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About Us

CSTC – Yesterday, Today, Tomorrow

“We not only know how to return sight to people, we are the best in doing this.”

S.N. Fyodorov

One of challenging social problems of nowadays is loss of sight due to eye diseases. In overcoming this ailment the Russian medical science has achieved a great success. An important place in performing this task is taken by the S.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of Health (the CSTC). Due to the high proficiency of our specialists and uniqueness of technologies used, the CSTC is widely known not only in Russia, but also throughout the world.

The main purpose of the institution is to develop and quickly introduce in medical practice advanced diagnostic and therapeutic methods for eye diseases, to create any required technologies and, at the same time, to solve an important social problem – to make the achievements available to people living in all Russian regions. The ophthalmological complex has combined, at the same time, a scientific institution, modern clinics, educational centers and experimental production. Only joint development of such components and active promotion has resulted in raising Russian ophthalmology to the unprecedented level in the shortest time span.

The main principle of the CSTC’s philosophy is affordability of treatment. Results of the scientific activities and advanced methods are implemented in the clinical practice through 10 branches located in large cities of Russia. The CSTC’s branches conduct the diagnostics and treatment of all kinds of eye diseases in adults and children at the highest technological level using modern equipment. Built according to the same design, the branches have surgery units equipped with up-to-date equipment, patient-friendly wards, diagnostic lines with all outfit required for thorough examination of eyes. The CSTC’s branches carry out unique surgeries. Annually, hundreds of surgeons from various ophthalmologic institutions of the country come here to learn up-to-date microsurgery technologies. Employees of the branches are actively engaged in scientific work.

Up to now, the Eye Microsurgery CSTC has treated 7 million patients, more than 19 million patients were diagnosed and underwent non-operative treatment.

Working intensively and proficiently, the medical staff carry out a great variety of surgeries. The CSTC’s share in the ophthalmology treatment conducted by Russian federal specialized institutions is 92%.

The Complex make 280 thousand surgeries per year. 85% of the overall surgical treatment are operations of the highest complexity.

Recently, more than 600 new medical technologies developed by Eye Microsurgery CSTC have been brought into practice. By performing more than 60% of high-tech ophthalmology treatments in Russia, Eye Microsurgery CSTC has implemented the full transition of Russian ophthalmology to the microsurgery level.

The Eye Microsurgery CSTC was the first to introduce vitreoretinal surgery in Russia and is actively developing it. The treatment of diseases of the retina (the inner shell of the eyeball) and the vitreous body is considered one of the most complex areas in ophthalmologic surgery. Up-to-date tools and devices available to surgeons of the institution allow them to extend the possibilities of the retinal pathology diagnostics and carry out complex operations quickly and proficiently, which reduces the number of complications and relapses to a significant degree. At present, vitreoretinal surgeries in the CSTC are made without eye cutting, through micro-holes of 25–27G (0.36 to 0.45 mm), using special tools that are able to pass through the lumen of port needles. This surgery does not require suturing and reduces the rehabilitation and in-patient treatment period from several weeks to 1-3 days and helps to achieve the maximum visual functions. More than 80% of such surgeries are carried out within the CSTC. Taking into account the high demand in such medical treatments, European and US clinics are actively employing the 25–27G technology, however, the CSTC’s figures are manifold above those of our leading foreign peers in terms of the number of surgeries.

In 2016, the CSTC made about 30,000 vitreoretinal interventions.

The Eye Microsurgery CSTC conducts retinal detachment surgeries both by episcleral buckling in early uncomplicated cases and the most modern methods of endovitral intervention in severe cases, including when retinal detachment is combined with opacification of the optical media – the retina and the lens. The institution carries out surgery treatment of patients with all vitreous pathologies – from degenerative opacities of the vitreous body to the effects of severe penetrating injuries of the eye and diabetes-associated pathologies. The CSTC has acquired extensive experience in surgical treatment of various pathologies developing in previously operated eyes. The institute’s staff breaks ground in the use of liquid perfluororganic compounds in the retinal and vitreous surgeries. In 1998, for the development of this method its authors received the State Award of the Russian Federation in the sphere of science and technology.

Over 30 years, the Eye Microsurgery CSTC has become the leading center of innovations in the Russian medical sector. Unique developments of refractive surgical interventions form the basis of modern laser correction techniques of myopia (nearsightedness) and hyperopia (farsightedness) and are successfully applied in all clinics in Russia and abroad. Thanks to having access to all modern laser technologies, specialists of the laser surgery department treat any refractive disorders of the eye. Currently, the Eye Microsurgery CSTC is the leading medical institution that carries out a wide range of excimer laser surgeries. Surgeons of the department use cutting-edge technologies: femtoLASIK, LASIK, photorefractive keratoectomy (PRK). The micron-level accuracy of the laser beam makes it possible to return vision practically in all cases of refractive disorders and the use of a femtosecond laser enables to safely operate patients who previously were incurable with thin cornea, various types of astigmatism etc.

In 2016, the CSTC made about 34,000 laser refractive surgeries.

The development of the first Russian femtosecond laser FemtoVisum for refractive surgeries has been completed, and testing of the Russian femtosystem for cataract surgery has started.

For 30 years, the S.N. Fyodorov Eye Microsurgery CSTC has conducted more than 320,000 laser surgeries.

The CSTC’s laser technologies are well known beyond Russia’s borders and the laser equipment created by the CSTC’s specialists in collaboration with the A.M. Prokhorov General Physics Institute of the Russian Academy of Sciences has been successfully operated in dozens of state and private clinics of Russia, CIS and other foreign countries.

According to statistics, one of the main causes of blindness and vision problems all over the world is cataract – a disease associated with lens opacity. Currently, the Eye Microsurgery CSTC uses an advanced method of sutureless surgery with laser and ultrasound cataract treatment techniques with an ultra-small incision that does not require suturing. Due to the cutting-edge technologies a patient is able to see as early as 2 hours after the surgery and the vision functions ultimately improve on the next day.

The CSTC has the largest fleet of new femtosecond laser systems for cataract surgeries that are one of the most technologically advanced devices of this type. This cutting-edge refractive cataract surgery technique has a number of advantages: automated and accelerated performance of surgery stages (incision of the ocular membrane and lens capsule, lens fragmentation, correction of the corneal shape), which enables to achieve the maximum visual acuity due to less traumatic surgery and post-operative astigmatism, exclusion of the effect of the human error on the surgery outcome, lower risk of possible complications and increase in the capacity of the surgery unit. The CSTC is the only institution not only in Russia, but also across the globe, where this surgery is performed at a large volume scale.

In 2016, the CSTC conducted about 87,000 cataract surgeries, of which 9,000 surgeries were made using femtolaser support.

Over 30 years, the CSTC has carried out more than 1 million cataract extraction surgeries with intraocular lens implantation. The cataract surgery department has developed unique artificial lenses (implantable contact lenses) to correct nearsightedness and farsightedness of high degree, unique and unparalleled Gradiol lenses equipped with gradient optics, artificial irises for surgical treatment of patients with severe traumatic pathologies of the anterior segment of the eyeball, etc.

Young patients with various problems, such as congenital and traumatic cataracts, glaucoma, retinal pathologies, optic nerve problems, refractive disorders (nearsightedness, farsightedness, astigmatism), strabismus, amblyopia are treated in children’s centers created in all branches of the Eye Microsurgery CSTC. Modern diagnostic techniques help to reveal eye pathologies in children at early stages and in different age groups.

Annually, the children’s surgical department carries out more than 20,000 surgeries in children with various eye problems. Having children’s departments within the CSTC helps to actively implement the most advanced innovative diagnostic and treatment techniques for little patients with eye diseases: digital retinoscopy, fluorescence angiography of the fundus, pattern retinal laser coagulation, microinvasive vitreous surgery. To improve the visual acuity and restore binocular functions in children, the children’s centers actively use both instrumental treatment and surgical correction techniques. Particular attention is paid to the medical and social problem of children ophthalmology, which is of high importance at present, – the retinopathy of prematurity.

Over 10 years, the CSTC has examined in total more than 12 thousand premature babies with the risk of developing retinopathy, conducted more than 1.8 thousand laser and surgical interventions.

The creation of an organizational system in the Kaluga branch that includes active measures for the detection of retinopathy of prematurity (ROP) in children of the vulnerable groups in regional nursing departments and perinatal centers, the use of modern examination methods, laser and surgical treatment has resulted in high performance and minimized the probability of adverse outcomes. Scientific and methodical approaches to early treatment of ROP using pattern laser retinal coagulation have been developed to prevent the transition of the disease to later, incurable forms. Software has been created to predict stages of the disease based on the calibrometry of eye fundus vessels and to provide a timely ophthalmologic treatment. A surgery technique for late stages of the disease has been refined.

The Eye Microsurgery CSTC conducts surgeries for the implantation of keratoprostheses and corneal transplantation in various pathologies. For this purpose, a unique Eye Bank was created in Russia with a new medical and technological operation system which is able to predict transplant engraftment. The Eye Microsurgery CSTC has the most extensive experience in Russia in the sphere of corneal transplantation.

Over 30 years, above 16,500 surgeries for the transplantation of donor cornea have been performed.

The Center is the only Russian medical facility which intensively uses the method of keratoprosthesis with its own models of keratoprostheses. The CSTC was the first in Russia that developed and implemented the system of comprehensive treatment of patients with keratoconus at various stages – from the initial to acute ones.

Recently, the Eye Microsurgery CSTC has been actively using new techniques of the surgical treatment of corneal and keratoconus dystrophy at early stages of the disease.

  • The deep anterior stratified keratoplasty, which helps to retain a patient’s own healthy endothelium and avoid the incision of the eyeball (depressurization), reduce the risk of intra- and post-operative and complications and transplant rejection.
  • The posterior layered endothelial keratoplasty designed for the treatment of corneal dystrophy helps to minimize the portion of donor tissue, which reduces the risk of rejection and retains most of a patient’s own cornea.
  • Reconstruction of the anterior segment of the eyeball with artificial iris implantation using penetrating keratoplasty is performed in case of severe injuries of the cornea in combination with loss of the lens and iris.
  • Introstrimal keratoplasty with implantation of segments is an alternative to penetrating keratoplasty at early and advanced stages of keratoconus. The surgery is performed out at early stages of keratoconus, has an orthopedic function, strengthens the thinned area, improves visual acuity, stops the progression of keratoconus.
  • Corneal collagen cross-linking slows down or stops the progression of keratoconus by biochemical remodulation of the cornea.

The institute is fitted with the most advanced equipment for early diagnosis of keratoconus, which allows the detection of this disease at its earliest stages. The improvement of microsurgical equipment and tools, the development of new advanced devices, new approaches of the department of transplantation and optical reconstruction surgery of the anterior segment of the eyeball to pre- and postoperative therapies have expanded the range of surgical interventions on the cornea and led to high percentage of favorable outcomes and good results. At present, a huge number of people are susceptible to such a disease as glaucoma. Currently, there is only one way to prevent blindness at glaucoma – early detection and correct treatment of the disease. The CSTC’s glaucoma department is specialized in early diagnosis of various forms of this disease, dynamic monitoring of the state of the optic nerve, visual functions, development and improvement of laser and microinvasive surgical technologies for the treatment of glaucoma; assessment of risk factors for the progression of glaucoma after laser and surgical treatment. Physicians of the department have developed and widely introduced up-to-date techniques for diagnosis, laser and microinvasive surgical interventions approved by the Russian Ministry of Health. In case of the most common open-angle glaucoma, microinvasive surgeries of non-penetrating type (without eye incision) are preferential. The non-penetrative nature of the surgery ensures the almost complete absence of complications and preservation of vision at the pre-operation level. Currently, the Eye Microsurgery CSTC is the only medical facility that performs the surgeries using a microinvasive technique for anti-glaucoma interventions. The surgeries are performed under local anesthesia through a 2-2.5 mm incision.

In 2016, the CSTC made about 20,000 laser anti-glaucoma surgeries (AGSs) and about 12,000 surgical AGSs.

Comprehensive ophthalmologic treatment of patients with any types of eye neoplasms is provided by few Russian centers, one of which is the Eye Microsurgery CSTC. Eye neoplasms are severe diseases, as they can result not only in blindness and loss of the affected eye, but often threaten the patient’s life. At present, the ocular oncology and radiology department has a variety of treatment methods that can not only preserve the eye and its appendages, but in some cases improve their functional and cosmetic condition. The CSTC has a radioisotope laboratory that helps to use radioactive sources in the treatment that directly influence the tumor and do not affect other tissues of the eye.

Surgeries of the CSTC’s reconstructive and plastic surgery perform the full range of reconstructions and plastic surgeries for various eye pathologies. The use of advanced, efficient and proven diagnostic technologies makes it possible to determine the patient-specific treatment tactics. Endoscopic, laser, radio-wave equipment at dacryocystorhinostomy allows surgeries without external incisions providing a cosmetic effect, reduces the risk of additional traumatization of the cortex, dramatically shortens the period of postoperative rehabilitation of patients. Quick bloodless removal of lesions on the eyelid skin in the peri-ocular area with a good cosmetic effect is possible through the use of radio-wave and laser equipment, cryodestruction and electrosurgical excision.

Modern anesthesia, extensive use of endoscopic and laser technologies, controlled sterility, up-to-date equipment, medicines from the best producers significantly improve the quality of surgeries and shortens the postoperative rehabilitation period. Consistent observation of patients prevents the recurrence of diseases.

In 2016, the CSTC performed about 13,000 reconstructive plastic surgeries.

The S.N. Fyodorov Eye Microsurgery CSTC has its own Scientific and Educational Center that provides residency, postgraduate and advanced training programs for ophthalmologists.

In average, annually the CSTC trains about 130 residents and postgraduates and more than 700 ophthalmologists attend advanced training programs.

The Scientific and Educational Center of the CSTC has WETLAB training surgery rooms, where practical classes are held for obtaining skills and experience in using surgical microscopes, modern surgical equipment, micro tools, suture materials, mastering and improving microsurgical techniques for certain stages of various eye surgeries.

Currently, the CSTC has become the largest base for the development of the scientific talent pool for Russian ophthalmology. Annually, the CSTC is involved in defensing doctoral and candidate’s theses, publishing monographs and scientific papers. Many employees of the CSTC have received the highest scientific awards of Russia and other countries for significant achievements in their fields. Every year, the CSTC obtains about 80 patents for inventions, with most of them being of high practical importance, that are introduced by other medical facilities of the country.

Traditionally, meetings and experience sharing are important part of the CSTC’s activities. Its employees take part in multiple workshops and conferences, both in Russia and abroad. Presented reports are of constant interest due to the relevance of their subject matters and presentation of new discoveries. Every year, the CSTC is the organizer of four international conferences, where prominent representatives of Russian and foreign ophthalmology meet and demonstrate the latest achievements in the treatment of various diseases.

More than 5,000 foreign patients come to the S.N. Fyodorov Eye Microsurgery CSTC for help annually.

Since its establishment, citizens from more than 100 countries of the world have become its patients. Globally recognized professionalism of Russian doctors and affordable prices for medical services of the CSTC attract hundreds of foreign patients per year. They are offered a case-by-case approach to the treatment of various eye diseases with guaranteed high quality of medical aid and service.

In 1990, with the direct participation of academician S.N. Fyodorov, Scientific Experimental Production LLC was established on the basis of the CSTC, which is focused on commencing the production of advanced scientific developments of leading specialists of the Eye Microsurgery CSTC. The purpose of establishment of the company was the production of import substituting and competitive domestic analogues of medical products ophthalmology. In 2004, the company reconstructed its production unit according to the requirements of GMP and ISSO international standards. At present, the company produces over 20 items of the most popular supplies for eye surgery, such as some models of elastic intraocular lenses developed by the CSTC, artificial irises, intrastromal corneal ring segment, viscoelastic materials, etc., to completely satisfy the demand of the CSTC’ system and more than 300 leading clinics and ophthalmologic departments in Russia. The company has signed an agreement with the Harbin Medical University for the promotion of the company’s products in China. According to the Federal Target Program “Development of the Pharmaceutical and Medical Industries in the RF for the Period until 2020 and Beyond”, the company is carrying out the refitting of its intraocular lens production unit with up-to-date equipment; the unit is oriented at the implementation of the program for developing an affordable lens to substitute imported intraocular lenses for treatments under the compulsory health insurance.

On June 8, 2000, a museum room of academician Svyatoslav Fyodorov was created in the Eye Microsurgery CSTC in order to perpetuate the memory of the prominent Russian ophthalmologist, who is widely known all over the world. The museum is located in premises of the CSTC’s main building, where academician S.N. Fyodorov worked from 1979 to 2000. The key objectives of the museum room are to preserve the setting of the office and adjacent den, memorial items and belongings associated with the life and activities of S.N. Fyodorov. The main areas of the museum are also recording, research, scientific description, cataloging of archive and other materials, books, personal belongings and gifts to S.N. Fyodorov that are kept in the museum room, educational, scientific and methodical activities related to the popularization of the academician’s heritage.

The S.N. Fyodorov Eye Microsurgery CSTC will continue the process of active implementation of high technologies in Russian regions in order to make high quality and efficient ophthalmologic treatment available to all segments of the population, thus following the motto of the CSTC’s founder, academician Fyodorov: “Excellent eyes to everyone”.

Millions of people, who have lost their hope to be cured, regained their vision in the Eye Microsurgery CSTC. Hundreds of physicians throughout the world are proud of belonging to this ophthalmologic school.

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