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List of diagnostic and therapeutic procedures of the ASTANA VISION clinic network

List of diagnostic and therapeutic procedures of the ASTANA VISION clinic network
No.Procedure
DIAGNOSTICS
1.Ophthalmologist examination with data validity* of 1 month before surgery, except item 2
* - the diagnostic period is extended for the delivery time of a custom IOL.
2.Ophthalmologist examination with data validity* of 3 months before laser vision correction surgery and PIOL implantation. * - the diagnostic period is extended for the delivery time of a custom IOL (PIOL).
3.Ophthalmologist examination – children, second child in the family, validity up to 1 month.
4.Ophthalmologist examination – children, third (and more) child in the family, validity up to 1 month.
5.Ophthalmologist examination (concessionary categories: pensioners, disabled persons, mothers of many children*) validity up to 1 month.
6.Partial outreach ophthalmologist examination (adults), validity up to 1 month.
7.Partial outreach ophthalmologist examination (pensioners), validity up to 1 month.
8.Partial outreach ophthalmologist examination (children), validity up to 1 month.
9.Surcharge for full examination after partial outreach examination (pensioners).
10.Surcharge for full examination after partial outreach examination (children).
11.Surcharge for full examination after partial outreach examination (adults).
12.Surcharge for additional diagnostic measurements (no more than 2 procedures) after examination under the outpatient care package (adults), within no more than 1 month.
13.Surcharge for additional diagnostic measurements (no more than 2 procedures) after examination under the outpatient care package (pensioners), within no more than 1 month.
14.Surcharge for additional diagnostic measurements (no more than 2 procedures) after examination under the outpatient care package (children), within no more than 1 month.
15.Additional examination before refractive laser surgery, as well as by referral from the ASTANA VISION clinic network, within no more than 6 months after initial diagnostics.
16.Examination with chart creation (excluding ReLEx SMILE/SmartSight) for a patient referred or wishing to undergo surgery at another of our clinics.
17.Repeat ophthalmologist consultation, outside the doctor's prescribed follow‑up, as well as consultation with a plastic surgeon.
18.Subsequent ophthalmologist consultations, outside the doctor's prescribed follow‑up.
19.Diagnostic examination with ophthalmologist examination under anaesthesia.
LENS SURGERY
20.Cataract phacoemulsification (PEA) under MSHI with implantation of a flexible monofocal IOL (specify which one).
21.Cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one).
22.Clear lens phacoemulsification (CLPE) with implantation of a flexible monofocal IOL (specify which one).
23.Cataract phacoemulsification (PEA) with implantation of a flexible toric monofocal IOL (specify which one).
24.Clear lens phacoemulsification (CLPE) with implantation of a flexible toric monofocal IOL (specify which one).
25.Cataract phacoemulsification (PEA) with implantation of a multifocal IOL (specify which one).
26.Clear lens phacoemulsification (CLPE) with implantation of a multifocal IOL (specify which one).
27.Cataract phacoemulsification (PEA) with implantation of a toric multifocal IOL (specify which one).
28.Clear lens phacoemulsification (CLPE) with implantation of a toric multifocal IOL (specify which one).
29.Cataract phacoemulsification (PEA) with implantation of an EDOF IOL (specify which one).
30.Clear lens phacoemulsification (CLPE) with implantation of an EDOF IOL (specify which one).
31.Cataract phacoemulsification (PEA) with implantation of a toric EDOF IOL (specify which one).
32.Clear lens phacoemulsification (CLPE) with implantation of a toric EDOF IOL (specify which one).
33.Implantation of a posterior‑chamber phakic IOL (PIOL) ICL into a phakic eye for myopia.
34.Implantation of a posterior‑chamber phakic IOL (PIOL) ICL TORIC into a phakic eye for myopia with astigmatism.
35.Secondary IOL implantation into an aphakic eye after surgeries performed at ASTANA VISION clinics.
36.Secondary IOL implantation into an aphakic eye after surgeries not performed at ASTANA VISION clinics.
37.Secondary IOL implantation into an aphakic eye / secondary IOL implantation with transscleral fixation (TSF) after surgeries performed at ASTANA VISION clinics.
38.Secondary IOL implantation into an aphakic eye / secondary IOL implantation with TSF after surgeries not performed at ASTANA VISION clinics.
39.Cataract phacoemulsification (PEA) under MSHI with implantation of a flexible monofocal IOL (specify which one) + vitreous chamber catheter or TSF, as indicated.
40.Cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one) + VCC or TSF, as indicated.
41.Cataract phacoemulsification (PEA) with implantation of a flexible toric monofocal IOL (specify which one) + VCC or TSF, as indicated.
42.Cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one) + sinus trabeculectomy with posterior sclerectomy (STE + PSE).
43.Cataract phacoemulsification (PEA) with implantation of a flexible toric monofocal IOL (specify which one) + sinus trabeculectomy with posterior sclerectomy (STE + PSE).
44.Extracapsular cataract extraction with IOL implantation (specify which one).
45.Intracapsular cataract extraction with IOL implantation (specify which one) with transscleral fixation (TSF).
46.Tunnel cataract extraction (TCE) with implantation of a flexible monofocal IOL (specify which one).
47.Tunnel cataract extraction (TCE) with implantation of a flexible toric monofocal IOL (specify which one).
48.Anterior segment reconstruction + cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one) + iris repair (as indicated).
49.Iris repair.
50.IOL repositioning with TSF.
51.PIOL / IOL explantation.
52.PIOL / IOL reimplantation.
53.IOL explantation with secondary IOL implantation (specify which one), with transscleral fixation (TSF), as indicated.
54.PEA (+ posterior sclerectomy, as indicated).
55.Reconstructive, combined, and other types of anterior segment surgery.
56.Introduction of a sterile gas‑air mixture into the anterior chamber.
57.Irrigation / removal of lens masses.
ADDITIONAL
58.Surcharge for cataract phacoemulsification of increased complexity.
59.Anaesthesia (as indicated).
GLAUCOMA
60.Sinus trabeculectomy with posterior sclerectomy (STE + PSE).
61.Non‑penetrating deep sclerectomy (NPDS).
62.Sinus trabeculectomy with posterior sclerectomy (STE + PSE) with Glautex/Repégel drainage implantation.
63.Transscleral micropulse cyclophotocoagulation (TSM CPC).
64.Transscleral cyclophotocoagulation (TSCPC).
65.Antiglaucoma surgery with Glautex/Repégel drainage implantation.
66.Alcoholisation of the ciliary ganglion.
67.Multiple sclerectomies (PSE).
VITREORETINAL SURGERY
68.Extrascleral surgical treatment of retinal detachment (buckling, encircling).
69.Removal of encircling band, episcleral buckle.
70.Anterior approach vitrectomy / + iris repositioning as indicated.
71.Posterior pars plana vitrectomy.
72.Posterior pars plana vitrectomy + PFCL tamponade.
73.Posterior pars plana vitrectomy + silicone oil tamponade + endolaser photocoagulation of the retina.
74.Extrascleral retinal detachment surgery (encircling) + posterior pars plana vitrectomy with tamponade agents (PFCL and/or silicone oil) + endolaser photocoagulation of the retina.
75.Posterior pars plana vitrectomy / + macular membrane peeling as indicated / + pneumoretinopexy (air or gas‑air mixture) as indicated.
76.Posterior pars plana vitrectomy + macular membrane peeling + silicone oil tamponade.
77.Posterior pars plana vitrectomy + macular membrane peeling and application of PRP/ASR technology.
78.Extrusion of PFCL from the vitreous cavity with replacement with silicone oil.
79.Extrusion of PFCL from the vitreous cavity with replacement with silicone oil + endolaser photocoagulation of the retina.
80.Extrusion of PFCL from the vitreous cavity without/with tamponade of the vitreous cavity with gas‑air mixture.
81.Removal of silicone oil from the vitreous cavity.
82.Posterior pars plana vitrectomy + removal of intraocular foreign body + endolaser photocoagulation of the retina + without/with silicone oil tamponade.
83.Posterior pars plana vitrectomy + cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one).
84.Posterior pars plana vitrectomy + silicone oil tamponade + cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one).
85.Posterior pars plana vitrectomy + macular membrane peeling + cataract phacoemulsification (PEA) with implantation of a flexible monofocal IOL (specify which one).
86.Closed lens‑vitrectomy + implantation of a flexible monofocal IOL (specify which one) with suture fixation (TSF).
87.Posterior pars plana vitrectomy, removal of luxated lens/lens masses + implantation of a flexible monofocal IOL (specify which one) with suture fixation.
88.Posterior pars plana vitrectomy with removal of luxated lens/lens masses.
89.Posterior pars plana vitrectomy with removal of dislocated IOL, IOL reimplantation with suture fixation (TSF) + anterior vitrectomy + iris repair as indicated.
90.Posterior pars plana vitrectomy with removal of dislocated IOL + anterior vitrectomy + iris repair as indicated.
91.Reoperation (for recurrence): closed vitrectomy, application of tamponade agents (PFCL/silicone oil) + endolaser photocoagulation of the retina.
92.Posterior pars plana vitrectomy for endophthalmitis with antibiotic injection and vitreous cavity tamponade with silicone oil.
93.Anterior segment reconstruction + PEA + implantation of a flexible monofocal IOL (specify which one) with suture fixation (TSF) + anterior approach vitrectomy.
INTRAVITREAL AND SUBTENON DRUG ADMINISTRATION
94.Intravitreal administration of EYLEA (Aflibercept).
95.Intravitreal administration of LUCENTIS (Ranibizumab).
96.Intravitreal administration of VIZKEY (Brolucizumab).
97.Intravitreal administration of EYLEA (Aflibercept) + Subtenon administration of corticosteroids (Diprospan/Kenalog/Betaspan Depot, etc.).
98.Subtenon administration of corticosteroids (Diprospan/Kenalog/Betaspan Depot, etc.).
99.Subtenon administration of corticosteroids (Diprospan/Kenalog/Betaspan Depot, etc.) after surgeries performed at ASTANA VISION clinics.
REFRACTIVE LASER SURGERY,
KERATOPLASTY, CROSS‑LINKING
100.Refractive lenticule extraction ReLEx SMILE for myopia, complex myopic astigmatism.
101.Refractive lenticule extraction SmartSight for myopia, complex myopic astigmatism.
102.Topo‑FemtoLASIK with personalised aspheric ablation profile (Contoura™ Vision) for myopia.
103.Topo‑FemtoLASIK with personalised aspheric ablation profile (Contoura™ Vision) for hyperopia.
104.Topo‑FemtoLASIK with personalised aspheric ablation profile (Contoura™ Vision) for mixed astigmatism.
105.FemtoLASIK for myopia with Zeiss VisuMax femtosecond laser Treatment Pack.
106.FemtoLASIK for myopia with Schwind ATOS femtosecond laser Treatment Pack.
107.FemtoLASIK under ReLEx SMILE licence.
108.Topo‑LASIK‑SBK with personalised aspheric ablation profile (Contoura™ Vision) for myopia.
109.T‑PRK / Trans‑epithelial PRK with personalised aspheric ablation profile for myopia.
110.StreamLight™ T‑PRK No‑Touch / one‑step trans‑epithelial PRK with personalised aspheric ablation profile for myopia.
111.PRK enhancement for residual ametropia after surgeries performed at ASTANA VISION clinics.
112.Flap lift enhancement (II stage LASIK/FemtoLASIK) – at ASTANA VISION clinics.
113.Flap lift enhancement for residual ametropia after LASIK/FemtoLASIK not performed at ASTANA VISION clinics.
114.SMILE after SMILE enhancement for residual ametropia.
115.CIRCLE after SMILE enhancement for residual ametropia.
116.Staged bioptics using LASIK (enhancement of residual ametropia in aphakia, biphakia, and planned two‑stage treatment) – at ASTANA VISION clinics.
117.Staged bioptics using FemtoLASIK (enhancement of residual ametropia in aphakia, biphakia, and planned two‑stage treatment) – at ASTANA VISION clinics.
118.Bioptics using LASIK/FemtoLASIK (enhancement of secondary ametropia in aphakia, including biphakia) – at ASTANA VISION clinics.
119.Flap repositioning and revision – at ASTANA VISION clinics.
120.Flap repositioning and revision after LASIK/FemtoLASIK not performed at ASTANA VISION clinics.
121.Intralamellar tunnel keratoplasty with femtosecond laser assistance (two corneal segments).
122.Intralamellar tunnel keratoplasty with femtosecond laser assistance.
123.Intralamellar tunnel keratoplasty with femtosecond laser assistance after keratorefractive surgeries performed at ASTANA VISION clinics.
124.Enhancement of intralamellar tunnel keratoplasty (1 zone).
125.Enhancement of intralamellar tunnel keratoplasty (2 zones).
126.Explantation of intrastromal ring segment (1 zone).
127.Explantation of intrastromal ring segments (2 zones).
128.Reimplantation of intrastromal ring segment (1 zone).
129.Reimplantation of intrastromal ring segments (2 zones).
130.CXL / Corneal collagen cross‑linking.
131.CXL / Corneal collagen cross‑linking after keratorefractive surgeries performed at ASTANA VISION clinics.
132.Simultaneous sequential partial Topo‑Guided T‑PRK / Trans‑epithelial PRK with CXL / corneal collagen cross‑linking.
133.Simultaneous sequential partial Topo‑Guided T‑PRK / Trans‑epithelial PRK with CXL / corneal collagen cross‑linking after keratorefractive surgeries performed at ASTANA VISION clinics.
134.FemtoLASIK Xtra for myopia.
LASER NON‑REFRACTIVE SURGERY
135.Peripheral laser photocoagulation of the retina.
136.Stage of peripheral laser photocoagulation of the retina.
137.Peripheral focal laser photocoagulation of the retina.
138.Sectoral, focal laser photocoagulation of the retina.
139.Stage of sectoral, focal laser photocoagulation of the retina.
140.Panretinal laser photocoagulation of the retina.
141.Stage of panretinal laser photocoagulation of the retina.
142.Barrage, grid laser photocoagulation in the macula.
143.Subthreshold micropulse laser treatment (SMLT) in the macula.
144.Stage of subthreshold micropulse laser treatment (SMLT) in the macula.
145.Laser trabeculoplasty.
146.Laser iridotomy.
147.Laser discision of fibrous/exudative membrane, residual lens masses up to 3 months after PEA performed at ASTANA VISION.
148.Laser discision of posterior capsule opacification (secondary cataract), capsular bag phimosis after PEA performed at ASTANA VISION.
149.Laser discision of posterior capsule opacification (secondary cataract), capsular bag phimosis after PEA not performed at ASTANA VISION.
150.YAG vitreolysis.
151.YAG hyaloidotomy.
152.YAG retinotomy.
EYELID, CONJUNCTIVAL PATHOLOGY, AND OTHER SURGICAL TREATMENTS
153.Correction of entropion.
154.Correction of ectropion.
155.Correction of upper eyelid blepharochalasis.
156.Correction of lower eyelid blepharochalasis.
157.Circumferential correction of blepharochalasis.
158.Transconjunctival correction of upper eyelid blepharochalasis.
159.Transconjunctival correction of lower eyelid blepharochalasis.
160.Circumferential transconjunctival correction of blepharochalasis.
161.Correction of upper eyelid blepharochalasis with transposition (redistribution) of fat pads.
162.Correction of lower eyelid blepharochalasis with transposition (redistribution) of fat pads.
163.Circumferential correction of blepharochalasis with transposition (redistribution) of fat pads.
164.Upper eyelid epicanthoplasty (de‑orientalisation).
165.Blepharorrhaphy.
166.Canthoplasty / canthopexy.
167.Ptosis surgery.
168.Pterygium excision.
169.Pterygium excision for recurrence after surgeries at ASTANA VISION.
170.Pterygium excision with repair (grade III, IV, and recurrence).
171.Chalazion removal.
172.Removal of small eyelid skin lesions (individual).
173.Removal of eyelid xanthelasmas.
174.Removal of eyelid papillomas.
175.Removal of conjunctival cyst, pinguecula.
176.Removal of dermoid cyst.
177.Correction of epicanthus in children.
178.Punctal dilation.
179.Punctal occlusion with occluder.
180.Strabismus correction (children).
181.Strabismus correction with pharmacological support (children).
182.Strabismus correction (adults).
183.Strabismus correction with pharmacological support (adults).
184.Evisceration‑enucleation of the eyeball with formation of a mobile stump.
185.Probing of the nasolacrimal duct.
186.Bougienage of the nasolacrimal duct.
187.Irrigation of the lacrimal passages.
188.Eyelid massage.
189.Removal of corneal foreign body.
190.Eyelid suture removal.
191.Corneal / conjunctival suture removal.
192.Parabulbar injection.
193.Subconjunctival injection.
OPTICAL CORRECTION, CONSERVATIVE PROCEDURES IN CHILDREN AND ADULTS
194.Prescription of glasses for complex ametropias.
195.Prescription of glasses for complex ametropias for concessionary categories (pensioners, disabled persons, mothers of many children*).
196.Glasses prescription outside a diagnostic examination.
197.Glasses prescription outside a diagnostic examination for concessionary categories (pensioners, disabled persons, mothers of many children*).
198.Prescription of Stellest (Essilor) glasses.
199.Initial fitting of soft defocus lens.
200.Optical correction with a defocus lens (monthly replacement), including consumables.
201.Optical correction with a defocus lens (up to 6 months), including consumables.
202.Initial OK lens fitting (including examination, trial fitting, up to 4 scheduled follow‑up visits during wear).
203.Subsequent visits, including unscheduled, up to 1 year of lens wear (OK lenses).
204.Orthokeratology treatment using standard‑design OK lenses, including consumables.
205.Orthokeratology treatment using customised‑design OK lenses, including consumables.
206.Repeat check‑up and re‑order of OK lenses for scheduled annual replacement, including consumables.
207.Extension of orthokeratology treatment with OK lenses for scheduled annual replacement, including consumables.
208.Subsequent visits, including unscheduled, up to 1 year of lens wear (OK lenses), including consumables.
209.Initial scleral lens fitting (including examination, trial fitting, up to 4 scheduled follow‑up visits during wear).
210.Optical correction with a scleral lens, including consumables.
211.Repeat check‑up and re‑order of scleral lens for scheduled replacement, including consumables.
212.Extension of optical correction with a scleral lens for scheduled annual replacement.
213.Subsequent visits, including unscheduled, up to 1 year of lens wear (scleral lenses), including consumables.
214.Course of orthoptic treatment on the Synoptophore.
215.Session of orthoptic treatment on the Synoptophore.
EMERGENCY OPHTHALMOSURGERY UNDER MSHI (Free of charge, mutual settlement under MSHI)
216.Corneal laceration repair.
217.Scleral laceration repair.
218.Conjunctival laceration repair.
219.Aspiration/removal of lens masses from the anterior chamber (in traumatic lens injury).
220.Irrigation of the anterior chamber (hyphema, hypopyon) in trauma.
221.Removal of magnetic foreign body from deep corneal layers.
222.Other types of corneal repair.
* – The category "mothers of many children" includes women awarded the "Altyn alka", "Kumis alka" pendants, or those who previously received the title "Mother‑Heroine", as well as those awarded the "Motherly Glory" Orders I and II.

Astana Vision is a leading network of ophthalmology clinics in Kazakhstan. Our mission is to preserve and improve patients’ vision by offering the most advanced and effective treatment methods. The specialists at Astana Vision possess extensive experience and utilise the latest developments in the field of ophthalmology. Our clinics are equipped with a unique range of state‑of‑the‑art diagnostic and surgical equipment. Quality, safety of procedures, and patient comfort are our top priorities. At Astana Vision, you will receive professional care for a wide variety of eye conditions. The clinic has a dedicated department for the treatment of international patients. For many years, we have strived to maintain the status of a leading clinic in Kazakhstan. We are chosen, trusted, and recommended.

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