Handbook> Selectives > Surgery > Ophthalmology

Surgery Subspecialties

Ophthalmology

Number: (Oasis - S54e) 2005

Rotation Supervisor: Dr. Laura Cook

Available: Rotations 1 - 3 & 6b - 12

Duration: 2 weeks

Report to: Debbie Perry; OMS 2nd floor, Rm 2832; dap2b@virginia.edu; 982-1696

Time to Report: 8:30 am

Place to Report: Old Medical School Room 2832

Typical Day: 7:00 am - 5:00 pm

Number of students per rotation: 2

Course Description: On the Ophthalmology service, the student will work directly with the residents and attending physicians in the diagnosis and treatment of patients with a wide range of ophthalmic disease. Patients include those with visual disturbance, refractive error, ocular manifestations of systemic disease, localized ophthalmic disease, and head/facial trauma. The student will be introduced to the equipment and examination techniques used in the ophthalmology clinic. In addition, they will be exposed to the surgeries used to treat the diseases that they are presented with in the clinic. The students will become familiar with the most common ocular emergencies and ocular conditions. The student participates in the outpatient clinic daily, the inpatient consult service as they wish, and the operating room intermittently throughout the week.

Ophthalmology Third Year Selective Learning Objectives

Ophthalmic Examination

Learning Objective #1: The student will learn to perform an ophthalmic examination that includes testing visual acuity, confrontation visual field testing, inspection of the eye and adnexal tissue, a slit lamp examination, and direct ophthalmoscopy.

Red Eye

Learning Objective #2: In the evaluation of a patient with a red eye, the student will take a relevant history, perform a differential diagnosis, and identify indications for immediate intervention. The student will specifically learn to identify conjunctivitis, episcleritis, herpes keratitis, acute angle closure glaucoma, blepharitis, chalazion, preseptal cellulitis, orbital cellulitis, sub-conj hemorrhage, corneal abrasion, and dry eye.

Ocular Emergencies

Learning Objective #3: When presented with an ocular emergency patient, the student will be able to take a relevant history and describe a management plan, particularly for clinical situations of chemical exposure, trauma suspicious for an open globe, eyelid lacerations, and bony orbit fracture.

Ocular Manifestations of Systemic Disease

Learning Objective #4: The student will be able to describe the typical ocular findings for diabetes and hypertension.

Glaucoma

Learning Objective #5: In the evaluation of glaucoma, the student will be able to define the different types of glaucoma, discuss the demographic risk factors behind the disease, describe the signs and symptoms of glaucoma, and delineate the medical and surgical treatments for glaucoma.

Retinal detachment

Learning Objective #6: The student will be able to explain the symptoms and exam findings for a retinal detachment as well discuss surgical treatment options for the condition.

Cataracts

Learning Objective #7: The student will observe at least 2 cataract surgeries and describe the common signs, symptoms, and exam findings of cataract disease.

Pediatrics

Learning Objective #8: The student will understand the basic concepts underlying strabismus, amblyopia, leukocoria, and retinopathy of prematurity in pediatric patients.