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The Ophthalmologist / Issues / 2026 / May / From Babylon to Berlin
Opinions Discussion Voices in the Community

From Babylon to Berlin

Iraqi-born ophthalmologist Hasan Chichan reflects on bridging the divide between modern retina care and humanitarian medicine

By Hasan Chichan 5/26/2026 5 min read

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Clinical Scorecard: From Babylon to Berlin

At a Glance

CategoryDetail
ConditionOphthalmic diseases, specifically cataracts and age-related macular degeneration (AMD)
Key MechanismsPhotobiomodulation (PBM) and subthreshold nanosecond laser (SNL) therapies for early intervention
Target PopulationPatients with cataracts, early and intermediate AMD, and diabetic retinopathy
Care SettingOperating theaters in Germany and humanitarian clinics in Iraq, Morocco, Egypt, and India

Key Highlights

  • High-volume surgical missions aim to establish sustainable local practices.
  • PBM and SNL are emerging therapies for early-stage AMD.
  • The gap between healthy and lost vision is critical in underserved areas.
  • The importance of early intervention over 'wait and watch' strategies.
  • Training local surgeons is essential for mission success.

Guideline-Based Recommendations

Diagnosis

  • Utilize triage clinics to identify appropriate surgical candidates.

Management

  • Implement PBM and SNL as non-invasive treatment options for early AMD.

Monitoring & Follow-up

  • Regular follow-ups for patients with early-stage diseases to prevent progression.

Risks

  • Delayed treatment can lead to irreversible vision loss.

Patient & Prescribing Data

Patients in rural and underserved regions with limited access to ophthalmic care.

PBM and SNL provide early intervention options before significant vision loss occurs.

Clinical Best Practices

  • Standardize surgical protocols and consent forms in local languages.
  • Focus on training local surgeons to ensure continuity of care.
  • Adopt a patient-centered approach during high-volume surgical days.

Related Resources & Content

    This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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