Visiting Consultant Ophthalmologist in Adult and Paediatric vitreoretinal diseases & surgery, inherited retinal diseases and retinal gene therapy
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Dr. Razek Coussa is a visiting consultant Ophthalmologist specialising in adult and paediatric vitreoretinal diseases and surgery, inherited retinal diseases and retinal gene therapy at Moorfields Eye Hospital Dubai in Dubai Healthcare City.
Dr. Razek academic journey started at McGill University (Montreal, Canada), where he graduated with a Bachelor in Chemical Engineering (Dean’s Honours list) in 2007, followed by a Masters in Biomedical Engineering in 2008. After obtaining a Masters in Philosophy in Bioscience Enterprise from the University of Cambridge (United Kingdom 2009), he returned to McGill University, where He completed his training in Medicine (2009-2013), followed by a post-graduate residency in Ophthalmology (2013-2018). After which he successfully obtained the Canadian Royal College certification in Ophthalmology and the American Board of Ophthalmology certification.
Dr. Razek then completed four years of fellowship training, developing comprehensive clinical, surgical, and research expertise in multiple retina-related sub-specialities. His training included a one-year fellowship in Paediatric Ophthalmology and Inherited Retinal Diseases at the prestigious Cole Eye Institute of the Cleveland Clinic (2018-2019), advanced training in Medical Retina and Molecular Ophthalmology at the world-renowned Department of Ophthalmology of the University of Iowa (2019-2020), and extensive training in Vitreoretinal Diseases and Surgery at Iowa (2020-2022).
Dr. Razek brings over 10 years of regional/international experience in medical and surgical vitreoretinal diseases, and inherited retinal diseases, having worked in countries including the United States and Canada. This global perspective enriches his approach to patient care and research.
In his career, he has practised in leading medical institutions such as the University of Iowa (Iowa City, Iowa, USA), Cole Eye Institute of the Cleveland Clinic (Cleveland, Ohio, USA), The Dean McGee Eye Institute (Oklahoma City, Oklahoma, USA) and McGill University Health Center (Montreal, Quebec, Canada).
Dr. Razek has undertaken research in surgical and inherited retinal diseases and inherited retinal diseases and has published over 50 peer-reviewed articles and book chapters on diabetic retinopathy, vitreomacular traction, Choroideremia and Stargardt disease, among others.
He is a member of the American Academy of Ophthalmology (AAO), the American Society of Retina Specialists (ASRS), the International Society for Genetic Eye Diseases and Retinoblastoma (ISGEDR), and a fellow of the Royal College of Physicians and Surgeons of Canada (RCPSC).
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.
It is the most common form of inherited retinal dystrophies and can be inherited as autosomal dominant, autosomal recessive, or X-linked trait. It is caused by genetic variants in genes coding for proteins which are important for the structure and/or function of the rod photoreceptors (which are responsible for night vision) causing night blindness, with eventual constriction of the visual field as the cone photoreceptors become affected. Some forms of retinitis pigmentosa can be associated with hearing loss, kidney disease, or learning difficulties. Early identification of these conditions allows for appropriate investigation.
Stargardt disease is the most common form of macular dystrophy. The macula is the central part of the retina that is specialised for detailed vision and colour vision. It has an autosomal recessive mode of inheritance. Usually patients harbour genetic variants ABCA4. Rarely, the condition is caused by variants in the gene ELOVL4.