Pediatric Ophthalmology PGY-2 to PGY-5
Pediatric Ophthalmology PGY-2
Medical Expert
The resident will acquire the knowledge:
- Embryology of the eye & orbit
- Anatomy of the changing ocular & orbital structures
- Anatomy & physiology of the oculomotor system
- Physiology of accommodation & the changing optics of the child's eye
- Physiology of normal & abnormal visual development
- Pharmacology of cycloplegics(atropine, cyclopentolate tropacamide, phenylephrine, homatropine), etc. & pediatric dosages
- Basic genetics
- Microbiology of neonatal infections(e.g. torch, ophthalmia neonatorum,etc.)
The resident will acquire clinical skills:
- Diagnosis & management of pediatric refractive errors including the prescription of optical corrections
- Diagnosis of motility disorders(strabismus, palsies)
- Diagnosis & management of amblyopia
- Management of neonatal ocular infections, periorbital and orbital cellulitis
- Diagnosis & management of tearing disorders in children
- Specific questioning of parents relating to pregnancy, delivery, development, and family history of the child being examined
- Assessment of vision in the preverbal child
- Assessment of eye movements
- Principles of measurement of strabismus deviations
- Refraction in children
- Introduction to the indirect ophthalmoscopic examination of infants
The resident will acquire surgical skills:
- Assist at strabismus surgery on occasion (to include familiarity with sterile surgical technique, basic prepping & draping of patient)
- Minor lid procedures (e.g. chalazion removal)
- Assist at some examinations under anaesthesia
Pediatric Ophthalmology PGY-3
Medical Expert
The resident will acquire the knowledge:
- Surgical anatomy of the changing ocular & orbital structures
- Pathophysiology of sensorial adaptations & abnormal visual development
- Electrophysiology (including ERG, VER, EOG)
- Pharmacology of certain anaesthetic agents & conditions which relate to pediatric ocular surgery
- Pathology of congenital ocular malformations, pediatric ocular and orbital tumours
- Management of all strabismus & neuro-ophthalmic ocular deviations
- Management of ptosis & related disorders
- Management of pediatric intraocular & orbital tumours
- Management of Uveitis in children
- Diagnosis & management of inherited eye syndromes
- Diagnosis of pediatric cataracts, glaucoma, and leukocoria
- Understanding the ophthalmic manifestations of pediatric systemic disease
The resident will acquire clinical skills:
- Expertise in the assessment of vision of the preverbal child
- Expertise in the assessment of eye movements
- Complete facility in the measurement of strabismus deviations and the assessment of any associated sensory adaptation
- Clinical experience in the assessment of the child who is uncooperative or developmentally delayed
- Expertise with the indirect ophthalmoscopic examination of infants
The resident will acquire clinical skills:
- Satisfactory execution of horizontal strabismus surgery & some vertical/oblique surgery
- Syringing & probing of the nasolacrimal duct
- Assist at examinations under anaesthesia & pediatric intraocular surgery
- Some ptosis procedures
Pediatric Ophthalmology PGY-4 AND PGY-5
Medical Expert
The resident will acquire the knowledge:
- Expertise in pediatric glaucoma, infections and inflammations and tumours
The resident will acquire clinical skills:
- Management of intraocular infections
- Management of pediatric cataracts & glaucoma
The resident will acquire clinical skills:
- Vertical, oblique, and reoperative strabismus procedures
- Levator resection for ptosis
- Pediatric cataract surgery
- Ocular lacerations & surgical lid procedures
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