Cornea, Anterior Segment & Refractive Surgery

Fellowship program in vision eye hospital is running very successfully. 

User Image

Cornea, Anterior Segment & Refractive Surgery

Fellowship program in vision eye hospital is running very successfully. 

Fellowship in Cornea and Anterior segment 

Contents of the Fellowship 

Clinical skill 

  •  Procedural skill 
  •  Investigation skill 
  •  Surgical skill 
  •  CME/ Presentation 
  •  Research Work
  • Topography 
  • CCT & Keratoscopy
  •  Specular Microscopy
  •  Ultrasonic Pachymetry 
  • Biometry
  •  Ant. Segment OCT 
  • Manual Keratomertry
  •  Ant. Segment photo
  •  Assessment of visual potential Contrast sensitivity Brightness sensitivity
  •  Povidone iodine + BSS 
  • Ocular anaesthesia
  • OT stuff training
  •  OT stuff + movement + management 
  • OT Patient handling + take care
  •  Surgical field preparation + draping
  • OT set up – Chair, OT table, Operating microscope 
  • Per – operative IOP assessment & precaution
  •  Corneal Ulcer-Surgical Max Band Keratopathy pathy chelation with EDTA
  •  ORA 
  • Stem cell transplantation
  •  Dry Eye – Investigation 
  • Pre LASIK
  •  Autologous serum 
  • Corneal sutures techniques 
  • Pterygium surgery

Clinical Skills

  •  Recite fundamentals of anterior segment anatomy, physiology, microbiology and wound healing. 
  • Describe principles of immunology, including autoimmunity and pathologic responses of the anterior segment.
  •   Mastering of diagnosis of anterior segment diseases by SLB 
  • Keratopathy both infections and noninfectious etiologies. 
  • Acute and chronic infective Keratitis (including bacterial, viral and fungal)..
  •  Non infectious inflammatory diseases of the cornea. 
  • Corneal ectasia.
  •  Infective keratitis and TASS 
  • Management of corneal perforation 
  • Management of corneal oedema 
  • Diagnosis and management of corneal degeneration and dystrophy 
  • Be able to appropriately perform laser procedures of refractive surgery and capsulotomy. 
  • Tumor and neoplastic changes of the anterior segment like OSSN, iris cyst. 
  • Diagnosis of surgical conditions of the corneal diseases. 
  • Cataract screening online/at community hospital. 
  • Distant video consultancy.
  •  Clinical activity at branch / community level eye hospitals

Procedural Skill 

  • Corneal scrapping 
  • Corneal stitch removal Injury PKP 
  • Corneal staining 
  • BCL apply and removal 
  • Schirmer’s test
  •  Scidel test 
  •  GAT 
  • BUT 
  • Contact lens fitting 
  •  RGP trial 
  • Rose K trial 
  • Scleral contact lens trial 

Investigation skill

  • Topography 
  •  Pentacam 
  • Specular microscopy 
  • Ultrasonic pachymetry 
  •  Biometry 
  • Pre LASIK 
  • UBM + B- Scan –Basic 
  •  Manual Keratomertry 
  •  Ant. Segment photo 
  • ORA

Surgical Skills 

  • Pterygium surgery with conjunctival autograft 
  • Corneal injury repair
  •  Amniotic membrane graft / transplantation
  •  Limbal stem cell transplantation 
  • Tissue adhesive application with bcl
  •  Conjunctival flap 
  • Scleral patch graft Ant.
  •  Stromal puncture with bcl
  •  Superficial keratectomy with bcl 
  • Chelation with edta Tarsorrhaphy
  •  Sics
  •  Phaco 
  • Collagen cross linkage /cxl 
  • PKP / DALK / DSEK / DMEK 
  • Lasik & other refractive surgery

 Phaco Module 

  •  Peribulbar block Double prick (Bupi + Ligno) (3+3) Lower 4ml upper 2ml. 
  • 5% Povisep wash. 
  • Draping with eye sheet & plastic drape. 
  • 5% Povisep in conjuntival sac 2min then wash (Avoid cornea). 
  • Temporal approach. 
  • Side port incision with 15o Knife & Stab incision at corneal part of limbus. 
  •  Air with 3cc syringe & 27g cannula. 
  • Trypan blue dye under air with 3cc syringe & 27g cannula thoroughly to stain all part of the anterior capsule (30sec). 
  • Wash thoroughly with 5cc syringe & 27g cannula then A/C formation by OVD.
  •  Main port incision by 2.4/2.8 knife, Tri planer fashion, length 1.75mm. 
  • Capsular Rhexis with cystitome 26g needle attached with syringe gel in clock wise mode. 
  •  Hydro procedure: Multiple procedure (Three site) and lens tap opposite in every procedure. 
  •  Rotation of the nucleus by sinisky hook. 
  • Sculpting: For quadrant. 
  • Nucleus remove: By phaco 2: phaco 3 
  • I/A by Co-axial I/A hand place. 
  • IOL Implantation. 
  •  Remove OVD. 
  • A/C Formation. 
  •  Sub conjunctival injection of steroid and antibiotic

Cornea, Anterior Segment & Refractive Surgery fellowship

 

Total duration of fellowship 18 months