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Fellowship Programmes

Fellowship in Orbit & Oculofacial Surgery

Objectives

To provide an advanced yet comprehensive fellowship in the diagnosis and management of diseases of the eyelid, lacrimal system and the orbit in addition to aspects of aesthetic surgery of the face.

Duration

One year

Fellowship Programme Outline

This comprehensive program aims to provide a wholesome training in the field of Oculoplastic & Orbitofacial Surgery Surgery.

The fellowship program will include training in diseases and surgery of the eyelid, lacrimal system and orbit in addition to some emphasis on aesthetic surgery of the face as well. Hands-on experience on a wide variety of Oculoplastic procedures to develop skills in decision-making and surgical management in a variety of procedures will be provided. Emphasis however will be laid on the following:

  1. Entropion and ectropion surgery
  2. Congenital and acquired ptosis repair
  3. Lacrimal drainage procedures – syringing and probing, external and endonasal DCR, silicone intubation
  4. Orbital surgery including transconjunctival and transseptal orbitotomies
  5. Facial, eyelid and canalicular trauma
  6. Upper and lower blepharoplasty
  7. Conventional and endoscopic brow lift
  8. Botulinum toxin injection for functional and aesthetic indications

Fellow responsibilities will be as follows:

  • Will be assigned to work with supervising preceptors in the subspecialty clinics – subsidised and private that will include comprehensive history taking, clerking, examination, drawing a reasonable differential diagnosis, order appropriate investigation and tailoring management for each patient. Fellows may not make independent decision before informing their supervisor.
  • He / she will be allowed a graded exposure to various steps of common Oculoplastic procedures towards being able to competently perform entire procedures under supervision. In addition he/she will be involved in screening of patients preoperatively, discussing the plan of surgical management, submission and follow up of histopathologic specimen, short and long term postoperative management.
  • Fellows are to review all admitted Oculoplastic patients and evaluate orbital trauma patients admitted under trauma surgery team, be actively involved in their management and coordinate surgery, if necessary.
  • They will participate in the teaching of residents/medical students and nursing staff.
  • They will be required to be involved in the management of all Oculoplastic emergencies eg. Lid and canalicular trauma, orbital fracture, orbital hemorrhage, orbital cellulites, etc.
  • They will be involved in all department and hospital CMEs, case presentations, clinico-pathologic meetings, grand rounds, journal club activities in addition to independent study and Oculoplastic division discussions.
  • They will be required to produce a minimum of two papers relevant to the subspecialty for presentations in regional / international meetings and for publication.
  • They will be actively involved in writing grant proposals, ongoing or new research projects, clinical trials and clinical audit.
  • The candidate will have a good exposure in ancillary subspecialties relevant to Oculoplastic Surgery like:
    • Facial trauma and plastic surgery
    • Otorhinolaryngology
    • Ophthalmic and Orbital pathology

Assessment:

Assessment will be on daily basis. The clinical and surgical competence is constantly assessed. On satisfactory evaluation by the assessors at the completion of the stipulated period, a certificate of fellowship training will be awarded to the candidate.

Fellowship Supervisors

Dr Gangadhara Sundar
DO, FRCSEd, FAMS
Senior Consultant and Head, Orbit & Oculofacial, Department of Ophthalmology, NUH

Clin. A/P Dr Shantha Amrith
DO, FRCS(Ed), FRCOphth, FAMS
Senior Consultant, Oculoplastic Service, Department of Ophthalmology, NUH

Dr Cheng Jin Fong (Visiting Consultant)


 

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