Clinical Vitreoretinal Fellowship Program

Overview of Fellowship

How to Apply

To apply for a Clinical Vitreoretinal Fellowship at Yale, or to learn more about the Program, contact Sandy Hanrahan at 203-785-7647 or click here to send her an email.

The Vitreoretinal Fellowship at Yale is a two year AUPO FCC compliant program devoted to clinical training in the evaluation, diagnosis, and medical and surgical management of vitreoretinal diseases in state-of-the-art facilities at the Yale Eye Center and the West Haven Veterans Administration Medical Center (VAMC).

Training in clinical evaluation of vitreoretinal disease includes proficiency in indirect ophthalmoscopy, slit lamp fundus biomicroscopy, and interpretation of diagnostic tests including high-speed digital fluorescein angiography, indocynanine green (ICG) angiography, retinal autofluorescence, optical coherence tomography (Stratus OCT and Cirrus OCT), B-scan and UBM ultrasonography, and electrophysiology (electroretinogram (ERG) and electrooculogram (EOG), at the Yale Eye Center.

The diagnostic tests for the Retina Section are performed by one of three full-time ophthalmic photographers in two separate photography suites; there is a separate room for electrophysiology. At the VAMC, there is a full time ophthalmic photographer with all the above diagnostic tests except electrophysiology.

The Retina Fellows work closely with the Retina Faculty and retina resident as part of the “Retina Team” in the medical and surgical management of our patients who have a wide range of vitreoretinal diseases from retinopathy of prematurity (ROP) to diabetic and other vascular retinopathies and hamartomas, to inflammatory and infectious vitreoretinal disorders, age-related macular degeneration, retinal dystrophies, retinal tears and detachments, proliferative vitreoretinopathies, ocular trauma, intraocular foreign bodies and others. There is opportunity to evaluate ocular tumors with the ocular oncology section.

Clinical Training in Medical and Surgical Vitreoretinal Treatments

Conferences

1st Year: Annual Atlantic Coast Fluorescein Conference and the Fellows Forum & Association for Research in Vision and Ophthalmology (ARVO).

2nd Year: American Academy of Ophthalmology Annual Meeting & ARVO.

Training is done with the individual retina faculty on a schedule that allows the first year fellow to begin all aspects of medical/surgical procedures, and gives a more intense surgical experience in the second fellowship year. Retinal procedures include panretinal laser photocoagulation via slit lamp and laser indirect ophthalmoscope, focal laser photocoagulation, laser retinopexy of retinal breaks, photodynamic therapy, trans-scleral cryopexy, subtenon and intravitreal injections of therapeutic drugs, retinal detachment surgery with scleral buckling, pars plana vitrectomy, membrane peeling, gas-fluid exchange, intra-ocular gas or silicone, and removal of intraocular foreign bodies.

The retinal surgeries are performed at either the Yale-New Haven Hospital (Y-NHH) in one of two dedicated retina rooms with ceiling-mounted operating microscopes, or at the West Haven VAMC with a state-of-the-art retina suite. An indirect diode laser is used for treatment of Type 1 ROP in the Newborn Intensive Care unit at Y-NHH.

The Retina Fellows also have other responsibilities in the Retina Section and Yale Eye Center.

  1. The fellows are considered as attending physicians and as such take part in the retina on-call attending schedule with the other Yale faculty to support the on-call resident and sometimes perform emergency surgery.
  2. The Retina Fellows act as consult attending for inpatient Y-NHH ophthalmology consults for one week, about every 4 weeks.  Consults are seen with the consult resident at the Y-NHH, after the Retina Office concludes.
  3. The first year Retina Fellow conducts the Fluorescein Conference for all the ophthalmology residents and with retina faculty and 2nd year fellow once a month.
  4. The Retina Fellows regularly teach the ophthalmology residents and medical students.
  5. The second year Fellow sees retina patients in the Retina Fellows Clinic on Friday afternoons and performs laser treatments and intravitreal injections.
  6. The first and second year retina fellows do a formal PowerPoint case presentation with discussion of retinal disorders at a Vitreoretinal Conference with retinal faculty once a month.

About our Recent Fellows

Aaron Parnes, M.D. completed his ophthalmology residency at University of Maryland School of Medicine, and joins us as our 1st year retina fellow.collapse
Matthew Dombrow, M.D. joined us last year after his ophthalmology residency at New Jersey School of Medicine and Dentistry. He has completed his first year retina fellowship at Yale, and is now our 2nd year fellow.collapse
Shelly Lee, M.D. did her ophthalmology residency at University of Texas Health Science Center, San Antonio and completed a Uveitis fellowship at Casey Eye Institute in Portland, Oregon. Shelly has just completed her 2nd retina fellowship year , and will join the Retina Faculty at the University of New Mexico in Albuquerque, New Mexico.collapse
Rajeev Seth, M.D. completed his 2 year retina fellowship at Yale in 2010, and is now Director of Retina at the University of Arizona in Tucson, AZ.collapse
James Kempton, M.D. completed his 2 year retina fellowship at Yale in 2009, and is now Assistant Professor on the retina faculty at Yale, and is Director of Eye Care Services at the Veterans Administration Medical Center, West Haven, CT.collapse

Faculty

Adelman, Ron Afshari

Professor of Ophthalmology and Visual Science
Interim Chairman, Department of Ophthalmology and Visual Science
Interim Chief of Ophthalmology, Yale New Haven Hospital
Director, Retina and Macula Center

Research Interests:Retinal disease and surgery; Macular degeneration; Diabetic retinopathy; Macular holes; Epiretinal membrane; Retinal detachment

  • Appt:(203) 785-2020

Huang, John Jiqiang

Associate Professor of Ophthalmology and Visual Science
Residency Program Director
Director, Clinical Trials and Translational Research
Director, Ocular Immunology and Uveitis

Research Interests:Vitreo-retinal diseases and uveitis; Pharmacogenomic treatment of macular degeneration patients; Quality of life in uveitis patients; External factors in treatment of diabetic retinopathy

  • Appt:(203) 785-2020

Kempton, James E

Assistant Professor of Ophthalmology and Visual Science

Research Interests:Vitreo-retinal diseases; Surgery ; Systems approaches in the delivery of medical education

  • Appt:(203) 785-2020

Stoessel, Kathleen M

Associate Professor of Ophthalmology and Visual Science
Director, Retina Fellowship Program

Research Interests:Retinopathy of prematurity

  • Office:(203) 785-2020
  • Appt:(203) 785-2020

Clinical Research in Yale Vitreoretinal Fellowship

Conferences

1st Year: Annual Atlantic Coast Fluorescein Conference and the Fellows Forum & Association for Research in Vision and Ophthalmology (ARVO).

2nd Year: American Academy of Ophthalmology Annual Meeting & ARVO.

A clinical research project is required for each year of the fellowship, with the goal of submitting the research for publication in a peer reviewed journal at the end of the fellowship year

  • Clinical research is mainly through participation in clinical trials (usually NIH and/or industry sponsored ophthalmic drug trials).
  • Retrospective reviews and prospective studies of certain retinal disorder are also available.
  • Basic research is NOT required, but there is exposure to the work of our Retina Research Scientists in basic and translational research. (There is no specific research time block in the fellowship).
  • The Retina Fellows meet with all the Retina Faculty every six weeks to evaluate progress on the Fellows' Clinical Research projects, and to discuss specific journal articles on current vitreoretinal issues.

About our Recent Fellows

Aaron Parnes, M.D. completed his ophthalmology residency at University of Maryland School of Medicine, and joins us as our 1st year retina fellow.collapse
Matthew Dombrow, M.D. joined us last year after his ophthalmology residency at New Jersey School of Medicine and Dentistry. He has completed his first year retina fellowship at Yale, and is now our 2nd year fellow.collapse
Shelly Lee, M.D. did her ophthalmology residency at University of Texas Health Science Center, San Antonio and completed a Uveitis fellowship at Casey Eye Institute in Portland, Oregon. Shelly has just completed her 2nd retina fellowship year , and will join the Retina Faculty at the University of New Mexico in Albuquerque, New Mexico.collapse
Rajeev Seth, M.D. completed his 2 year retina fellowship at Yale in 2010, and is now Director of Retina at the University of Arizona in Tucson, AZ.collapse
James Kempton, M.D. completed his 2 year retina fellowship at Yale in 2009, and is now Assistant Professor on the retina faculty at Yale, and is Director of Eye Care Services at the Veterans Administration Medical Center, West Haven, CT.collapse

Faculty

Adelman, Ron Afshari

Professor of Ophthalmology and Visual Science
Interim Chairman, Department of Ophthalmology and Visual Science
Interim Chief of Ophthalmology, Yale New Haven Hospital
Director, Retina and Macula Center

Research Interests:Retinal disease and surgery; Macular degeneration; Diabetic retinopathy; Macular holes; Epiretinal membrane; Retinal detachment

  • Appt:(203) 785-2020

Huang, John Jiqiang

Associate Professor of Ophthalmology and Visual Science
Residency Program Director
Director, Clinical Trials and Translational Research
Director, Ocular Immunology and Uveitis

Research Interests:Vitreo-retinal diseases and uveitis; Pharmacogenomic treatment of macular degeneration patients; Quality of life in uveitis patients; External factors in treatment of diabetic retinopathy

  • Appt:(203) 785-2020

Kempton, James E

Assistant Professor of Ophthalmology and Visual Science

Research Interests:Vitreo-retinal diseases; Surgery ; Systems approaches in the delivery of medical education

  • Appt:(203) 785-2020

Stoessel, Kathleen M

Associate Professor of Ophthalmology and Visual Science
Director, Retina Fellowship Program

Research Interests:Retinopathy of prematurity

  • Office:(203) 785-2020
  • Appt:(203) 785-2020