(in addition to PGY-2 Level goals)
Medical Knowledge
- To describe the epidemiology and perform screening for routine and more advanced primary and secondary open angle glaucoma.
- To describe the treatment of disturbances of aqueous humor dynamics.
- To describe the more complex etiologies for, evaluation of, and treatment of glaucoma (e.g., angle recession, inflammatory, steroid-induced, pigmentary, pseudoexfoliative, phacolytic, neovascular, post-operative, malignant, lens particle glaucomas; plateau iris; glaucomatocyclitic crisis; iridocorneal endothelial syndromes; aqueous misdirection).
- To describe more advanced tonometric and tonographic (if applicable) methods (e.g., diurnal curve).
- To describe more advanced optic nerve and nerve fiber layer anatomy in primary and secondary glaucoma and to recognize typical and atypical features associated with glaucomatous cupping (e.g., rim pallor, rapid progression, central acuity loss, hemianopic or other non-glaucomatous types of visual field loss).
- To describe more advanced forms of perimetry (e.g., kinetic and automated static visual fields) and perimetry strategies (e.g., threshold testing, supra-threshold testing, special algorithms).
- To describe the principles, indications, and more advanced anatomic findings and gonioscopic features of primary and secondary glaucomas (e.g., plateau iris, appositional closure).
- To describe the principles of medical management of more advanced glaucomas (e.g., advanced POAG, secondary open and closed angle glaucomas, normal tension glaucoma)
- To describe the features of, recognize, and treat primary angle closure glaucoma and aqueous misdirection.
- To describe the clinical features of, recognize, and treat less common etiologies of ocular hypotony.
- To describe the results and apply the conclusions to clinical practice of the major clinical trials in glaucoma (e.g., Glaucoma Laser Trial, Normal Tension Glaucoma Study, Advanced Glaucoma Intervention Study, Ocular Hypertension Treatment Study, Early Manifest Glaucoma Trial and Collaborative Initial Glaucoma Treatment Study).
- To recognize and treat the various adult secondary glaucomas.
- To describe the features of primary infantile and juvenile glaucomas.
- To describe and apply specific medical treatments of more advanced glaucoma.
- To describe the principles of laser treatments of glaucoma (e.g., indications, techniques, and complications, use of various types of laser energy, spot size, laser wavelengths).
- To describe the surgical treatment of glaucoma: (e.g., trabeculectomy, combined cataract and trabeculectomy, glaucoma drainage devices, MIGS, and cyclodestructive procedures, including indications, techniques, and complications).
Patient Care
- To perform argon or YAG laser peripheral iridotomy for routine angle closure glaucoma.
- To perform laser trabeculoplasty for uncomplicated glaucoma.
- To perform cyclophotocoagulation.
- To perform routine first surgical glaucoma procedure.
- To describe and manage a flat anterior chamber.
- To perform routine revision of filtering blebs.
- To recognize and treat glaucoma surgery bleb complications.