Amman Eye Clinic Services
Dr. Mohammad Abusamak had higher specialization in retina and vitreous diseases and surgery from Henry Ford Hospital in USA. He also received advanced training focused on refractive surgery and LASIK in Germany and Maghrabi Hospital in Saudi Arabia. As an American-trained vitreoretinal surgeon, he continued to develop his skills in advanced cataract surgery.
Dr. Abusamak is a well known academic teacher who worked as an Associate Professor of Ophthalmology at the University of Jordan School of Medicine and as a Teaching Clinical Professor of Ophthalmology at the Islamic Hospital Ophthalmology Department for many years.
He is an author and a lecturer in Ophthalmology and participated in many regional and international meetings.
He worked in many high-volume clinics and surgeries, which made his surgical experience special for most eye disorders.
In addition, he teams up with other ophthalmic surgeons to perform certain eye procedures that require a team approach.
His commitment to excellence in eye care makes choosing him a right decision and a safe one too.
Please feel free to talk to him and discuss your condition, whether a general eye check-up or a difficult complex case. He is always available to answer your questions.
Frequently Asked Questions
- Can I have both eyes treated at the same time?
Yes. Many patients prefer to minimize the time off work and reduce the amount of healing time they experience after surgery, so they have both eyes done during the same visit.
- Can I drive myself home after surgery?
No. Your vision may be blurry in the first few hours after the procedure. Many people are able to drive the next day.
- Will I have to limit my activities after surgery?
You will be told to avoid hard activity or visually demanding tasks for at least 1-2 days after LASIK and 3 days after PRK. Make sure to ask about specific activities that are important to you.
- Can I play sports right after the procedure?
No. Certain hard activities, contact sports and swimming should be postponed for several weeks.
- How soon can I use eye make-up?
It is recommended that you avoid using eye make-up for the first week after surgery to reduce the risk of infection.
- Can I get water in my eyes?
No. You should avoid getting water in your eyes for about one week after surgery, so be careful when washing your face and hair.
- What are enhancements (touch-ups)?
Your vision after surgery either will be perfect, or under- or over- corrected. This can be fixed with a minor procedure called an enhancement or touch-up. This procedure typically is performed approximately three months after the initial surgery if visual improvement has not been attained. These enhancements are only necessary in about 10 percent of all cases.
- What are the most common complications?
The most common is either over-correction or under-correction, both of which can be treated. Individual variation is part of any surgical procedure. While everyone hopes for perfect vision, perfection is not always the result. Your expectation should be the reduced dependence on glasses and contact lenses, realizing that they may still be needed for some activities. Dry eyes are also common in the early period after the surgery.
- What about the bad complications? Sight-threatening complications are very rare. There is always a small risk of infection, scarring, or abnormal healing patterns. This may cause partial loss of vision and require further medical or surgical treatment.
- Will my vision be stable?
Although vision may fluctuate slightly during the first few days and also shift slowly for 6 to 12 months, most of the healing is complete within 3 to 6 months. With nearly a decade of experience with PRK, we know that the procedure is stable, with no evidence of late complications. LASIK has been available for about 20 years and, from the data collected over this period, also appears stable.
- Is it possible that my vision could become worse than before? Could my vision gradually decrease?
There is a very slight chance that your vision could become worse. Results thus far, however, have shown excellent stability after PRK and LASIK.
- Will I be able to wear contact lenses if I still need them after PRK or LASIK?
Yes. In most cases, PRK and LASIK do not interfere with the use of soft contact lenses. Hard contact lenses can sometimes be used but may be more difficult to fit the eye.
- How is PRK or LASIK likely to affect my need to use glasses or contacts when I get older?
By middle age, all people need help reading. If your nearsightedness is permanently eliminated by PRK or LASIK, you may need to start using reading glasses in your forties.
- Will I need to use eye drops?
Depending on your specific procedure, eye drops may be needed for anywhere from three days to six months, but not permanently
By Phacoemulsification, the cataract is broken into tiny particles and gently suctioned from the eye through an opening of about 1/12 inch. No suture is needed as the natural outward pressure within the eye seals the small and stair-stepped opening.
Phacoemulsification is nearly painless, during and after the procedure. Most patients experience only some discomfort during the surgery due to the instruments used to prevent the eye moving or blinking. After the operation, you can feel some little itching.
The day of the surgery, you should rest at home.
The morning after the procedure, you will notice great visual improvement, allowing to continue your daily life.
The day of the procedure, you are requested to rest as much as possible.
You will use antibiotic and anti-inflammatory eye drops for four weeks.
Rubbing your eyes is not allowed for a month .
You can practice your favorite sports if you wear special glasses or goggles.
Avoid make-up for a month.
Similar to any surgical procedure, there are always risks, but currently, Phacoemulsification is one of the safest techniques with millions of patients operated on all over the world.
Because it is a procedure inside the eye, we prefer to operate on both eyes at least one week apart. We believe it is safest for the patient.
The improvement in quality of life after the operation is extraordinary, according to the majority of the patients.
Most patients do not need using distance glasses in daily activities.
You will need reading glasses unless you have decided to have multifocal lenses implanted at the time of surgery.
One possibility if you do not want to depend on glasses are multifocal lenses, that can focus on different distances. This kind of lenses are indicated in almost all cases.
I was scheduled for a few laser treatments for my Diabetic Eye disease. Why is that?
This particular laser treatment is performed on the peripheral retina, and cannot be done in one session. It is far too much for one session for your eye(s) and for your comfort. It is important to keep your scheduled laser appointments to prevent further progression of your diabetic eye disease.
Do I need time off from work for treatment?
There is no recovery time necessary; however, your pupil(s) will be dilated by eye drops, and, therefore, you may not be able to drive or perform tasks which are visually demanding for up to 5 hours from dilation time.
Will the laser treatment improve my vision so I don't have to wear glasses?
No, this is not the same as laser vision correction. Laser vision correction commonly known as LASIK is done on your cornea (the front clear surface of the eye) to help decrease your dependency on glasses.
Retinal laser is used to treat retinal diseases such as diabetic eye disease and retinal vein occlusion.
Does laser treatment hurt?
No, this is a painless procedure. You may experience mild pricking sensation in some areas which have more nerves. There is no lasting discomfort.
- How long will I be in the hospital for my vitrectomy surgery?
You will be admitted to the hospital, the day before or in the morning of surgery. Most patients are able to leave the hospital the same day or one day after surgery.
- How is surgery performed?
The surgery is performed under general or local anesthesia. Small openings are made in the white part of the eye. Small, thin instruments are placed into the eye through these openings. These vitrectomy instruments include a fiber optic light used to light the inside of the eye, and a variety of cutters, scissors, and forceps. The surgery is done using a microscope that focuses through the pupil.
- What are the possible complications of vitrectomy surgery?
There are risks and complications that can occur with any surgery. The risks and complications that can occur with vitrectomy include: infection, retinal detachment, cataract formation, glaucoma, more vitreous hemorrhage after surgery, and the development of scar tissue. Although these complications can often be managed by further treatment, any one of them may cause the vision to get worse or cause a total loss of vision.
- Will my eye hurt after surgery?
Most patients will note some discomfort around the eye that can be relieved with medication if necessary. Severe pain is very unusual. The eye will remain swollen, red and somewhat tender and uncomfortable for several weeks. Itchiness or a scratchy, foreign-body sensation when opening or closing the eyes is common. This is caused by small stitches. These stitches will gradually become soft, fall out, or become absorbed.
- What if I do experience a great deal of pain?
If you experience a great deal of pain, please let your surgeon know promptly. Pain can be an important symptom indicating infection, excessive pressure in the eye, or injury to the front surface of the cornea. You should notify your surgeon promptly if you are experiencing more than mild pain.
- What instructions must I follow when I go home after surgery?
We ask that patients not engage in strenuous activity or exercise for about a week after surgery. They may return to work, or to driving, when they feel able to do so; this is usually within a week or two. They are encouraged to take walks and engage in normal activity as soon as possible.
If a patient has had the front surface of the cornea removed during surgery, a snug "pressure" patch, or bandage contact lens, may be applied to the eye until the front surface heals. It is alright to remove the patch temporarily when eye medications are given.
If a gas bubble has been placed in the eye to hold the retina in position, the patient may be asked to lie face-down or on one side. Usually, the patient is required to remain in this position most of the time for several days. This positioning will place the gas bubble in the correct position within the eye so that the retina stays in place. If a gas bubble is in your eye, you should not sleep on your back. Otherwise, the gas bubble rises and rests against the lens of your eye and may cause a cataract. Also, the gas bubble may rise and close off the normal flow of fluid out of the eye, increasing the pressure in the eye. If a gas bubble has been used as part of your surgery, you may not travel by airplane until the gas bubble has resorbed, and travel to high altitudes should be done in a gradual fashion. It usually takes several weeks for the gas bubble to disappear. Your doctor will advise you as to when you may lie flat on your back, and when you may travel by air.
- Will I see better right after surgery?
Improved vision after retinal surgery is not immediate. It may take several months before the vision improves to its best possible level. In most cases, when the diabetes has caused such damage to the retina that vitreous or retinal surgery is necessary, the eye will never again see normally. Sometimes, small amounts of visual improvement occur, and occasionally, a great deal of improvement occurs. Each eye is different, and before your surgery, your doctor will discuss with you your chances for better eyesight.
When gas is used during this surgery, the vision will be poor until the gas bubble disappears.
What is glaucoma?
It is the term used to describe a number of related conditions that cause damage to the optic nerve, which transmits information from the eye to the brain. It usually (but not always) is associated with a high eye pressure. Left untreated, glaucoma can cause blindness.
What is the difference between glaucoma and ocular hypertension?
Ocular hypertension is another term for high eye pressure. In ocular hypertension, eye pressure is higher than normal but does not cause optic nerve damage and vision loss. Ocular hypertension is a risk factor for glaucoma and should be monitored closely.
Who is most at risk for glaucoma?
If you're over age 60, African-American, diabetic or have a family member with glaucoma, you are at higher risk for glaucoma than others.
Is there any way to prevent glaucoma?
You might be able to reduce your risk for the disease by maintaining a healthy lifestyle. Therefore, you should avoid smoking and excessive alcohol, eat a healthy diet, keep your weight down, exercise, take nutritional products and be sure to see your eye specialist on a regular basis."
What are the symptoms of glaucoma?
There are usually no symptoms that you are developing glaucoma until vision loss occurs, which is why it is so important to have regular eye exams. Your eye doctor can detect and treat high eye pressure before it progresses to optic nerve damage and vision loss.
Is glaucoma curable?
Unfortunately, vision loss from glaucoma cannot be reversed. Routine eye exams are essential to discover glaucoma early and begin glaucoma treatment before significant vision loss has occurred.
What glaucoma treatments are currently available?
Doctors usually prescribe special glaucoma eye drops that reduce eye pressure. These are used one or several times a day, depending on the medication. If the drops do not work, laser or surgery may be the next step. In some cases, surgery might be the first option for glaucoma treatment.
What is squinting?
Medically referred to as Strabismus, squint is an eye defect which causes both eyes to point in different directions. While one eye may appear pointing straight ahead, the other one may turn outward, or converge turn inward. The squinting eye may also turn upward or downward. In addition, it could be constant in nature or may occur briefly for multiple times in a day. Also, the condition and occurrence may alternate between both eyes.
What are the primary causes of squint?
A number of factors might cause squinting, such as weakness of eye muscles (that are responsible for eye movement), eye injury, cataract, refractive errors, genetics, cerebral palsy, Down’s syndrome, or hydrocephalus.
Is squint just a cosmetic defect?
No, squinting can be much more than just a cosmetic flaw. It could be related to the problem of double vision, or decrease of vision. Squint can also result in gradual loss of peripheral vision, and 3-dimensional vision.
How can strabismus or squinting be treated?
The treatment options for strabismus or squinting may include:
- The use of glasses
- Fixing prisms on spectacle lenses
- Wearing an eye patch
- Botox injection
Can squint affect infants and young children?
Yes, squint can occur at any age. In some cases, it could be pseudostrabismus (false appearance of crossed eyes). It is because of the fact that facial features do not fully develop in infants and toddlers. A wide and flat nose bridge might give an illusion of squint, which usually goes away with age.
What are the causes of squint?
Congenital squint: It is a condition when a baby is born with misaligned eyes.
Far-sightedness or near-sightedness.
Some illnesses: Squint may also be result of certain childhood illnesses, such as viral fever, measles, meningitis, etc. On the other hand, it can be due to some adult medical issues like diabetes mellitus, hypertension, or brain lesion.
Eye injuries: Injuries or trauma caused to eye might also be responsible for squint.
Hereditary: Squint may also be inherited from parents.
What are the ways of correcting squint?
To start with, the eyes must the thoroughly examined in order to identify the type and severity of the squint. An orthoptist will assess the vision and fixation pattern and will devise a treatment plan accordingly. The treatment could vary from the use of spectacles, patching, use of eye drops (rarely) or surgery.
Is there a specific age to get the squint corrected?
Anyone who has squint can get it corrected at any point of time. The treatment is not age-specific. However, the type of the treatment may vary for patients from different age groups.
What will the patient experience after the surgery?
The operation for squint is an outpatient surgery, which means there is no need for the patient to get admitted for an overnight stay. The patient can remove the eye pad a day after the surgery. Also, the patient is usually given eye drops to be instilled for a couple of weeks after the surgery. Moreover, it doesn’t affect the vision as it is an external surgery. The sutures are self-absorbable and do not need another session in order to be removed. Redness in the eyes may be experienced initially, but the patient may resume his or her daily activities in a few days.
How many surgeries are usually required to correct squint?
It is common for a patient to undergo more than one surgery in order to get rid of the squint completely. There is nothing to be worried about. The idea is to obtain best results by a couple of fine-tunings.
The retina is a film at the back of your eye that senses light and sends images to your brain. An eye is like a camera. The lens in the front of the eye focuses light onto the retina.
A retinal detachment occurs when the retina is pulled away from its normal position. The retina does not work when it is detached. Vision is blurred, like a camera photograph that would be blurry if the film were loose inside the camera. A retinal detachment is a very serious problem that almost always causes blindness unless it is treated.
The eye is filled with a gel called (vitreous) in front of the eye. As we get older, the vitreous may pull away from its attachment to the retina. Usually, the vitreous separates from the retina without causing problems. But, sometimes, the vitreous pulls hard enough to break the retina in one or more places. Fluid may pass through this retinal break, lifting the retina off the back of the eye, like wallpaper peeling off a wall. The following conditions increase the chance that you might get a retinal detachment;
- Near sightedness;
- Previous cataract surgery;
- Severe injury;
- Previous retinal detachment in your other eye;
- Family history of retinal detachment;
- Weak areas in your retina that can be seen by your eye doctor.
These early symptoms may indicate the presence of a retinal detachment:
- Flashing lights;
- New floaters;
- A gray curtain moving across your field of vision.
These symptoms do not always mean that a retinal detachment is present; however, you should see your eye doctor as soon as possible, who can diagnose retinal detachment during an eye examination after enlarging the pupils of your eyes using eye drops. Some retinal detachments are found during routine eye examination without any symptoms.
What is the treatment of retinal detachment?
It is usually treated with a surgical operation. The most common operation is called (vitrectomy).
Any surgery has risks; however, an untreated retinal detachment usually results in permanent sever vision loss or blindness. Some of the surgical risks include:
- High pressure in the eye;
Most retinal detachment surgery is successful, although a second operation is sometimes needed.
What is an eye (intravitreal) injection?
Do Intravitreal Injections hurt?
When can I stop having injections?
The medication being injected works for a period of time before it starts to wear off . Some people need to have an injection every 4 weeks, whilst others only need one every 4 months. It is important to maintain the time interval recommended by your eye doctor, as, otherwise, long-term vision can be affected.
What is SLT?
SLT is a non-destructive laser procedure used to treat glaucoma by reducing the pressure in the eye.
What are the advantages of SLT?
- Safe: SLT is not associated with systemic side effects.
- Selective: SLT targets only specific cells, leaving the surrounding tissue intact.
- Smart: SLT stimulates the body’s natural mechanisms to enhance outflow of the fluid in your eye.
How is SLT performed?
SLT is an outpatient procedure. You will sit in a conventional exam chair, where the doctor will use a slit lamp containing the SLT laser. During the procedure, your eye doctor will put drops to numb your eye, and then place a lens on your eye for better viewing. The entire procedure takes only less than five minutes. Usually, one eye is treated at a time and the second one is usually treated 1-2 weeks after the first eye.
Will I feel anything during the laser treatment?
The treatment does not cause any pain. You may see a green flash of light. The lens used on your eye may cause some redness.
How often do I need to receive SLT treatments?
One application typically lasts for 3 - 5 years. Depending on your results and goals, another application may be needed at some point in the future.
Is SLT right for me?
Only your doctor knows what is best for your individual needs; simply ask your doctor to find out more.
Will I still need to continue using my eye drops following the SLT procedure?
Maybe. Each individual is different. Although there is a chance you can eliminate or reduce medications, SLT cannot guarantee this.
How long is the recovery?
The doctor may treat your eye with anti-inflammatory eye drops that will be continued for a few days after the procedure. Patients have no limitations after the treatment and are able to drive home. Your doctor will schedule a follow-up appointment to evaluate your results.