Zedan, R., C. S. Farag, J. Gouda, A. Awadein, H. Elhilali, and D. H. Hassanein, "Outcome of intraocular lens exchange for the management of myopic shift in pseudophakic children.", European journal of ophthalmology, vol. 34, issue 4, pp. 1029-1035, 2024. Abstractpdf_outcome_of_intraocular_lens_exchange_for_the_management_of_myopic_shift_in_pseudophakic_children.pdf

PURPOSE: To evaluate the visual outcome of intraocular lens (IOL) exchange for the management of myopic shift in pseudophakic children.

METHODS: The medical records of children who underwent IOL exchange for myopic shift were examined. The preoperative data, operative details and the postoperative outcome were analyzed.

RESULTS: Twenty-one eyes (16 patients) were identified. Mean age at cataract extraction was 20 ± 26 months (range, 2-84 months). Twelve patients (6 unilateral, 6 bilateral) had primary IOL implantation. Mean age at IOL exchange was 7.3 ± 3.2 years. Mean spherical equivalent (SE) at IOL exchange was -14 ± 5 D (range, -7 to -21 D): Mean SE at IOL exchange was -13.64± 4.99 D, -12 ± 1.53 D, and -15.5 ± 4.7 D in unilaterally pseudophakic cases (8 patients), in the eye that underwent unilateral IOL exchange (3 patients) in bilaterally pseudophakic cases, and in bilateral IOL exchange cases (5 patients), respectively. Mean axial length at IOL exchange was 24 ± 1.3 mm (range, 23 to 27 mm). Following IOL exchange, mean SE was reduced to -2 ± 1.8 D (range, -4 to +2.5 D). An average of three logMAR line improvement in the best-corrected visual acuity was observed in 12/16 eyes of patients for whom pre- and post-exchange visual acuity were available, while visual acuity remained unchanged in 4 eyes. Mean logMAR visual acuity improvement was 0.35 and 0.49 in unilateral and bilateral pseudophakic cases, respectively.

CONCLUSIONS: IOL exchange is a safe procedure that should be considered to improve visual rehabilitation in pseudophakic patients with myopic shift.

Awadein, A., C. S. Farag, and S. Maher, "True muscle transplantation for the management of third nerve palsy", Canadian Journal of Ophthalmology: Elsevier, 2025. Abstract

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Elzawahry, S., H. Elhilali, A. Awadein, G. Gawdat, and S. Maher, "Standard Monofocal Intraocular Lenses Versus Enhanced Monofocal Intraocular Lenses for Children 6 to 13 Years Old With Pediatric Cataract", Journal of Pediatric Ophthalmology and Strabismus: SLACK Incorporated Thorofare, NJ, pp. 1 - 11, 2025. Abstract

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Maher, S., A. Awadein, C. Farag, J. Gouda, and S. Arfeen, "Outcomes of Nishida Muscle Transposition Procedure for Abducens Nerve Palsy", American Journal of Ophthalmology, vol. 279: Elsevier, pp. 274-282, 2025. Abstract

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Ali, A. A., N. A. E. - S. A. Gomaa, B. S. Kamil, A. Awadein, H. baz, and E. A. Elmazzahy, "Early applicability of retinopathy of prematurity score (ROPScore) and serum insulin growth factor-1 (IGF-1) for predicting treatment-requiring retinopathy of prematurity: a prospective cohort study", Egyptian Pediatric Association Gazette, vol. 73, issue 1: Springer Berlin Heidelberg Berlin/Heidelberg, pp. 1-7, 2025. Abstractrop_paper.pdf

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Awadein, A., M. Awadalla, N. Bayoumi, N. Elshakankiry, and Y. Meqdad, "Visual Comorbidities Associated with Childhood Glaucoma", Childhood Glaucoma: Current Trends and Future Prospects: Springer International Publishing Cham, pp. 319 - 334, 2024. Abstract
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Zedan, R., C. S. Farag, J. Gouda, A. Awadein, H. Elhilali, and D. H. Hassanein, Outcome of intraocular lens exchange for the management of myopic shift in pseudophakic children, , vol. 34, issue 4: SAGE Publications Sage UK: London, England, pp. 1029 - 1035, 2024. Abstract
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Awadein, A., and M. A. Fakhry, "Changes in binocular function in anisometropic nonstrabismic children with optical correction and occlusion therapy", Journal of American Association for Pediatric Ophthalmology and Strabismus, vol. 15, no. 6: Mosby, pp. 545–550, 2011. Abstract
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Awadein, A., "Clinical findings, orbital imaging, and intraoperative findings in patients with isolated inferior rectus muscle paresis or underaction", Journal of American Association for Pediatric Ophthalmology and Strabismus, vol. 16, no. 4: Mosby, pp. 345–349, 2012. Abstract
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Awadein, A., M. Pesheva, and D. L. Guyton, "“Inverted Brown pattern”: A tight inferior oblique muscle masquerading as a superior oblique muscle underaction—clinical characteristics and surgical management", Journal of American Association for Pediatric Ophthalmology and Strabismus, vol. 10, no. 6: Mosby, pp. 565–572, 2006. Abstract
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