The fellow will work closely with the Division of Plastic Surgery. There are opportunities to participate in major reconstruction cases resulting from both trauma and congenital anomalies. Joint research projects may be undertaken in both clinical and laboratory settings. This interaction is viewed as an important part of the close relationship between the Divisions of Ophthalmology and Plastic Surgery at both our adult and pediatric centers. Over 100 major cases are done yearly by the craniofacial team. In addition, because of the team approach, the oculoplastic fellow has frequent opportunities to work with members of the Division of Neurosurgery at Children's Hospital and the Hospital of the University of Pennsylvania on major congenital orbital problems and orbital tumors. The Center for Human Appearance provides an exciting opportunity to work with a variety of experts in related disciplines.
A close working relationship has been established with dermatologists who provide MOHS surgery training at the Hospital of the University of Pennsylvania. Secondary reconstruction of adnexal defects is performed at Scheie Eye Institute and occasionally in the MOHS surgery suite at the Hospital of the University of Pennsylvania. The opportunity for research projects in tumor immunology is also available for the oculoplastic fellow. There are also coordinated activities with the MOHS fellow from the Division of Dermatology.
The Center for Human Appearance, which includes cosmetology, hair transplant and laser programs, provides a unique opportunity for learning cosmetic surgical principles and working with the oculoplastic surgeons in the University group. In addition to cosmetic surgery, these techniques are applied to areas of reconstructive surgery such as acute and secondary facial and orbital fracture repair. There is also an opportunity to work on the prosthetic fabrication of various facial devices created by Kenneth Kent, DMD and the coherent ultra pulse laser.
Significant experience with other oculoplastic surgeons doing face-lifts, liposuction and laser resurfacing is available through electives.
Members of the Divisions of Plastic Surgery and Dermatology are available to instruct the fellow in the use of Tuneable Dye and other cutaneous laser techniques. Laser resurfacing is done at the Center for Human Appearance by the oculoplastic group as well as by Plastic Surgery and Dermatology.
There are excellent opportunities for the oculoplastic fellow to work closely at Children's Hospital with the pediatric ophthalmology fellows in managing motility problems. There is an Adult Motility Clinic at the Scheie Eye Institute. The oculoplastic fellow can participate in this clinic where complicated strabismus problems such as those resulting from thyroid disorders or from post-orbital trauma are evaluated.
Drs. Steven Galetta, Nicholas Volpe and Grant Liu provide adult services. Dr. Liu also specializes in pediatric neuro-ophthalmology and interfaces with oncology and the Neurofibromatosis Clinic.
Exposure to ultrasonography, CT scanning, MRI and lacrimal scintigraphy are an active part of the oculoplastic fellowship training program.
The Division of Pediatric Ophthalmology works closely with the Craniofacial Reconstruction Clinic, a clinic for children with neurofibromatosis and the Ophthalmic Genetics Clinic. The Division also participates in the Neuro-Oncology and Vascular Tumor Clinics at Children's Hospital. Excellent ophthalmologic ultrasound, sophisticated electrophysiology equipment, visual evoked potential recording and ERG/EOG are available, permitting immediate on-site evaluation of complex problems .