Ophthalmology Residency Program
The Tulane Department of Ophthalmology offers a one-year Corneal Fellowship program, beginning July 1 and continuing through June the following year. We accept three fellows per year who rotate among the private services of Dr. Delmar R. Caldwell, Dr. Miles Friedlander, Dr. Peter Kastl, and Dr. Rebecca Metzinger.
Fellows gain clinical experience managing diverse patient populations at Tulane Medical Center, Southeast Louisiana Veterans Health Care System in New Orleans, the Alexandria VA Medical Center, and the Medical Center of Louisiana (Charity Hospital). Corneal fellows cover the weekly corneal and contact lens clinic of the Southeast Louisiana Veterans Health Care System.
Corneal transplant patients seen in these clinics undergo surgery at their respective hospitals. The Southeast Louisiana Veterans Health Care System in New Orleans serves as a referral center for corneal patients from the VA Hospitals in Alexandria, Louisiana, and Biloxi, Mississippi. Tulane recently launched a new Refractive Center, featuring Intralase technology, making it the first and only site in Louisiana offering Intralase Enabled Keratoplasty.
Past corneal fellows have indicated that the fellowship year at Tulane was a tremendous asset to their ongoing education in ophthalmology.
Glaucoma/Anterior Segment Fellowship
Tulane Glaucoma Fellowship Program (TGFP)
Tulane Community Outreach Belle Chasse Eye Camp May 2013 Pictured left to right: Dr. Pooja Sethi, Dr. Natalie Weil, (unnamed) Newman High school student, Ram Ayyala, Dr. Raj Patel, (unnamed) Newman High school student, Dr. Haumith Khan-Farooqi, Dr. Ramesh Ayyala, Dr. Evan Schoenberg, Dr. Thomas Jones, Dr. Richard Watson, Dr. Mathew George, Dr. Juan Battle, David Dao (Tulane Medical Student), (unnamed) Tulane Medical Student
TGFP is an AUPO certified one-year fellowship program designed to train ophthalmologists in the art and science of glaucoma. Foreign medical graduates must be ECFMG certified. All applicants must have successfully completed an ACGME –accredited residency program in Ophthalmology in the USA or Canada. All applicants must be eligible for full Louisiana licensure (www.lsbme.la.gov) at the time of application. All applicants must be US citizens. All applicants must apply through the San Francisco Matching Program.
Position available: 1
(All above sites are located in downtown New Orleans, within walking distance of each other.)
Fellowship Director: Ramesh S. Ayyala, MD, FRCS, FRCOphth
VA New Orleans: Jared Vincent, MD (Fellowship-trained Glaucoma/Anterior Segment)
VA Alexandria: Candace Collins, MD (Fellowship-trained Pediatric/Comprehensive)
University Hospital: Peter Kastl, MD, PhD (Fellowship-trained Cornea/External Disease)
Clinical Expectations: The fellow is expected to attend all the glaucoma clinics run under the supervision of the Tulane Glaucoma Service. This includes the weekly glaucoma clinics at Tulane Medical Center, Eye Associates of West Jefferson, as well as the Southeast Louisiana Veterans Health Care System. The fellow is also expected to staff monthly glaucoma clinics at the University Hospital and the VA Health Care System in Alexandria.
The fellow is expected to participate in at least 6,000 patient visits during the year, perform 150+ glaucoma related procedures, review more than 1000 HVF/OCT/Pentacam topographical images of the cornea, fulfill call obligations, attend grand rounds, journal clubs and other resident teaching activities, as well as participate in the online glaucoma international lecture series.
The fellowship offers exposure to patients with a wide variety of glaucoma-related pathology such as glaucoma suspects, ocular hypertension, primary open angle glaucoma, secondary open angle glaucoma (pigmentary, pseudoexfoliative and steroid), uveitic glaucoma, acute and chronic angle closure glaucoma, neovascular glaucoma, glaucoma associated with retinal and corneal diseases, congenital glaucoma, and glaucoma associated with systemic disorders. In addition, fellows gain experience with a variety of complex cataract and other anterior segment pathology.
Laser: Fellow is taught the indications, and will perform over 40 laser procedures including Selective Laser and Argon Laser Trabeculoplasty, YAG laser iridotomy, and Argon laser iridoplasty.
Surgery: The fellow is expected to participate in surgery at Tulane, both VA hospitals, and University Hospital. The fellow has a wide variety of surgical exposure, and will become proficient in the surgical management of different glaucoma treatment options including trabeculectomy with and without anti-fibrotic agents, bleb revision for leaky blebs and hypotony maculopathy, management and drainage of choroidal effusion and hemorrhage, management of failing bleb, implantation of Ex-Press mini shunt implantation and glaucoma drainage devices, performance of canal-based surgeries such as canaloplasty and iStent implantation. The fellow gains experience in performing combined glaucoma and cataract surgery, complex cataract surgery, as well as management of corneal pathology in association with glaucoma including penetrating keratoplasty and Deep Stromal Automated Endothelial Keratoplasty (DSAEK). The fellow will be able to primarily assist in the management of congenital glaucoma including goniotomy, trabeculotomy-trabeculectomy and glaucoma drainage devices, cyclodialysis cleft repair, and cyclo-destructive procedures.
Slit lamp procedures: During the fellowship, emphasis is placed on performing a wide variety of procedures at the slit lamp. The fellow will assist as well as primarily perform needling of failing bleb, suturing of a leaky bleb, compressive sutures for the management of large blebs, barrier sutures to restrict the bleb spread, trans-conjunctival scleral flap sutures in the management of hypotony, anterior chamber reformation, peripheral synechialysis, and astigmatic keratotomy at the slit lamp.
Research: The fellow is expected to take part in the ongoing glaucoma-related research in the department. The research involves both basic science and clinical (both animal surgery and human studies). It is expected that the fellow presents the research at the Tulane annual research day (O’Brien Professorship), and submit the research at national conferences such as ARVO, AGS and AAO meetings.
Research Director: Diane Blake, PhD
Surgical Experience of Previous Fellows:
150 + as primary surgeon (200 + assists)
Ahmed Glaucoma Valve: 45
Baerveldt Glaucoma Implants: 15
Trabeculectomy and Ex-Press mini shunt: 25
Canal based surgery (iStent 15, Canaloplasties 10; Goniosynechiolysis 10)
In addition, the fellow assists in a variety of anterior segment reconstruction surgeries associated with glaucoma surgery.
The fellow is expected to take part in the innovative, on-line teaching using the MediTred® platform. Dr. Ayyala is the President of MediTred®, which he founded in 2011. Sample lectures may be viewed on YouTube. (https://www.youtube.com/channel/UCuBcmtHFrNSJ6mHFFS4tQPQ)
International Rotation (optional)
Dr. Ayyala has helped establish the Anand Eye Institute in Hyderabad, India in 2012. He is Chairman, and sits on the Board of Directors for AEI. The fellow has the opportunity to travel to Anand Eye Institute and gain surgical experience. (http://anandeyeinstitute.org/)
Past Fellows - Contact Information
Tulane Community Outreach Plaquemines Parish Eye Camp May 2012
Pictured left to right: Dr. Juan Battle, Dr. Julie Foreman, Dr. Son Ho, Dr. Ramesh Ayyala, Dr. Brian Mikulla, Dr. Haumith Khan-Farooqi
The Tulane Department of Ophthalmology offers a one-year Retina Fellowship program, beginning July 1 through June the following year. Under the direction of Dr. James G. Diamond, fellows gain significant patient care and teaching experience and enjoy research opportunities in the subspecialty.
The program is designed to help fellows develop skills and judgment in the medical and surgical management of vitreo-retinal disorders. Specific experiences are gained in the diagnostic modalities of ultrasonography, fluorescein angiography, and electrophysiology. The surgical management of congenital malformations, diabetic retinopathy, trauma, and inflammatory diseases of the eye are emphasized. Standard scleral buckle procedures (episcleral, flaps, hard silicone, sponges, and drainage) and the newest vitrectomy techniques with the Accuras and Millenium units, PFO, silicone oil and gases are taught. The program includes hands-on training in subretinal and translocation retinal procedures. Indirect ophthalmoscopic (free hand) and wide-angle visual surgical viewing systems are used in conjunction with routine intraocular surgical techniques. Laser procedures, including the newest, dye-laser and photodynamic therapeutic modalities, are performed routinely by fellows. Extensive training is offered in the actual performance of IVFA (film and digital) and its interpretation.
The Southeast Louisiana Veterans Health Care System in New Orleans provides the major stage upon which the fellow will perform. There are, in addition, two outlying Veterans Administration Hospitals and a Charity Hospital that refer emergency patients to the Tulane Medical Center complex. The senior fellow, under Dr. Diamond's direction, assumes primary responsibility in managing these services. The retinal fellow is in charge of all the vitreo-retinal surgeries to be done. This will include a minimum of three major surgical cases performed entirely by the fellow per week and several cases in which the fellow serves as primary assistant. In addition, the fellow will be directly involved in the care and management of all private patients at Tulane Medical Center. Fellows are engaged in full-time clinical activities under the direct supervision of Dr. Diamond.
General Information regarding Fellowship
CURRENT STIPEND: PGY V level
RESEARCH: Every ophthalmology fellow at Tulane participates in research and is expected to present findings at national meetings and the department's annual academic and graduation program (Tulane Eye Alumni Day and Annual C.S. O'Brien Professorship) at the end of the year.
TEACHING: Fellows benefit from many opportunities to teach and supervise residents and medical students as they increase their own knowledge of conditions of the cornea and anterior segment. In-depth clinical discussions occur regularly, including weekly Grand Rounds. Working closely with the residency director, fellows organize the didactic lectures that occur every Monday. Fellows also teach during the annual Basic Science Course that takes place in July and August.
MEETINGS: Fellows receive free attendance to the internationally recognized annual meeting of the New Orleans Academy of Ophthalmology (a three-day seminar in New Orleans). Funds are also available for partial support to attend a meeting of choice on glaucoma/anterior segment, retina, or cornea/external diseases/refractive surgery when a paper/presentation is accepted. Fellows may also attend the American Academy of Ophthalmology.
LOUISIANA LICENSURE: In order to obtain Louisiana licensure by reciprocity, you must have passed all three parts of the USMLE and hold a current medical license in another state. Louisiana licensure is required at the start of the fellowship, July 1. If you have specific questions regarding licensure, please contact the Louisiana State Board of Medical Examiners at (504) 524-6763 or www.lsbme.org.
FOREIGN MEDICAL GRADUATES: You must have an ECFMG certificate and be able to obtain the appropriate visa for participating in this program. You must also be able to obtain a permanent Louisiana license from the Louisiana State Board of Medical Examiners. Applications will not be accepted from medical graduates who have not completed three years of ACGME approved residency training in the US or Canada in the same specialty. If the fellowship program appears interesting and rewarding for you, please forward your curriculum vitae, photograph, personal statement, three associated letters of reference and your fellowship match number. The fellowship application deadline is October 1. Your packet needs to be complete by this date. For further information, call 504-988-2261 or e-mail: firstname.lastname@example.org
Tulane University, New Orleans, LA 70118 504-865-5000 email@example.com