Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":680,"price_to":1290,"currency":"USD","id":60012},"diagnostic":{"id":287,"name":"造影MRI検査","alias":"mri-of-the-brain-with-contrast-medium"}},{"prices":{"price_from":640,"price_to":640,"currency":"USD","id":64497},"diagnostic":{"id":453,"name":"MRI検査結果の見直し","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"ルベル・インターナショナル病院","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":101},"doctors":{"doctors":[{"doctor":{"id":18536,"alias":"guadalupe-garrido-ceca","name":"Guadalupe Garrido Ceca","clinic_id":8570,"photo":"doctor/6aaa015fc7159","first_year_working":0,"created_at":"2026-09-16T02:39:25.364+00:00","short_description":"グアダルーペ・ガリード・セカ医師は、マドリードのプブリオ・コルドン記念病院の眼科医です。緑内障および白内障の手術を担当しています。ガリード・セカ医師が勤務する施設は、米国等の安全・品質基準を満たす国際医療機能評価機関（JCI）の認証を受けています。同クリニックは、100名以上の医師が在籍するスペインの医療ネットワークに属しています。
","specialities":[{"id":"pht.001","name":"Ophtalmologist","illness_kind_id":15}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8570,"alias":"publio-cordon-memorial-hospital","name":"Publio Cordón Memorial Hospital","short_description":"プブリオ・コルドン記念病院（Publio Cordón Memorial Hospital）は、スペインのマドリードにある多専門診療センターです。循環器科、脳神経外科、腫瘍科を専門としています。2005年の設立以来、6つの診療科に110名以上の医師が在籍しており、1億ユーロを超える投資が行われてきました。また、最新鋭の外科手術支援ロボット「ダヴィンチ5」を導入している数少ない医療機関の一つです。
当院はJCI、ESHRE、FACSの認定を取得しています。ハイブリッド手術室を備え、複雑な心血管系手術にも対応可能です。当院の外科医は、ロボット支援による膝関節置換術を同院で初めて執刀しました。その他、ガリウム68を用いたPET-CT検査や、3D顎顔面計画などの先進技術も導入しています。また、海外からお越しの患者様には、医療ビザの申請サポート、宿泊施設の手配、空港送迎などのサービスを提供しています。
","images":[{"base_url":"clinic/6aa9fb2618d55","title":"Reception desk at Publio Cordón Memorial Hospital with staff assisting patient"},{"base_url":"clinic/6aa9fb27b15f9","title":"Doctors reviewing endoscopy and colonoscopy results at Publio Cordón Memorial Hospital"},{"base_url":"clinic/6aa9fb296bbe2","title":"Doctors discussing radiology scans at Publio Cordón Memorial Hospital meeting room"},{"base_url":"clinic/6aa9fb2b71fa4","title":"Linear accelerator for radiotherapy at Publio Cordón Memorial Hospital"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"P.º de la Casa de Campo, 5 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":114,"year_foundation":2005},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bd0f432af.jpeg","name":"ヨーロッパ人間生殖・胚移植学会","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"フェロー、American College of Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"アメリカ形成外科学会","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[{"id":9068,"user":{"id":79803,"name":"Наталия Хорошайлова ","country_code":"DE","country_name":{"jp":"ドイツ","en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"jp":"私たちはこのネットワークのクリニックの一つであるデクセウス病院で検査を受けました。Bookimedの医療コーディネーターの方々には、そこでの相談の手配を助けていただき、心より感謝しています。私たちは非常に困難な眼科の問題を抱えており、何年も解決しようと試みてきました。様々な国を訪れ、ドイツの大規模な大学病院で非常に経験豊富な医師の方々に相談しました。しかし、残念ながらこれまで誰もこのような状況に直面したことがなく、問題解決のための効果的な治療を提供することはできませんでした。しかし、デクセウス病院に来たことで、非常に高い専門知識を持つ相談を受け、精密な検査を実施し、息子のような難しい目のアレルギーを過去に成功裏に治療した経験を持つ最高レベルの専門家、ベルゲス博士のおかげで回復の希望を持つことができました。このネットワークのクリニックは、非常に現代的な検査のアプローチ、高い専門家のレベル、最先端の設備で私たちを驚かせました。有名なドイツのクリニックに全く劣っていません。これからは友人や知人にもこのクリニックを推薦するつもりです。","en":"We were examined in one of the clinics of this network - the Dexeus hospital. I am very grateful to the medical coordinators of Bookimed for their help in organizing the consultation there. We have a very complex ophthalmological problem that we have been trying to solve for many years. We traveled to different countries, consulted with very experienced doctors in the largest university clinics in Germany. But unfortunately, none of them had encountered similar situations before and could not prescribe us an effective treatment to solve the problem. And when we arrived at the Dexeus hospital, we were able to get a very highly qualified consultation, conduct serious examinations, and now we have hope for a recovery, thanks to the highest-level specialist Dr. Verges, who turned out to be the first doctor who successfully treated previously such complex types of eye allergies as my son had. The clinic of this network pleasantly surprised us with the most modern approach to examinations, a high level of specialists and cutting-edge equipment. Absolutely not inferior to well-known German clinics. We will now recommend her to our friends and family."},"order":{"diagnostic":{"id":182,"name":{"jp":"眼科検査","en":"Consultation with an ophthalmologist"}}},"doctor_info":{"id":866,"name":"Alberto Diez-Caballero Alonso","alias":"alberto-diaz-caballero-alonso"},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-06-07T08:06:24.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"大変満足しています！ウラジーミル、オスタップ、そしてマルガリータのスタッフの皆様に心より感謝申し上げます。彼らのおかげで、私たちの検査は非常に効果的かつ快適に進みました。","en":"Very pleased! Many thanks to the staff Vladimir, Ostap and Margarita. Thanks to them, our examinations were as efficient and comfortable as possible."},"summary":{"positive":{"jp":"最高レベルの専門医であるベルジス医師のおかげで、回復の希望があります。","en":"\"We have hope for a recovery, thanks to the highest-level specialist Dr. Verges.\""}}},{"id":19649,"user":{"id":802740,"name":"Hosseni ","country_code":"GB","country_name":{"jp":"イギリス","en":"United Kingdom"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"カミラ先生は素晴らしい眼科医で、プロフェッショナルに問題を解決してくれました。\n私は世界中の患者さんに、最高の治療を受けるためにこの病院に行くことをお勧めします。\nまた、What's upコーディネーターの方も素晴らしい方で、適切な医師を探すのに本当に役立ちました。本当に感謝しています、\nどんな病気でも、他で時間を無駄にせず、この病院を紹介してください。","en":"It was amazing to meet top doctors there and I am so happy with doctor Camilla who is fantastic ophthalmologist and solved the problem professionally. \nI definitely recommend all patients from tire of the world to go there for best treatment. \nAlso the what’s up coordinator was amazing person who really helped us to find right doctor. I really appreciate it 🙏, \nPlease do not waste your time somewhere else and refer to this hospital for any disease ."},"order":{"diagnostic":{"id":182,"name":{"jp":"眼科検査","en":"Consultation with an ophthalmologist"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-04-24T19:23:02.180+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/680beef5e3d28_b.jpeg","preview_url":"review/680beef5e3d28_s.jpeg"}],"client_response":{"preview_to_review_text":{"jp":"カミラ先生は素晴らしい眼科医で、プロフェッショナルに問題を解決してくれました。\n私は世界中の患者さんに、最高の治療を受けるためにこの病院に行くことをお勧めします。\nまた、What's upコーディネーターの方も素晴らしい方で、適切な医師を探すのに本当に役立ちました。本当に感謝しています、\nどんな病気でも、他で時間を無駄にせず、この病院を紹介してください。","en":"It was amazing to meet top doctors there and I am so happy with doctor Camilla who is fantastic ophthalmologist and solved the problem professionally. \nI definitely recommend all patients from tire of the world to go there for best treatment. \nAlso the what’s up coordinator was amazing person who really helped us to find right doctor. I really appreciate it 🙏, \nPlease do not waste your time somewhere else and refer to this hospital for any disease ."},"what_like_text":{"jp":"どうしたコーディネーターとアシスタントシップを持つドクター","en":"What’s up coordinator and doctor with his assistantships"},"what_not_like_text":{"jp":"違う","en":"Non"}},"comment_about_bookimed":{"jp":"患者との連携は素晴らしい","en":"It’s great coordination with patients"},"summary":{"positive":{"jp":"私は、世界の[part]のすべての患者に、最高の治療を受けるためにそこに行くことを強くお勧めします。","en":"I definitely recommend all patients from [part] of the world to go there for best treatment."}}},{"id":24124,"user":{"id":912170,"name":"John Xuereb","country_code":"MT"},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"全体的な経験は非常に優れており、通訳者も大変わかりやすく説明してくださいました。また、メールや電話でのやり取りも丁寧でした。術後のフォローアップについてはまだ経験していないためコメントできませんが、サービスおよび手術については完全に満足しております。ありがとうございました。","en":"The overall experience was excellent the translator was very informative as well as the contacs via email or phone, I can't comment about the follow ups because I have yet to experience one, anyway I am completely satisfied about the service and the surgery, thank you."},"order":{"operation":{"id":487,"name":{"jp":"硝子体手術","en":"Vitrectomy"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-03-02T12:41:00.140+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"前述の通り、全体的なサービスは非常に優れていました。","en":"As I said before the overall service was excellent."},"summary":{"positive":{"jp":"サービスと手術について、完全に満足しております。ありがとうございます。","en":"I am completely satisfied about the service and the surgery, thank you."}}},{"id":10333,"user":{"id":375763,"name":"Joanne ","country_code":"KE"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":3}],"text":{"jp":"彼らは非常に一貫しており、組織的な素晴らしい人々です。私たちは治療の各ステップを楽しみ、医師たちは非常に親切です。このプラットフォームを誰にでもお勧めします。","en":"They are great people who are very consistent and organised.we enjoyed every treatment step n the doctors are super lind.i would recommend this platform to anyo one."},"order":{"illness":{"id":15,"name":{"jp":"緑内障","en":"Glaucoma"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-01-19T10:19:36.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"jp":"このプラットフォームをどなたにもお勧めいたします。","en":"I would recommend this platform to anyone."}}},{"id":7878,"user":{"id":268642,"name":"Денис ","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":1},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"jp":"素晴らしいクリニックと医師です！","en":"Great clinic and doctors!"},"order":{"illness":{"id":106,"name":{"jp":"斜視","en":"Strabismus"}}},"clinic_info":{"id":272,"name":"SJD Barcelona Children’s Hospital","alias":"sant-joan-de-déu-–-barcelona-children’s-hospital","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2021-10-04T11:18:10.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"jp":"はい","en":"Yes"}},{"id":23568,"user":{"id":964054,"name":"Sarah ","country_code":"FR","country_name":{"jp":"フランス","en":"France"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":4},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"jp":"スタッフは親切で気配りが行き届き、フレンドリーで温かく迎えてくれます。クリニックはとても清潔です。 \n基本価格が5000ユーロから8000ユーロだったのに対し、追加検査は150ユーロだけだったのに、驚いたことに9750ユーロを請求されました。1650ユーロもの差があります。左目の白内障手術を希望したところ、5610ユーロの見積もりが出されましたが、 しかし、すでに9750ユーロを支払っていることを考えると、これは過剰だと感じました。それ以外は、特にスタッフの方々は完璧でした。","en":"Attentive and caring staff, friendly and welcoming, very clean clinic. \nThere was a significant difference between the base price, which was between €5,000 and €8,000, and the only additional examination, which was €150. To our surprise, we were asked to pay €9,750, which is a difference of €1,650. I wanted to have cataract surgery on my left eye and was given a quote of €5,610, which I found excessive given that I had already paid €9,750. Otherwise, everything was perfect, especially the staff."},"order":{"operation":{"id":487,"name":{"jp":"硝子体手術","en":"Vitrectomy"}}},"clinic_info":{"id":78,"name":"Centro Médico Teknon","alias":"teknon-medical-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-01-24T14:24:07.118+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"jp":"スタッフは親切で気配りが行き届き、フレンドリーで温かく迎えてくれます。クリニックはとても清潔です。 \n基本価格が5000ユーロから8000ユーロだったのに対し、追加検査は150ユーロだけだったのに、驚いたことに9750ユーロを請求されました。1650ユーロもの差があります。左目の白内障手術を希望したところ、5610ユーロの見積もりが出されましたが、 しかし、すでに9750ユーロを支払っていることを考えると、これは過剰だと感じました。それ以外は、特にスタッフの方々は完璧でした。","en":"Attentive and caring staff, friendly and welcoming, very clean clinic. \nThere was a significant difference between the base price, which was between €5,000 and €8,000, and the only additional examination, which was €150. To our surprise, we were asked to pay €9,750, which is a difference of €1,650. I wanted to have cataract surgery on my left eye and was given a quote of €5,610, which I found excessive given that I had already paid €9,750. 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hours to days; serious complications under 1%."},"contraindications":["Angle-closure or narrow, closable angles","Neovascular glaucoma","Uncontrolled active eye inflammation or infection","Corneal opacity preventing angle view","Inability to cooperate with laser positioning","Advanced glaucoma needing very low target pressure"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient laser; patient leaves within about an hour."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity next day; strenuous exercise after mild irritation settles."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Pressure-lowering effect develops over 4-12 weeks; judged at follow-up pressure checks."},"fly_home_after_days":{"min":1,"max":2,"unit":"days","qualifier":"After next-day pressure check confirms no spike; surgeon clearance."},"follow_up_visits":[{"purpose":"assessment","after":{"min":0,"max":1,"unit":"days","qualifier":"Pressure check within hours or next day"},"requirement":"routine"},{"purpose":"result_review","after":{"min":28,"max":42,"unit":"days","qualifier":"Pressure response assessment; may be done by home ophthalmologist"},"requirement":"routine"}],"indications":["Primary open-angle glaucoma","Ocular hypertension with high risk of optic nerve damage","Secondary open-angle glaucomas (pseudoexfoliative, pigmentary)","Open-angle glaucoma with poor drop tolerance or adherence","Open-angle glaucoma progressing despite drops"],"main_risks":["Temporary pressure spike","Transient eye inflammation","Mild discomfort or light sensitivity","Blurred vision for hours","Peripheral anterior synechiae (rare)","Corneal edema or macular edema (rare)"],"pain":"Mild; brief aching or light sensitivity after laser, usually relieved by simple analgesics or none. Procedure itself is nearly painless under numbing drops.","preparation":["Bring visual field, OCT and pressure records","Continue glaucoma drops unless advised otherwise","Pre-procedure eye exam with gonioscopy","Pressure-lowering drop before laser","Arrange transport home"],"recovery_timeline":[{"phase":"First day","description":"Mild blur, light sensitivity or aching; anti-inflammatory drops possibly used.","restrictions":["Avoid driving until vision clears"]},{"phase":"Days 2-7","description":"Eye comfort returns to normal and routine activities resume.","restrictions":["Avoid eye rubbing","Avoid strenuous exercise initially"]},{"phase":"Weeks 4-12","description":"Pressure-lowering effect becomes established and is reviewed.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":2,"unit":"days","qualifier":"Time until blur and light sensitivity settle and normal activity resumes."},"result_longevity":"Pressure-lowering effect typically lasts about 1-5 years and fades gradually. Treatment can often be repeated.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat laser or added surgery within about 2 years for insufficient pressure response."},"scars":"No visible scarring; laser treatment leaves no external scar or incision.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One session per eye; second only if pressure response is insufficient."},"stages":[{"code":"laser_treatment","label":"Selective laser trabeculoplasty","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day as consultation"}},{"code":"response_review","label":"Pressure response review","after":{"min":28,"max":42,"unit":"days","qualifier":"Effect assessed before any repeat"}}],"qualifier":"Usually a single laser session per eye."},"success":{"metric":"Intraocular pressure reduction after selective laser trabeculoplasty","value":25,"unit":"percent reduction from baseline","horizon":"6-12 months","population":"Adults with open-angle glaucoma or ocular hypertension","evidence_status":"proven"},"techniques":[{"name":"Topical intraocular pressure-lowering eye drops","suits_whom":"Usual first-line option for most open-angle glaucoma and ocular hypertension.","recovery":"No recovery period; ongoing daily use with periodic monitoring."},{"name":"Laser trabeculoplasty (SLT/ALT)","suits_whom":"Open-angle glaucoma as initial or add-on therapy, or when drop adherence or tolerance is poor.","recovery":"Brief outpatient procedure; most return to usual activities within a day or two."},{"name":"Laser peripheral iridotomy","suits_whom":"Primary angle-closure suspects and angle-closure glaucoma.","recovery":"Outpatient; minimal downtime."},{"name":"Trabeculectomy or tube shunt surgery","suits_whom":"Advanced or uncontrolled glaucoma not adequately managed with drops or laser.","recovery":"Several weeks of gradual recovery with frequent postoperative checks."},{"name":"Minimally invasive glaucoma surgery (MIGS)","suits_whom":"Mild to moderate glaucoma, often combined with cataract surgery.","recovery":"Usually faster than traditional filtering surgery."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Laser time per eye is minutes; includes numbing drops and positioning."},"initial_assessment_documents":["Visual field test report","Optic nerve OCT report","Gonioscopy or angle assessment report","List of current glaucoma eye drops","Recent ophthalmologist report with diagnosis"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Laser or MIGS usually fits one 3-7 day trip; filtering surgery needs 2-4 weeks of checks, often a follow-up visit."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check where follow-up care is scheduled, and whether it is at the procedure facility","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check the surgeon's own expertise with the glaucoma operation offered; outcomes may depend on it","scope":"procedure","source":{"url":"https://aao.org/eyenet/article/enduring-role-of-traditional-glaucoma-surgery-2","host":"aao.org","quote":"And we're such individualists, and very particular about our techniques, that even if you standardize a procedure, the best outcome might be achieved when the surgeon has developed as his or her own expertise.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check whether the eye doctor explains if surgery suits you and which type would be best","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/24873-glaucoma-surgery","host":"my.clevelandclinic.org","quote":"Your eye care provider will talk with you about whether surgery is a good idea for you and which type would be best.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Be wary of any offer that seems too good to be true","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/tourism","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Discharge, oozing or bleeding from the eye","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/trabeculectomy","host":"my.clevelandclinic.org","quote":"Discharge, oozing or bleeding from your eye.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Operated eye becoming increasingly red or painful","urgency":"contact_clinic","general":false,"source":{"url":"https://dchft.nhs.uk/leaflets/minimally-invasive-glaucoma-surgery-migs-devices-istent-inject-and-hydrus-microstent/","host":"dchft.nhs.uk","quote":"Your operated eye becomes increasingly red or painful.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sharp eye pressure rise making you feel sick","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthdirect.gov.au/amp/article/surgery/glaucoma-surgery","host":"healthdirect.gov.au","quote":"Sharp rise in eye pressure, making you feel sick, and causing pain and headaches.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor the follow-up and call-back instructions","document":"written aftercare plan","source":{"url":"https://my.clevelandclinic.org/health/treatments/24873-glaucoma-surgery","host":"my.clevelandclinic.org","quote":"Your surgeon will send you home with directions on when to call and when to see them for follow-up appointments.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your natural lens may be involved in your eye pressure","name":"Cataract 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