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About Intravitreal Injection
The macula is the central part of the retina at the back of the eye. It is responsible for fine vision (reading, writing, watching television, and recognising faces). Patients with diabetes may develop macular oedema (swelling of the retina) due to leaking of fluid from blood vessels which can result in the vision becoming blurred.
Diabetic macular oedema
Diabetic eye disease is a leading cause of blindness. It is caused by changes to the tiny blood vessels of the retina (the light sensitive layer at the back of the eye). In diabetic macular oedema, blood vessels leak fluid into the retina.
People who have had diabetes for a long time–about one in three – will develop diabetic macular oedema.
- poorly controlled blood sugars
- high blood pressure
- high cholesterol levels
- Smoking
Diagnosis
Diabetic macula oedema may be detected during annual eye screenings. Digital photographs of the retina may show signs of early diabetic macular oedema. At an early stage, symptoms or signs may not be noticed in the vision therefore, annual eye screenings are recommended to detect it early and being treatment.
A course of three injections is recommended with each injection administered one month apart. The procedure is carried out in a clean environment using sterile technique. The eye is cleaned and local anaesthetic drops are given to numb the eye.
The eye may or may not be covered after the injection. If a pad is applied, this may be removed when you reach home.
Intravitreal Injection 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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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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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. 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. Razek Coussa
Visiting Consultant Ophthalmologist in Adult and Paediatric vitreoretinal diseases & surgery, inherited retinal diseases and retinal gene therapy
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).
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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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