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Fellowship in Corneal & External Eye Disease

Objective

The SNEC/SERI Cornea Fellowship programme is a subspecialty fellowship programme which encompasses clinical teaching and research in areas of corneal, external eye disease, laser refractive surgery and medical contact lens disciplines.

It involves 12 to 18 months of SNEC/SERI clinical fellowship with research sessions. Upon completion of the fellowship programme, fellows are expected to attain competency in basic corneal transplantation techniques and other forms of corneal and anterior segment surgery, as well as competency in the management of refractive surgery patients.

The fellowship programme also includes experience in administrative roles in various anterior segment committees such as eye banking and Excimer laser committees, clinical research techniques, and active participation in research projects of an international standard.


Duration

1 - 2 years


Programme Details

Clinical Exposure

  • Evaluation of patients with acute or chronic redness of the eye; diagnose acute or chronic loss of vision due to structural changes or anomalies of the anterior segment; be able to create a differential diagnosis for typical corneal findings, for specific anterior segment effects of various systemic and ocular medications, and for surgery of the cornea and conjunctiva; and to delineate the risks and benefits for surgical procedures of the anterior segment

  • Probe patient history for relevant review of systems and the social history, including the details of the onset and course of the ocular condition

  • Complete detailed examinations of the eyelid, orbit, conjunctiva, cornea, anterior chamber, iris, anterior chamber angle, lens, optic disc/nerve, vitreous, retina, and choroid, and perform evaluations under anaesthesia when needed

  • Recognise the various tests that are available to aid in the diagnosis of external disease, including evaluation of the tear film, use of the microbiology laboratory, pathology, information available from genetic analysis, special ophthalmic examination techniques (e.g. ultrasound, specular microscopy, corneal topography/tomography, and anterior-segment optical coherence tomography [OCT])


Surgical Exposure
Cornea

  • Anterior segment surgery including eyelid, conjunctival, scleral and corneal procedures, with emphasis on corneal protective procedures (such as tarsorrhaphy), reconstruction of the ocular surface, surgical management of corneal erosions, and phototherapeutic keratectomy

  • Knowledge of the different techniques of keratoprosthesis surgery

  • Gain knowledge of the diagnosis, medical management and surgical treatment of anterior segment trauma

Refractive Surgery

  • Attachment to a senior staff in the operating theatre to observe, assist and learn refractive surgery procedures, refractive cataract surgery and phakic intraocular lens surgery

  • As all refractive surgery patients are private patients, only local fellows will be allow to perform surgeries under supervision


Educational / Research Exposure
Fellows are required to participate in clinical rounds and daily ward reviews, journal clubs/teaching programmes, retrospective and prospective clinical research and quality assurance audit programmes of the department. All fellows will also participate in teaching of residents and/or medical students and attend all SNEC meetings.


Number of Places Available

2 every year