Neo Glaucoma: Causes and Treatments Neo Glaucoma, also known as neovascular glaucoma, is characterized by the abnormal growth of blood vessels in the iris and around the drainage angle of the eye. These new vessels can block the normal flow of fluid, leading to increased intraocular pressure and potential vision loss.

Multiple underlying conditions such as diabetes, retinopathy, and ocular ischemic syndrome can contribute to the development of Neo Glaucoma. Identifying and addressing these causes are crucial in providing appropriate treatment.

When it comes to managing Neo Glaucoma, a multifaceted approach is often necessary. Treatment options range from medications such as eye drops and oral medications to surgical interventions like trabeculectomy and aqueous shunts. Innovations like neovascular glaucoma surgery have also emerged as effective methods.


Get Free Consultation

Please enable JavaScript in your browser to complete this form.
Step 1 of 4
Select Your Gender

ACIBADEM Health Point: The Future of Healthcare

We believe that everyone deserves access to quality healthcare, which is why we have established multiple branches in strategic locations. Whether you're in need of routine check-ups, specialized treatments, or emergency care, ACIBADEM Health Point is here for you.

Understanding the causes and treatment options for Neo Glaucoma is vital in ensuring the best possible outcomes for those affected. By exploring the intricacies of this condition and the advancements in managing it, you can make informed decisions about your eye health.

Understanding Neo Glaucoma

Neo glaucoma, also known as neovascular glaucoma, is a complex eye condition that requires a deep understanding of its underlying causes, symptoms, and the latest research developments. By gaining a comprehensive understanding of neo glaucoma, we can take crucial strides towards effective diagnosis and treatment.

Neovascular glaucoma, a primary subtype of neo glaucoma, occurs due to the abnormal growth of blood vessels on the iris and in the drainage angle of the eye. This increased vascularization can lead to elevated intraocular pressure and damage to the optic nerve, causing vision loss if left untreated.


ACIBADEM Health Point: Your Health is Our Priority!

ACIBADEM Health Point, we are dedicated to providing exceptional healthcare services to our patients. With a team of highly skilled medical professionals and state-of-the-art facilities, we strive to deliver the highest standard of care to improve the health and well-being of our patients. What sets ACIBADEM Health Point apart is our patient-centered approach. We prioritize your comfort, safety, and satisfaction throughout your healthcare journey. Our compassionate staff ensures that you receive personalized care tailored to your unique needs, making your experience with us as seamless and comfortable as possible.

New glaucoma research plays a vital role in advancing our understanding of neo glaucoma and enabling healthcare professionals to develop more effective treatment strategies. Scientists and researchers are continually exploring novel approaches, innovative technologies, and potential breakthroughs that could revolutionize the management of this condition.

Common Symptoms of Neo Glaucoma

Recognizing the symptoms associated with neo glaucoma is crucial for early detection and prompt treatment. While the specific symptoms may vary from person to person, common signs of neo glaucoma include:

  • Vision loss
  • Blurred vision
  • Persistent eye pain
  • Redness in the eye
  • Increase in the size of blood vessels in the white part of the eye
  • Halos around lights
  • Headaches
  • Eye discomfort or irritation
  • Gradual loss of peripheral vision

If you are experiencing any of these symptoms or have concerns about neo glaucoma, it is crucial to consult with an ophthalmologist for a comprehensive eye examination and accurate diagnosis. Early detection and intervention are key to preventing further vision loss and managing the condition effectively.

Neo Glaucoma Causes

Neo glaucoma, also known as neovascular glaucoma, is a serious eye condition that can lead to vision loss if left untreated. It is typically caused by the abnormal growth of blood vessels in the iris or angle of the eye, leading to increased intraocular pressure.

There are several underlying conditions and risk factors that can contribute to the development of neo glaucoma. One of the primary causes is diabetic retinopathy, a complication of diabetes that can damage the blood vessels in the retina and lead to the growth of abnormal blood vessels.

Other causes of neo glaucoma include:

  1. Retinal vein occlusion: A blockage in the veins that carry blood away from the retina, causing blood to leak into the surrounding tissues and triggering the growth of new blood vessels.
  2. Central retinal artery occlusion: A blockage in the main artery that supplies blood to the retina, leading to decreased blood flow and the development of new blood vessels.
  3. Carotid artery disease: A condition that affects the arteries in the neck, causing them to narrow and reducing blood flow to the eyes.
  4. Eye trauma: Severe injuries to the eye, such as a penetrating injury or blunt trauma, can disrupt normal blood flow and stimulate the formation of new blood vessels.
  5. Uveitis: Inflammation of the middle layer of the eye, known as the uvea, can trigger the growth of abnormal blood vessels.

It is important to note that not everyone with these underlying conditions or risk factors will develop neo glaucoma. However, individuals with these factors should be vigilant about regular eye examinations and proactive in managing their overall health to minimize the risk of developing this condition.

Preventing Neo Glaucoma

While it is not always possible to prevent neo glaucoma, there are steps individuals can take to reduce their risk:

  • Maintain a healthy lifestyle: Eating a balanced diet, exercising regularly, and managing conditions such as diabetes and high blood pressure can help reduce the risk of developing neo glaucoma.
  • Follow medication and treatment plans: If you have an underlying condition that increases the risk of neo glaucoma, it is crucial to adhere to your prescribed medications and treatment plans to minimize the chances of developing the condition.
  • Attend regular eye exams: Regular eye exams can help detect early signs of neo glaucoma and other eye conditions. Early diagnosis and intervention can significantly improve treatment outcomes.
Underlying Conditions Risk Factors
Diabetic retinopathy Age over 40
Retinal vein occlusion High blood pressure
Central retinal artery occlusion Smoking
Carotid artery disease Genetics
Eye trauma Previous eye surgery
Uveitis History of eye inflammation

Diagnosing Neo Glaucoma

When it comes to identifying and diagnosing neo glaucoma, healthcare professionals rely on a combination of careful observation, comprehensive eye exams, and specialized tests tailored to the specific needs of each patient. Recognizing the symptoms and signs of neovascular glaucoma is crucial in order to start appropriate treatment promptly.

Neo glaucoma is often characterized by a variety of symptoms that indicate the presence of abnormal blood vessel growth in the eye. Some common neovascular glaucoma symptoms include:

  • Severe eye pain – A persistent and intense pain in the affected eye.
  • Blurred or decreased vision – A noticeable decline in visual acuity or the ability to see clearly.
  • Redness or inflammation – The appearance of redness or inflammation in the eye, often accompanied by swelling.
  • Increased sensitivity to light – A heightened sensitivity to light, making it difficult to tolerate bright lights or glare.
  • Halos around lights – The perception of halos or colored circles around light sources.

In addition to these symptoms, healthcare professionals may also take into account various risk factors and medical history to make an accurate diagnosis. Conditions such as diabetes, age-related macular degeneration, and retinal vein occlusion are known to increase the risk of developing neo glaucoma.

During the diagnostic process, ophthalmologists may perform various tests to confirm the presence of neo glaucoma. These tests can include:

  1. Intraocular pressure measurement – The measurement of intraocular pressure using a tonometer to assess the fluid dynamics within the eye.
  2. Gonioscopy – A specialized examination that allows the ophthalmologist to visualize the drainage angle of the eye and detect any abnormalities.
  3. Funduscopy – A thorough examination of the back of the eye using an ophthalmoscope or a slit-lamp biomicroscope with a specialized lens.
  4. OCT angiography – A non-invasive imaging technique that allows for the visualization of blood vessels in the retina and optic nerve head, aiding in the detection of abnormal blood vessel growth.
  5. Fluorescein angiography – A diagnostic procedure that involves the injection of a fluorescent dye to assess blood flow and detect any leakage or blockage in the blood vessels of the eye.

By carefully considering the symptoms, risk factors, and results of these tests, healthcare professionals can make an accurate diagnosis of neo glaucoma and develop an appropriate treatment plan tailored to each patient’s unique needs. Early diagnosis is crucial in order to prevent further vision loss and preserve ocular health.

Test Purpose
Intraocular pressure measurement To assess fluid dynamics within the eye
Gonioscopy To visualize the drainage angle of the eye and detect abnormalities
Funduscopy To examine the back of the eye and detect any abnormalities
OCT angiography To visualize blood vessels in the retina and optic nerve head, aiding in the detection of abnormal blood vessel growth
Fluorescein angiography To assess blood flow and detect any leakage or blockage in the blood vessels of the eye

Neo Glaucoma Treatment Options

When it comes to managing neo glaucoma, a range of treatment options are available to help patients effectively control the condition. These options encompass both non-surgical and surgical interventions, tailored to the specific needs and requirements of each individual.

Medications for Neo Glaucoma

In many cases, neo glaucoma can be managed through the use of medications. These medications aim to reduce intraocular pressure, a key factor contributing to the progression of the condition. Eye drops are a common form of medication prescribed to patients and work by increasing fluid drainage or reducing fluid production in the eyes. In addition to eye drops, oral medications may also be prescribed to supplement the treatment plan.

Surgical Interventions for Neo Glaucoma

For more advanced cases of neo glaucoma or when medication alone is not sufficient, surgical interventions may be recommended. One such procedure is neovascular glaucoma surgery, which aims to alleviate intraocular pressure and improve fluid drainage in the eyes. This surgical technique has shown promising results in managing neo glaucoma and restoring visual function.

Other surgical options for treating neo glaucoma include:

  • Trabeculectomy: This procedure creates a new drainage channel to facilitate the outflow of fluid from the eyes.
  • Aqueous shunts: Implanting a small tube in the eye allows excess fluid to bypass the natural drainage system, reducing intraocular pressure.
  • Laser trabeculoplasty: By applying laser energy to the trabecular meshwork, the drainage capacity of the eyes can be improved.

Each surgical intervention carries its own benefits and considerations, and the choice of procedure will depend on various factors, including the patient’s overall health, the severity of the condition, and the ophthalmologist’s expertise.

Table: Comparing Neo Glaucoma Treatment Options:

| Treatment Option | Description |
|———————————|————————————————————–|
| Medications | Eye drops and oral medications to manage intraocular pressure |
Neovascular Glaucoma Surgery | Surgical procedure to alleviate intraocular pressure |
| Trabeculectomy | Creation of new drainage channel in the eye |
| Aqueous Shunts | Implanting a tube to bypass natural drainage system |
| Laser Trabeculoplasty | Laser energy to improve the drainage capacity of the eyes |

It is crucial for patients with neo glaucoma to consult with their ophthalmologist to determine the most suitable treatment approach. By understanding the available options and working closely with their healthcare team, individuals can effectively manage neo glaucoma and preserve their vision.

Medications for Neo Glaucoma

When it comes to treating neo glaucoma, there are several medications available that can help manage the condition and preserve vision. The choice of medication depends on the individual’s specific needs and the severity of their glaucoma.

1. Eye Drops

Eye drops are a common form of medication used to treat neo glaucoma. These drops work by reducing intraocular pressure, which is a key factor in glaucoma progression. There are various types of eye drops available, including prostaglandin analogs, beta-blockers, alpha agonists, and carbonic anhydrase inhibitors. Each type of eye drop works differently to lower intraocular pressure and slow down the progression of neo glaucoma.

It’s important to use eye drops as prescribed by your healthcare professional and to follow the instructions for proper administration. Consistency is crucial, and regular use of eye drops is essential to effectively manage neo glaucoma.

2. Oral Medications

In addition to eye drops, there are also oral medications that can be prescribed to individuals with neo glaucoma. These medications are typically used in combination with eye drops to help further reduce intraocular pressure.

Oral medications for neo glaucoma may include carbonic anhydrase inhibitors, beta-blockers, and alpha agonists. These medications work systemically to lower intraocular pressure and provide additional support in managing the condition.

3. Other Pharmaceutical Interventions

In some cases, more advanced pharmaceutical interventions may be necessary to effectively treat neo glaucoma. These interventions may include the use of intravenous medications or implantable devices.

Intravenous medications can be administered in a clinical setting and are reserved for severe cases of neo glaucoma where other treatments have been ineffective. Implantable devices, such as sustained-release drug delivery systems, can provide long-term drug release to help maintain optimal intraocular pressure.

It’s important to note that the choice of medication and pharmaceutical intervention will vary from person to person. The healthcare professional will determine the most appropriate treatment approach based on factors such as the individual’s overall health, the stage of neo glaucoma, and the desired treatment outcomes.

Medications for Neo Glaucoma

Medication Type Description
Eye Drops Topical medications applied directly to the eyes to reduce intraocular pressure
Prostaglandin Analog Eye drops that increase the outflow of fluid from the eyes
Beta-Blockers Eye drops that reduce the production of fluid in the eyes
Alpha Agonists Eye drops that decrease the production of fluid and increase fluid outflow
Carbonic Anhydrase Inhibitors Eye drops that reduce fluid production in the eyes
Oral Medications Systemic medications taken orally to lower intraocular pressure
Other Pharmaceutical Interventions Advanced interventions, such as intravenous medications and implantable devices, for severe cases

Surgical Interventions for Neo Glaucoma

When it comes to managing neo glaucoma, surgical interventions play a crucial role in controlling the progression of this complex eye condition. These procedures aim to reduce intraocular pressure and alleviate the symptoms associated with neo glaucoma. Let’s explore some of the commonly used surgical interventions:

Trabeculectomy

Trabeculectomy is a surgical procedure that involves creating a new drainage channel to help regulate the flow of aqueous humor in the eye. During the procedure, a small flap is created in the sclera to create an opening for fluid to drain out, reducing the pressure inside the eye. This procedure is often recommended when medications and other treatment options are not effectively managing intraocular pressure.

Aqueous Shunts

Aqueous shunts, also known as glaucoma drainage devices, are implantable devices that help facilitate the drainage of aqueous humor from the eye. These devices are placed in the eye to redirect the flow of fluid and maintain optimal intraocular pressure. Aqueous shunts are typically recommended for cases of neo glaucoma that are resistant to other treatment options.

Laser Trabeculoplasty

Laser trabeculoplasty is a minimally invasive procedure that involves using a laser to improve the drainage of fluid from the eye. During the procedure, laser energy is applied to the trabecular meshwork, which helps increase the outflow of aqueous humor. This procedure is often used in conjunction with other treatment modalities to lower intraocular pressure in cases of neo glaucoma.

Surgical interventions for neo glaucoma should only be considered after a thorough evaluation by an ophthalmologist and when conservative treatment measures have not provided adequate results. The choice of procedure depends on various factors, including the severity of the condition, overall eye health, and individual patient characteristics.

The Role of Acibadem Healthcare Group in Neo Glaucoma Treatment

Acibadem Healthcare Group has emerged as a leading name in the field of neo glaucoma treatment, offering innovative approaches and delivering successful outcomes to patients affected by this complex eye condition.

With a team of highly skilled ophthalmologists and state-of-the-art facilities, Acibadem Healthcare Group is committed to providing comprehensive care and cutting-edge treatments for neo glaucoma.

Recognizing that every patient’s needs are unique, Acibadem Healthcare Group employs a personalized approach to neo glaucoma treatment. By combining advanced diagnostics, evidence-based therapies, and a patient-centric mindset, they ensure the best possible outcomes for their patients.

One of the key strengths of Acibadem Healthcare Group is its commitment to staying at the forefront of medical advancements. Through ongoing research and collaboration with leading experts in the field, they continuously refine their treatment protocols and introduce new techniques to enhance patient care.

Moreover, Acibadem Healthcare Group understands the importance of multidisciplinary care in managing neo glaucoma. They work closely with other specialists, such as vascular surgeons and endocrinologists, to address the underlying causes of neovascular glaucoma effectively.

By offering a range of treatment options, including medications, laser procedures, and surgical interventions, Acibadem Healthcare Group tailors their approach to meet the individual needs of each patient. They prioritize patient education, ensuring that individuals receive thorough explanations of their condition and treatment options to make informed decisions about their care.

At Acibadem Healthcare Group, patient comfort and well-being are paramount. From the moment patients step through the doors, they are greeted with a warm and supportive environment, where compassionate care and exceptional medical expertise converge.

Acibadem Healthcare Group is dedicated to making a difference in the lives of individuals with neo glaucoma. Through their commitment to excellence, innovative practices, and holistic care, they continue to transform the landscape of neo glaucoma treatment.

Managing Neo Glaucoma: Lifestyle Changes and Prevention

When it comes to managing neo glaucoma, making certain lifestyle changes can play a significant role in preventing the progression of this complex eye condition. By adopting healthy habits and practices, individuals can reduce their risk of complications and improve their overall eye health.

1. Maintain a Balanced Diet

Eating a balanced diet rich in antioxidants, vitamins, and minerals is essential for promoting eye health and preventing neo glaucoma. Incorporate foods such as leafy green vegetables, citrus fruits, and omega-3 fatty acids found in fish into your meals. These nutrients can help reduce inflammation and protect the delicate structures within the eye.

2. Exercise Regularly

Engaging in regular physical activity, such as walking, swimming, or cycling, can enhance blood circulation throughout the body, including the eyes. This increased circulation helps deliver essential nutrients and oxygen to the eye tissues, promoting their overall health and function.

3. Protect Your Eyes from Harmful UV Rays

Exposure to ultraviolet (UV) radiation can increase the risk of developing eye conditions, including neo glaucoma. When spending time outdoors, wear sunglasses with UV protection and a wide-brimmed hat to shield your eyes from harmful rays.

4. Practice Good Eye Hygiene

Maintaining good eye hygiene is crucial for preventing neo glaucoma. Avoid rubbing your eyes vigorously, as this can lead to increased eye pressure. Additionally, be mindful of using digital devices or reading for extended periods. Take regular breaks to rest your eyes and reduce strain.

5. Control Chronic Conditions

Chronic medical conditions, such as diabetes and hypertension, can increase the risk of developing neo glaucoma. It is important to work closely with your healthcare provider to manage these conditions effectively through medication, regular check-ups, and a healthy lifestyle.

6. Regular Eye Exams and Early Detection

Regular eye exams are essential for early detection and prevention of neo glaucoma. These exams allow healthcare professionals to monitor the health of your eyes, identify any changes, and intervene promptly. Early detection and timely treatment can help prevent complications and preserve vision.

By incorporating these lifestyle changes and being proactive in caring for your eye health, you can significantly reduce the risk of neo glaucoma progression and improve your overall well-being.

Living with Neo Glaucoma: Coping Strategies and Support

Being diagnosed with neo glaucoma can be challenging, but there are strategies and support options available to help individuals navigate this condition and lead fulfilling lives. From emotional well-being to adaptive technologies and support groups, here are some resources to consider:

1. Emotional Support:

Living with neo glaucoma can be emotionally demanding. It’s essential to seek emotional support from friends, family, and mental health professionals who can provide a safe space to share your feelings and experiences. Connecting with others who also have neo glaucoma can be particularly beneficial.

2. Adaptive Technologies:

Various adaptive technologies are available to help individuals with neo glaucoma overcome daily challenges. These technologies range from magnifiers and high-contrast displays for reading to voice-activated devices and smartphone apps designed to assist with everyday tasks.

3. Vision Rehabilitation Services:

Vision rehabilitation services offer specialized training and support to enhance independence and quality of life for individuals with vision loss. These services can provide training in orientation and mobility, assistive technology, and activities of daily living to help individuals adapt and thrive despite their visual impairments.

4. Support Groups:

Joining a support group specifically for individuals with neo glaucoma can be incredibly valuable. These groups offer a sense of community, provide a platform to share experiences and advice, and offer emotional support from others who genuinely understand the challenges and triumphs of living with this condition.

Remember, living with neo glaucoma is a journey, and it’s important to take care of both your physical and emotional well-being. By utilizing these coping strategies and support resources, individuals can enhance their quality of life and find resilience in the face of neo glaucoma.

Future Directions in Neo Glaucoma Research

As the field of ophthalmology continues to advance, ongoing research is crucial for developing new and effective treatments for neo glaucoma. Scientists and researchers are tirelessly working towards understanding this complex eye condition better and exploring innovative modalities to enhance patient outcomes.

Emerging Treatment Modalities

One area of focus in neo glaucoma research is the development of emerging treatment modalities. These modalities aim to target the underlying causes of neo glaucoma and provide more targeted therapies. Some exciting advancements include:

  • Gene therapy: Researchers are exploring the potential of gene therapy to address specific genetic factors that contribute to the development of neo glaucoma.
  • Cell-based therapies: Stem cell research shows promise in regenerating damaged optic nerve cells and potentially restoring vision in neo glaucoma patients.
  • Neuroprotection: Investigating neuroprotective agents and drugs to preserve and protect the optic nerve, reducing the progression of neo glaucoma.

Cutting-Edge Technologies

Advancements in technology play a vital role in enhancing the diagnosis and management of neo glaucoma. Researchers are exploring various cutting-edge technologies to improve patient outcomes:

  • Ocular imaging: High-resolution imaging techniques, such as optical coherence tomography (OCT), provide detailed information about retinal and optic nerve structures, aiding in early detection and monitoring of neo glaucoma.
  • Artificial intelligence (AI): AI algorithms are being developed to analyze large datasets, identify patterns, and provide accurate predictions for better prognosis and treatment planning.
  • Minimally invasive surgical techniques: Researchers are investigating advanced surgical approaches, such as minimally invasive glaucoma surgery (MIGS), to minimize complications and improve patient comfort and outcomes.

Potential Breakthroughs

While there is still much to learn about neo glaucoma, researchers are actively exploring potential breakthroughs that could revolutionize our understanding and treatment of this condition:

  • Genomic studies: Advancements in genomic research may uncover new genetic markers and pathways associated with neo glaucoma, leading to more targeted therapies.
  • Bioengineering: The application of bioengineering principles may result in the development of innovative implants and drug delivery systems for precise and sustained treatment of neo glaucoma.
  • Personalized medicine: With a deeper understanding of individual patient factors, including genetics and lifestyle, personalized medicine approaches could optimize treatment plans and improve outcomes.

By investing in these future directions, the scientific community is paving the way for improved therapies and a brighter future for individuals living with neo glaucoma.

Advancements in Neo Glaucoma Research Significance
Gene therapy Potential to target specific genetic factors and halt disease progression
Cell-based therapies Potential for regeneration of damaged optic nerve cells
Neuroprotection Preservation and protection of optic nerve, reducing disease progression
Ocular imaging Precise and early detection of structural changes in the eye
Artificial Intelligence (AI) Accurate data analysis and predictions for better treatment planning
Minimally invasive surgical techniques Reduced complications and improved patient comfort
Genomic studies Potential discovery of new genetic markers and pathways
Bioengineering Innovative implants and drug delivery systems for targeted treatment
Personalized medicine Optimized treatment plans based on individual patient factors

Conclusion and Key Takeaways

In conclusion, managing neo glaucoma requires early diagnosis, comprehensive treatment, and ongoing research. Understanding the causes, symptoms, and risk factors of neovascular glaucoma is crucial for timely intervention. The Acibadem Healthcare Group is at the forefront of innovative treatment approaches, including neovascular glaucoma surgery, to provide effective care for patients.

Prevention and lifestyle changes play a significant role in managing neo glaucoma. Regular eye exams can detect early signs of the condition, allowing for prompt treatment and prevention of complications. Additionally, adopting healthy habits and engaging in support groups can help individuals cope with the challenges of living with neo glaucoma.

As research advances, future breakthroughs and emerging treatment modalities hold promise for improved outcomes. Continued exploration of new glaucoma research is essential in uncovering novel approaches and technologies that can enhance the management of neo glaucoma.

FAQ

What is neo glaucoma?

Neo glaucoma, also known as neovascular glaucoma, is a form of glaucoma that occurs as a result of abnormal blood vessel growth in the eye. This can lead to increased eye pressure and damage to the optic nerve, ultimately causing vision loss if left untreated.

What are the causes of neo glaucoma?

Neo glaucoma is primarily caused by diseases or conditions that result in the growth of abnormal blood vessels in the eye. These conditions include diabetic retinopathy, retinal vein occlusion, and ocular ischemic syndrome.

What are the symptoms of neo glaucoma?

Symptoms of neo glaucoma can include severe eye pain, blurred vision, redness, and increased sensitivity to light. In some cases, individuals may also experience a sudden loss of vision.


ACIBADEM Healthcare Group Hospitals and Clinics

With a network of hospitals and clinics across 5 countries, including 40 hospitalsACIBADEM Healthcare Group has a global presence that allows us to provide comprehensive healthcare services to patients from around the world. With over 25,000 dedicated employees, we have the expertise and resources to deliver unparalleled healthcare experiences. Our mission is to ensure that each patient receives the best possible care, supported by our commitment to healthcare excellence and international healthcare standards. Ready to take the first step towards a healthier future? Contact us now to schedule your Free Consultation Health session. Our friendly team is eager to assist you and provide the guidance you need to make informed decisions about your well-being. Click To Call Now !

*The information on our website is not intended to direct people to diagnosis and treatment. Do not carry out all your diagnosis and treatment procedures without consulting your doctor. The contents do not contain information about the therapeutic health services of ACIBADEM Health Group.