Medical Retina Fellowship

Eligibility:

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

Basic Subjects:

• Anatomy: Surgical anatomy of vitreous and Vitreo-retinal relationships
• Ultrastructure of the retina and vitreous and another relevant anatomy
• Physiology of vision, visual pathway, colour vision
• History taking relevant to Vitreoretinal Diseases
• Methods of fundus examination
• Ultrasonography - theory, technique and interpretation
• Fundus Fluorescein Angiography – Theory, Technique and Interpretation
• Indocyanine green angiography
• Optical Coherence Tomography
• Electrodiagnostic studies – Electroretinography, electrooculography
• Visual evoked potential- theory, technique and Interpretations
• Laser Photocoagulation – Theory and Principles

Medical Retinal Diseases

Vascular retinopathies:

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

Degenerative Diseases of Retina:

• Retinitis Pigmentosa and Variants, Cone-Rod dystrophies
• Gyrate atrophy
• Choroideremia
• Retinoschisis

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

• 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
• Toxocara retinochoroiditis
• Viral Retinitis
• AIDS and the eye
• Other parasitic diseases like cysticercosis, Gnathostomiasis etc

Oncology:

• Retinoblastoma
• Melanoma
• Culinary body tumours
• Phacomatosis
• Optic nerve head tumours
• Miscellaneous – choroidal hemangioma, ocular lymphomas, secondaries, combined hamartoma, hemangioma of a retina

Vitreous disorders:

• Posterior Vitreous Detachment
• Vitreous Hemorrhage
• Asteroid hyalosis
• Hereditary vitreoretinopathies

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
• Heredomacular diseases
• Epimacular Proliferation
• Age-related macular degeneration and other causes of Choroidal Neovascular Membrane
• Cystoid Macular Edema
• Retinal Artery Macro Aneurysm
• Idiopathic Parafoveal Telangiectasia

Practical Exposure to the following techniques is required

Examination techniques:

• Direct Ophthalmoscopy
• 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, Gonioscopy etc

Special Investigations:

• B-Scan Ultrasonography
• Fundus fluorescein angiography /indocyanine green angiography
• Optical coherence tomography
• Electrodiagnostic studies (ERG, Multifocal ERG, VEP)

OPD Procedures:

• Paracentesis
• Intra vitreal injection
• Laser Photocoagulation
• Trans conjunctival cryopexy

Teaching Schedule

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

What is expected of the Fellow:

• Assist in the outpatient department in the disposal of cases
• Take part in the overall patient care
• Perform independently laser 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 a peer-reviewed journal.
• Regulations for fellows are also stated on the website: www.adityajyoteyehospital.org

Medical Retina Fellowship Application Form: Download Application Form