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About Retinal Detachment Surgery
Retinal detachment is a condition when the thin lining at the back of the eye (the retina) begins to come away and separate itself from the underlying wall of the eye which contains blood vessels that supply it with vital oxygen and nutrients.
If not treated promptly, retinal detachment will lead to blindness in the affected eye.
A retinal detachment is usually caused by a tear in the retina and this is termed a Rhegmatogenous retinal detachment. There are other types of retinal detachment namely Traction retinal detachment which is usually seen in advanced diabetic retinopathy and Exudative retinal detachment (usually seen in people with inflammation). It is the Rhegmatogenous retinal detachment which needs urgent surgery in most cases.
Causes
The retina at the back of the eye sends signals to the brain, enabling us to see. Without a blood supply, the retina’s nerve cells die leading to loss of sight.
Retinal detachment is usually the result of the retina developing a tear in it. Once a tear develops and if not treated, fluid can go through the tear and cause the retina can pull away from the underlying blood vessel wall
Very short-sighted people have the greatest risk of developing age-related retinal detachment (though the risk is still very small) because they are often born with a thinner than normal retina in the first place.
Previous eye surgery, such as cataract removal, may also make the retina more vulnerable to damage.
In some cases, a tear can develop if the eye is suddenly injured, such as by a blow to the face but this is less common.
Symptoms
Most people experience advance symptoms of a possible retinal detachment before losing their sight, including:
- sudden appearance of floaters – black dots, specks or streaks that float across the field of vision (usually only one eye is affected)
- web effect of lots of small floaters – some people see a single large black floater in the shape of a fly
- sudden short flashes (no more than one second) of light in the affected eye
- seeing a dark shadow like a curtain falling down from the outer aspect of the field of vision in the affected eye
- blurring or distortion of vision
Without urgent treatment, the vision in the affected eye will start to deteriorate, creating the effect of a shadow or ‘black curtain’ spreading across the vision. If a person experiences a shadow in the vision then it is extremely important to consult an eye doctor immediately before the shadow spreads across the centre of the vision.
Retinal detachment usually only occurs in one eye, however if one eye is affected, there is a 1 in 10 chance that the retina in your other eye will also detach.
If the eye specialist (ophthalmologist) suspects a retinal detachment, an examination of the back of the eye will confirm it.
Urgent Retinal Detachment treatment is essential to lower the risk of permanent vision loss. The Retinal Detachment treatment is mainly surgery and eye drops will not help.
Most but not all detached retinas can be successfully reattached through different types of surgery, followed by a few months of recovery when vision will be weak, affecting lifestyle activities such as driving.
Some people’s eyesight does not fully return after surgery and they have permanently reduced peripheral (side) or central vision. This can happen even if the retina is reattached successfully.
This risk is higher the longer the detachment was left untreated.
Retinal Detachment Surgery Specialists
Dr. Ammar Safar
Chief Medical Officer and Consultant Ophthalmologist & Vitreoretinal Surgeon
Dr. Ammar Safar is an American Board-Certified Ophthalmologist specialising in vitreoretinal diseases and surgery at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
He is currently an adjunct Professor of Ophthalmology at Mohammad Bin Rashed University and the Chief Medical Officer of Moorfields Eye Hospitals in the United Arab Emirates.
Dr. Safar undertook his medical training in Syria before moving to the United States for post-graduate training. He specialised in Ophthalmology at Georgetown University in Washington, DC, where he also served as a Chief Resident. He then acquired an additional 2-year fellowship training in Vitreoretinal Diseases & Surgery at the University of Texas, Southwestern Medical Center in Dallas, Texas, USA. Dr. Ammar then went on to hold the position of Assistant and later Associate Professor and Director of Vitreoretinal Surgery at the Department of Ophthalmology, Jones Eye Institute, the University of Arkansas for Medical Sciences, in the United States. He then relocated to the UAE, where he was a Consultant Vitreoretinal Surgeon and President of Medical Staff at a private general hospital in Dubai. In addition to his work in private practice, Dr. Ammar has undertaken research and clinical trials in areas such as diabetic retinopathy and age-related eye diseases and published and presented extensively. His research has also resulted in advances in retinal vascular diseases (discovering new management options for diabetic retinopathy and vascular occlusive disorders) and macular degeneration (new approaches for treating exudative macular degeneration).
Among his many honorary awards, Dr. Ammar was the inaugural recipient of The Martha Wood Bentley endowed Chair of Ophthalmology at the University of Arkansas. He is a member of several professional associations, including the American Academy of Ophthalmology, the American Society of Retina Specialists, the European Society of Retina Specialists, the American Society of Cataract and Refractive Surgery, The Association for Research In Vision and Ophthalmology (ARVO), Arab-American Medical Association, Research to Prevent Blindness, and a fellow of the American College of Surgeons.
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Dr. Fahd Quhill
Consultant Ophthalmologist in Medical Retina and Ocular inflammatory disease (Uveitis)
Dr Fahd Quhill is a Consultant Ophthalmologist specialising in Medical Retina and Ocular inflammatory disease at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
Dr Fahd specialises in the assessment and management of uveitis and inflammatory eye diseases (uveitis, infectious diseases, autoimmune diseases of the eye) as well as medical retinal disease, such as diabetes, macular degeneration, inherited retinal disease and retinal vascular disease.
He has broad experience in the diagnosis and management of complex inflammatory eye diseases, including the use of immunosuppression, as well as in treating retinal disease.
Dr. Fahd trained in Ophthalmology in the United Kingdom at Oxford, Birmingham and London, completing three Medical Retinal Fellowships in Birmingham, Wolverhampton and Moorfields Eye Hospital, London.
He has undertaken research and served as principal investigator in numerous macular degeneration, retinal vein occlusion and diabetic macular oedema trials. He has published 27 research papers on retinal and ocular inflammatory disease in leading journal/s such as Ophthalmology, British Journal of Ophthalmology and Eye, among others.
He is a member of several professional bodies, including the Royal College of Ophthalmologists.
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Dr. Luisa M. Sastre
Consultant Ophthalmologist in Medical Retina and Cataract Surgery
Dr. Luisa Sastre is a Consultant Ophthalmologist in Medical Retina and Cataract Surgery at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
Dr. Luisa holds a Spanish medical degree from the Universidad Autonoma Medical School and completed her ophthalmology residency at Hospital Universitario Gregorio Maranon in Madrid, Spain . She is board certified in Intensive Care medicine and ophthalmology. She also holds a PhD from Universidad Autonoma de Madrid and a Master’s degree in Healthcare Organisation Leadership from ESADE Business School.
She has more than 20 years of combined regional and international experience in countries including Spain and UAE.
She has practised in leading medical institutions such as Hospital Universitario Fundación Jiménez Díaz and Hospital Universitario El Escorial, Madrid, Spain.
She has presented various papers in national and international congresses and journals and organised educational courses on cataract surgery and medical retina for peers and opticians.
She is a member of “Surgical Eye Expeditions International”, a nonprofit humanitarian organisation that hosts clinic sites worldwide. She is also a member of Sociedad Española de Oftalmologia (SEO).
In addition to her clinical work, Dr. Luisa volunteers in various charitable campaigns worldwide to treat patients suffering from cataracts who otherwise have difficulty accessing medical care.
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Prof. Ziad Bashshur
Visiting Consultant Ophthalmologist in Medical & Surgical Retina
Dr. Ziad Bashshur is a visiting Ophthalmologist specialising in Medical and Surgical Retina at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
He holds a Doctor of Medicine Diploma from the American University of Beirut (AUB) in 1994. He has also completed an internship in internal medicine at Georgetown/VA medical center (1994-1995) followed by ophthalmology residency training at AUB (1995-1998) and a vitreoretinal fellowship at the University of Virginia, USA.
He has more than 22 years of regional/international experience in vitreoretinal diseases and surgery in countries including United States and Lebanon.
In his career, he has practiced in leading medical institutions such as American University of Beirut in Lebanon and University of Virginia in the US.
He is currently a tenured professor and vice-chairman of Ophthalmology at the American University of Beirut.
Dr. Bashshur has undertaken research in retinal diseases and has published over 50 research papers on macular degeneration, diabetic retinopathy, vascular diseases of the retina and retinal imaging in leading journals. In addition, he sits on several advisory boards within the medical industry.
He regularly speaks at professional meetings worldwide and serves on the review board of several renowned peer-reviewed ophthalmology journals.
He is a member of the American Society of Retina Specialists (ASRS), Retina Society and Alpha Omega Alpha Honor Society
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Dr. Avinash Gurbaxani
Visiting Consultant Ophthalmologist in Uveitis and Medical Retinal Diseases and Cataract Surgery
Dr. Avinash Gurbaxani is a visiting Consultant Ophthalmologist, specialised in Uveitis, Medical Retina & Cataract surgery at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
Dr. Avinash specialises in the assessment and management of uveitis and inflammatory eye disease (uveitis, infectious diseases, autoimmune diseases of the eye) as well as medical retinal disease, such as diabetes, macular degeneration and retinal vascular disease. He has broad experience in the diagnosis and management of complex inflammatory eye diseases, including the use of immunosuppression, as well as in treating retinal disease. Dr Gurbaxani is also skilled in managing complex cataract surgery associated with these diseases.
Dr. Avinash trained in ophthalmology in Oxford and London, working at The Oxford Eye Hospital in Oxford, Kings College Hospital, St. Thomas’ Hospital and Moorfields Eye Hospital in London. He has worked at the prestigious Medical Eye Unit in London as well as completing a Uveitis Fellowship and Medical Retina Fellowship at Moorfields London and the Sydney Eye Hospital in Australia, before returning to Moorfields London as a locum consultant.
Dr. Avinash is experienced in initiating research projects and running clinical trials, and has regularly published and presented papers at national and international conferences. He is a member of several professional bodies including the Royal College of Opthalmologists (RCOphth), Royal College of Surgeons of Edinburgh (RCS) (Ed), American Academy of Ophthalmology (AAO).
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Dr. Wajiha Kheir
Visiting Consultant Ophthalmologist in Medical Retina and Ocular Oncology
Dr. Wajiha Kheir is a visiting Assistant Professor of Ophthalmology and Consultant Ophthalmologist, specialised in Medical Retina and Ocular Oncology at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
Dr. Wajiha completed her undergraduate studies and medical education at the American University of Beirut, Lebanon. She was awarded the BSc degree in Biology (2009) with high distinction and the Penrose Award, and the MD degree (2013) with induction to the Alpha Omega Alpha (AOA) – Honor Medical Society. She then completed a year of Internal medicine Internship followed by three years of Ophthalmology residency at the American University of Beirut Medical Center (2017). Her subsequent sub-specialty training includes one year of Medical Retina fellowship and one year of Ocular Oncology with Clinical Pathology Concentration fellowship, both at the Duke Eye Center, Duke University School of Medicine.
She has more than five years of regional and international experience in Medical Retinal and Ocular Oncology in the United States and Lebanon. In her career, she has practiced in leading medical institutions such as Duke University Health System and the American University of Beirut Medical Center.
Dr. Wajiha has eighteen peer-reviewed journal articles and 10 book chapters published. To date, her research work has been presented in over twenty posters and/or paper presentations at regional and international conferences. Her research interests relate to age-related macular degeneration, ophthalmic oncology, radiation retinopathy as well as retinal degenerations and electrophysiology of vision.
She is a member of the AOA Medical Honor Society, the American Academy of Ophthalmology, the American Society of Retinal Specialists and the International Society of Ocular Oncology.
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Dr. Ramzi Ghanem
Consultant Ophthalmologist in Medical Retina, Vitreoretinal and Cataract Surgery
Dr. Ramzi Ghanem is a Consultant Ophthalmologist with extensive experience in cataract surgery as well as medical and surgical retina including the full spectrum of vitreoretinal surgery, intravitreal drug injection and laser treatment.
Dr. Ramzi is a graduate of the University of Leipzig, Germany and completed his 2 doctoral thesis on anti-VEGF isomers in AMD (Age-related Macular Degeneration) at the University of Leipzig and predictors for short term visual outcome after anti-VEGF therapy of CSME due to CRVO at the University of Bern, Switzerland. He has more than 20 years of experience in Germany, Switzerland and UAE.
He has researched extensively, conducted clinical trials, published and lectured on his areas of expertise. He has been a HAAD consultant and examiner for licensure in ophthalmology.
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