Preceptor: James G. Diamond, M.D.

OBJECTIVE: To provide patient care, teaching, and research opportunities. To develop judgment in the medical and surgical management of vitreo-retinal disorders. Specific experiences will be 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 will be 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 will be taught. This includes hands-on training in subretinal and translocation retinal procedures. Indirect ophthalmoscopic (free hand) and wide angle visual surgical viewing systems are utilized in conjunction with routine intraocular surgical techniques. Tumor experience is shared with the Ophthalmology Tumor and Pathology Service. Laser procedures including the newest, dye-laser and photodynamic therapeutic modalities are routinely performed by the fellows. Extensive training is offered in the actual performance of IVFA (film and digital) and their interpretation.

DUTIES: The New Orleans Veterans Administration Hospital provides the major stage upon which the fellow will perform. There are, in addition, two outlying Veterans Administration Hospitals and a Charity Hospitals which send emergency patients on a referral basis to the Tulane Hospital complex. The senior fellow, under my direction, will have the primary responsibility and duty to manage these services. He will be 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 as primary assistant.. In addition, the fellow will be directly involved in the care and management of all private patients at Tulane Medical Center. This will be done in the adjacent Tulane Hospital and clinic. Fellows are engaged in full-time clinical activities under the direct supervison of Dr. James G. Diamond.