractive.

A complete laser platform:

The latest Technolas Excimer Laser 217 Z 100 ACE

This is used for refractive surgery: myopia, hyperopia and presbyopia.
This model is the latest laser from Technolas, world leader in refractive surgery.

The model has a 4 dimension Eye Tracker and also a series of innovations including treatment of presbyopia.

PresbyLASIK is usually unilateral. With this laser, the Clinique Honoré Cave is one of the first French establishments to establish SUPRACOR for bilateral treatment of presbyopia.

 

The multi-spot Argon PASCAL Laser

This is used for diabetic retinopathy, retinal vein occlusions, torn retina and other pathologies of the retina. It provides treatment that is less painful and more rapid. Few establishments are as yet equipped with this highly developed laser.

Further information on the PASCAL laser

 

 

YAG Laser for the anterior segment

One of the functions of this laser is to open the posterior capsule of the lens after cataract surgery. At the end of a cataract operation, an implant is placed in a lens capsule that has been preserved during the operation. Over time (several years in general), this capsule tends to become opaque and diminish vision. The capsule is then opened using the YAG laser. This is done rapidly and completely painlessly. It is done without anaesthetic during a specialised consultation. All it requires is dilation of the pupil.
After the laser has been used, vision returns as it was after the cataract surgery.


On the left, a cloudy posterior capsule after cataract surgery. On the right, the capsule has been opened using the YAG laser and vision has returned to its former level.

PDT laser for photodynamic therapy with Visudyne

This is mostly used for AMD and cases of central serous chorioretinopathy (CSCR)

SLT laser for glaucoma