Neuro-Ophthalmology

The objectives in Neuro-Ophthalmology are:

Clinical

  • obtain direct hands-on clinical experience and training in the evaluation and management of afferent and efferent neuro-ophthalmic conditions.
  • To be able to perform and master the art of a comprehensive neuro-ophthalmologic examination
  • To develop and master a diagnostic and therapeutic approach to difficult neuro-ophthalmic case presentations.
  • Develop facility and mastery in the evaluation and management of patients with optic neuropathies.
  • Develop facility and mastery in the evaluation and management of patients with optic nerve head swelling including papilledema and pseudopapilledema
  • Develop facility and mastery in the evaluation and management of patients with central nervous system disorders such as stroke, neuromuscular junction disease, and degenerative diseases (eg. Neuro-ophthalmic manifestations of Parkinson’s disease)
  • Develop facility and mastery in the evaluation and management of patients with facial pain syndromes
  • Develop facility and mastery in the evaluation and management of patients with orbital fissure, cavernous sinus, and chiasmal disorders
  • Develop facility and mastery in the evaluation and management of patients with trigeminal pain syndromes, and migraine
  • Develop facility and mastery in the evaluation and management of patients with visual field disturbances
  • Develop facility and mastery in the evaluation and management of patients with neuro-ophthalmic features of multiple sclerosis
  • Develop facility and mastery in the evaluation and management of patients with diplopia
  • Develop facility and mastery in the evaluation and management of patients with anisocoria
  • Develop facility and mastery in the evaluation and management of patients with cranial neuropathies

Surgical

  • Develop an understanding of which clinical scenarios and presentations require or warrant surgical intervention.
  • Develop an understanding of when optic nerve sheath fenestrations are warranted in the management of intracranial hypertension. The trainee should obtain the necessary skills and experience in the hands-on performance of optic nerve sheath fenestrations.
  • Develop skills and strategies to independently plan and execute a variety of adult strabismus surgeries including but not limited to:
    • Adjustable suture techniques
    • Fixed suture techniques
    • Horizontal rectus muscles
    • Cyclovertical muscles
    • Sensory deviations
    • Thyroid-related dysmotility
    • Re-operations
    • Congenital or longstanding deviations
    • Congenital Nystagmus surgery
  • Develop mastery of temporal artery biopsies
  • To be able to assess the need for and independently perform suture tarsorrhaphies, ectropion and entropion repairs
  • To develop an approach to the prevention (whenever possible) and management of peri-operative, intra-operative and post-operative complications.

Academic

  • To develop a broad and in depth fund of knowledge of neuro-ophthalmology and relevant aspects in related fields such as Neurology and Neurosurgery.
  • To be able of teach clinical, academic, and surgical concepts to residents and medical students.
  • To participate in on-going neuro-ophthalmology research projects, as well as take primary initiative on at least one project of particular interest to the trainee. This may lead to presentation of his/her work at a national or international conference, and/or to publication in a peer-reviewed academic journal.
  • The trainee will be expected to provide guidance, leadership, and assistance to residents in their pursuit of academic proficiency in neuro-ophthalmology.

For more information on the Neuro-Ophthalmology fellowship program, please contact Ginette Snook, Departmental Education Program Coordinator. All Foreign Trainee applications to our program must go through the PGME office. Foreign Trainee candidates must apply on-line through the Fellowship application system. The application site for Foreign Trainees opens in July/August and the deadline for applications is September 30th for the next academic year. All Foreign Trainee candidates are expected to apply to both the SF Match and the PGME Foreign applications.

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