Overview
The Division of Pediatric Ophthalmology at Cincinnati Children's Hospital Medical Center offers a fellowship in pediatric ophthalmology and strabismus.
Objectives and Content
The Ophthalmology / Strabismus fellow should develop an understanding of the following broad concepts:
- Anatomy, physiology and neuroanatomy of strabismus
- Vision development in infancy and childhood
- Diagnosis and management of pediatric ophthalmologic disorders
It is expected that the fellow will attain the objectives through a supervised direct patient care experience, teaching rounds and conferences presented by the attending staff of the Division of Pediatric Ophthalmology. Computer and library facilities at the University of Cincinnati are available to fellows.
This fellowship's objectives may be divided into two categories:
- Knowledge and Clinical Judgment
- Strabismus
- Anatomy, physiology, neuroanatomy
- Sensory adaptation and testing
- Amblyopia diagnosis and treatment
- Refraction management
- Esodeviations and Exodeviations
- Vertical and incomitant strabismus
- Ophthalmoloplegic syndromes
- Surgery, primary and complex
- Oculinum
- Special testing, ie., saccadic velocity
- Pediatric ophthalmology
- Vision development in infancy and childhood
- Embryology
- Neonatal ophthalmology including retinopathy of prematurity
- Genetics, inborn errors of metabolism, and syndromes involving the eye
- Electrodiagnostic testing
- Ocular manifestations of systemic disease in children
- Vision and learning; dyslexia
- Vision screening
- Treating the visually handicapped child; low vision management
- Pediatric ocular trauma
- Pediatric ocular tumors
- Ultrasound, CT scan and MRI in pediatric ophthalmology
- Areas of the following as related to pediatric ophthalmology and vision development
- External ocular disease
- Lacrimal disorders
- Lid disorders
- Uveal disorders
- Pediatric glaucoma, primary and secondary
- Retina and vitreous
- Neuro-ophthalmology
- Procedure Skills
The fellow must perform and/or assist the primary surgeon in a minimum of 75 major surgical cases. Fifty of these cases must be strabismus and must be done under the direct supervision of an AAPOS member or attending with equivalent qualifications.
Rotation Structure
William Walker Motley III, MD, MS, is the education director for pediatric ophthalmology fellows and ophthalmology residents at Cincinnati Children's Hospital Medical Center.
The fellow participates in daily in- and outpatient care and surgical rounds with the attending staff and residents as appropriate. Patient care occurs five days per week. The majority of teaching takes place during patient care and is supplemented by didactic teaching to the residents.
Journal club will be held six times per annum.
Fellows take call nightly and will be directly supervised by attending staff. It is expected that fellows will attend conferences as provided by the University of Cincinnati Department of Ophthalmology and as directed by the education director.
Evaluation of Fellows
All Ophthalmology / Strabismus fellows will have a written evaluation of their work during Fellowship Training. The evaluation form for this rotation is provided by the Division of Pediatric Ophthalmology.
Evaluations will be completed by the education director and faculty at Cincinnati Children's.
