This clinic includes an array of state-of-the-art equipment including:
24 exam rooms in the main clinic (not counting satellite facilities)
one of the first and most mature Epic electronic medical record systems in Ophthalmology that provides powerful analysis (e.g. IOP, RNFL, macular thickness trend graphs that is correlated with medications and events) and research data mining tools for data spanning more than a decade
Zeiss Forum data management system
several laser treatment rooms with argon, SLT, YAG, and diode lasers
several perimetry rooms with most current Humphrey and progression software, as well as Octopus, and Goldmann perimeters
an enormous photography and optic disc imaging suite with state-of-the-art Topcon fundus cameras for simultaneous digital color stereo and nerve fiber layer photography, Spectral Domain OCT, and a confocal laser tomography system (HRT3)
anterior segment evaluation with UBM and Visante OCT testing
state-of-the-art biometry for premium lenses with the Haag-Streit Lenstar LS 900
topography and cornea assessment with the wavefront analyzer Zeiss ATLAS™ 9000, OCULUS Pentacam, Orbscan and Konan specular microscopy
A portion of the fellow's week is spent on this service, examining patients with faculty members and performing laser surgery, including trabeculoplasty, iridotomy, and cyclophotocoagulation.
Because of this, it is helpful for applicants to already have good cataract surgery skills to be able to handle the large amount of complex cataract surgery in this fellowship.
We operate at two surgical centers that allow up to 23 cases per day per single attending. In all, there are four dedicated, fully equipped operating rooms with
state-of-the-art Zeiss Lumera xenon light microscopes and some Leica microscopes
true stereo assistant attachments
1080 HD digital recording equipment
EVA phacoemulsification vitrectomy units with IOP controlling software and range of tip styles
range of standard and premium lenses (toric, diffractive) from different manufacturers
range of valved and non-valved glaucoma drainage implants
large range of horizontal, vertical and combined choppers
one trabectome unit
All surgeries are recorded, saved anonymously, and critically reviewed by the surgeon, supervisor and peers at the end of each day.
Procedures we perform include:
The fellow will either assist a faculty member in these procedures or serve as primary surgeon with assistance by a faculty member.
Average case counts are 11 trabeculectomies, 52 Ahmeds, 31 cataracts, 64 trabectomes, 43 cyclodestructions.
This means we are far above the AUPO required minimum in the US. AUPO requires:
"trabeculectomies or drainage implants (Ahmed, Baerveldt): primary: 25; primary + assisted: 50
cataracts: primary: 2; primary + assisted: 50
angle surgery (e. g. trabectome, Xen): primary: 0; primary + assisted: 3
cyclophotocoagulation: primary: 0; primary + assisted: 5"
Many of the surgeries at the following link were performed by fellows:
https://www.youtube.com/user/glaucomasurgery/videos?flow=grid&view=1
The Glaucoma Fellow has certain independent responsibilities in addition to his/her training at the Glaucoma Clinic and Surgical Center.
As a Clinical Instructor faculty member, the fellow participates in the on-call schedule with other faculty members. This involves backing up the residents for nighttime and weekend emergencies and occasionally assisting the residents in or performing emergency surgery.
The Fellow also participates in the Glaucoma Conferences and various other activities.
Although this is a clinical fellowship, participation in research projects is encouraged and desired. We anticipate that one or more of the research projects performed by our fellows will lead to publications in peer-reviewed journals.
To apply for a Clinical Glaucoma Fellowship at the University of Würzburg, please send your cover letter, CV and references to Dr. Loewen.
