Please read the sections on Posterior Uveitis in the Ocular Inflammation and Uveitis book of the BSCS series.
Mandatory for residents on the Retina service rotation.
Reading materials attached.
Objectives: Upon completion of this conference the resident/student should have an understanding of proliferative diabetic retinopathy and should be able to:
- Define terms associated with diabetic retinopathy
- Discuss the epidemiology and pathogenesis of diabetic retinopathy
- Discuss the mechanisms of vision loss in diabetic retinopathy
- Define and discuss the causes, pathophysiology, signs, symptoms and management of proliferative diabetic retinopathy
Reading Assignment: Please read the chapter "Retinal Vascular DIsease: Diabetic Retinopathy" in the Retina and Vitreous book of the BCSC.
Objectives: At the conclusion of this conference the resident/student will have an understanding of the effects of systemic drugs on the retina and will be able to:
Describe the anatomy and physiology of the retina as it relates to mechanisms of retinal drug toxicity
List the systemic drugs that are known to have adverse effects on the retina including:
Describe the incidence, symptoms, signs, monitoring protocols and prognosis for toxicity related to these medications.
Reading Assignment: There appears to be a very short section covering Systemic Drug Toxicity in the Retinal Degenerations associated with Systemic Disease chapter of the Retina and Vitreous volume of the BCSC. For more detail you may wish to read Drugs and the Retina by Constable and Pirmohamed from Expert Opinions on Drug Safety 2004.
Objectives: At the conclusion of this conference the resident/student should have an understanding of posterior segment trauma and should be able to:
Describe the epidemiology, characteristics and management of posterior segment trauma including:
- Blunt trauma
- Lacerating and Penetrating Injuries
- Perforating Injuries
- Intraocular Foreign Bodies
- Sympathetic Ophthalmia
- Shaken Baby Syndrome/Nonaccidental Trauma
Reading Assignment: Please read the chapter 17 in the Retina and Vitreous book of the BCSC series.
Objectives: Upon completion of this conference the resident/student should have an understanding of retinal vascular disease and should be able to
- Describe the epidemiology, causes, characteristics and management of retinal vascular disease including
- Hypertensive Retinopathy
- Sickle Cell Retinopathy
- Peripheral Retinal Neovascularization
- Venous Occlusive Disease
- Arterial Occlusive Disease
- Retinal Vasculitis
- Cystoid Macular Edema
- Coats Disease
- Juxtafoveal Telangiectasis
- Arterial Macroaneurysms
Reading Assignment: Please read Chapter 5 Retinal Vascular Disease in the Retina book in the BCSC series.
Please join Dr. Sahel for a breakfast meeting at 8am in the 9th floor conference room.
Objectives: At the conclusion of this conference the resident/student should have an understanding of endophthalmitis and should be able to:
- Describe the epidemiology, causes, characteristics and management of endophthalmitis including:
- Endogenous Bacterial Endophthalmitis
- Fungal Endophthalmitis
- Posttraumatic Endophthalmitis
- Post-operative Endophthalmitis
- Chronic Endophthalmitis
- Discuss the purpose, inclusion criteria and the outcomes of the Endophthalmitis Vitrectomy Study
Reading Assignment: There are several sections in the Retina and Vitreous section of the BCSC concerning endophthalmitis. Please read through these. In addition, please review the EVS-link attached.
Our mission on Monday, August 21st will be to the Birmingham Clinic in the South Side neighborhood in partnership with the UPMC Program for Health Care to Underserved Populations. Birmingham Clinic serves a diverse community of adults and children including immigrants. We often need Spanish translators at Birmingham Clinic. Click here for Google directions.
Please read the chapter on Diseases of the Vitreous and the Vitreoretinal Interface in the Retina and Vitreous book of the BCSC series.
Objectives: At the conclusion of this conference the resident/student should have an understanding of retinal detachment and should be able to:
- Recognize the signs and symptoms of retinal detachment
- Identify the differential diagnoses associated with retinal detachment
- Identify the treatment options for retinal detachment
- Recognize the surgical objectives in retinal detachment repair surgery
- Recognize the appropriate risk factors for retinal detachment
Reading Assignment: Please read the BCSC Retina chapter 15 prior to the conference.
Assignment: Please read BCSC Intraocular Tumors Chapter 19 prior to the conference and note any questions for discussion.
Plan for the Intro to OR and Surgical Instruments lab is as follows:
- 12:00pm - Pizza in Mercy OR Same Day Surgery Physician Lounge- attached to the SDS room
- 12:30pm - Mercy SDS OR with Kathy (senior RN) and a scrub tech going over proper OR etiquette and surgical instruments from Cataract, Retina, and Plastics trays (plan is to have two rooms)
**Everyone needs to wear light blue scrubs*
Assignment: Please read pages on ERG in the BCSC Retina text prior to the conference and note any questions for discussion.
Assignment: Please read appropriate pages in the BCBS Retinal Series and prepare for discussion.
Assignment: Please read Ch 2 in the BCBS Retinal Series and prepare for discussion.
Objectives: Upon completion of this conference the resident/student should have an understanding of choroidal disease and should be able to
- Describe the epidemiology, causes, characteristics and management of choroidal disease including
- Bilateral Diffuse Uveal Melanocytic Proliferation
- Choroidal Perfusion Abnormalities
- Choroidal Hemangioma
- Uveal Effusion Syndrome
Reading Assignment: Please read Chapter 12 Hereditary Retinal and Choroidal Dystrophies in the Retina and Vitreous section of the BCSC series.
Pizza at 5:30pm in EEI 150.
Also, please remember to double bag any waste into the red Biohazard bag.
Then place in cardboard Biohazzard box. Put in hallway outside the door of the wetlab.
Call Maintenance at 412-647-3370 for pick up.
Reading materials in BCSC:
- Glaucoma Incisional Surgery for Open-Angle Glaucomas
- Glaucoma Drainage Device Implantation
Looking forward to scleral action with you including flapping and tunneling!
Learning Objectives for PKP
- Understand the principles of wound creation and closure with penetrating keratoplasties
- Pig/goat eyes
- Supersharp blades
- Fine non-locking needle holders
- 10-0 nylon suture
- Colibri or straight 0.12 or 0.3 forceps
- Vannas scissors
- Tying forceps
- Vacuum trephine
- Left and right corneal scissors
- Please read the following:
- Macsai chapter on corneal suturing
- Krachmer section on penetrating keratoplasty
- Please watch the following videos:
- Trephination and corneal excision in PKP (will need to create free account if don’t already have one):
- Full surgical video on PKP
- Inject some BSS into the anterior chamber of the pig/goat eye to reform the anterior chamber to physiologic turgor (makes for easier paracentesis incision)
- Create a paracentesis incision with a 15-degree blade
- Fill anterior chamber with viscoelastic
- Trephine the cornea with the vacuum trephine.
- Excise corneal button with left and right corneal scissors
- Resuture corneal button back in PKP fashion
Objectives for Ambio-Disk / AMT membrane
- Review indications for amniotic membrane transplantation
- Become familiar with and demonstrate the technique of amniotic membrane transplantation to close a conjunctival defect
- Become familiar with and demonstrate the technique of amniotic membrane transplantation to repair corneal pathology
- Review post-operative care after AMT
- Discuss complications
Instruments and Supplies
- Needle driver
- 0.12 forceps with tying platform
- Marking pen
- Crescent blade
- Wescott scissors
- Vannas scissors
- Tying forceps
- Amniotic membrane
- 8-0 Vicryl suture
- 10-0 Nylon suture
- Fibrin glue