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(ICO) – البصريات والانكسار والأجهزة (2019)</span><br /><span style=\"color:rgb(68,71,70);\"> المجلس الدولي لطب العيون (ICO) – العلوم الأساسية (2019) المجلس الدولي لطب العيون (ICO) – الفحص السريري (2020) المجلس الدولي لطب العيون (ICO) – زمالة المجلس الدولي لطب العيون (FICO) (2021) </span><br /><span style=\"color:rgb(68,71,70);\">المجلس الأوروبي لطب العيون – زمالة المجلس الأوروبي لطب العيون (FEBO) (2021) </span><br /><span style=\"color:rgb(68,71,70);\">الجوائز: المركز الثالث لأفضل بحث، المؤتمر الوطني الثالث والأربعون للجمعية التركية لطب العيون (TOD)، 2009 </span><br /> </li></ul><p><span style=\"color:rgb(68,71,70);\">الكتب وفصول الكتب </span><br /><span style=\"color:rgb(68,71,70);\">أوموت كاراجا، *جيل صحي، مستقبل آمن: دليل النمو والتطور والتغذية للأطفال في سن الدراسة (للأسر والمعلمين)* – الفصل: «مشكلات الرؤية» (2021) </span><br /><span style=\"color:rgb(68,71,70);\">أوموت كاراجا، *جائحة كوفيد-19: الأساليب الحالية* – الفصل: «تأثير جائحة كوفيد-19 على الممارسة السريرية لطب العيون» 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MIGS allows faster return."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any early or late complication after trabeculectomy or tube shunt, including hypotony, leak, cataract; sight-threatening under 5%."},"contraindications":["Active eye or periocular infection","Uncontrolled bleeding disorder or unsafe anticoagulation interruption","Patient unable to attend frequent postoperative visits","Medically unfit for surgery or for lying flat and still","Angle-based MIGS with closed or non-visible drainage angle"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usual uncomplicated incisional glaucoma surgery in adults is a same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light activity earlier; avoid strenuous exercise, heavy lifting, straining, swimming and eye rubbing until cleared by the surgeon."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Trabeculectomy/tube surgery: pressure stabilizes and bleb matures over weeks to months; goal is pressure lowering, not better vision."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After day-1 and week-1 checks; surgeon clears flight once eye pressure is stable and the eye is healing without complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":1,"unit":"days","qualifier":"First postoperative day: eye pressure and anterior chamber check."}},{"purpose":"assessment","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Pressure, bleb or tube position and healing review."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Additional visits in the first weeks; frequency depends on healing; suture adjustment or removal may occur if needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Review of long-term pressure control and medication needs."}}],"indications":["Glaucoma with intraocular pressure not controlled by medications and/or laser","Progressive nerve damage or visual field loss despite maximal therapy","Intolerance or poor adherence to glaucoma medication in selected patients","Angle-closure or secondary glaucoma uncontrolled by other measures"],"main_risks":["Hypotony (too-low eye pressure) or persistently high pressure","Bleeding in the eye or choroidal detachment","Infection of the eye, including bleb-related infection (blebitis, endophthalmitis)","Cataract development or progression","Bleb leak or scarring failure, possibly needing repeat surgery","Tube exposure, erosion or malposition (tube shunts)","Temporary or permanent vision loss, double vision or drooping eyelid"],"pain":"Usually little pain during surgery under local anesthesia (pressure sensation only); mild to moderate ache, irritation or foreign-body sensation for a few days afterwards, usually controlled with simple analgesics.","preparation":["Eye exam with pressure, visual field and optic nerve imaging","Review regular medicines with surgeon or physician","Arrange an escort home and eye shield/drops supply","Instructions on fasting only if sedation is planned","Treat ocular surface infection or inflammation beforehand if present"],"recovery_timeline":[{"phase":"Day 0-1","description":"Eye shield placed; vision blurred; first-day pressure check.","restrictions":["Do not rub or press on the eye","Keep shield on as instructed"]},{"phase":"Weeks 1-2","description":"Intensive anti-inflammatory and antibiotic drops; frequent visits; vision gradually clears.","restrictions":["Avoid bending with head down, heavy lifting and straining","Avoid water and dust exposure to the eye"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activity; adjustment or tapering of drops; bleb or tube assessment.","restrictions":["Avoid strenuous exercise and swimming until cleared"]},{"phase":"Months 1-3","description":"Pressure stabilizes and healing completes; possible glasses update.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery after trabeculectomy or tube shunt; MIGS usually quicker."},"result_longevity":"Variable; pressure control may last years but depends on technique, glaucoma type and scarring, and some patients need drops or repeat surgery. 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check","scope":"procedure","source":{"url":"https://www.aao.org/education/summary-benchmark-detail/glaucoma-summary-benchmarks-2020","host":"aao.org","quote":"Perform at least one IOP check immediately prior to surgery and within 30 minutes to 2 hours after surgery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer proposes surgery without confirming that preoperative evaluation shows surgery is indicated","scope":"procedure","source":{"url":"https://www.aao.org/education/summary-benchmark-detail/glaucoma-summary-benchmarks-2020","host":"aao.org","quote":"Ensure that the preoperative evaluation confirms that surgery is indicated","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A surgeon does not discuss surgery’s risks, benefits, and expected outcomes before asking for consent","scope":"procedure","source":{"url":"https://www.aao.org/education/summary-benchmark-detail/glaucoma-summary-benchmarks-2020","host":"aao.org","quote":"Obtain informed consent from the patient or patient's surrogate decision maker after discussing the risk, benefits, and expected outcomes of surgery","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A clinic offers treatment without an eye examination to determine what treatment is right for you","scope":"procedure","source":{"url":"https://www.aao.org/eye-health/treatments/combined-cataract-glaucoma-surgery-facts","host":"aao.org","quote":"To find out what treatment is right for you, your ophthalmologist will examine your eyes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Red, painful eye","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aao.org/eye-health/diseases/trabeculectomy-12","host":"aao.org","quote":"Call your ophthalmologist immediately if your eye is red, painful or just does not feel right.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Eye redness with discharge","urgency":"emergency","general":false,"source":{"url":"https://www.aao.org/eyenet/article/endophthalmitis-after-glaucoma-surgery","host":"aao.org","quote":"Patients should be instructed to seek care immediately if ocular redness, pain, discharge, or decreased vision develops.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Decreased vision after surgery","urgency":"emergency","general":false,"source":{"url":"https://www.aao.org/eyenet/article/endophthalmitis-after-glaucoma-surgery","host":"aao.org","quote":"Patients should be instructed to seek care immediately if ocular redness, pain, 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