During the Oculoplastic and Orbital Surgery Fellowship, you receive exposure to state-of-the-art diagnostic and treatment techniques in the field of eye plastic and orbital surgery. You obtain the foundation of clinical and surgical skills that permits you to assimilate new diagnostic methods and surgical techniques, as well as 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 are 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 and rhytidectomy
- Endoscopic brow and forehead elevation
- Lacrimal procedures, including canalicular reconstruction and conjunctival DCR with Jones tube placement
- External and endoscopic lacrimal surgery
- Management of orbital disease, including orbital tumor resection, orbital decompression surgery and management of complex orbitofacial trauma
Although clinical and surgical volume may vary somewhat from year to year, fellows in recent years have participated in more than 400 surgical procedures during each year of the program.
Didactic training is an integral part of our Oculoplastic and Orbital Surgery Fellowship. You are involved in resident teaching as well as 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 perform at least one anatomic dissection and provide medical student and resident instruction in orbital anatomy. In addition, you 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 science and clinical research resources of Mayo Clinic are available to support your interests.
The topics of recent basic science projects performed by fellows have included:
- Molecular genetic analysis of blepharophimosis syndrome
- Review of immunopathologic and clinical characteristics of a large series of orbital lymphoid tumors
- Characterization of integrin receptor molecules in orbital metastases
From the clinical viewpoint, recent projects have included studies investigating:
- Epidemiology of essential blepharospasm and the outcomes of myectomy surgery in the management of this disorder
- Surgical management of ptosis associated with myasthenia gravis
- Enhanced imaging techniques of the lacrimal outflow system
- 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. Audiovisual, photographic and secretarial support is available as well.
To ensure acquisition of adequate knowledge and development of appropriate technical skills, your performance is monitored carefully during the course of the Oculoplastic and Orbital Surgery Fellowship. Formal evaluation by supervising faculty members occurs quarterly.