Long Term Fellowship In Pediatric Ophthalmology

The Jasti V Ramayamma Children's Eye Centre is dedicated to children's eye health, including service, education and research. Established in 1997, the Centre covers all aspects of a visually challenged child's eye health such as prevention, treatment, and rehabilitation. In addition, the Centre conducts clinical, epidemiological and basic investigations focusing on the outcome, prevalence, genetics, congenital anomalies, infection, cataract, glaucoma, ROP, and retinoblastoma.

This program aims to train eye care professionals in early intervention treatment strategies to address the critical issue of childhood blindness. In addition, other aspects of childhood blindness are covered.


Course design

Basic Orientation: The first month will be in ZEISS academy to strengthen the skills in clinical examination and basic diagnostics and also to get acquainted with the principles and guidelines being followed at the institute.

Clinical Rotation: During this period the fellows would be rotated in the sub specialty with the entire faculty in the sub specialty and gain exposure. Duration of this period is 17 months which also includes one month posting in eye bank.

The following are the areas and techniques where the training is imparted

The fellows will be involved in all aspects of clinical diagnosis and will become familiar with the following procedures under supervision:

  • Slit lamp biomicroscopy
  • Applanation tonometry
  • Gonioscopy direct and indirect
  • Pachometry
  • Keratometry
  • Indirect and direct ophthalmoscopy
  • Biomicroscopic indirect ophthalmoloscopy
  • Perimetry, including automated perimetry
  • Use of Argon and Nd YAG lasers
  • Ultrasonograpy (A scan and B scan)
  • Slit lamp photography
  • Evaluation of children with strabismus, cataract, glaucoma, oculoplasty, tumor related problems and vitreo-retinal disorders

Surgical Training

Basic Cataract surgical skills (one month)

This period of the fellowship is meant to ensure that the fellow can competently perform standard cataract surgical procedures.

The fellows will also use the wet lab facility to enhance their skills in using the microscope. They will assist the faculty in:

  • Surgery of congenital cataract
  • Intraocular lens implantation
  • Pediatric IOL power calculation
  • Primary posterior capsulotomy and anterior vitrectomy
  • Postoperative management
  • Amblyopia therapy

Anterior segment, including cornea and cataract surgeries

During this posting, fellows will work in rotation with two cornea and anterior segment surgeons to learn the finer aspects of cataract surgery. Fellows will be assisted by the faculty in performing cataract surgery on children. Eventually, they will be expected to perform cataract surgery independently.

Strabismus surgery

During this posting, fellows will learn basic clinical diagnostic and surgical techniques for the management of strabismus. They will initially assist during surgery and then move on to independent surgeries, based on their level of competence.

Pediatric glaucoma

During this posting, fellows will acquire an understanding of the basic examination techniques for adult glaucoma as well as pediatric glaucoma, and assist in the clinic and the operating room. Initially, they will work with consultants while performing surgery on adult patients, during which time they should also acquire the skills needed to perform glaucoma surgery on pediatric patients. At the end of the fellowship, they should be able to perform a minimum of three surgeries for congenital glaucoma under the consultant's supervision.

  • Trabeculectomy with or without antimetabolites
  • Combined trabeculotomy
  • Cyclodestructive procedures like TSCPC and cyclocryotherapy
  • Combined cataract and glaucoma surgery

Ophthalmic plastic surgery

During this one-month posting, the fellow will work with the consultant and learn basic examination and management techniques for common pediatric oculoplasty problems as well as management of pediatric tumors. The fellows are expected to learn about syringing and probing of nasal lacrimal ducts, surgical management of ptosis, entropian, ectropian, etc.

Retina

During this posting with the consultant, the fellow can improve his skills in indirect ophthalmoscopy and basic work-up of vitreo-retinal diseases in children, including familial disorders, genetic retinal diseases, congenital eye anomalies and retinopathy of prematurity. The fellow will be assisted during the evaluation and management of babies who are treated or screened for retinopathy of prematurity and also be trained in the following areas:

  • Surgery with lasers related to vitreo-retinal procedures in children
  • Diagnosis of pediatric retinal disorders, especially retinal degeneration
  • Retinopathy of prematurity and genetic disorders affecting the retina
  • Performing laser treatment for premature retinal degeneration
  • Simple surgeries for retinal diseases (optimal)

Posting at Secondary Center: This is the time the fellows will learn to manage clinics and operate independently and also gain expertise in managing a Secondary level center, this posting will be for a period of two months,

Clinical Associates: During this period (6 months) fellows will take up institute's responsibilities while being posted with the faculty. This is the time they will also learn managing various areas independently.

All the fellows at the Institute will be doing emergency duties on rotation.


Stipends

Long term fellows will be paid a stipend of INR 15000/- for the first 18 months and INR 25000/- for the last six months.


Prerequisites

MS/MD/DNB in Ophthalmology


Mode of selection

Written test and interview


Intake

Batch starts in January and July session across network every year.


Process of applying

Applications will be made available and registration will open 2 months in advance.

  • Filled in application form
  • A letter of Interest
  • Copies of certificates

For further details contact/Send the applications to
Mark Nathaniel Thadikonda and Vijayamma
Nannepaga Centre for Eye Care Education,
L V Prasad Eye Institute,
L V Prasad Marg, Banjara Hills,
Hyderabad - 500 034
Telephone: +91-40-3061 2567/2568
Email: education@lvpei.org


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