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View Annual Report - Jules Stein Eye Institute

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Fellowship in Cornea–External Ocular Diseases<br />

and Refractive Surgery<br />

Under the direction of Drs. Anthony J. Aldave, Bartly J.<br />

Mondino, Gary N. Holland, Sophie X. Deng, Barry A.<br />

Weissman, and David Rex Hamilton, one-year fellowships<br />

are offered in the study of diseases of the cornea,<br />

external eye, anterior segment, and refractive surgery.<br />

Clinical experience consists of participation in the<br />

cornea faculty practices, including surgery, and in the<br />

care of emergency cornea cases at the <strong>Jules</strong> <strong>Stein</strong><br />

<strong>Eye</strong> <strong>Institute</strong>. Fellows work in the microsurgical laboratory,<br />

and assist in teaching microsurgical skills to<br />

ophthalmology residents. Under the direction of faculty,<br />

they also perform primary surgical procedures in the<br />

UCLA Laser Refractive Center. In addition to in-depth<br />

training at the <strong>Institute</strong>, fellows supervise patient care in<br />

the cornea clinics at the West Los Angeles Veterans<br />

Affairs Healthcare Center. Experience and knowledge<br />

concerning contact lens fitting, contact lens management,<br />

and related aspects of corneal physiology are<br />

also obtained. Fellows typically complete an original<br />

clinical or laboratory research project, and frequently<br />

co-author a book chapter or review during their training.<br />

Fellowship in Glaucoma<br />

Under the direction of Drs. Joseph Caprioli, Anne L.<br />

Coleman, JoAnn A. Giaconi, Simon K. Law, and<br />

Kouros Nouri-Mahdavi, the one-year or two-year<br />

glaucoma fellowship provides clinical and laboratory<br />

experience in glaucoma diagnosis and management.<br />

Clinical experience is gained by examining patients in<br />

the consultation suite and participating in their clinical<br />

and surgical management. Fellows work in the glaucoma<br />

microsurgical laboratory, participate in microsurgery<br />

courses, assist in the glaucoma clinic, and<br />

develop expertise in the various diagnostic techniques<br />

used in glaucoma treatment through preceptor-type<br />

relationships with faculty. They participate in glaucoma<br />

teaching at the <strong>Jules</strong> <strong>Stein</strong> <strong>Eye</strong> <strong>Institute</strong> and affiliated<br />

institutions, present cases at teaching rounds, and prepare<br />

presentations for regularly scheduled glaucoma<br />

conferences. Fellows also undertake at least one<br />

research project, which may be a clinical study or an<br />

applied research project in the laboratory, in cooperation<br />

with the faculty advisor.<br />

Fellowship in Medical Retina and Genetics<br />

This one-year fellowship, under the directorship of<br />

Dr. Michael B. Gorin, provides clinical knowledge<br />

pertaining to the diagnosis and management of a broad<br />

array of retinal disorders including age-related macular<br />

degeneration, diabetic retinopathy, retinal vascular<br />

disease, inflammatory retinopathies, drug-related<br />

toxic retinopathies, and hereditary retinal and macular<br />

degenerations and dystrophies. Fellows are instructed<br />

in the proper use and interpretation of noninvasive<br />

diagnostic tools, and training includes genetic counseling<br />

and the proper use of molecular genetic diagnos-<br />

tics. Fellows will gain experience with a diverse set of<br />

interventional skills including a wide spectrum of retinal<br />

laser procedures and periocular and intravitreal injection<br />

of various classes of drugs.<br />

Fellows divide their time among the clinical practices<br />

of Drs. Gorin, David Sarraf, and Colin A. McCannel<br />

within the Division of Retinal Disorders and Ophthal-<br />

mic Genetics as well as in the Retinal Diagnostics<br />

Unit and the Visual Physiology Laboratory directed by<br />

Dr. Steven Nusinowitz at UCLA. Dr. McCannel’s clinic<br />

provides exposure to surgical retinal decision-making<br />

and management issues. The fellows also provide care<br />

and teach residents in retina subspecialty clinics at two<br />

UCLA-affiliated hospitals. Fellows are strongly encouraged<br />

to engage in translational clinical research and/or<br />

clinical trials and descriptive retrospective studies and<br />

develop an in-depth working knowledge of the current<br />

scientific literature of medical and genetic retina. They<br />

are expected to participate in genetic and imaging<br />

conferences as well as other relevant meetings.<br />

Fellowship in Neuro-Ophthalmology<br />

The one-year fellowship in neuro-ophthalmology, under<br />

the direction of Dr. Anthony C. Arnold, involves a<br />

close preceptor-preceptee relationship, participation in<br />

teaching rounds, and work in the private consultation<br />

suite. The David Geffen School of Medicine at UCLA<br />

maintains major clinical and research programs in<br />

neurology, neurosurgery, and neuroradiology. Fellows<br />

attend the weekly Neurology and Neurosurgery Grand<br />

Rounds, take an active part in seeing relevant inpatient<br />

consultations throughout the medical center, and assist<br />

in selected surgical procedures of interest to neuroophthalmologists.<br />

Attendance at the weekly neuroradiology<br />

teaching conferences is encouraged. Time is<br />

allotted for scientific reading and for research activities.<br />

Participation in clinical research, such as studies of eye<br />

movement disorders and disturbances of visual pathways,<br />

is expected.<br />

Programs | Training Programs 89

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