Fellowship in Cornea and External Disease

Introduction

The Department of Ophthalmology at Boston University School of Medicine offers a one-year clinical fellowship in Cornea and External Disease that is in compliance with the Association of University Professors of Ophthalmology (AUPO).  The program is designed to provide the post-residency candidate with a diverse experience in the medical and surgical management of corneal disease and related anterior segment pathology. The program emphasizes patient contact and is designed to provide a high level of clinical experience. The fellow will obtain extensive surgical experience during the year and will perform surgery with increasing autonomy as his/her skills improve.

cornea-collageFacilities and Resources

The Boston Medical Center, a private institution resulting from the merger of the Boston City Hospital and the Boston University Hospital, maintains a large eye clinic at each of its two campuses. At both units, the examining rooms are equipped with Haag-Streit slit lamps. Computerized corneal topographic analysis, pachymetry, Pentacam, anterior segment OCT, and specular microscopy are all available for evaluation of cornea patients, and the staffed ophthalmic photography unit has capabilities for anterior segment, slit lamp and external photography, and media facililties for presentations. There is a surgical suite with ceiling-mounted microscope for minor surgial procedures within the Trygve Gundersen Eye Center.

Boston Medical Center is the major trauma center for the City of Boston and a major terminus for the state’s MedFlight system. Both campuses act as the referral center for the Boston HealthNet, a network of 10 Neighborhood Health Centers in Boston.

All major ophthalmic surgery for cases originating at both campuses of The Boston Medical Center is performed on campus in the Ambulatory Surgery Center of the Moakley Building.  Closed circuit television for viewing and recording the on-going ophthalmic microsurgical procedures is available and provides an invaluable educational tool for fellows wishing to review and critique their own techniques.

Veterans Administration (VA) Medical Center

In addition, the Boston University School of Medicine acts as the primary academic affiliate of the Boston Veterans Administration Medical Center, with the University’s Department of Ophthalmology providing the eye care. This facility serves as the main Veterans Administration referral center for ophthalmology for all of nothern New England. The VA provides us with a second, large and diverse patient population, and an invaluable learning and training experience for the fellow.

Fellowship Training at Boston University Medical Center

The fellow is provided with a superb environment in which to acquire and develop professional skills. Available resources include well-equipped facilities, two large and diverse patient populations (Boston Medical Center and the VA), and multiple supervising faculty members. The cornea fellow is responsible for the work-up of selected cases, and for the pre-operative and post-operative care of his/her surgical cases. The fellow also takes an active role in the training of residents. The opportunity to engage in clinical research and/or to pursue laboratory research is available.

The Cornea and External Disease fellow  is required to have completed residency training in ophthalmology. He/she must have a full Massachusetts Medical License prior to matriculation into the program. The fellowship training program is one year in length.

Refractive Surgery

Experience in the techniques of refractive surgery is an important part of training.  The fellow will perform, assist, and observe refractive surgery pre-operative evaluations, surgery, and post-operative management.   Fellows will be supported in patient recruitment for primary surgical experience.  All refractive surgery cases are performed at local refractive surgery centers.   However, while every effort to meet or exceed compliance criteria will be made, please note the program’s volume in refractive surgery does not currently meet the compliance criteria set by the AUPO specifically for refractive surgery designation.  Thus the fellowship maintains compliance with “Cornea and External Disease” only at this time.

Goals of the Cornea and External Disease Fellowship

The fellowship program aims to train the fellow to successfully manage a referral corneal practice in either an academic or a private setting. Upon completion of training, the fellow will be fully versed in the medical and surgical management of complex corneal and external ocular disease problems. The fellow will be skilled and comfortable with specialized surgical techniques, including penetrating and lamellar keratoplasty (DALK, DSEK, DMEK),  PTK, superficial keratectomy, corneal biopsy, pterygium excision, conjunctival flapping procedures, transplantation of conjunctival allografts, fornix reconstruction, amniotic membrane transplantation, scleral replacement, and suturing of posterior chamber IOLs. The fellow will work closely with the residents and faculty, developing teaching capabilities. Throughout, the ethical and humane treatment of patients will be emphasized in accordance with the Code of Ethics of the American Academy of Ophthalmology.

FACULTY

Wuqaas M. Munir, MD, Fellowship Director, and Director of Cornea, External Disease, and Refractive Surgery Service (Boston Medical Center)

Kambiz Negahban, MD (Boston Medical Center)

Mary Daly, MD (Chief of Ophthalmology, Veterans Administration Medical Center in Jamaica Plain)

Donna E. Siracuse-Lee, MD (Veterans Administration Medical Center in Jamaica Plain)

 

The fellowship in Cornea and External Disease is administered through the San Francisco Ophthalmology Matching Program.  Requests for information and other inquiries should be sent to:

Boston University School of Medicine
Residency/Fellowship Coordinator
Department of Ophthalmology
85 East Concord Street, 8th Floor
Boston, MA 02118

email: ophthalm@bu.edu

Primary teaching affiliate
of BU School of Medicine