Modern Diagnostics and Therapy

Tear film break-up time

Dry eyes can have many causes. These range from the “simple” – blepharitis – to autoimmune diseases and hormonal disorders. Dry eye is not usually dangerous, but it can severely limit the quality of life of the patients affected by it, and the objective is to generate a healthy tear film that evaporates slowly and has a normal “tear film break-up time”.

Normal tear film
Resists evaporation for over 10 seconds

Morbid tear film
Breaks down after a few seconds (black spots)

In-depth diagnostics

Dry Eye Report

Our diagnostic instruments can take the information from all of the methods mentioned above allows us to narrow down the true cause of your dry eyes – something that’s essential to planning a successful treatment.

Tear meniscus

Tears get produced – but they also get drained into the tear duct. It’s a dynamic process, and it’s good to understand how quickly the tear film is being drained. The amount that’s being drained any given time can be determined by measuring the tear meniscus with a high-resolution camera.

Picture quality

We can determine the quality of the tear film with a Placido disk analysis. You look at concentric rings; a camera at the centre of the rings takes an image of what’s reflected back from the surface of the eye. The presence (or absence) of distortion in these rings provides information about the quality of the tear film.

Meibography

An analysis of the meibomian glands in the lid margin allows to determine the best therapy for you.
 

Tear film osmolarity

If you have a salt solution and boil off (evaporate away) all of the water, you generate an increasingly salty solution until only the salt is left. It’s the same with evaporative dry eye: the increasing saltiness (osmolarity) indicates the severity of dry eye.
 

Multiple causes, many treatments

There are many causes of dry eye – and there are just as many ways to treat it. Working out the best approach for you requires diligent examination. This involves:

  • Use of the ocular surface disease index (OSDI) questionnaire
  • Assessment using the latest diagnostic equipment
  • A holistic analysis of the OSDI answers and diagnostic information

The therapy then offered is based on the causes of the dry eye and can range from “simple” tear replacements, approaches that treat eyelid inflammation, the implantation of punctal plugs, to suppression of the immune response in the eye with topical drugs. Every treatment plan is 100% tailored to your individual needs.

Patience

In most cases, the dry eye is a chronic change that often goes unnoticed for decades. At the point where most patients start to notice the first symptoms of dry eye, the disease has often been around for 15–20 years. Reversing those effects also takes time. Typically, such therapy lasts for several months, and it can take a few weeks before you start to notice the benefits. This is entirely normal.

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The ELZA Institute

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Augeninstitut ELZA
4.8
Based on 107 reviews
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Serena Fazio
Serena Fazio
11:15 06 Mar 22
I have been to the ELZA clinic to have surgery for my miopy, as my eyes were rejecting the contacts and I was tired of... wearing glasses. From the first preliminary visit, to the actual surgery and post-surgery care Dr. Hafezi and all his collaborators have been extremely professional, considerate and helpful. All the steps of the (very short!) surgery were thoroughly explained to me in order to be as calm as possible, together with the medication plan and precautions to be aware of so that my eyes could heal in the best way possible. By following their exact instructions, the healing process has been very successful and smooth, and after about one week I was able to see perfectly. I absolutely recommend this team and their expertise!read more
Robin A
Robin A
11:43 16 Feb 22
Top experts and professional team. Highly recommended
Thunder Shiviah
Thunder Shiviah
14:05 23 Nov 21
After some research on local options I decided to go with ELZA since it stood out as the best. The operation and the... post-operation recovery went extremely smooth (something I was worried about with PRK). Now my vision is much better than I had hoped and I have no side effects such as dry eye or night vision problems. Thank you!read more
Squitieri Elias
Squitieri Elias
12:43 08 Sep 21
Die Behandlungen waren bei mir erfolgreich, alle waren sehr nett und haben mein Leben vereinfacht.Danke
Eliane Bossart
Eliane Bossart
13:01 05 Sep 21
Vor einem Jahr war ich einer ganz verzweifelten Situation und total im Stich gelassen. Meine Augen wurden aufgrund... eines ausgeprägten Kerakotonus immer schlechter, ich hatte Angst und war alleine mit meinen Problemen. Zudem vertrug ich die Kontaktlinsen nur noch ganz schlecht und hatte jeden Tag Schmerzen.Professor Hafezi hat mir mit zwei Operationen wieder das auf Grund der Situation mögliche an Lebensqualität zurückgebracht. Es war ein starpaziöses Jahr mit vielen Entbehrungen aber es hat sich gelohnt! Herzlichen Dank fuer die Unterstützung.read more
Gabriela Meyer
Gabriela Meyer
18:32 22 Aug 21
Ich wurde von meiner Optikerin auf Prof. Dr. Dr. Hafezi aufmerksam gemacht. Es war mir vorher nicht bewusst, dass meine... Augenkrankheit (Keratokonus) operativ mittels Cross Linking behandelt und so gestoppt werden kann. Die Beratung und Behandlung war sehr kompetent und ich fühlte mich jederzeit wohl. Die Operation verlief gut und das Ergebnis ist einwandfrei.read more
Naomi
Naomi
11:38 11 Aug 21
Ich bin sehr glücklich, dass ich das Elza Institute gefunden habe. Ich wurde von anderen Augenärzten abgewiesen, da... meine Augen zu kompliziert/schwierig zu behandeln waren. Prof. Dr. Dr. Hafezi konnte mir jedoch helfen und ich bin sehr glücklich und zufrieden mit dem Resultat. Vielen Dank!read more
Till B
Till B
08:30 19 Jul 21
Ich habe eine überaus kompetente Beratung und Behandlung erlebt. Die gesamte Betreuung war sehr freundlich und... professionell. Herzlichen Dank!read more
Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
Selma A. Rahim
Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
Ashley Faulkes
Ashley Faulkes
15:30 21 Mar 16
Professor Hafezi and the team at the ELZA Institute have done an amazing job of creating a first class eye clinic, with... cutting edge technology and support. I went there for a dry eye issue and other issues with my prescription, and they were easily able to help me and put me on the road to better vision! High recommend them to anyone in the Zurich/Aargau area.read more
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Augeninstitut ELZA
4.8
Based on 107 reviews
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