The optic nerve is the main responsible for transmitting the image from the eye to the brain, and any malfunction in it may lead to Impairment or permanent loss of vision. And with the great scientific progress of recent years, today it has become possible Diagnosis and treatment of optic nerve diseases with higher accuracy and greater efficiency, Thanks to the modern international protocols applied by Professor Dr. Hazem Helmy at his medical center.
Inflammation of the optic nerve
Atrophy of the optic nerve
High intraocular pressure affecting the nerve (glaucoma)
Optic neuropathy resulting from chronic diseases (e.g. diabetes, hypertension)
Hereditary or ischemic nerve diseases caused by
Dr. Hazem Helmy relies on Modern clinical foundations Internationally accredited by European and American ophthalmological societies, which include:
Using modern OCT devices to image the layers of the optic nerve with micron resolution
Visual field examination (Visual Field) to monitor the extent of nerve damage
Assessment of nerve conduction and response speed (VEP)
Laboratory tests and MRI when needed to exclude other neurological causes
Each case of optic nerve disease is different from the other, so Dr. Hazem Helmy applies treatment protocols Specially designed For each patient based on:
Type of disease and how much it affects vision
The underlying cause (inflammation-immune – hypertension-nutritional deficiency)
The speed of deterioration of the nerve
The general state of health of the patient
Topical or general cortisone for the treatment of infections
Immunomodulatory drugs for immune optic nerve conditions
Support neurofeedback with scientifically defined supplements
Regulation of intraocular pressure in cases of concomitant glaucoma
Regular follow-up schedules to assess the improvement or deterioration of the condition
Re-examination of the OCT and field of vision every 3 to 6 months
Continuous adjustment of treatment based on the results of follow-up
A. Treatment of glaucoma:
Pharmacological drops: such as Prostaglandin Analogues and beta-Blockers to reduce the production of pure intraocular fluid.
Laser treatment: such as laser Trabeculoplasty to stimulate the discharge of pure liquid.
Surgery: such as Trabeculectomy or implantation of drainage devices inside the eye to reduce internal pressure.
P. Treatment of optic neuritis:
Corticosteroids: they are considered the first choice for the treatment of acute infections.
Immunomodulatory drugs: such as Immunosuppressants for the treatment of conditions associated with autoimmune diseases.
Cryotherapy (Plasmapheresis): removal of harmful antibodies from the blood to improve the function of the optic nerve.
C. Treatment of optic nerve atrophy:
Drug therapy: such as antioxidant drugs to protect the remaining nerve fibers.
Gene therapy: recent studies are looking at the use of gene therapy to repair damaged cells.
Stem cells: clinical trials studying the possibility of using stem cells to rebuild damaged tissue in the optic nerve.
Dr. Treatment of diabetic optic neuropathy:
Diabetes control: keeping blood sugar levels within the normal range.
Anti-VEGF injections: to reduce vascular leakage and abnormal vessel growth.
Laser: such as Panretinal Photocoagulation to prevent the development of the disease.
🔹 If the damage is At its beginning, The deterioration can be stopped and achieve a noticeable improvement in some cases. As for the complete permanent damage, it is often not possible to restore it, which highlights the importance of early diagnosis and treatment.
🔹 Dr. Hazem Helmy follows up on the latest scientific research and applies the clinically approved ones, including neurofeedback protocols, micro-immunomodulatory drugs, and vision-supporting therapies.
Do not hesitate to book a specialist consultation with Dr Hazem my dream To accurately diagnose the condition and develop a treatment plan in accordance with the latest international standards.
The latest technologies used in the treatment of cataracts and glaucoma rely heavily on improving accuracy and reducing the risks associated with conventional surgeries. The following are the most prominent of these technologies:
- Femto-laser (Femtosecond Laser): femtosecond laser technology is used to create a small hole in the cornea, and then the blurry lens is atomized using high-precision laser beams before being sucked and removed. This method is considered among the most accurate and safe compared to traditional methods.
- Phaco apparatus (Phacoemulsification): this technique is based on ultrasound to break up the cataract lens and remove it through a very small incision (about 2-3 millimeters), which helps to speed up the recovery process and reduce complications.
- Smart lensesAfter removal of the affected lens, advanced artificial lenses such as multifocal Lenses (Multifocal Lenses) or adaptive lenses (Accommodative Lenses) are implanted, which provide clear vision at various distances (close, medium, far).
- Precision dual-pulse laser (Micropulse Diode Laser): This device is one of the latest means used in the treatment of glaucoma, as it improves the drainage of intraocular fluid without the need for major surgery, which helps to effectively reduce intraocular pressure .
- Technical Trabeculoplasty: This technique uses a laser to stimulate the drainage of intraocular fluid, which is a quick and effective way to relieve pressure on the optic nerve.
- Liquid drainage surgery (Trabeculectomy): In severe cases that do not respond to laser therapy or medications, surgery is performed to drain the intraocular fluid to permanently relieve pressure.
- Implanted liquid drainage devices (Glaucoma Drainage Devices): Small intraocular devices are implanted to improve fluid drainage and continuously lower pressure.
- Three-dimensional imaging (3D Imaging): Three-dimensional imaging is used to accurately assess and plan the condition of the eye before surgery, which helps the surgeon to choose the best type of artificial lens for each patient based on his individual condition .
- Surgical robots: Surgical robots are used in complex operations to provide unprecedented accuracy, reducing the risks associated with conventional surgery and enhancing overall results.
- Clinical trials are underway to test new technologies such as the use of stem cells or gene therapy for the treatment of glaucoma and cataracts, which may provide more effective solutions in the future.
From the above, modern technologies such as Femto-laser, phaco, and MicroPulse diode laser are among the latest means used to treat cataracts and glaucoma. These techniques are aimed at improving the results of surgical operations, reducing risks and complications, leading to a faster recovery and better restoration of vision.
The latest studies on the use of stem cells in the treatment of eye diseases indicate the presence of promising prospects in the restoration of eyesight and the treatment of degenerative conditions that were considered incurable in the past. The following are the most notable recent results and trends:
- Clinical trials using induced pluripotent stem cells (iPSCs) in the treatment of diseases such as age-related macular degeneration (AMD) and diabetic retinopathy have been declared successful .
- This technique is based on stimulating stem cells to produce new cells that can replace damaged cells in the retina, which leads to the restoration of visual function.
- Recent studies have shown that intraocular stem cell injections can help regenerate damaged tissues, especially in cases of loss of pigment epithelial cells or retinal neurons.
- This technique is aimed at preventing the progression of the disease and stimulating the natural healing process.
- Scientists have removed cataract-infected lenses and used stem cells naturally present in the eye to stimulate the production of a healthy new lens.
- This method is considered a revolution in the field of cataract surgery, as it reduces the need for implantation of artificial lenses.
- There are experiments that suggest that stem cells may be effective in repairing damaged tissue in the optic nerve caused by glaucoma.
- These cells reduce intraocular pressure and improve fluid drainage, which contributes to the preservation of vision.
- The use of gene therapy techniques with stem cells is now being explored for the treatment of hereditary eye diseases such as nocturnal retinopathy and macular degeneration of the retina.
- These hybrid techniques aim to address the root cause of the disease rather than just managing the symptoms.
- Clinical trials conducted in Turkey and other places showed that stem cell transplantation was safe and effective in the treatment of many degenerative diseases of the eye.
- No serious side effects have been reported so far, which makes this treatment promising for the future of Ophthalmology.
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