Nikolaos Trakos OPTHALMOLOGIST

He organized an extensive clinico-laboratory research program in secondary cataract (Posterior Capsule Opacification in a rabbit model) obtaining his PhD in the Medical School University of Ioannina. In particular he operated long series of rabbits with the phacoemulsification –the most modern cataract surgery technique-, inserting intraocular implants. He then followed them-up and performed eye enucleations performing contemporary techniques of orbital surgery. Consequently secondary cataract was studied in different Intraocular lenses in this experimental rabbit model in pathology and microscopic level. This extended clinic-laboratory project was completed in the direction of evolving the quality of intraocular lenses.  Due to this project he was inaugurated PhD in Medical School of Ioannina in 2010.

• Member of the European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS)
• Member of the American Academy of Ophthalmology (AAO)
• Secretary of the International Society of Dacryology and Dry Eye
• Member of the International Thyroid Eye Disease Society (ITEDS)

• Doctor of the Surgery Clinic and Emergency Department 251 General Air Force Hospital 1997-1998
• Private General Doctor 1999
• Resident Doctor in University Eye Clinic of Ioannina, 2000-2003
• Registrat Fellow in Eye Clinic of Maidstone Hospital, Kent, England, UK,  2003
• Clinical Fellow, Moorfields Eye Hospital, London, UK, 2004-2005
• Clinical Fellow Corneo-Plastic Unit, Queen Victoria Hospital, East Grinstead, UK 2005
• Fellow Eyesthetica Oculoplastic Center, Beverly Hills, Los Angeles, USA, 2006
• Head of Eyelids, Lacrimal & Orbital Dept, Mediterraneo Hospital, Athens 2007-2009
• Head of Eyelids, Lacrimal & Orbital Dept, Orasis Hellenic Ophthalmologic Center, Athens 2008-2011
• Head of Eyelids, Lacrimal & Orbital Dept, Athens Eye Hospital, Athens 2011-2012
• Head of Eyelids, Lacrimal & Orbital Dept, Hygeia Hospital, Athens 2013-2016

Education Experience

Instructor in the American Academy of Ophthalmology (since 2007)

• “Periocular Rejuvenation With Fillers and BOTOX on Silicone Head Simulators” Instructor in Course and Lab at AAO 2015 in Las Vegas, Nevada, November 14 – 17, 2015
• “Surgical Orbital Decompression in Thyroid Orbitopathy and Orbital Tumors” Lecture in the 18^th Panhellenic Conference ENT Surgery of Head & Neck, 15-18 October 2015, University of Patras
• ”Eyelid, Lacrimal  & Orbital diseases: Diagnostic approach and Management» 90 min Lecture in Postgraduate lessons 2nd semester of the University Eye Clinic of Patras, Medical School of Patras, 18 February 2015
• “Periocular Rejuvenation With Fillers and BOTOX With 2-D Videos and Video-Assisted Teaching” Instructor in Course and Lab at AAO 2014, in conjunction with the European Society of Ophthalmology in Chicago, Illinois, October 18 – 21, 2014.
• “Inflammations and Tumors of the Orbit. Interrelation with paranasal sinuses and nasal cavity. Management of the problems of the eyes and orbit” Lecture in the Postgraduate Lessons of the Hellenic Ear Nose & Throat Society, 28/6/2014
• “Surgical Management of Thyroid Orbitopathy” Lecture in the Annual Scientific programme of Hygeia Hospital, September 2014
• Χειρουργική Αντιμετώπιση της Θυρεοειδικής Κογχοπάθειας” Διάλεξη στα Μετεκπαιδευτικά μαθήματα του Νοσοκομείου Υγεία, Σεπτέμβριος 2014
• “Current Techniques in Oculoplastic Surgery – Eyelids, Lacrimal and Orbital diseases” Lecture in the Annual Meeting of the Serbian Ophthalmological Society, Zlatibor, September 2013
• “Current Techniques in Lacrimal Surgery” Trakos: Senior Instructor – Lecture in the Instruction Course of Oculoplastics of the American Academy of Ophthalmology Annual Congress, 24 October 2011 and 2012, Orlando, USA.
• “Botox and Aesthetic Ophthalmology” 43rd Panhellenic Ophthalmological Congress, 26-30 May 2010, Thessaloniki, Greece
• “Important preoperative considerations in anterior segment procedures: The oculoplastic standpoint” 24th International Congress of the Hellenic Society of Intraocular Implant and Refractive Surgery (HSIOIRS), 4-7 February 2010, Athens, Greece
• “Management of Facial Nerve Palsy: Periocular Cosmesis and Dynamic Procredures”, Instructor – Lecture in the Instruction Course of Ouloplastics of the American Academy of Ophthalmology Annual Congress, 16-19 October 2010, Chicago, USA.
• “Enucleation, evisceration and primary orbital implants” Lecture in the Annual Meeting of the Serbian Ophthalmological Society, Novisad, October 2009
• “The necessity of injecting Botulinum toxin to the pre-punctal pretarsal orbicularis of the lower eyelid in patients with Benign Essential Blepharospasm and Hemifacial spasm”, Oral presentation at the European Society of Oculoplastic and Reconstructive Surgery (ESOPRS) Annual Meeting, 12-14,  September,  2009, Marseille , France
• “Endoscopic Endonasal dacryocystorhinostomy” Trakos N. Lecture and chairperson at the Oculoplastics session 8^th Conference Fyodorov Memorial lectures 2009, Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russia, 1-3 July 2009
• “Powered Mechanical Endoscopic Dacryocystorhinostomy”. Lecture at the session Current techniques of Lacrimal Surgery in the context, Oculoplastics and Orbit APAO-AAO Joint Congress 2009, 24^th Congress of the Asia-Pacific Academy of Ophthalmology, Bali Indonesia, May 16-19, 2009.
• Lectures on Orbit and Oculoplastics given at the Medical School of the University of Santo Thomas Hospital , Manila, Philippines, 9 – 11 July 2008
• “Physiology of the Lacrimal Drainage System – Tearing problems and Dry Eye”. Lessons to the Residents of Ophthalmology of the University Teaching Hospitals of Athens
• “Management of the Anophthalmic Socket”.  Senior Instructor at the Annual Meeting of the American Academy of Ophthalmology, 13 November 2007, New Orleans, USA
• Participation as a guest speaker in over 80 lectures, talks and presentations in conferences in Greece and abroad.

Clinical Interest

• Dr Trakos returned to Greece in 2007 bringing pioneered techniques endoscopic, laser – radiofrequencies assisted, minimally invasive (eg endoscopic dacryocystorhinostomy etc)

Eyelid Surgery:

• Blepharoplasty
• Eyelid Ptosis repair
• Management of Facial Nerve Palsy
• Correction of eyelid malpositions ie ectropion / entropion
• Blepharospasm management (Botox / surgery)
• Eyelid tumors (removal & eyelid reconstruction)

Lacrimal Surgery:

• Tearing – endoscopic dacryocystorhinostomy – punctoplasty
• Lacrimal gland tumors

Orbital Surgery:

• Exophthalmos Thyroid Eye Disease
• Orbital Tumors
• Orbital Fractures
• Traumas
• Anophthalmic Socket
• Orbital Implants (artificial eye)
• Reconstruction of eye & periocular area after injuries, burns / tumors

Aesthetic Ophthalmology

• Management of Dark Circles – eyelid bags
• Referrals of patients from other specialties such as ophthalmologists, internists, dermatologists, ENT, endocrinologists, neurologists etc are developed and managed properly
• Minimally invasive techniques such as Botox, Hyaluronic Fillers, Laser, radiofrequencies, Plasma and Mesotherapy are utilized to obtain an aesthetic oculofacial rejuvenation.
• Management of Dry Eye Syndrome, which is one of the most frequent eye diseases developing as red eye, is performed with the most advanced diagnostic & treatment modalities.

Research Interest

• Prevention and treatment of Lacrimal canaliculi – nasolacrimal duct
• Diagnosis and treatment of dry eye syndrome
• Treatment of Orbital inflammations – Thyroid Eye Disease

• Voted as Secretary of the International Society of Dacryology & Dry Eye and Congress President of the next World Conference in Athens in 2017
• International Society of Dacryology & Dry Eye World Conference 2015, Naples, Italy
• Voted as Cashier of the International Society of Dacryology & Dry Eye,  International Society of Dacryology & Dry Eye World Conference 2012, Manila , Philippines, September
• PhD Medical School University of Ioannina 2010
• Listed in the  book Who’s Who 2008, 2009, 2010, 2011
• Award of Appreciation Lecturer on Orbit and Oculoplastics by the University of Santo Thomas Hospital, Manila, Philippines, 2008
• Award for Being the Most Trying Member of the Staff, Cornea and Oculoplastics course, Corneoplastic Unit, Queen Victoria Hospital, July 2005

He is contributing author to the books below:

• “Aesthetic Oculofacial Rejuvenation” Elsevier Editions
• translated in greek the book “Manual of Eyelid Systematic Surgery” third edition, by J.R.O. Collin, mentor of Dr Trakos, the first greek oculoplastic manual published in November 2012 in Greek language, Parizianos editions.

1. Nonablative 4-MHz dual radiofrequency wand rejuvenation treatment for periorbital rhytides and midface laxity. Javate RM, Cruz RT Jr, Khan J, Trakos N, Gordon RE. Ophthal Plast Reconstr Surg. 2011 May-Jun; 27(3):180-5.
2. “Aesthetic Oculofacial Rejuvenation” Zilka, Haddad. Trakos: contributor author of the book writing the chapter: Radiofrequencies and Infrared devices, Saunders-Elsevier editions, 2010
3. “A modified technique of retrograde intubation dacryocystorhinostomy for proximal canalicular obstruction” Trakos N et al, Clin Ophthalmology 2009: 3: 681
4. “Findings of an experimental study in a rabbit model on posterior capsule opacification after implantation of hydrophobic acrylic and hydrophilic acrylic intraocular lenses.” Trakos N et al. Clin Ophthalmol. 2008 Dec; 2(4): 997-1005. This is the publication reguarding my PhD
5. Spectrum and frequency of ophthalmologic manifestations in patients with inflammatory bowel disease: A prospective single-center study. Inflamm Bowel Dis. 2008 Jul 14. Felekis T, Katsanos K, Kitsanou M, Trakos N, Theopistos V, Christodoulou D, Asproudis I, Tsianos EV.