What are Meibomian glands?
Meibomian glands are small glands located in the eyelids that produce the lipid (fatty) component of the tear film. Their role is to prevent tear evaporation and provide a stable, smooth layer over the cornea. When these glands do not function properly – called Meibomian Gland Dysfunction (MGD) – dryness, burning, blurred vision and gritty or discomfort and heaviness occur in the eyes.
What is Meibomian gland expression?
Expression of Meibomian glands is a procedure that physically removes blockages from these glands. In this way, the re-passability and normal secretion of fat, which is crucial for the tear film, is enabled.
The procedure involves pressure on the eyelids, usually using special tweezers or instruments, sometimes in combination with previous heating of the eyelids. The treatment can be part of a wider therapy for patients with dry eye or preparation for surgeries such as PRK or intraocular lens (IOL) implantation.
What does the procedure look like?
Preparation: The eyelids are cleaned and a local anesthetic is applied in the form of drops.
Heating: In some cases, controlled heating of the eyelids (warm compresses or special heated masks) is used to soften the secretion and open the gland.
Expression: The ophthalmologist gently presses the eyelids with a special instrument, squeezing out the contents of the Meibomian glands.
Is it painful?
Thanks to local anesthesia in the drops, most patients feel slight discomfort or pressure, but not real pain. The sensation may be unusual, but is generally well tolerated. After the procedure, slight redness or sensitivity of the eyelids is possible for one day.
Who can benefit?
Expression of Meibomian glands is recommended:
People suffering from dry eye syndrome
Patients with chronic blepharitis
Before cataract surgery, especially when the installation of premium intraocular lenses (multifocal, EDOF, etc.) is planned
Before refractive procedures such as PRK, LASIK, SMILE, because the stability of the tear film directly affects the quality of the results
How often is it done?
Depending on the condition of the glands and the severity of symptoms:
Once to several times a year for chronic dysfunction
One to several treatments before surgery can significantly improve postoperative comfort and vision
In some cases, the treatment is repeated for 3–6 months, especially if the dysfunction of the glands is long-lasting and if there is a tendency to re-clogging.
What are the effects?
Patients most often report:
Reducing the feeling of dry eyes and feeling of sand in the eyes
Less blurred vision, especially in the morning
Less need for artificial tears
Improved quality of vision after PRK or IOL implantation
A healthy tear film is critical for accurate preoperative measurements, stable postoperative vision, and less chance of discomfort such as glare, halos, and variable vision in multifocal lens wearers.
Laser removal of dioptres is the most frequently performed operation at the request of patients, and in three decades, millions of people have permanently gotten rid of glasses or contact lenses in this way, which speaks volumes about how safe and effective this operation is.
We have selected some of the most common questions asked by our patients in order to dispel some prejudices and fears, said Dr. Branka Ivošević, Chief Executive Officer of the Pefect Vision Laser Eye Surgery Center.
1. Does dioptre removal by the PRK method (photoreactive keratectomy) remove the dioptre permanently?
In most cases, the dioptre is removed permanently, in a small percentage, a smaller part of the dioptre may return over time, which can be easily removed with retreatment.
2. Can astigmatism be removed with a laser?
Apart from plus and minus diopters, i.e. farsightedness and shortsightedness, the laser can also remove astigmatism – the irregular curvature of the cornea up to +/-5.0 diopters.
3. Is the PRK method of laser dioptre removal safe?
By using modern lasers that have an eye tracking system for tracking the eye, the laser emits UV rays, according to a predefined schedule at a speed of 2.5 seconds per dioptre without the possibility of any error, removes the given dioptre.
4. Can I remove diopters with a laser if I do not have stereo (spatial) vision?
People who are visually impaired have proportionally reduced stereo vision, and after laser dioptre removal in some cases stereo vision can be improved to a lesser extent, but just as low vision is not treated with a laser, the same applies to stereo vision.
5. What tests and imaging do I need to do in preparation for laser dioptre removal?
The examination begins with an anamnesis – a conversation with the patient during which we learn the necessary details about the dioptre, whether the patient wears glasses or contact lenses, whether he suffers or has suffered from any eye diseases or other diseases, whether he has had previous eye injuries and surgeries. After that, we record diopters on narrow and wide pupils, perform topography (mapping of the cornea) and imaging of the fundus (optical coherence tomography).
6. Is the examination for laser diopter removal painful and how long does it take?
This examination is completely safe and painless and lasts about 2.5 hours.
7. How long are the results of the examination valid?
We advise patients if the operation is prolonged by more than 6 months compared to the date of the examination, to perform the examination again.
8. For this type of surgery, it is necessary that the diopter is stable, what should I do if my diopter varies?
It is necessary for the diopter to be stable for one year before the operation.
9. What eye and eye diseases and conditions might make me not a suitable candidate for this surgery?
Some of the contraindications for laser diopter removal surgery are a thin cornea, corneal diseases such as keratoconus, corneal inflammation (keratitis), corneal scars, extremely dry eyes, clouded lens (cataract), diseases of the fundus and connective tissue diseases called collagenosis.
10. Can I perform laser dioptre removal surgery after strabismus surgery and vice versa?
Laser dioptre removal surgery can be performed after complete recovery from strabismus surgery and also after laser dioptre removal when vision and condition of the cornea are completely stabilized, i.e. after at least 4 months, strabismus surgery can be planned.
11. Can a laser surgery to remove dioptres be performed in patients with Hashimoto’s thyroiditis?
Well-controlled Hashimoto’s thyroiditis is not an absolute contraindication for laser removal of dioptres.
12. Can this operation be performed in the summer months when temperatures are high and UV radiation is high?
This type of operation is performed throughout the year, but it is necessary to wear glasses with the maximum degree of protection against UV radiation after the operation.
13. Can people who have keratoconus (a corneal disease of unknown cause) undergo laser surgery to remove diopria?
Opinions are divided as to whether these individuals are suitable candidates for this operation. According to some CXL-cross linking treatment, the cornea is strengthened immediately before or a few months before the laser removal of the diopter and the removal of the diopter is done, but the results in terms of the regularization of the affected cornea and the improvement of vision are often unpredictable, so the opinion of many ophthalmologists is that laser removal of the diopter is not performed in the case of keratoconus, but the diopter is corrected with techniques that do not additionally thin the cornea, such as corneal rings (which are implanted in the cornea), fake intraocular lenses that are implanted in front of or behind the iris or implantation of affective intraocular lenses.
Achieving good vision after laser dioptre removal requires an evaluation of the patient, a detailed discussion of the patient’s wishes and needs, an insight into the health of the eyes and the body as a whole, taking into account the strict criteria that dioptres can be removed by laser, carrying out numerous diagnostic procedures, informing the patient well about the preparation, surgery and recovery so that the patient gets what he expects, crystal clear vision without glasses and contact lenses.
Another successful weekend is upon us! The team of the Perfect Vision Center for Laser Eye Surgery had the honor of participating in the 7th Symposium of Serbian Contactologists with international participation, which took place on May 17 at the Mona Plaza Hotel in Belgrade. This year’s symposium was particularly significant because it also marked the 20th anniversary of the Association of Contact Ophthalmologists of Serbia – COLSS, to whom we send our sincere congratulations on this great anniversary!
Our Dr. Miljana Smiljić actively followed the lectures and participated in the exchange of knowledge with renowned domestic and foreign experts, among whom were: prof. Dr. Carina Koppen (Belgium), Dr. René Mély (France), Dr. Andrena McElvaney (UK), prof. Dr. Ömür Uçakhan-Gündüz (Turkey), as well as our distinguished experts: prim. Dr. Sima Marjanović, prof. Ph.D. Branislav Stanković, Ph.D. Nikola Jagodić, Ph.D. Gordana Suvajac, prof. Dr. Tatjana Kalezić Ivanović, prof. Dr. Vesna Kovačević Ćurčić, prof. Dr. Svetlana Stanojlović, prof. Dr. Katarina Janković Terzić and many others.
Symposium topics in focus
It was talked about:
– to control myopia in children,
– complications when wearing lenses,
– therapeutic and special lenses,
– application of contact lenses in the preparation of patients for surgical procedures,
– everyday challenges in contactology.
Why is this important to YOU?
The participation of our team at this prestigious meeting directly translates into the quality of the services we provide at the Perfect Vision Center. The latest knowledge and contacts with leading experts allow us to offer our patients the most up-to-date solutions and the highest level of expertise.
Congratulations on the great anniversary!
Once again, we congratulate the Association of Contactologists of Serbia – COLSS for two decades of dedicated work and contribution to the development of contactology. It was inspiring to be a part of this momentous celebration!
Perfect Vision – Your partner for perfect vision, always one step ahead!
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It is a great honor for us to be able to continue education and training in order to raise the quality of the services we provide to our patients at the highest possible level.
On this occasion, we participated in the 29th Congress of the European Association of Ophthalmologists, held in Athens from 02/28/2025. until March 2, 2025. year.
Congresses organized by the European Association of Cataract and Refractive Surgeons represent the most important ophthalmological gatherings in Europe.
As before, this 29th Congress gathered the greatest ophthalmology experts from all over the world, who presented their latest knowledge in the field of cataract surgery and refractive surgery through interesting lectures, workshops and dynamic discussions.
We are very pleased that Dr. Jelena Todorović attended the WETLAB for PRK, LASIK and epi-LASIK held on February 28, 2025. year in order to obtain a large amount of new information and gain new practical experiences.
For Dr. Branka Ivošević and Dr. Jelena Todorović, participation in this congress represents a valuable opportunity to learn about the latest achievements in world ophthalmology, which we gladly apply at the Perfect Vision Clinic.
From May 9 to 11, Belgrade hosted one of the most significant ophthalmological events in
region – the first congress of the Association of Cataract and Refractive Surgeons of Serbia (SSCRS), which will
traditionally held every year and gathering top experts from the country, the region and the world.
This year’s gathering at the Crowne Plaza Hotel was marked by exceptionally well-attended lectures and exchanges
experiences, discussions on the latest technologies and trends in cataract and refractive surgery,
as well as a strong presence of international names:
Assoc. Dr. Aylin Kilic (Turkey), Dr. Jerry Tan (Singapore), prof. Dr. Milton Yogi (Brazil), Assoc. Ph.D
Efekan Coskunseven (Turkey), Dr. Borivoje Ivezić (Croatia), Dr. Damjan Kepeski (BiH), Dr.
Franci Šalamun (Slovenia), as well as the famous duo from Croatia – Dr. Krešimir and Nikica Gabrić.
Significant contribution of our doctors
The participation of Branka Ivošević, Ph.D., is a great honor and professional satisfaction for our institution.
who, together with Dr. Dolika Vasović, presented an author’s work on the topic:
“The Importance of Lens Transparency Assessment in Young Patients in the Context of Laser Refractive Surgery.”
surgery”, with an innovative look at the possible impact of 5G networks and electromagnetic rays on the eye
lens.
What we particularly emphasize is the fact that Dr. Ivošević, at the invitation of the organizers, was one of the
moderator of the session on refractive surgery, which further confirms her professional reputation and
expertise.
Glaucoma and cataract – domestic expertise in full glory
Associates of the Center for Laser Eye Surgery, prof. Dr. Ivan Marjanović and Prof. Dr. Alexander
Miljković, participated in a session dedicated to glaucoma, where they held lectures on the topic
surgical treatment of cataracts, glaucoma and combined procedures. Their presentations are once again
showed that the most modern techniques for solving these problems are successfully applied in our country as well
complex ophthalmological problems.
Team spirit and continuous education
Our team was present at this congress in full composition:
Jelena Todorović, Ph.D., Miljana Smilić, Ph.D., Aleksa Milić, Ph.D., and Miloš Cvetković, Ph.D., with the support of our colleagues
hardworking nurses – Zorica Popin and Una Nišević, Marije Bošković.
Their presence at the congress aims at continuous education, exchange of knowledge and monitoring
of the most modern approaches in ophthalmology, in order to continue to provide our patients with the highest
level of health care – professional, modern and dedicated to each individual.
Our mission remains the same: superior ophthalmology available to everyone, with constant investment in knowledge and
people.
Part of the “Pefect Vision” team consisting of Dr. Jelena Todorović, Zorica Popin, Marija Bošković, headed by Dr. Branka Ivošević participated in the Book Fair held from 18-24. March 2025 in Novi Sad . This significant cultural manifestation was a good opportunity to give valuable advice and recommendations to many, and refer individuals to targeted diagnostic procedures due to suspicion of certain eye diseases. We are extremely glad that the need for this type of dialogue has been recognized , emphasized Dr. Ivošević.
Our mission is to preserve healthy vision and improve the quality of life of the citizens of Serbia.
Dr. Branka Ivošević , an ophthalmologist with thirty years of experience, at the head of the “Perfect Vision” team, which includes 13 ophthalmologists, including 7 surgeons, dedicatedly points out the importance of preventive vision examinations, due to numerous misconceptions that you only go to the doctor when you are sick, and gives professional guidelines on how to protect and preserve vision.
Ophthalmological examinations begin at birth, with the first examination of a newborn in the maternity hospital, and then in the third and fourth year. Vision checks are then recommended for school children, the working population, especially around the age of 40, when the well-known senile farsightedness begins, so “hands become shorter” .
This examination should not be performed in an optician’s office, which is a common practice in Serbia, because it is superficial and is reduced only to the determination of diopters, but in medical ophthalmological institutions where the examination is performed by a specialist ophthalmologist.
A complete ophthalmological examination includes:
- vision check (diopters),
- measuring eye pressure,
- examination of the front and back of the eye with dilated pupils.
During such an examination, an ophthalmologist can detect very insidious diseases:
- glaucoma – a disease of elevated eye pressure, which is often detected late, in the stage of severe vision and visual field damage that we can no longer treat (that’s why ophthalmologists call it the “silent killer of vision” ),
- Cataract (cataract) – occurs in middle and old age, a condition that leads to clouding of the lens, present in people 40+.
I have to mention a big misconception because patients often come to us late, with very hard cataracts with the belief that the cataract needs to mature in order to be operated on, which are outdated attitudes.
Today, we advise patients exactly the opposite – it is preferable to operate on cataracts in the initial stage.
That is why we recommend to patients after the age of 40 a complete ophthalmological examination once a year , in order to detect this condition in time and operate, with a quick recovery and a minimal risk of operative and postoperative complications.
After the age of 60, the so-called senile macular degeneration (yellow spots) – a disease of the central part of the retina (retina). These people should also undergo an eye examination once a year in order to detect and treat the disease in a timely manner, in order to prevent central blindness, i.e. loss of reading vision.
At the International Tourism Fair held in Belgrade in the period from 20-23.02. In 2025, the presence of the “Perfect Vision” Center for Laser Eye Surgery aroused the great interest of adults as well as children who patiently waited their turn and even more patiently listened to everything they needed to know about their vision, about the prevention of various diseases, wearing glasses if necessary.
Dr. Ivošević says that one of the primary tasks of health workers is preventive work to educate the population, which is one of the reasons for attending many public events. The tourist organization of the city of Subotica and “Perfect Vision” established a close cooperation with the aim of education, prevention, reminding of the need for each individual to take responsibility for their health.
The importance and need of preventive eye examinations is reflected in the possibility of detecting the first symptoms of some diseases, which allow to give guidelines for the next steps aimed at preserving and improving the health of the eyes through a more detailed insight into the individual health profile. “Prevention is half of health”, says the saying, which we often ignore, and changing bad habits is the mission of experts from the Center for Laser Eye Surgery “Perfect Vision” from Subotica.
Visitors to the fair had the opportunity to get the expert opinion of our ophthalmologist Dr. Jelena Todorović at the stand of the Tourism Organization of the city of Subotica, where we performed free vision tests.
We are happy to say that the reactions of those present were very positive and that there was a great interest in hearing all our advice and recommendations.
Under the slogan “For a better view of the wonders of the world”, we reminded you of the inseparable connection between travel and good eyesight.
We presented our team of 13 top experts and the most modern methods in the diagnosis and treatment of eye diseases, striving to provide patients in Serbia with the kind of health care they can get in the world’s leading ophthalmology centers. A top team of experts, modern equipment and competitive prices compared to the countries of the region are the reasons why patients come to us from all over Serbia, Europe and the world. The clinic also has two double suites for patients coming from other cities or countries. Cooperation with hotels in Subotica and Palić was also achieved, where the patients of “Perfect Vision” have certain benefits, thus combining the beautiful and the useful.
We are improving our work to provide you with an even better service!
We attended the Business Stories conference , one of the most important events for business leaders and entrepreneurs in the region, held in Novi Sad from 2-3. April 2025 .
This conference was an excellent opportunity to exchange experiences and ideas with representatives of various industries, as well as to explore new business strategies. We are glad that we had the opportunity to learn from other leaders, but also to share our experiences. All our insights and advice we received help us improve our work and, of course, provide even better service to our patients.
“Investment in expertise, technology and innovation are the key to growth and progress – both in medicine and in any business,” said Dr. Branka Ivošević and added that the mission of the Perfect Vision team is to always be one step ahead in terms of service quality and innovation.
As leaders in the field of eye surgery, we are aware that the world is changing and that continuous improvement is the key to maintaining high standards in the medical industry. That is why we are constantly moving towards new technologies, as well as the latest approaches in medicine, which allow us to provide our patients with the most effective solutions.
And of course, our motto for this conference:
“Life without glasses – the best investment”
reminds all conference participants that, although they are in a constant race for business success, they should not forget about their health and eyesight. We believe that investing in eye health is equal to investing in a better and more productive life. If you want to reach your maximum potential, it is important to pay attention to the health of your eyes – because good vision contributes to better concentration, efficiency and everyday life.
We improve ourselves for our patients to provide them not only the best medical service, but also a personalized approach and the most modern technology. Our commitment is reflected in every aspect of our work, from the moment a patient makes an appointment, all the way to post-operative care.
A preventive examination is always a good decision.
We invite you not to wait until the last minute to take care of your vision. If you want to know more about the possibilities we offer you, scheduling an inspection is easy – call us at:
📞 060/55-75-753 or 024/45-45-000
and take the first step towards better eye health and a better quality of life!
We are proud to have participated in a conference that is the foundation for future business and professional success. Perfect Vision is committed to further development and improvement in order to provide you, our patients, with the best possible service and quality of vision.
State-of-the-art technology for flawless vision
In 2024, the Center for Laser Eye Surgery Perfect Vision took another technologically significant step forward by acquiring the most modern generation of apparatus for cataract surgery , the CENTURION VISION SYSTEM .
Continuous improvement and education, keeping pace with the latest technological advances in surgical ophthalmology, as well as an individual and personalized approach to each individual patient, are the guarantee of highly professional service and first-class results.
Modern cataract surgery, thanks to the CENTURION VISION SYSTEM , significantly improves the quality of your life. Perfect Vision puts at your disposal the latest technological innovations with which we ensure maximum precision and minimum invasiveness of cataract surgery – for a quick and successful recovery.
The device we have for cataract surgery is characterized by a mode of operation that is not present in any other similar device on the market.
One of the key reasons why our patients choose to undergo cataract surgery on this latest generation device is its efficiency and the ability to provide each patient with a personalized operation.
Active Sentry technology and intelligent intraocular pressure control allow the surgeon to adjust the speed and power during surgery, as well as continuous monitoring, so that the surgery is performed with exceptional precision, regardless of your age or cataract stage.
The surgeon can use different settings according to the specifics of each patient, which means that the operation can be adapted to your needs and the condition of the eye.
👉 For you, this means that cataract surgery is performed safely, with a reduced risk of complications. Your recovery is fast and your vision is crystal clear.
Surgery is not only a solution to cataracts – it is an opportunity to improve the quality of your vision and improve your daily life. Thanks to the most modern intraocular lenses, you have the opportunity to get rid of glasses or to improve vision at specific distances.
Our technology is tailored to your eyes and your lifestyle, giving you results that last.
This year, we were pleased to support the inspirational project “The Flower of Success for the Dragon Woman” , which is organized every year by the Association of Business Women of Serbia . Through our role as a friend of the project, we had the opportunity to witness the immense impact of this program on the community of business women.
The Association of Business Women of Serbia, dedicated to empowering women in the business world, created the “Flower of Success for the Dragon Woman” project as a platform that not only provides resources, but also builds bridges between women of different industries and backgrounds. Our support for this project was not only financial, but also an expression of our commitment to creating a stronger and more inclusive business community.
Although we were not direct participants this year, the feeling of pride for supporting such a project was not absent. Together with the Association of Business Women of Serbia, we shared a vision of strengthening the role of women in the business world and encouraged women to dream big. Our doctor Branka Ivošević is herself a member of this association. Our cooperation is a step towards creating a business world where women can grow together, get inspired and realize their professional dreams.
You can read more about this project on the UPŽ website:
https://poslovnezene.org.rs/cvet-uspeha-za-zenu-zmaja/
