COMMITMENT TO MEDICAL EXCELLENCE

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1 COMMITMENT TO MEDICAL EXCELLENCE The only ophthalmology centre in Catalonia accredited with the quality seal of the Joint Commission International

IMO Emergency Department The IMO s Ophthalmic Emergency Department operates 24 hours a day, 365 days a year.

in the most appropriate way. Emergency surgery is performed by the IMO s specialists.

We take medical and surgical care into account, but we also want to make the stay of our patients and their friends and family as pleasant as possible.

restaurant, also open to the general public, and which from Monday to Friday, offers breakfasts and lunches with fresh and top quality products as well as superb views over the city In addition, our

2 IMO Emergency Department The IMO s Ophthalmic Emergency Department operates 24 hours a day, 365 days a year. For any problem, the patient can attend the clinic without prior appointment so that our medical team can examine and determine the seriousness of the emergency and medically or surgically treat it in the most appropriate way. Emergency surgery is performed by the IMO s specialists. Immediate care Early diagnosis Urgent treatments and surgeries Our facilities IMO has an area of 24,000 square meters dedicated to comprehensive eye health care. We take medical and surgical care into account, but we also want to make the stay of our patients and their friends and family as pleasant as possible. That is why we offer spacious and comfortable spaces and a wide range of complementary services that help make your stay in the clinic easier and more enjoyable, such as parking and the Mimo café restaurant, also open to the general public, and which from Monday to Friday, offers breakfasts and lunches with fresh and top quality products as well as superb views over the city In addition, our zeal for teaching leads us to organise national and international ophthalmology conferences and meetings in our convention area, fully equipped with a modern auditorium that can hold 300 people, as well as two workshops and a multi-purpose area. This area is adjacent to our gardens that host snacks, lunch, dinner or cocktails in an exclusive setting. All this equipment is also available to external companies that can organise their own events at IMO. Where we are The IMO is located near Junction 7 of Barcelona s Ronda de Dalt ring road (mountain side) and can be accessed directly from Josep Maria Llado street. The nearest bus stops: Stop Bellesguard roundabout. Bus 60 Stop Ronda de Dalt - Bellesguard. Buses 60, 123, 196 Stop Josep Maria Llado - Bellesguard. Bus Josep Mª Lladó Cementiri de Sant Gervasi RONDA DE DALT Iradier Immaculada M. de Villalonga Benedetti Sortida 7 Bellesguard 60 Universitat Abat Oliba 60, 123, 196 RONDA DE DALT Vista Vella J. i Maria Univ. Ramón Llull d Cister s Pies cs

A consistent track record IMO s prestige is largely due to its steadfast adherence to the values with which it initially committed itself to the world of private medicine in the mid-1980s.

2009 represented a major qualitative step forward for the IMO, when we moved to new premises boasting 70 consulting rooms, eight operating theatres and the capacity to carry out 65,000 consultations

Our team of 200 professionals enables us to undertake this work with a high quality of service and personalised treatment throughout the medical and surgical process.

3 A consistent track record IMO s prestige is largely due to its steadfast adherence to the values with which it initially committed itself to the world of private medicine in the mid-1980s. Since then, more and more people put their trust in our commitment, experience and leadership represented a major qualitative step forward for the IMO, when we moved to new premises boasting 70 consulting rooms, eight operating theatres and the capacity to carry out 65,000 consultations and perform 8,000 surgical procedures every year. Our team of 200 professionals enables us to undertake this work with a high quality of service and personalised treatment throughout the medical and surgical process. The Foundation In 2010, we created the IMO Foundation to improve people s sight and, by extension, their lives. This aim moves us to foster continuous advances in diagnosing and treating any eye problem. The Foundation has a track record of over 20 years in high quality research and education and has been the main driving force behind the implementation of a comprehensive programme of prevention activities aimed at safeguarding the visual health of the main risk groups, both in terms of eyes and socially. Furthermore, the recent launch of research projects into the genetic causes of eye diseases makes the IMO one of the few European centres that links basic and clinical research together, thanks to joint work between its ophthalmologists and geneticists.

A unique vision The Instituto de Microcirugía Ocular (IMO - Institute of Ocular Microsurgery in English) is a leading international ophthalmology centre.

4 A unique vision The Instituto de Microcirugía Ocular (IMO - Institute of Ocular Microsurgery in English) is a leading international ophthalmology centre. Our hallmark is medical excellence and our objective is to provide the best service to the patient. For over 25 years, we have sought to find solutions to all ocular disorders through the expert application of the best treatments. We have a highly specialised and committed medical team, the most advanced technology and spacious, comfortable and modern facilities. We are driven by medical excellence and quality customer service, embodied in a team committed to optimal patient care. This has earned us the recognition of the medical community, which rated the IMO as the best ophthalmologic centre in Spain in the 2012 Top 10 Hospitals report drafted by the OCU Consumers and Users Association after interviewing Spanish doctors from different specialty areas. Our medical protocol is based on being able to devote all of the time and resources necessary to each clinical case to ensure high-quality personalised attention. Patients who require it, for example, can be attended to by different specialists on the same day, thus simplifying the management and avoiding the scheduling of additional consultations. International prestige and commitment to ophthalmology The experience and teamwork of our ophthalmologists, each one of whom specialises in a different part of the eye, makes the IMO a leading international centre for combined surgical procedures and highly complex operations. We are pioneers in the application of surgical instruments and techniques, which are always performed on an outpatient basis, are minimally invasive and designed to achieve the best immediate and long-term results. On-going training and research are other cornerstones of our medical commitment. They enable us to discover new therapeutic opportunities and make advances in the diagnosis and treatment of eye problems in a pioneering and effective manner. We actively participate in research and clinical trials and are involved in training future generations of ophthalmologists through our specialised IMO master s degrees, teaching at major medical schools and publishing scientific articles in international reference journals.

$Allows the passage of light, protects the eye from the outside and has refractive optical properties. CRYSTALLINE LENS Transparent and springy body that allows the passage of light to the retina.$

5 ALL SPECIALTIES AT THE SERVICE OF VISION CORNEA Hemispherical and transparent structure at the front of the eye. Allows the passage of light, protects the eye from the outside and has refractive optical properties. CRYSTALLINE LENS Transparent and springy body that allows the passage of light to the retina. Its main function is accommodation; to do this, it changes its curvature according to the distance of the image being focused on. It is our natural zoom lens. EYE MUSCLES Allow eye movements. If poorly coordinated, this can cause strabismus, a deviation of one or both eyes, which is a major childhood ocular pathology. EYE LIDS Moveable mucous muscles that cover the eyes to protect them and keep them moist through lachrymal secretions. They are one of the main points addressed by oculoplastic surgery. RETINA The layer of tissue that covers the back of the eye, on which images are projected before they reach the brain. It is formed by neurons and photoreceptor cells (rods and cones). VITREOUS Transparent viscous gel between the retina and the lens that helps maintain the shape of the eye and to get an even retina surface PAPILLA OR OPTIC DISC Junction between the eyeball and the optic nerve, which is what sends the images from the retina to the brain. Glaucoma can cause serious damage to this structure.

$Cornea, Cataract and Refractive Surgery Department Diagnosis and$ $refractive defects correction.$ strain) Keratoconus Corneal dystrophies Corneal opacity Corneal ulcer

strain) Keratoconus Corneal dystrophies Corneal opacity Corneal ulcer

eye syndrome Pterygium Blepharitis Conjunctivitis Dr D. Elíes Dr O.

$Güell TREATMENTS: Refractive surgery (laser and intracorneal and phakic$ transplants Amniotic membrance transplantation Monofocal, multifocal

transplants Amniotic membrance transplantation Monofocal, multifocal

(phacoemulsification and Femtosecond laser) Pterygium surgery

of diseases that affect the optic nerve and can even lead to complete

PATHOLOGIES: Primary open-angle glaucoma Narrow-angle glaucoma

glaucoma Neovascular glaucoma Secondary glaucoma (pseudoexfoliative,

6 Cornea, Cataract and Refractive Surgery Department Diagnosis and treatment of diseases and disorders of the anterior eye segment and refractive defects correction. PATHOLOGIES: Myopia Long-sightedness Astigmatism Presbyopia (eye strain) Keratoconus Corneal dystrophies Corneal opacity Corneal ulcer Age-related cataracts Cataracts secondary to other eye conditions Dry eye syndrome Pterygium Blepharitis Conjunctivitis Dr D. Elíes Dr O. Gris Dr J.L.Güell TREATMENTS: Refractive surgery (laser and intracorneal and phakic intraocular lenses) Corneal transplantation Limb and stem cells transplants Amniotic membrance transplantation Monofocal, multifocal and toric lens implants Intracorneal ring implantation Cataract surgery (phacoemulsification and Femtosecond laser) Pterygium surgery Treatments with oral and/or topical (eye drops) drops Dr F. Manero Dra. M.Barbany Dr I. Nieto Dra. M.Morral Glaucoma Department Detection and treatment of glaucoma, a group of diseases that affect the optic nerve and can even lead to complete loss of vision, if not treated properly and early. PATHOLOGIES: Primary open-angle glaucoma Narrow-angle glaucoma Congenital glaucoma Glaucoma in children and infants Normotensive glaucoma Neovascular glaucoma Secondary glaucoma (pseudoexfoliative, pigmentary, etc.) TREATMENTS: Eye drops Laser (YAG iridotomy, argon laser rabeculoplasty, laser diode) Surgery (trabeculectomy, nonperforating deep sclerectomy, sclerectomy combined with cataract, drainage valves or devices surgery) Dr E. Arrondo Dr S. Freixes Dr C. M. Pallás Dra. L.Pascual

Pediatric Ophthalmology, Strabismus and Neurophthalmology Department Diagnosis and

system disorders with ophthalmologic involvement.

$cataract Refractive errors Amblyopia (lazy eye) IN ADULTS: Strabismus with$ $Strabismus surgery in children and adults Optical correction of refractive errors$ in children Amblyopia treatment (lazy eye) Diplopia treatment (double vision) by

in children Amblyopia treatment (lazy eye) Diplopia treatment (double vision) by

Wolley-Dod Retina and Vitreous Department Diagnosis and treatment of diseases that

PATHOLOGIES: Diabetic retinopathy Retinal detachment Severe eye trauma Deep vein

pathology due to high myopia Other maculopathies Choroidal neovascularisation

Vitreoretinal surgery (vitrectomy, scleral buckling surgery, endolaser, etc.

7 Pediatric Ophthalmology, Strabismus and Neurophthalmology Department Diagnosis and treatment of childhood diseases, ocular motility disorders and central nervous system disorders with ophthalmologic involvement. PATHOLOGIES: IN CHILDREN: Child strabismus Congenital deformities Congenital cataract Refractive errors Amblyopia (lazy eye) IN ADULTS: Strabismus with childhood onset Ocular palsy Diplopia (double vision) Motor disorders secondary to surgery or systemic and ocular pathologies Pathology of the eye nerve TREATMENTS: Strabismus surgery in children and adults Optical correction of refractive errors in children Amblyopia treatment (lazy eye) Diplopia treatment (double vision) by surgery or prisms Dr J. Visa Dr A. Wert Dr C. Wolley-Dod Retina and Vitreous Department Diagnosis and treatment of diseases that affect the retina, uvea and vitreous. PATHOLOGIES: Diabetic retinopathy Retinal detachment Severe eye trauma Deep vein thrombosis Tumours Age-related Macular Degeneration (AMD) Macular oedema Macular pathology due to high myopia Other maculopathies Choroidal neovascularisation Uveitis Retinitis pigmentosa and other hereditary dystrophies TREATMENTS: Vitreoretinal surgery (vitrectomy, scleral buckling surgery, endolaser, etc.) Laser surgery Heat therapy Brachytherapy Photodynamic therapy Macular translocation Pharmacological treatments with intraocular injections Dr A. Burés Dr B. Corcóstegui Dr J. García-Arumí Dr C. Mateo Dr R. Navarro Dr C. Salinas

Oculoplastic Surgery Department Diagnosis and treatment of injuries and diseases affecting the structures around the eye: orbit (or socket), eyelids and tear ducts.

disease and obstruction Orbital infections and inflammations Eyelid tumours Orbital tumours Anophthalmic cavity TREATMENTS: Reconstructive eye surgery Eyelid surgery Microsurgical reconstruction of

del Dra. L. M. Vásquez Oculofacial Aesthetics Department Surgical and non-surgical study and treatment of aesthetic problems and signs of ageing that affect the middle and upper face.

8 Oculoplastic Surgery Department Diagnosis and treatment of injuries and diseases affecting the structures around the eye: orbit (or socket), eyelids and tear ducts. PATHOLOGIES: Ptosis (drooping eyelids) Eyelid malposition Exophthalmos/enophthalmos Thyroid orbitopathy Eyelid and orbit tumours Facial paralysis Eyelid, orbital and tear-duct injuries Tear-duct disease and obstruction Orbital infections and inflammations Eyelid tumours Orbital tumours Anophthalmic cavity TREATMENTS: Reconstructive eye surgery Eyelid surgery Microsurgical reconstruction of the eye socket Tear-duct surgery Anophthalmic cavity reconstruction surgery Dra. E. Ayala Dr. R. Medel Dra. L. M. Vásquez Oculofacial Aesthetics Department Surgical and non-surgical study and treatment of aesthetic problems and signs of ageing that affect the middle and upper face. COSMETIC PROBLEMS: Bags Dark circles Wrinkles around the eyes and upper half of the face Excess fat in the eyelids Droopy eyelids and periocular sagging Loss of facial volume Sunken cheeks Decrease of facial contours and structure Impairment of skin quality SURGICAL TREATMENTS: Cosmetic eyelid surgery (blepharoplasty) Transconjunctival midfacelift Brow lift Canthoplasty (surgery to improve the outside of the eyelid) Lipolifting NON-SURGICAL TREATMENTS: Injections of fillers (polylactic acid or PLA, hyaluronic acid, fat) Botulinum toxin injections Peels Laser skin treatments: CO2 or Er:YAG laser resurfacing Mesotherapy (vitamins, hydration, etc.)

Genetics Department From the molecular biology lab, the Genetics Department offers: Family genetic diagnosis and genetic diagnosis for asymptomatic patients Identifying pathogenic mutations

Riera Anaesthesiology Department Eye microsurgery without hospitalisation: Study of the patient before surgery Administration of sedative and anaesthetic as well as analgesic drugs administered

Gutiérrez, L. Mahillo, J.Mestre, A. Monsó, N.Montero y J.

These tests can be carried out on the same day as the visit, even if they have not been previously scheduled.

Vision therapy area The vision therapy area offers individualised optometric treatment to correct functional or perception difficulties relating to the visual system through the exercising and

9 Genetics Department From the molecular biology lab, the Genetics Department offers: Family genetic diagnosis and genetic diagnosis for asymptomatic patients Identifying pathogenic mutations Prenatal diagnosis Genetic diseases prognosis Patient preparation for future gene therapies Basic research into the molecular causes of genetic diseases Dr E. Pomares Dr M. Riera Anaesthesiology Department Eye microsurgery without hospitalisation: Study of the patient before surgery Administration of sedative and anaesthetic as well as analgesic drugs administered topically (drops) or intravenously Monitoring of patient during surgery Prescription for painkillers after surgery Department comprising the following doctors F. Fitó, I.Garrido, M.Gibert, S.Gutiérrez, L. Mahillo, J.Mestre, A. Monsó, N.Montero y J. Pizarro Diagnostic tests Through the Photography and Optometry areas, we offer more than thirty tests to ensure the most complete and reliable diagnosis for each patient. These tests can be carried out on the same day as the visit, even if they have not been previously scheduled. Specialist staff and state-of-the-art machinery allow us to offer the most advanced screening and diagnosis, whether by ultrasound, fundus photography or contrast techniques, etc. Vision therapy area The vision therapy area offers individualised optometric treatment to correct functional or perception difficulties relating to the visual system through the exercising and enhancing of certain skills. This service is always preceded by a visit by the ophthalmologist who, after several sessions, also determines whether the therapy should continue or conclude. The service is aimed at adults and children, a large percentage of whom experience learning difficulties. Low vision area Specialised care for patients with low levels of vision: Evaluation of residual vision Prescription of optical and non-optical visual aids Advice and visual training for carrying out daily activities

Josep Maria Llado, 3 Ronda de Dalt Junction 7 08035 Barcelona tel.

10 Josep Maria Llado, 3 Ronda de Dalt Junction Barcelona tel imo@imo.es fax The IMO s 24-hr Emergency Department

GENERAL INFORMATION MOSMAN CLINIC

GENERAL INFORMATION MOSMAN CLINIC visioneyeinstitute.com.au Quality Management. ISO 9001 SPECIALIST EYE CARE FOR PATIENTS Our clinic provides comprehensive, high-quality eye care to Mosman and surrounding