Download Residency Training Program PDF - Ross Eye Institute

Ocular tumors in children*
All chapters are in Duane’s textbook except for those indicated with an asterisk.
X. SPECIALTY ROTATIONS
A. Contact Lens
Education objective: The contact lens clinic purpose is to instruct
developing clinicians who want to know how to fit contact lenses and deal
with their problems. Theoretic and scientific background of the cornea,
contact lens physiology and biochemistry will be covered during the
rotation. The resident will find the direct approach with hands on
experience to provide a step-by-step concise clinical mechanism to learn
contact lens fitting both in the rigid gas permeable lenses as well as soft
contact lenses. Modalities of gas permeable lenses, extended wear lenses,
disposable lenses, bifocal lenses, special fitting techniques for irregular
corneas, as found in keratoconus and injury, as well as monocular aphakia
will be discussed. Controversial methods, such as orthokeratology will be
reviewed.
During the rotation the resident will learn the optics of contact lenses and
how to make adjustments for both steep and flat fitting technique as well
as adjustments for vertex distance in utilizing thin lens optics in the higher
power series. Supportive lectures in the proper assessment of contact lens
fit and performance as well as problem solving approach will be presented
on a one-to-one basis. Great care will be given to the practical aspect of
both rigid and soft contact lens fitting, design choice, and evaluation.
Photographs, drawings, and video topography will supplement the course.
At the end of the course the student should be able to fit standard rigid
and soft contact lenses as well as accurately evaluate them at the slit-lamp
and radius scope. The student should have a comfortable feeling about a
variety of polymers with variant degrees of water contents, tints, front and
back Tories variable central thickness, hyper thin lenses, the safety of
contact lenses, and a sense of comfort, convenience, and the use of lenses
in difficult to manage patients. Exceptional residents will be given an
opportunity to work with corneal topography, refractive surgery
evaluation assessment, design of operative plan as well as follow-up of
corneal aspect of contact lenses in conjunction with the corneal clinic.
The list of readings for the contact lens clinic in Duane=s Ophthalmology
shall be:
Chapter 54
Chapter 55
Chapter 58
Hard Contact Lenses
Hard Lenses and Soft Lenses
Lensometers
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