Damietta Azhar Ophthalmologists

09/08/2026

من الامتحانات التمهيديه والتاهيليه لطلبة الدراسات العليا الماجستير والدكتوراه بكلية الطب بنين دمياط
جامعة الازهر
بالتوفيق للجميع ان شاء الله
🌺🌺🌺🌺🌺🌺

24/04/2026

23/01/2026

🌟 Next-Gen Spectacle Designs for Myopia Management! 😊

Dive into the latest innovations in myopia management!
🌟 Here are 4 cutting-edge spectacle designs slowing myopia progression in kids:

1️⃣ Zeiss MyoCare - CARE Technology
- Central clear zone + alternating defocus segments
- Age-related designs:

22/01/2026

🔵 Myokymia is the medical name for eyelid twitching.
Myokymia is spontaneous contracture of the eyelid muscles, usually the orbicularis oculi muscle. Myokymia is usually unilateral (one eye only) and more often involves the lower eyelid instead of the upper.
The condition is not serious and is usually self limiting.
Myokymia is not the same as blepharospasm although some choose to call myokymia a mild form of blepharospasm. Blepharospasm is a more forceful closure of the eyelid that can become uncontrollable.
Rapid twitching/flutter movement of the eyelid (either upper or lower lid) is the sign and the symptom of myokymia. The eyelid twitch may last a day or a month or longer.
Although the patient believes it is very noticeable to others, it is usually so subtle that others are not aware of the condition.
Although the exact cause of myokymia is usually not known there are certain things that can trigger eyelid twitching.
Common causes are:
• Stress
• Fatigue
• Excessive caffeine
• Alcohol
•Eye strain due to possibly needing a new optical prescription or computer eye strain
• Nutritional imbalances, possibly low magnesium
• Allergies and histamine
• Dry eyes

18/01/2026

06/01/2026

✍️Diagnostic approach to Diplopia
Monocular
Binocular

21/12/2025

3D photos of all 10 layers of retina

11/12/2025

AMD mechanizm

19/11/2025

🔵 Management of Duane Syndrome 👁️

🔺Quick Insights
Duane syndrome is a congenital cranial dysinnervation disorder caused by abnormal innervation of the lateral re**us muscle. It is characterized by limited eye movement, globe retraction, and palpebral fissure narrowing during adduction.

Key Types of Duane Syndrome
◼️ Type I (Most Common)
➡️ Limited abduction (outward movement)
➡️ Normal or mildly restricted adduction (inward movement)

◼️ Type II
➡️ Limited adduction with normal or restricted abduction

◼️ Type III
➡️ Limited both abduction and adduction

Key Management Steps
◼️ Observation
➡️ Mild cases with no significant head turn or functional impact require no intervention

◼️ Non-Surgical Management
➡️ Optical correction to address refractive errors
➡️ Prism therapy for compensatory head posture
➡️ Monitor and manage amblyopia or suppression

◼️ Surgical Management
➡️ Indications for surgery
➖ Significant compensatory head turn
➖ Large-angle misalignment impacting function or cosmesis
➖ Severe upshoot or downshoot caused by co-contraction

➡️ Common surgical options
➖ Lateral re**us recession
➖ Vertical muscle transposition
➖ Horizontal re**us surgery

👨‍⚕️ Clinical Considerations
◼️ Duane syndrome is often unilateral, more common in females, and predominantly affects the left eye
◼️ Avoid overcorrection, as it can worsen globe retraction or fissure narrowing
◼️ Long-term monitoring is essential to manage amblyopia and maintain alignment