During the fellowship, you will receive exposure to "state-of-the-art" diagnostic and treatment techniques in the field of eye plastic and orbital surgery. You will obtain the foundation of clinical and surgical skills that will permit you to both assimilate new diagnostic methods and surgical techniques, and to participate in the process of innovation in patient care.
Your training is delivered in a highly collegial environment by a team of medical specialists, who are supported by an excellent administrative, secretarial and technical staff. A unified electronic medical record is available at all clinical and hospital locations.
You will be exposed to the entire spectrum of oculoplastic, lacrimal and orbital disorders including:
- Diagnostic evaluation and medical and surgical treatment of eyelid disorders, including eyelid neoplasms and eyelid malpositions (ptosis, entropion, ectropion and eyelid retraction)
- Eyelash abnormalities
- Eyelid reconstruction
- Laser therapy of vascular and pigmented cutaneous lesions
- Aesthetic techniques including, mid-face and SOOF lift procedures
- Endoscopic brow and forehead elevation
- Lacrimal procedures, including canalicular reconstruction, conjunctival-DCR with Jones' tube placement
- External and endoscopic lacrimal surgery
- Management of orbital disease including orbital tumor resection, orbital decompression surgery and the management of complex orbitofacial trauma
Although clinical and surgical volume may vary somewhat from year to year, fellows in recent years have participated in over 400 surgical procedures during each year of the program.
The second year of the fellowship program builds upon the skills and experience gained during the first year. This year will include responsibility supervising the provision of urgent and emergent oculoplastic care at Mayo Clinic, as well as opportunities for in-depth rotation with other surgical subspecialties.
Didactic training is an integral part of our Oculoplastic and Orbital Surgery Fellowship program. You will be involved in resident teaching and the preparation of academic conferences and Grand Rounds. Oculoplastic and Orbital Conferences are held periodically, and your participation in these conferences is strongly encouraged.
During your fellowship, you will perform at least one anatomic dissection and provide medical student and resident instruction in orbital anatomy. In addition, you will prepare a course on soft tissue techniques in oculoplastic surgery for presentation to the resident staff and have the opportunity to serve as an instructor in a similar course at the American Academy of Ophthalmology meeting.
The basic and clinical science resources of the Mayo Clinic College of Medicine are available to support your interests. The topics of recent basic science projects performed by the fellows have included molecular genetic analysis of the blepharophimosis syndrome, review of immunopathologic and clinical characteristics of a large series of orbital lymphoid tumors, and characterization of integrin receptor molecules in orbital metastases. From the clinical viewpoint, recent projects have included studies investigating the epidemiology of essential blepharospasm and the outcomes of myectomy surgery in the management of this disorder, the surgical management of ptosis associated with myasthenia gravis, enhanced imaging techniques of the lacrimal outflow system, and the development of new endoscopic techniques in orbital fracture repair. Departmental and institutional funds to support research activities may be available. Collaboration with investigators in other disciplines is encouraged. Audio-visual, photographic and secretarial support is available as well.
It is anticipated that each fellow will be involved in resident teaching and in the preparation of academic conferences, grand rounds, etc. Oculoplastic and Orbital Conferences are held periodically, and fellow participation in these conferences is strongly encouraged. The fellow will perform at least one anatomic dissection, and will provide medical student and resident instruction in orbital anatomy. In addition, the fellow will prepare a course on soft tissue techniques in oculoplastic surgery for presentation to the resident staff, and will have the opportunity to serve as an instructor in a similar course at the American Academy of Ophthalmology meeting.
To ensure acquisition of adequate knowledge and development of appropriate technical skills, your performance is monitored carefully during the course of your Oculoplastic and Orbital Surgery Fellowship. Formal evaluation by supervising faculty members occurs quarterly.