Fellowship Course in VITREO RETINAL SURGERY (FVRS)

Ojas Eye Hospital has announced the fellowship course in vitreo retinal surgery for academic year of 2013-2014.

Course Fee and Duration

Rs.1, 00,000/- for 12th Months course

Eligibility

Candidates should have passed Diplomate of National Board (DNB) Ophthalmology or MS/MD in Ophthalmology under recognized medical collages in India by Medical Council of India (MCI)

Basic Subjects

History taking relevant to Vitreo-retinal Diseases ,Methods of fundus examination Ultrasonography-theory, technique and interpretation ,Fundus Fluorescein Angiography – Theory, Technique and interpretation Electro diagnostic studies – Electro retinography, electro oculography and Visually evoked potentials-theory, technique and interpretation, Photocoagulation-Theory, and Principles Anatomy: Surgical anatomy of posterior segment (pars plana, vitreoretinal relationships, Ultra structure of retina and vitreous and other relevant anatomy, Physiology of posterior segment.

Medical Retinal Diseases

Vascular retinopathies:

Diabetic Retinopathy
Eales’ disease
Sickle cell retinopathy
Vascular occlusions
Ocular Ischemic Syndrome
Coat’s disease

Degenerative Diseases of Retina:

Retinitis Pigmentosa and Variants
Gyrate atrophy
Choroideremia
Retinoschisis and other retinal degenerative diseases

Retinal detachment and related disorders: (Clinical Diagnosis, differential diagnosis, predisposing factors, etiology):

Rhegmatogenous retinal detachment
Tractional retinal detachment
Exudative retinal detachment

Congenital and childhood disorders:

Persistent hyperplastic primary vitreous
Retinopathy of prematurity
Familial exudative vitreoretinopathy
Norrie’s disease, congenital retinal dysplasias and other causes of congenital retinal detachments
Colobomata of choroids and disc

Infective and related conditions:

Endophthalmitis
Toxocararetinochoroiditis
Viral Retinitis
AIDS and the eye
Other parasitic diseases like cysticercosis, Gnathostomiasisetc

Oncology:

Retinoblastoma
Melanoma
Cilinary body tumors
Phacomatosis
Optic nerve head tumors
Miscellaneous – choroidal hemangioma, ocular lymphomas, secondaries, combined hamartoma, hemangloma of retina

Vitreous disorders:

Hemorrhage
Asteroid hyalosis
Posterior Vitreous Detachment
Vitreoretinal interface disorders like epiretinal membranes and macular holes

Anterior Segment disorders of Importance to Vitreoretinal surgeons

Dislocated lens
Dislocated IOL
After Cataract and other pupillary membranes
Irvine Gass syndrome and Vitreous wick syndrome
Complicated Cataract
Malignant Glaucoma

Macular disorders:

Macular hole
Dislocated IOLHeredomacular diseases
Epimacular Proliferation
Age related macular degeneration and other causes of Choroidal
Neovascular Membrane
Cystoid Macular Edema
Macro Aneurysm
Idiopathic Parafoveal Telangiectasia

Traumatic disorders:

Globe rupture
Double perforations
Intraocular foreign body

Surgery for Vitreoretinal Diseases

Basic:

Instrumentation for scleral buckling and vitreoretinal surgery
Infusion fluids and buckle materials
Vitreous substitutes – SF6, C3 F8, Silicone oil, perfluoro carbon liquid
Techniques of scleral buckling – Implant, explant techniques
Pneumatic retinopexy
Basic vitreous surgery
Membrane removal techniques
Fluid air exchange
Endolaser and endocryo
Retinotomies and retinectomics

Surgical Management of Specific diseases:

Giant retinal tear with RD
Retinal detachment with Proliferative Vitreoretinopathy
Complications of Proliferative diabetic retinopathy
Macular hole
Epimacular proliferation
Submacular surgery
Retinopathy of prematurity
Retinoschisis
Endophthalmitis
Dislocated lens, nucleus, IOL
Intraocular cysticercosis and other parasites
Traumatic complications such as vitreous hemorrhage, dialysis, GRT and tractional and combined retinal detachment, IOFB.
Combined penetrating Keratoplasty and Vitreoretinal surgery
Miscellaneous – Ectatic scleral disorders, eye wall resection

Practical Exposure to the following techniques is required

Examination techniques:

Direct Ophthalmoloscopy
Indirect Ophthalmoscopy with scleral indentation
Slit lamp biomicroscopy using +78 or +90d lens and contact lenses such as Goldmann, Mainster, Panfundoscopic lens
Routine Ophthalmological examination techniques including slit lamp examination, applanation tonometry, Gonioscopyetc

Special Investigations:

B-Scan Ultrasonography
Fundus fluorescein angiography /indocyanine green angiography
Indocyanine green angiography
Optical coherence tomography
Electro diagnostic studies
Transillumination

OPD Procedures:

Paracentesis
Intra vitreal injection
OPD fluid air exchange
Laser Photocoagulation
Trans conjunctival cryopexy
Laser diopexy

Surgical procedures:

Scleral buckling
Pars plana Anterior segment procedures
Pars planavitreo retinal procedures for vitreous hemorrhage, Rhegmatogenous retinal detachment, TRD etc

Teaching Schedule

Didactic lectures – twice a month
Journal club – once a week
Discussion on Fluorescein Angiogram/ICG/OCT – Once a week
Discussion on Ultra sonogram – Once a week
Case presentation – once a week

What is expected of the Fellow:

Assist all varieties of Vitreoretinal surgeries
Assist in the out patient department in the disposal of cases
Take part in overall patient care
Independently perform under supervision few scleral buckle, pars planalensectomies, membranectomies, and simple vitrectomies.
Perform independently photocoagulations both by slit lamps and indirect delivery method
Aim to present at least one paper in any conference
Maintain log book with all details as exemplified
At least one research work leading to publication in peer reviewed journal.

Fellowship Application Form Vitreo Retina Surgery: Download Application Form