From Babylon to Berlin
Iraqi-born ophthalmologist Hasan Chichan reflects on bridging the divide between modern retina care and humanitarian medicine
-
By
-
Hasan Chichan
-
May 26, 2026
-
Clinical Scorecard: From Babylon to Berlin
At a Glance
| Category | Detail |
|---|
| Condition | Ophthalmic diseases, specifically cataracts and age-related macular degeneration (AMD) |
| Key Mechanisms | Photobiomodulation (PBM) and subthreshold nanosecond laser (SNL) therapies for early intervention |
| Target Population | Patients with cataracts, early and intermediate AMD, and diabetic retinopathy |
| Care Setting | Operating 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
