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Current Appointments

A/Prof Ghabrial – currently in private practice in Macquarie St and operates at Sydney Oculoplastic Surgery.

Head of Department at Royal Prince Alfred Hospital
Senior Consultant Ophthalmic Surgeon Sydney Eye Hospital
Senior Clinical Lecturer University of Sydney
CEO Sydney Oculoplastic Surgery

Concord
Institute of Academic Surgery
Concord
Senior Consultant Ophthalmic Surgeon Concord Hospital
RPA
Head of Department Ophthalmology Royal Prince Alfred Hospital
RANZCO
Fellow of the Royal Australian
and New Zealand College of Ophthalmologists

Experience

A/Prof Raf Ghabrial graduated from the University of Sydney, with Honours in Medicine in 1988. Since then, he has trained as an Ophthalmologist at the Sydney Eye Hospital. Afterwards, he gained unique experience in oculoplastic surgery in the United Kingdom and in the United States. He was appointed to New York University, the New York Eye and Ear Infirmary and the Manhattan Eye Ear and Throat Hospital. He has written numerous chapters for texts and scientific publications in medical literature. A/Prof Ghabrial is also regularly invited to facilitate lectures and surgical courses nationally and internationally.

A/Prof Ghabrial is Senior Lecturer at the University of Sydney and Senior Consultant Surgeon at Royal Prince Alfred, Concord and Sydney Eye Hospitals. He serves as an examiner to the Royal Australian and New Zealand College of Ophthalmologists (RANZCO) as well as representing the College for the Health Care Complaints Committee. He sits on many state and national committees including the Prosthesis and Devices Committee (Commonwealth Department of Health and Aging) and the Governing Body of Statewide Ophthalmic Services (Greater Metropolitan Task Force).

A/Prof Ghabrial is currently in private practice at Sydney Oculplastic Surgery in Sydney.

Unique Techniques

At Sydney Oculoplastic Surgery A/Prof Raf Ghabrial performs variety of unique techniques:

  1. Endoscopic dacryocystorhinostomy under assisted local anaesthesia. More info
    This is a situation where patient's can have scar less, minimally invasive surgery to unblock and bypass their tear ducts. This is done as day surgery and the patient can recover within a day or two, frequently returning to normal duties within the week (patient's do not require slow recovery from a general anaesthesia or from scars on the face with associated bruising). This is a situation that is unique and not performed in many centres around the world.
  2. Cicatricial ectropion repair More info
    In this technique skin grafts are not used as A/Prof Ghabrial believes that discolouration does not achieve a superior aesthetic result. A skin flap is rotated from the upper lid thereby achieving colour and skin quality match as well as suspending the lower lid.
  3. Internal ptosis repair
    Whilst some patient's are unsuitable for this technique, it is very useful for patient's with mild ptosis (drooping of the eyelid). In this operation described by Putterman of Chicago there is no external scar and the procedure is minimally invasive and reproducible with excellent results.

Memberships

  • Royal Australian and New Zealand College of Ophthalmology
  • American Society
  • University of Sydney Alumni
  • Sydney Eye Hospital Alumni
  • Sydney Hospitallers (Elected Councillor, 2004)
  • New York Eye and Ear Hospital Alumni
  • Manhattan Eye Ear and Throat Hospital Alumni
  • New York University School of Medicine Alumni

Publications

pdf
Lacrimal
> Download
BCC
> Download
Thyroid
> Download

 


  • Ghabrial R, Francis I, McClellan K. Free-Floating Iris Cyst in the Anterior Chamber. Aust NZ J of Ophthalmology. 1991, 19(1):79-81
  • Ghabrial R, Quivey J, Dunn JP, Char DH. Radiation Therapy of Acquired Immunodeficiency Syndrome-Related Kaposis Sarcoma of the Eyelids and Conjunctiva. Archives Ophthalmology. 1992, 110:1423-1426
  • Ghabrial R, Francis I. Argon and Diode Laser Treatment of Benign Eyelid Lesions. Aust NZ J Ophthalmology. 1994, 22(i):45-48
  • Ghabrial R, Francis I, Kappagoda K. Autologous Blood Facilitation of Lid Laser Treatment. Aust NZ J Ophthalmology. 1994, 22(3):218
  • Ghabrial R, Climent A, Cevallos V, Ostler HB. Laboratory Results of Corneal Scrapings in Microbial Keratitis. Annals Ophthalmology. 1995, 27(i): 42-47
  • Ghabrial R, Climent A, Cevallos V, Ostler HB. Laboratory results of Corneal Scrapings in Microbial Keratitis. Opthalmology Digest, July 1995.
  • Klaridge KC, Ghabrial R, Davis GD, Harrad RA, Potts MJ. Combined Radiotherapy and Medical Immunosuppression in the Management of Thyroid Eye Disease. Eye. 1997, 11: 717-722.
  • Ghabrial R, Harrad RA, Potts MJ, Hunter J, Kabala J, Macey D. Assessment of the Anophthalmic Socket by Dynamic Cine-MRI. Orbit. 1997, 16(3): 207-216.
  • Reck AC, Ghabrial R, Harrad RA, Tyers AG. A rare complication of the Hughes procedure. Orbit. 1997,16(4): 255-256.
  • Ghabrial R, McCluskey PJ, Wakefield D. Spectrum of sarcoidosis involving the eye and brain.Aust NZ J Ophthalmol. 1997,25(3): 221-225.
  • Sindhu K, Downie J, Ghabrial R, Martin F. Aetiology of Childhood Proptosis. J Paediatrics and Child Health. 1998,34: 374-376.
  • Ghabrial R, Versace P, Kourt G, Martin F. Moebius Syndrome: Features and aetiology. J Paed Ophthalmol Strab. 1998,35(6): 1-7.
  • Martin P, Ghabrial R. Repair of Exposed Hydroxyapatite Orbital Implant by a Tarsoconjunctival Pedicle Flap. Ophthalmology. 1998,105:1694-1697.
  • Ghabrial R, Francis I, Fulcher G. Transient retinal arterial compromise in Graves’ orbitopathy. Eye. 1998, 477-479.
  • Ghabrial R, Lisman R, Kane M, Milite J, Richards R. Diplopia Following Transconjunctival Blepharoplasty. Plast Reconst Surg. 1998 ,102:1219-1225.
  • Ghabrial R, Benger R, Philipic M. Massive Squamous Cell Carcinoma of the Conjunctiva. Aust NZ J Ophthalmology. 1999, 27: 85-87.
  • Ghabrial R, Potts MJ. Tumours of the Eyelid. Chapter 2.5.3 in: Oxford Textbook of Ophthalmology (Vol 1). Editors, Easty DL and Sparrow JM. Oxford University Press, UK, 1999.
  • Lisman R, Ghabrial R. Internal Orbital Fractures. Chapter in: Current Ocular Therapy (5th Ed) p573. Editors, Fraunfeldelder FT and Roy FH. WB Saunders, PA, 2000.
  • Lisman R, Ghabrial R. External Orbital fractures. Chapter in: Current Ocular Therapy (5th Ed) p572. Editors, Fraunfelder FT and Roy FH. WB Saunders, PA, 2000.
  • Della Rocca R, Nassif J, Ghabrial R. Eyelid Contusions, Lacerations and Avulsions. Chapter in: Current Ocular Therapy (5th Ed) p432. Editors, Fraunfelder FT and Roy FH. WB Saunders, PA, 2000.
  • Lisman RD, Ghabrial R. Repair of Extensive Eyelid Lacerations. Chapter 16. Unfavourable results of Eyelid and Lacrimal Surgery: Prevention and Management. Editor, Mauriello J Jr. Butterworth-Heinemann, MA, 2000.
  • McCluskey P, Ghabrial R, Mulligan S, Leong J. Hemorrhagic Complication Following Postoperative Thromolysis. Br J Ophth. 2003, 87(5): 655-6.
  • Lim C, Martin P, Benger R, Kourt G, Ghabrial R. Outcomes of Jones Tube in Lacrimal Bypass Surgery. Am J Ophthal. 2004, 137(1):101-107.
  • Leibovitch I, D Selva , Davis G, Ghabrial R. Donor Site Morbidity in Free tarsal Grafts. Am J Ophthal. 2004, 138(3): 430-433
  • Zborowska B, Ghabrial R, Selva D, McCluskey P. Idiopathic Orbital Inflammmtion with extraorbital extension. Eye. 2005: May 27
  • Chalasani R, Ghabrial R. Blue filter disc and Nasendoscopic Visualisation of Flourescein Lacrimal Drainage. Ophthal Plast and Reconst Surg 2006: 22: 52-53
  • Merani R, Khannah G, Mann S, Ghabrial R. Orbital Leiomyoma. Clin Exp Ophthal.2005;46:408-411
  • Kim Y, Scolyer R, Chia E, Steven D, Ghabrial R. Eccrine porocarcinoma of the upper eyelid. Aust J Derm. 2005, 46: 278-281.
  • Chandrasekaran S, Petsoglou C, Billson F, Selva D, Ghabrial R. Refractive Change in Thyroid Eye Disease. Brit J Ophthal. June 2005
  • Manku K, Leong, Ghabrial R. Cicatricial Ectropion: Repair with Myocutaneous Flaps and Canthopexy. Clin Exp Ophthal. 2006; 34: 677-681
  • A technique for medial canthal fixation using resorbable fixation kit. Sharma V, Nemet V, Ghabrial R, Martin P, Kourt G, Danks J, Marcells G. Arch Opthal. 2006;124: 1171-1174
  • Oral radioactive iodine for the treatment of orbital metastasis of carcinoma of the thyroid. Howden J, Kean A, Ghabrial R. Asian J Ophthalmol.2006;8:205-7.
  • Howden I , McCluskey P, O’Sullivan G, Ghabrial R. Assisted local anaesthesia for endoscopic dacryocystorhinostomy. Clin Exp Ophthalmol.2007;35:256-61
  • Endonasal Dacryocystorhinostomy-An Australian Perspective. Levin B, Naganathan V, Ananda A, Ghabrial R. Asian J Ophthalmol. 2007;9:117-21
  • Idiopathic Orbital Inflammatory Syndrome: Clinical features and treatment outcomes. Swamy B, McCluskey P, Nemat A, Crouch R, Martin P, Benger R, Ghabrial R. Br J Ophthalmol. 2007;12:2234-36
  • Orbital Exenteration: A 15 year study of 38 cases. Nemat A, Martin P, Benger R, Kourt G, Sharma V, Ghabrial R, Danks J. Opthal Plast Recons Surg. 2007;23(6):468-72.
  • Lacrimal Scintigraphy. Jabbour J, Van der Wall H, Ghabrial R. Clinical Nuclear Med. In Press 2008.
  • Assisted local anaesthesia for endoscopic dacryocystorhinostomy: Resopnse (letter). Howden J, McCluskey P, Ghabrial R. Clin Exp Ophthalmol. In Press Jan 2008
  • Myocutaneous flaps and canthopexy for repair of severe cicatricial ectropion. Leong J, and Ghabrial R. Chapter in Pearls and Pitfalls in Oculoplastic Surgery. Editors Springer New York. In Press 2008
  • Orbital Rosai Dorfman Syndrome. Ghabrial R and Selva D. Orbit. Submitted Nov 2007.
  • Outcomes of revision Endo-DCR with corticosteroids. Zeldovich A and Ghabrial R. Ophthal Plast Recons Surg. Submitted Dec 2007.
  • Intraosseous orbital haemangiomas: a case series and literature review. Ghabrial R, Zainal Abidin Z, Selva D. ophthalmology. Submitted Jan 2008.
  • Zeldovich A, Ghabrial R: Revision Endoscopic Dacryocystorhinostomy with betamethasone injection under assisted local anaesthetic. Orbit 2009.28(6):328-331
  • Lee S, Paramanathan N, Davies M, Berger R, Ghabrial R. Subconjunctival “ring” recurrence of basal cell carcinoma of the globe. Ophthalmic Plastic Reconstructive Surgery: Orbit 2010 26(2): 117-118
  • Pandya V, Ghabrial R. External Dacryocystorhinostomy: assessing factors that influence outcome: in press Orbit 2010.
  • Pandya V, Ghabrial R. The Role of Mucosal Flap in Dacryocystorhinostomy: in press Orbit 2010.
  • Davies M, Ghabrial R. Predictions of Anatomical Patency following primary endonasal dacryocystorhinostomy: in press Orbit 2010.

Presentations

1995

  • Royal Australian College of Ophthalmologists (QLD branch) Congress
    Restrictive Eye Movement Syndromes

1996

  • European Society of Ophthalmic Plastic Surgery (Amsterdam, NL)
    Assessment of the Anophthalmic Socket by Dynamic Cine-MRI
    Immunosuppressive Treatment of Thyroid Eye Disease (poster)
  • Oxford Congress of Ophthalmology (Oxford, UK)
    Exenteration: A schema for various methods of Surgical Reconstruction (poster)
    Combined Radiotherapy and Immunosuppression in Graves’ Orbitopathy
  • South-West Ophthalmic Society (Bristol, UK)
    The Anophthalmic Socket
  • European Society of Head and Neck Radiology (Nice, France)
    Dynamic Magnetic Resonance Imaging of Orbital Prosthesis Function
  • Sydney Eye Hospital Alumni Association (Inaugural)
    Massive Squamous Cell Carcinoma of the Conjunctiva
  • Royal Australian College of Ophthalmologists Congress (National, Perth)
    Assessment of the Anophthalmic Socket

1997

  • Australian Ophthalmic Registrars’ Conference (Sydney, Australia)
    The Assessment and Management of Ptosis
  • American Academy of Ophthalmology (San Francisco, USA)
    Orbital Anatomy Relating to Orbital Trauma

1998

  • American Society of Cataract and Refractive Surgery (San Diego, USA)
    Prospective Analysis of Changes in Corneal Topography after Eyelid Surgery (poster).
  • Association of Research in Vision and Ophthalmology (Fla, USA)
    Evaluation of Eyelid malignancies using frozen section control of resection margins.
    Histopathologic study of long term in vivo hydroxyapatite orbital implants (poster).
    Astigmatic changes following eyelid surgery
  • Sydney Eye Hospital Alumni Meeting
    New Approaches to Orbital Decompression in Thyoid Orbitopathy
  • Australian College of Ophthalmologists (National, Qld)
    Aetiology of Childhood Proptosis
    When is a lid lift not just a lid lift: Augmentation of blepharoplasty.

1999

  • Australian Squint Club (Syd)
    Diplopia after transconjunctival blepharoplasty
  • Royal Australian College of Ophthalmologists Congress (Melbourne, Aust)
    Attachment of the inferior oblique muscle after enucleation
    Positive margins after periocular skin malignancy-what to do next?
  • Registrar Education, Sydney Eye Hospital
    Enucleation, Evisceration and Exenteration.

2000

  • Australian Society of Facial Plastic Surgery
    Canthopexy via upper eyelid incision
    Complications of lower eyelid surgery
  • Sydney Eye Hospital Alumni (July 29)
    Orbital Surgery: A retrospective view.
  • Australian College of Ophthalmologists (National, Sydney)
    Course convenor: Skin flaps in periorbital reconstruction.
    P.Martin, I Francis, B O’Donnell, G Kourt, J Danks
    Tripier flap in repair of cicatricial ectropion
    Massive conjunctival cyst of the orbit: A case report
    Refractive variability after ptosis repair
    Conjunctival SCC and papilloma virus subtyping
  • XXIX International Congress of Ophthalmology (Sydney)
    The Role of Pharmacology in Patients with Ptosis.

2001

  • Australian College of Ophthalmologists (National, Adelaide)
    Course convenor: Skin flaps in periorbital reconstruction.
    P.Martin, I Francis, B O’Donnell, G Kourt, J Danks

2002

  • Australian College of Ophthalmologists (National, Canberra)
    Course convenor: Skin flaps in periorbital reconstruction.
    P.Martin, I Francis, B O’Donnell, G Kourt, J Danks

2003

  • Surgical Workshop-Endoscopic DCR (Perth WA-CTEC)
    Invited instructor
  • Australian College of Ophthalmologists (National, Auckland NZ)
    Co-Chair, Oculoplastics Free Papers
    Failure of Lacrimal Surgery
    Nuclear Medicine Scan of Orbital Implant Infection
    Beware Bilateral Lower Eyelid Ectropion
    Movement of Orbital Implants
  • Registrar Conference, Save Sight Institute
    Neuro-Ophthalmic Causes of Ptosis

2004

  • RANZCO, NSW (Leura)
    Co-convenor of Conference
    Facial palsy
    Endonasal DCR
    Complications of lower eyelid blepharoplasty
  • Sydney Eye Hospital Alumni Meeting
    A Novel Jones Tube
    Orbital Apex Syndrome
    Orbital Gunshot Injuries
    Refractive Changes in Thyroid Eye Disease
  • RANZCO, National (Melbourne)
    Ptosis- Course Convenor
    Lacrimal Disorders-Course Co-Convenor
    Refractive Change in Thyroid Eye Disease
    Aberrant regeneration of VII nerve palsy

2005

  • Save Sight Institute Registrar Conference
    Course Convenor and Instructor
    Registrar Course, Skin Flaps in Periocular Reconstruction
    ARVO (Fla, USA)
    Lactisorb Screw fixation of Canthal Dystopia
  • Royal Victorian Eye and Ear Hospital Alumni
    Blue Filter disc for Nasendoscopic Visualisation Lacrimal Assessment
  • RANZCO (National, Tas)
    Ptosis Course- Convenor
    Osseointegration to Repair Exenterated Sockets
    Eyelid Changes in Familial Ichthyosis
    Assisted Local Anaesthesia for Endoscopic DCR
    Oral Radioactive Iodine to treat Metastatic Thyroid Cancer to the Orbit

2006

  • Inaugral Advanced Oculoplastic Surgery Course
    RPA Hospital
    Faculty- Prof J Dutton, Prof D Selva, Prof PJ Wormald
  • RANZCO (National, Sydney)
    Eyelid incision for lateral orbitotomy-The Sydney Eye Hospital Experience
    Quantitative Scintigraphy ( Winner Pfizer Best Paper Award)
    Endonasal Dacryocystorhinostomy-Results of 100 procedures
    Ocular Manifestations of Rosai-Dorfman Disease
    Idiopathic Orbital Inflammatory Syndrome: An institutional Perspective
    Up the nose with a rubber hose (video presentation)

2007

  • RANZCO (NSW, Leura)
    Imaging in lacrimal studies
  • RANZCO (National, Perth)
    Chair Course –What’s New in Oculoplastics?

Outreach

A/Prof Ghabrial attends Darwin in the Northern Territory of Australia on a regular annual basis. As an oculoplastic surgeon he provides a service at the Royal Darwin and Darwin Private Hospitals each year. He has been attending the Northern Territory for some ten years and in the past has gone to outlying communities including Catherine. The work performed is provided to local indigenous communities and the local patient's who cannot get the service without flying away from the Northern Territory. Other outreach services have been performed in Bathurst from 1997 to 2006. Each month A/Prof Ghabrial provided outreach services to the Central West and drained patient's from the Bathurst, Dubbo and Orange regions of the Central West.

Media

A/Prof Raf Ghabrial has appeared on multiple episodes of Channel 9’s award-winning series “RPA”. The initial footage was in 2002, 2003 and 2004. They remain popular viewing on cable TV. He has further appeared on Good Morning Australia and other TV programs. A/Prof Ghabrial has spoken on Brian Wilshire’s show “All About Eyes” on 2GB and has written numerous articles for the press.