Subspecialist ophthalmologist · Quetzaltenango
José Arturo
Gramajo.
Anterior Segment & Refractive Surgery
Thousands of surgeries. Zero shortcuts.
Specialties
Three fronts. One standard.
Scroll to explore the eye ↓
01 · Crystalline lens
Premium Cataract
Cataract surgery with femtosecond laser and premium intraocular lenses — multifocal, trifocal, and toric — to minimize dependence on glasses after surgery. Every toric lens is aligned with computer vision. Measurable precision, recovery in days.
02 · Cornea
Cornea
Advanced diagnosis and treatment of keratoconus and corneal disease: specialized transplants, CAIRS intracorneal segments, and crosslinking. The technique your cornea needs — not just the one available.
03 · Corneal surface
Refractive Surgery
Living without glasses is possible when the right eye meets the right procedure. CLEAR, PresbyMax, Femto LASIK, TransPRK, and ICL: the full spectrum. The procedure is chosen for your eye — never the other way around.
Philosophy
Doing things right isn't the goal. It's the starting point.
Every surgery is planned as if it were one of a kind — because for the patient, it is. A complete study of each case, the right technique for each eye, and real accompaniment before, during, and after.
With responsibility. With honesty.
Experience isn't claimed. It's proven.
ExperienceTraining
Medicine
Universidad Francisco Marroquín
Ophthalmology
Universidad Francisco Marroquín · Instituto de Ciencias de la Visión
Anterior Segment Fellowship
Universidad Galileo
Master's · Clinical Methodology in Refractive, Cataract and Corneal Surgery
Universidad Miguel Hernández
Clinical training in Cornea
Instituto de Córnea
Training · Femtosecond laser
Ziemer Ophthalmic Systems
In-house technology
ToricAR.
Born in an operating room in Quetzaltenango.
A toric lens corrects astigmatism only if it is aligned with degree-level precision. For decades, that alignment depended on manual ink marks on the eye or on closed systems found in very few operating rooms.
ToricAR is an alignment system powered by computer vision and artificial intelligence, developed at CentroVisión: real-time digital guidance, in seconds, wirelessly.
In active clinical use, in every toric lens surgery. A tool found in very few operating rooms in the world — and this one was born here.
From the 502 to the world of ophthalmology.
Discover ToricARTechnology
An international-grade operating room.
In western Guatemala — including technology developed right here.
Cataract suite
Femtosecond laser cataract surgery: incisions and capsulotomies with micron precision, and the capability to resolve highly complex cases.
Refractive suite
Femto LASIK, PresbyMax for presbyopia, and surface TransPRK. Every ablation profile is planned and rehearsed digitally with ForeSight: a virtual replica of your cornea shows the expected result before entering the operating room.
CLEAR
The evolution of refractive surgery: a femtosecond laser sculpts and extracts a microscopic lenticule — no flap, no blade, recovery in days.
Specialized transplants
No two corneal transplants are alike — and neither are the eyes that need them. Every case is studied to choose the right technique — DSAEK, CAIRS, or crosslinking — replacing only what needs to be replaced.
The difference
See it for yourself
This is how a patient sees before surgery — drag to see the after.
Is this how you see? Let's schedule an evaluation.
Testimonials
What patients say
“I saw three ophthalmologists before. Dr. Gramajo was the first to be completely honest with me about my case. He operated and the results exceeded my expectations.”
“My case was complicated and other doctors preferred not to operate. Dr. Gramajo studied it in depth, explained the risks clearly, and accepted. Today I see better.”
“My prescription kept me from playing sports. I had CLEAR: painless, with a very fast recovery. I'm grateful to Dr. Gramajo — very professional and always open to answering my questions.”
“I saw three ophthalmologists before. Dr. Gramajo was the first to be completely honest with me about my case. He operated and the results exceeded my expectations.”
“My case was complicated and other doctors preferred not to operate. Dr. Gramajo studied it in depth, explained the risks clearly, and accepted. Today I see better.”
“My prescription kept me from playing sports. I had CLEAR: painless, with a very fast recovery. I'm grateful to Dr. Gramajo — very professional and always open to answering my questions.”
What to expect
Let's be clear.
The questions every patient brings to the consultation — answered before you ask.
01Does the surgery hurt?
No. It is performed with anesthetic drops and, when the case requires it, light sedation. What's normal: mild pressure for a few minutes and a gritty sensation for the first 24–48 hours, depending on the procedure.
02How long does the procedure take?
Most take between 10 and 30 minutes per eye. It's outpatient: you go home the same day, no hospitalization.
03When will I see well again?
It depends on the procedure: with cataract surgery and CLEAR, useful vision usually returns within days; with surface techniques like TransPRK, days to weeks. At your evaluation you'll learn what to expect in your case, week by week.
04What if my case is complicated?
Highly complex cases are part of a subspecialist's daily work. Every surgery is planned with a primary scenario and backup plans — and Dr. Gramajo personally accompanies you before, during, and after.
05Am I a candidate for surgery?
Not every eye is a candidate for every procedure — that's why the complete evaluation is the first step. If your eye isn't a candidate, you'll be told why and what alternatives exist.
06How much does it cost?
It depends — and that's an advantage. You are not offered the only technique available, but the right one for your eye from the full spectrum of procedures. The evaluation determines which one — and with it, your exact quote.
Contact
Book your consultation
Message us on WhatsApp or call the clinic directly.
CentroVisión
Condado Santa María, Edificio Imperia, Second Floor
Av. Las Américas 11-50
Quetzaltenango, Guatemala