A tumour behind the eyeball can be seen in this X-ray image from Burjeel Medical City in Abu Dhabi. Credit: VPS Healthcare
A tumour behind the eyeball can be seen in this X-ray image from Burjeel Medical City in Abu Dhabi. Credit: VPS Healthcare
A tumour behind the eyeball can be seen in this X-ray image from Burjeel Medical City in Abu Dhabi. Credit: VPS Healthcare
A tumour behind the eyeball can be seen in this X-ray image from Burjeel Medical City in Abu Dhabi. Credit: VPS Healthcare

Woman with tumour behind eyeball has sight saved after 12-hour operation


Nick Webster
  • English
  • Arabic

A 12-hour operation using the latest imaging technology has helped save the sight of a Filipina housemaid in Abu Dhabi.

Pioneering surgery using MRI technology to identify blood vessels and nerves enabled surgeons to remove a tumour behind the eye of the 41-year-old woman, called Farida.

A team of specialists at Burjeel Medical City intervened when the sight in her left eye started to deteriorate.

An X-ray later revealed a tumour four centimetres wide that was continuing to grow.

It was pressing on her optic nerve, weakening her sight and causing the eyeball to bulge and protrude.

The operation was conducted by Dr Salim Kanaan, a consultant neurosurgeon.

He said the hospital had used advanced intra-operative MRI technology for the first time in the procedure.

The Filipina housemaid, Farida, had her operation paid for by her Emirati employers. Photo: VPS healthcare
The Filipina housemaid, Farida, had her operation paid for by her Emirati employers. Photo: VPS healthcare

“We removed the entire tumour without damaging any blood vessels or the optic nerve,” he said.

“Any error while doing the surgery would have caused blindness or damaged the optic nerve of the patient.”

Dr Kanaan said the technology enables surgeons to view MRI scan images in real time on a screen in the operating theatre, “so there is no chance of committing a clinical error”.

“It spares the patient from undergoing a second surgery or exposure to chemotherapy or radiation if there is no need for it.”

The cost of the procedure was not revealed, but similar surgery typically costs up to $60,000 (Dh220,000).

It was not covered by Farida’s health insurance owing to its specialist nature, and the outstanding fees were covered by her Emirati employer.

The use of magnetic resonance technology in the operating room helped medics to locate the position of the tumour precisely and determine whether it had spread elsewhere.

Data extracted from the scan allowed surgeons to pinpoint the growth before and during the progress of the surgery.

All of the equipment used in the operation was metal-free, to ensure there was no interference with the sensitive imaging machinery.

After five days in the hospital to recover, Farida was discharged. She is expected to fully regain her sight.

“MRI technology gives an edge to surgeons in removing tumours,” Dr Kanaan said.

“The removal of these tumours is challenging, as it is difficult to determine their size and location accurately.”

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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Name: Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants

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WBO Light Welterweight champion - 2004-06
WBA Welterweight champion – 2006-08
WBO Welterweight champion – Feb 2009-Nov 2009
WBA Light Middleweight champion – 2010-12
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WBO Light Middleweight champion – Aug 2017-Dec 2017

What the law says

Micro-retirement is not a recognised concept or employment status under Federal Decree Law No. 33 of 2021 on the Regulation of Labour Relations (as amended) (UAE Labour Law). As such, it reflects a voluntary work-life balance practice, rather than a recognised legal employment category, according to Dilini Loku, senior associate for law firm Gateley Middle East.

“Some companies may offer formal sabbatical policies or career break programmes; however, beyond such arrangements, there is no automatic right or statutory entitlement to extended breaks,” she explains.

“Any leave taken beyond statutory entitlements, such as annual leave, is typically regarded as unpaid leave in accordance with Article 33 of the UAE Labour Law. While employees may legally take unpaid leave, such requests are subject to the employer’s discretion and require approval.”

If an employee resigns to pursue micro-retirement, the employment contract is terminated, and the employer is under no legal obligation to rehire the employee in the future unless specific contractual agreements are in place (such as return-to-work arrangements), which are generally uncommon, Ms Loku adds.

Red flags
  • Promises of high, fixed or 'guaranteed' returns.
  • Unregulated structured products or complex investments often used to bypass traditional safeguards.
  • Lack of clear information, vague language, no access to audited financials.
  • Overseas companies targeting investors in other jurisdictions - this can make legal recovery difficult.
  • Hard-selling tactics - creating urgency, offering 'exclusive' deals.

Courtesy: Carol Glynn, founder of Conscious Finance Coaching

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Thursday (All UAE kick-off times)

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Granada v Real Betis (9.30pm)

Valencia v Levante (midnight)

Saturday

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Celta Vigo v Villarreal (7pm)

Leganes v Real Valladolid (9.30pm)

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Sunday

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Real Madrid v Eibar (9.30pm)

Real Sociedad v Osasuna (midnight)

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March 15 - Australia, Melbourne; March 22 - Bahrain, Sakhir; April 5 - Vietnam, Hanoi; April 19 - China, Shanghai; May 3 - Netherlands, Zandvoort; May 20 - Spain, Barcelona; May 24 - Monaco, Monaco; June 7 - Azerbaijan, Baku; June 14 - Canada, Montreal; June 28 - France, Le Castellet; July 5 - Austria, Spielberg; July 19 - Great Britain, Silverstone; August 2 - Hungary, Budapest; August 30 - Belgium, Spa; September 6 - Italy, Monza; September 20 - Singapore, Singapore; September 27 - Russia, Sochi; October 11 - Japan, Suzuka; October 25 - United States, Austin; November 1 - Mexico City, Mexico City; November 15 - Brazil, Sao Paulo; November 29 - Abu Dhabi, Abu Dhabi.

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Updated: January 10, 2022, 4:58 AM