During the first year, the emphasis will be on patient evaluation and management. The fellow has an opportunity to learn medical and surgical care of retinal disease in a wide range of clinical settings in which the retina service functions:
- University Eye Center, Galveston
- MD Anderson Cancer Center Eye Clinic
- Texas Department of Criminal Justice Hospital and Eye Clinic
- UTMB Emergency Room
- Satellite clinics in Friendswood, League City, and Texas City, Texas
The surgical faculty operates at state-of-the-art facilities in Jeannie Sealy Hospital, Victory Lakes Ambulatory Surgical Center and MD Anderson Hospital OR. We have access to the latest version platforms from Alcon and Bausch and Lomb and wide field operating scopes. The fellow is expected
to become familiar with laser treatment and cryopexy. This includes direct and indirect laser photocoagulation for macular edema, proliferative diabetic retinopathy, and peripheral retinal lesions. The fellow also will receive ample experience with
intravitreal injections and cryopexy of peripheral retinal pathology.
As part of his/her training, the first-year fellow will be expected to practice on his/her posterior segment surgical skills in the fully equipped wet lab. In addition, he/she will spend an equal amount of time in the surgical simulation lab where an
Eyesi retinal surgical simulator is available for use.
As part of his/her duty, the first-year fellow also is expected to spend time in clinical and/or laboratory research. Extensive mentoring is available for both clinical and bench-work studies. The department is a leader in retinal imaging including fundus
autofluorescence, spectral domain OCT at all sites, and multimodal adaptive optics imaging of the human eye.
Retina fellow will be in charge of retina calls under the supervision of retina attending, and there is ample opportunity for him/her to visit, learn and operate on patients in the ER of the UTMB Jenny Sealy hospital.
The fellow will start with assisting in retina surgeries from the first year and will start doing parts of the surgery from the second month. (S)He will gain expertise in performing primary scleral buckles, pars plana vitrectomy, vitreous base trimming, endolaser, fluid/air exchange, injection of oil and gas in the eye and many other procedures during the first year.
The addition of vascular biologist Wenbo Zhang, PhD, to the department's research faculty, will create new opportunities to make discoveries in mechanisms of AMD and diabetic retinopathy.
Finally, the retina fellow also will take part in teaching. This teaching translates into the daily clinical mentoring of residents as well as presenting "Imaging conferences." These conferences are held every other week and transpire as an interactive
learning tool for residents to ascertain the basics of retinal imaging and subtleties of retinal pathology. During the course of these conferences, the fellow will emphasize the latest treatment plans for the various posterior segment diagnoses and
review the most current literature as it relates to the discussed topics.