DIABETIC RETINOPATHY: TURKEY PRICES, ISTANBUL – ANTALYA

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Revised December, 2024 – Resource, International Patient Center
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BEST 3 PRICES DIABETIC RETINOPATHY IN TURKEY ▷ EYE CLINIC COST AND REVIEW

Diabetic retinopathy surgery is a critical part of managing advanced diabetic eye disease. Whether it involves laser treatment, injections, or vitrectomy, early intervention is key to preserving vision and preventing severe complications. Regular eye exams, timely treatment, and good blood sugar control are essential in preventing or managing diabetic retinopathy effectively. For patients with advanced stages of the condition, surgery can offer a significant improvement in preventing further vision loss or improving vision quality.
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Early Diabetic Retinopathy – If patient has mild or moderate non proliferative diabetic retinopathy, treatment may not be needed straight away. When diabetic retinopathy is at a mild or moderate state, having a good sugar control can slow down the progression.

Advanced Diabetic Retinopathy – iI patient has proliferative diabetic retinopathy or macular edema, then surgical treatment is needed.

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Depending on the situation of the retina the types of surgery available is;

Focal Laser Treatment – Also known as Photocoagulation. It can stop or slow the leakage of blood and fluid in the eye. During the procedure leaks from the abnormal blood vessels are treated with laser burns. Focal laser treatment is done in a single session.

Scatter Laser Treatment – Also called Panretinal Photocoagulation (PRP). This can shrink the abnormal blood vessels. During the procedure the area of the retina away from the macula is treated with scattered laser burns. The burns cause the abnormal new blood vessels to shrink and scar. This can be done in two or more sessions.

Vitrectomy – This procedure uses a tiny incision in the eye to remove blood from the vitreous as well as scar tissue that are tugging on the retina. It can be done under local or general anesthesia. The surgery can slow or stop the progression of diabetic retinopathy.
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The cost of Diabetic retinopathy surgery in Istanbul and Antalya can range $500 to $7,000 USD, depending on the severity of the condition and the type of surgery required. Turkey offers a good balance of affordable costs and high-quality care, making it an attractive option for medical tourism. Here’s a breakdown of typical costs for different treatments related to diabetic retinopathy:

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1. Laser Treatment (Laser Photocoagulation): Laser treatment is commonly used for diabetic retinopathy, especially for preventing further damage and managing more advanced stages. Cost: Around $500 to $1,500 USD per eye.
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   Type of Laser: Cost can vary depending on whether it’s focal laser therapy, and panretinal laser photocoagulation, or a more advanced laser method.
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2. Vitrectomy Surgery (for the advanced diabetic retinopathy w/retinal detachment or vitreous hemorrhage): Vitrectomy involves removing the vitreous gel from the eye to access the retina for repair or treatment. It is typically needed for more severe stages of diabetic retinopathy. Cost: Typically around $2,500 to $5,000 USD per eye.
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   Complexity: The price can vary depending on whether the surgery is simple or involves more advanced procedures such as retinal membrane peeling or the use of silicone oil for retinal reattachment.
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3. Retinal Surgery (including Retinal Detachment Surgery): For cases where diabetic retinopathy causes retinal detachment, a more extensive surgery may be required. Cost: Around $3,000 to $7,000 USD per eye, depending on the complexity of the procedure.
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   While surgical treatment for retinal detachment (e.g., vitrectomy) is more expensive and is typically required for advanced cases, non-surgical treatments like laser therapy and cryotherapy can cost between $500 and $1,500 USD per session in Turkey. Anti-VEGF injections can cost $200 to $1,000 USD each. The overall cost will depend on the specific treatment required, the clinic or hospital chosen, and the complexity of the case. For patients traveling from abroad, Turkey offers affordable options for high-quality retinal care, making it a popular destination for ophthalmology tourism.

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BENEFITS OF DIABETIC RETINOPATHY SURGERY

• Prevention of Vision Loss: Diabetic retinopathy surgery helps reduce the risk of permanent vision loss by addressing damage to the retina caused by diabetes.
• Improved Visual Acuity: In some cases, surgery can improve or stabilize vision, particularly when diabetic retinopathy has caused macular edema or retinal hemorrhages.
• Reduction of Retinal Edema: Surgery can help reduce swelling and fluid buildup in the macula, improving central vision.
• Treatment of Retinal Detachments: Surgical intervention can treat or prevent retinal detachment, a complication of advanced diabetic retinopathy.
• Long-Term Stabilization: For patients with advanced diabetic retinopathy, surgery can provide long-term control of retinal conditions, reducing the need for repeated treatments.
• Minimized Need for Laser Treatment: Surgery may reduce the frequency of laser treatments needed to manage diabetic retinopathy.

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SUITABLE PATIENTS FOR DIABETIC RETINOPATHY SURGERY

• Severe Diabetic Retinopathy: Ideal for patients with advanced diabetic retinopathy, including proliferative retinopathy (characterized by abnormal blood vessel growth) or diabetic macular edema.
• Retinal Detachment or Vitreous Hemorrhage: Surgery is often necessary for patients with retinal detachment or significant bleeding within the vitreous humor due to diabetic retinopathy.
• Vision Impairment: Suitable for individuals with significant vision loss due to retinal damage or swelling from diabetic retinopathy.
• Failed Laser Treatments: Surgery may be considered when laser treatments (such as laser photocoagulation) have not effectively controlled the progression of diabetic retinopathy.
• Stable Diabetes: Candidates should have well-controlled diabetes, as uncontrolled blood sugar levels can affect healing and increase the risk of complications.
• Realistic Expectations: Patients must understand that surgery may not fully restore lost vision, but it can help prevent further deterioration.

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BEFORE DIABETIC RETINOPATHY SURGERY (PREPARATION)

• Comprehensive Eye Exam: A thorough evaluation of the retina using dilated eye exams, optical coherence tomography (OCT), and fluorescein angiography to assess the extent of diabetic retinopathy.
• Blood Sugar Control: Ensure blood sugar levels are well-controlled prior to surgery. Patients may be advised to maintain stable blood glucose levels to promote healing.
• Medical History Review: A review of the patient’s overall health and diabetes management, including any other eye conditions such as cataracts or glaucoma.
• Surgical Option Discussion: Depending on the severity of the retinopathy, the surgeon will discuss the most appropriate surgical approach (e.g., vitrectomy, laser surgery, or retinal detachment repair).
• Pre-Surgical Testing: Blood tests or imaging studies may be required to assess overall health and readiness for surgery.
• Discontinuation of Certain Medications: Patients may need to stop taking blood thinners or medications that affect clotting prior to surgery to reduce bleeding risks.
• Informed Consent: Patients will be given information about the procedure, potential risks, and expected outcomes, and will need to provide informed consent.

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AFTER DIABETIC RETINOPATHY SURGERY (POST-OPERATIVE CARE)

• Initial Recovery: Most patients experience some discomfort, mild swelling, or irritation in the eye after surgery. Vision may be blurry initially, but it often improves over time.
• Post-Surgical Instructions: Instructions include using prescribed eye drops (antibiotic and anti-inflammatory), avoiding rubbing the eyes, and keeping the head elevated during sleep to reduce swelling.
• Activity Restrictions: Avoid strenuous activities, heavy lifting, and activities that could strain the eyes for several weeks after surgery.
• Follow-Up Appointments: Regular follow-up visits with the surgeon are critical to monitor healing, check for any complications, and assess retinal status. These appointments may occur within the first week, one month, and several months after surgery.
• Vision Fluctuations: Vision may fluctuate in the first few weeks to months as the retina heals, and final visual outcomes may not be apparent immediately.
• Return to Normal Activities: Most patients can return to work and light activities within 1-2 weeks, but it may take 1-3 months for full recovery, depending on the procedure performed.

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RISKS OF DIABETIC RETINOPATHY SURGERY

• Infection: Although rare, there is a risk of infection after eye surgery, which could affect healing and lead to vision complications.
• Retinal Detachment: Surgery, especially vitrectomy, carries a risk of further retinal detachment, which may require additional surgery.
• Vision Changes: There is a risk of worsening vision, especially if complications arise during or after surgery.
• Increased Eye Pressure: In some cases, surgery may lead to elevated intraocular pressure, which could increase the risk of glaucoma.
• Cataract Formation: For patients who undergo vitrectomy or other types of surgery, cataract development may be accelerated.
• Vitreous Hemorrhage: In some cases, bleeding into the vitreous body can occur during or after surgery, potentially requiring further intervention.
• Scar Tissue Formation: Abnormal scar tissue can form on the retina after surgery, potentially causing further vision problems or retinal detachment.
• Macular Edema: Swelling in the macula (the central part of the retina) can recur after surgery, requiring additional treatments like laser therapy or injections.
• Fluctuating or Poor Vision Outcomes: Vision improvement is not always guaranteed, and patients may experience long-term fluctuations in vision or no significant improvement after surgery.
• Glare and Night Vision Problems: Some patients may experience difficulty seeing at night or glare from bright lights after surgery.

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Diabetic retinopathy surgery is often necessary for patients with advanced stages of the condition or those who have not responded well to laser treatments. While surgery can help prevent further vision loss and improve vision in some cases, it is not a cure for diabetic retinopathy. Close monitoring of blood sugar levels, adherence to post-operative care, and regular follow-up visits are essential for achieving the best outcomes.
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WHICH RELATED EYE SURGERIES ARE FREQUENTLY ASKED BY PATIENTS IN TURKEY?

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Medically Reviewed by Professor Doctor Alper Demirbaş

President of Organ Transplant Center, MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist Demirbaş who has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.

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1. What is diabetic retinopathy surgery?

Diabetic retinopathy surgery is a treatment used to address diabetic retinopathy, a complication of diabetes that affects the blood vessels in the retina. The surgery is performed to stop the progression of the disease and to treat vision loss caused by bleeding, scar tissue, or retinal detachment resulting from damage to the retinal blood vessels.

2. What is diabetic retinopathy?

Diabetic retinopathy is a condition where high blood sugar levels cause damage to the blood vessels in the retina, which can lead to vision problems or even blindness. It is a leading cause of blindness in adults, especially if diabetes is poorly controlled.

3. Why is surgery necessary for diabetic retinopathy?

Surgery may be necessary when diabetic retinopathy causes severe bleeding or scarring in the retina or when retinal detachment occurs. Surgical treatment can help prevent further damage and preserve vision by removing the bleeding or scar tissue, and in some cases, repairing detached areas of the retina.

4. What types of surgeries are used to treat diabetic retinopathy?

There are a few types of surgeries that may be used to treat diabetic retinopathy, including:

• Vitrectomy: A surgery that removes blood, scar tissue, and other debris from the vitreous gel to clear the retina.
• Laser treatment (photocoagulation): A treatment that uses laser light to seal leaking blood vessels and reduce swelling in the retina.
• Retinal detachment surgery: In cases of retinal detachment, surgery may be required to reattach the retina to the back of the eye.

5. How is diabetic retinopathy surgery performed?

The specific procedure depends on the severity and type of diabetic retinopathy:

• Vitrectomy: A small incision is made in the eye to remove the vitreous gel, and any scar tissue or blood that is causing vision problems is also removed. In some cases, a gas bubble or silicone oil is used to help reattach the retina.
• Laser surgery: A laser is used to treat abnormal blood vessels or seal areas of leakage in the retina to prevent further damage.

6. Is diabetic retinopathy surgery painful?

The procedure is generally not painful because it is performed under local anesthesia or sedation. After surgery, patients may experience some discomfort, swelling, or blurry vision, but these symptoms usually resolve over time.

7. What is the recovery time after diabetic retinopathy surgery?

Recovery time depends on the type of surgery performed and the individual. After a vitrectomy, patients may need to rest for a few days and avoid activities that could put strain on the eyes. Full recovery can take several weeks to months, during which follow-up visits are necessary to monitor the healing process.

8. What are the risks and complications of diabetic retinopathy surgery?

Although diabetic retinopathy surgery is generally safe, potential risks and complications include:

• Infection.
• Bleeding.
• Retinal detachment.
• Increased eye pressure.
• Cataract formation.
• Vision changes, including potential loss of vision. It is important to discuss these risks with your surgeon before undergoing surgery.

9. Can diabetic retinopathy be cured by surgery?

Surgery can help stabilize the condition and prevent further vision loss, but it is not a cure for diabetic retinopathy. The condition can continue to progress if blood sugar levels are not properly managed, so ongoing treatment and regular monitoring are necessary.

10. Who is a good candidate for diabetic retinopathy surgery?

Good candidates for surgery are those who have advanced diabetic retinopathy with complications like bleeding, scar tissue, or retinal detachment, and who are experiencing significant vision problems. The surgery is typically recommended when other treatments, such as laser therapy or medications, have not been effective.

11. How long does diabetic retinopathy surgery take?

The duration of the surgery depends on the procedure. A vitrectomy can take 1 to 2 hours, while laser surgery may take 30 minutes to 1 hour. Surgery is typically performed on an outpatient basis, meaning you can go home the same day.

12. What is the cost of diabetic retinopathy surgery in Istanbul and Antalya?

The cost of diabetic retinopathy surgery in Istanbul and Antalya can range from $2,000 to $5,000, depending on the type of surgery, the surgeon’s expertise, and the clinic’s facilities. Costs for laser therapy tend to be lower than for vitrectomy surgery.

13. Why is diabetic retinopathy surgery more affordable in Istanbul and Antalya?

The cost of medical procedures in Turkey, including diabetic retinopathy surgery, is more affordable due to lower operating costs, favorable exchange rates, and the country’s growing reputation as a medical tourism destination. Patients can access high-quality eye care at a fraction of the cost compared to Western countries.

14. Will I need to stay in Istanbul or Antalya after surgery?

Most patients stay in Istanbul or Antalya for 3 to 7 days after surgery for initial recovery and follow-up appointments. If complications occur or if more extensive surgery is required, the stay may be extended.

15. Can diabetic retinopathy surgery improve my vision?

Diabetic retinopathy surgery aims to stabilize the condition and prevent further vision loss. In some cases, it may improve vision by clearing blood from the retina, reducing swelling, or repairing retinal detachment. However, the degree of improvement depends on the severity of the disease and how early treatment is received.

16. How can I prepare for diabetic retinopathy surgery?

Preparation for surgery may include:

• Stopping the use of certain medications that affect blood clotting, as advised by your surgeon.
• Arranging transportation home after the procedure since you may not be able to drive.
• Fasting for several hours before surgery, if needed.
• Undergoing a comprehensive eye examination to assess the extent of the damage to your retina.

17. What is the success rate of diabetic retinopathy surgery?

The success rate for diabetic retinopathy surgery is high, especially when performed early. Most patients experience stabilization or improvement in vision. The success of the procedure depends on the stage of the disease, the type of surgery performed, and how well patients manage their diabetes after surgery.

18. Can I resume normal activities after diabetic retinopathy surgery?

It is important to avoid strenuous activities, heavy lifting, and rubbing the eyes for several weeks after surgery. Your surgeon will provide specific instructions based on your individual recovery. Light activities, such as walking, can usually be resumed after a few days.

19. Are there any lifestyle changes I should make after diabetic retinopathy surgery?

After surgery, it is essential to continue managing diabetes through:

• A healthy diet.
• Regular exercise.
• Monitoring blood sugar levels.
• Taking prescribed medications as directed by your doctor. These changes can help prevent the progression of diabetic retinopathy and improve the long-term outcome.

20. Is diabetic retinopathy surgery safe?

Diabetic retinopathy surgery is generally safe when performed by an experienced surgeon. As with any surgery, there are inherent risks, but the benefits of treating advanced retinopathy usually outweigh the risks, especially if the condition threatens vision.

21. How often will I need follow-up appointments after surgery?

Follow-up appointments are crucial to monitor healing and the success of the surgery. You will likely have an appointment within the first week after surgery, followed by visits at 1 month, 3 months, and 6 months. Your surgeon will determine the schedule based on your specific case.

22. Can diabetic retinopathy surgery be performed on both eyes?

In most cases, each eye is treated separately, and surgery on the second eye is performed after several weeks or months to allow for proper healing of the first eye. However, in some cases, both eyes can be treated at once.

23. Will I need a second surgery?

While many patients experience long-term improvement, some may need additional treatments or surgery if the condition progresses or if complications arise. Your doctor will advise you on any necessary follow-up care or additional procedures.

24. Can I travel after diabetic retinopathy surgery?

Travel is generally not recommended immediately after surgery, especially by plane, as pressure changes can affect your eyes. Most patients can travel after 2 to 3 weeks, but it’s important to follow your surgeon’s advice on when it is safe to travel.

25. Can laser therapy alone treat diabetic retinopathy?

In some cases, laser therapy may be sufficient to treat the early stages of diabetic retinopathy or to manage leakage from blood vessels. However, for more advanced cases, surgery like vitrectomy may be required to address issues like bleeding or retinal detachment.

26. Is there a risk of cataracts after diabetic retinopathy surgery?

Cataract formation is a potential risk after vitrectomy surgery, as the procedure can sometimes accelerate the development of cataracts, especially in older patients. However, cataracts can be treated with additional surgery if necessary.

27. Can I prevent diabetic retinopathy with surgery?

While surgery can stop the progression of diabetic retinopathy and prevent further vision loss, the most important prevention method is controlling blood sugar levels and following a healthy lifestyle to prevent the development of retinopathy.

28. How soon can I see results after surgery?

Initial improvement in vision may be noticeable after a few days to weeks, but full recovery and stabilization of vision can take several months. Regular follow-ups will help track progress.

29. Can diabetic retinopathy affect both eyes equally?

Yes, diabetic retinopathy can affect both eyes, but the severity and progression may vary. It is possible to have different stages of retinopathy in each eye, which is why both eyes are often monitored separately.

30. How can I monitor my eye health after diabetic retinopathy surgery?

Regular eye exams are essential to monitor the health of your eyes and ensure that diabetic retinopathy does not progress. Your eye doctor will assess the condition of your retina and provide guidance on maintaining eye health.

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