CORNEA, EXTERNAL DISEASES & REFRACTIVE SURGERY
Click on the “Clinical Education” or “Technical Education” bars to open the outline for that year and topic.
Year One
Clinical Education
- Anatomy and physiology of the anterior segment
- Lids
- Conjunctiva
- Cornea
- Iris and anterior chamber
- Epidemiology of common external diseases
- Congenital anomalies of the cornea, sclera, and globe
- Fundamentals of ocular microbiology and common corneal infections
- Key features of trachoma
- Common cornea and conjunctival inflammation
- Fundamentals of corneal optics and refraction
- Fundamentals of iritis and iridocyclitis
- Ocular surface allergy
- Differential diagnosis of the “red eye”
- Conjunctival degenerations
- Vitamin A deficiency
- Traumatic injury to the anterior segment – not corneal laceration
- Traumatic injury to the anterior segment – Corneal Laceration
- Chemical burns and toxins
- Hyphema and microhyphema
- Corneal Dystrophies
- Corneal Degenerations
- Lid Margin Disease
- Ocular pharmacology – anti-infective agents
- Ocular pharmacology – immune modulating agents
- Dry Eye and Surface Disease
Technical Education
- External examination and slit lamp with drawing of findings
- Administer topical anesthesia
- Perform tests for dry eye
- Perform qualitative corneal sensation tests
- Perform tonometry
- Perform techniques for corneal and anterior segment culture
- Perform and interpret simple stains for anterior segment scrapings
- Manage epithelial defects
- Perform removal of corneal foreign body
- Irrigate chemical burn of anterior segment
- Treat hyphema and microhyphema
- Assist in repair of corneal laceration
- Perform pterygium excision
- Perform isolated lid laceration repair
- Perform epilation
- Perform lateral tarsorrhaphy
- Perform lid rotation for trichiasis
- Perform excision of CIN
- Perform incision and drainage of chalazion
- Perform simple excisional biopsy of lid lesion
- Perform punctal occlusion (temporary and permanent)
Year Two
Clinical Education
- Complex anatomy and physiology
- Pathophysiology of congenital anomalies of the cornea sclera and globe
- Peripheral corneal thinning
- Common conjunctival neoplasms
- Uncommon corneal and conjunctival degenerations
- Bitot’s spots
- Complex corneal optics (irregular astigmatism)
- Media opacities and visual acuity
- Complex ocular microbiology
- Interstitial keratitis
- Onchocerciasis
- Complex causes of the “red eye”
- Complex toxic injury to the anterior segment
- Complex trauma of the anterior segment
- Complex iridocyclitis
- Complex corneal lacerations
- Complex pterygia (recurrent, large, atypical)
- Corneal and conjunctival foreign bodies
- Exposure keratopathy
- Common benign and malignant lid lesions
- Animal and plant substance injuries
- Complex hyphemas
- Chronic conjunctivitis
- Ocular cicatricial pemphigoid
- Severe immunologic surface diseases (Stevens-Johnson, etc…)
- Corneal disorders associated with Acquired and Congenital Systemic Disease
- Limbal Stem Cell Deficiency
Technical Education
- Perform advanced corneal imaging techniques
- Corneal glue
- Penetrating keratoplasty
- Phototherapeutic keratectomy
- Stromal micropuncture
- Gunderson flap
- Complex pterygium excision with conjunctival grafting
- Complex lid laceration repair
- Manual superficial keratectomy and lamellar keratectomy
- Complex corneal laceration repair, including stellate lacerations
- Repair of lacrimal drainage system
Year Three
Clinical Education
- Knowledge
- Rare corneal dystrophies and degenerations
- Complex corneal optics
- Rare anterior segment infections
- Rare causes of the “red eye”
- Most complex trauma of the anterior segment
- Rare causes of iridocyclitis
- Combination therapies and complex pharmacology of the anterior segment
- Corneal lacerations extending beyond the limbus
- Severe corneal exposure
- Ocular surface transplantation
- Corneal transplantation
- Refractive surgery
- Non laser-based refractive surgery
- Laser – based refractive surgery
Technical Education
- Advanced corneal imaging – pentacam, confocal microsopy, etc…
- Post-keratoplasty visual rehabilitation
- Lamellar keratoplasty
- Complex penetrating keratoplasty and patch grafts
- Complex conjunctival surgery – autograft, stem cell transplant, etc…
- Non-laser refractive surgery
- Laser-based refractive surgery
- Neoplasms of the conjunctiva and cornea