Your Eye Specialists Cornea, Refractive, and Glaucoma Fellowship

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UFEyeSurgeon

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I wanted to post a review for Your Eye Specialists (YES) Cornea, Refractive, and Glaucoma Fellowship after I completed the fellowship a few weeks ago. It was an exceptional year with excellent surgical training and broad clinical pathology. You will spend most of your time with Drs. Aarup and Anup Kubal (brothers) and Dr. Anil Vedula. They are all fantastic surgeons, mentors, and friends. I not only learned a ton, but I really enjoyed working with them each day. They truly want you to succeed and will do whatever they can to get you there.

I have posted my fellowship case log below to give you an idea what you will be doing. All the logged cases are primary cases. All the attendings are excellent teachers that give graduated autonomy over as much time as needed. No matter what your surgical skill is coming in, this fellowship will bring you to the next level. My cataract safety, efficiency, and skill improved greatly. I will be doing anterior segment, cornea, refractive surgery, tubes, Xen and all MIGS as an attending.

Even though it is a private practice clinic, there is plenty of pathology to see. A significant portion of the patient population is underserved and really needs our help, which is very rewarding. You will not only be seeing cornea/refractive patients, but glaucoma as well. I really enjoyed seeing all of these patients as each is gratifying and challenging in different ways. We had formal lectures every other week and quarterly journal club and spent a lot of time learning during clinic and downtime in OR.

If you are interested in international work, we also spent a week doing corneal transplants and cataract surgery in Paraguay towards the end of my fellowship, which was an amazing experience.

Nuts and bolts: You spend about 2 days a week in surgery. About 1-1.5 days in clinic per week will be in fellow clinic and the other 1.5-2 days will be with an attending. The patients in your fellow clinic are mostly surgical consults or postop cornea and glaucoma patients. The call is light; I was on most of the time but often didn’t get called and rarely went in to see patients. If you need time off, they are very accommodating. The commute can be a little long with south Florida traffic but not bad overall. I averaged 15 minutes to clinic and 25-30 minutes home living in Plantation. You drive to Jupiter 4 times per month, but the experience is definitely worth the hour drive.

Case Log (All primaries):
Cataract – 843
MSICS - 15
Sutured IOL - 7
Sutured ahmed segment - 2
Ant vit: planned – 8, PCR – 4
IOL exchange – 5
Lens fragment removal – 2
IOL reposition – 2
Dislocated lens, sutured IOL reposition – 1 (McCabe with gortex)
ACIOL removal - 1

LASIK – 40
PRK – 4
Crosslinking – 1
PKP - 27
DMEK – 33
DSAEK - 29
Rebubble – 9
SPK + AMT – 5
Pterygium (+/- MMC) – 26
AC Washout – 1
SLET – 1
Conj excision (CA) with cryo/AMT – 2, 1 map biopsy
Epi debridement – 1
EDTA Chelation – 3
Iris repair (seipser) – 2
Iridodialysis repair - 2
Conj biopsy – 4
Conj chalasis with AMT – 3
Cornea lac/exposed intacts - 1

Baerveldt - 29
Ahmed - 6
Clearpath – 7
Tube Revision – 16
XEN + MMC – 43
Omni – 80
iStent – 20
iAccess – 1
KDB - 3
Durysta – 3
ECP – 83
CPC – 3
Hydrus – 30
Trab 1
Sclerotomy 2/2 choroidals – 4
Bleb needling - 6

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Those are ridiculous numbers for any fellowship. And especially given the breadth of the procedures (i.e. DMEK and glaucoma).
 
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What an incredible fellowship opportunity! Thanks for sharing!

Just want to give my 2 cents from a glaucoma perspective for the resident comparing glaucoma fellowships. The trab experience should be one of the major factors to consider as it is the most difficult to learn and has the highest number of complications. I think 15-20 trabs should be a minimum for a glaucoma fellow--not to mention trab revisions. Low tension glaucoma requires a trab, and xen or non-valved tubes will not routinely achieve the single digit pressure required. The trend away from trabs in glaucoma fellowships is concerning.

This fellowship looks awesome. UFEyeSurgeon is clearly a stud and going to do some great things.
 
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What an incredible fellowship opportunity! Thanks for sharing!

Just want to give my 2 cents from a glaucoma perspective for the resident comparing glaucoma fellowships. The trab experience should be one of the major factors to consider as it is the most difficult to learn and has the highest number of complications. I think 15-20 trabs should be a minimum for a glaucoma fellow--not to mention trab revisions. Low tension glaucoma requires a trab, and xen or non-valved tubes will not routinely achieve the single digit pressure required. The trend away from trabs in glaucoma fellowships is concerning.

This fellowship looks awesome. UFEyeSurgeon is clearly a stud and going to do some great things.

I do tons of glaucoma surgery (fellowship-trained etc). The trend away from trabs is a needed paradigm shift. I've seen so many short/long-term complications from trabs (e.g. from patients who have had it done before my time) that it makes you wonder whether the patient would have been better off just slowly going blind (i.e. instead of quickly going blind from endophthalmitis; suprachoroidal hemorrhages) or just losing a little bit of vision before dying. I'm very glad that there are many more MIGS procedures out there. During my fellowship, we basically trab'ed everyone and it seemed like overkill to me. Just something to ponder.
 
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I do tons of glaucoma surgery (fellowship-trained etc). The trend away from trabs is a needed paradigm shift. I've seen so many short/long-term complications from trabs (e.g. from patients who have had it done before my time) that it makes you wonder whether the patient would have been better off just slowly going blind (i.e. instead of quickly going blind from endophthalmitis; suprachoroidal hemorrhages) or just losing a little bit of vision before dying. I'm very glad that there are many more MIGS procedures out there. During my fellowship, we basically trab'ed everyone and it seemed like overkill to me. Just something to ponder.
Woah, I thought you did Cornea lightbox? Or did you do both?
 
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