Anterior Segment Fellowship

Program Director: Kathryn Hatch, MD
Other faculty: Corneal, cataract, and glaucoma surgeons on the full-time faculty at Mass. Eye and Ear
Program length: 1 year (beginning in July)
Number of fellows accepted per year: 1

The Anterior Segment Fellowship offers comprehensive training in the surgical and medical management of diseases of the anterior segment, with an emphasis on: 

  • Complex and laser-assisted refractive cataract cases,
  • Anterior segment reconstruction and omplex IOL cases
  • Corneal disorders
  • Refractive surgery (including laser vision correction)
  • Additional training in medical glaucoma and MIGS.

The mission of the fellowship is to train highly motivated aspiring ophthalmic surgeons in an academic and clinically intense setting so that they can move on to become clinical leaders in their field.  They will have the tools to enter either a private practice or academic environment with a strong foundation in medical and surgical management of anterior segment diseases.

Eligibility

All applicants must be eligible for a full medical license per the Massachusetts Board of Registration in Medicine. International medical graduates must also be eligible for an H1B visa (eligibility includes passing all three steps of the USMLE and reporting results to Mass. Eye and Ear prior to the Match deadline). The requirements of full licensure can be viewed on the mass.gov website.

Clinical Activities

About 90% of the clinical fellow’s time is committed to direct patient care. The fellow will gain experience in the diagnosis and treatment of diseases of the anterior segment including:
  • Polishing their technique for routine cataract surgery
  • Complex cataracts (small pupils, dense cataracts, PXF and zonular compromise)
  • Interpretation of testing (including corneal topography, tomography, and OPD III)
  • Ocular surface disease and current diagnostic techniques and treatments for dry eye
  • Refractive cataract surgery with the use of an image guided-femtosecond laser, intraoperative aberrometry, and premium IOLs
  • Keratoconus treatment with exposure to collagen crosslinking, intacs, lamellar and penetrating keratoplasty (including intralase-enabled transplantation)
  • Management of complex and refractive postoperative IOL patients (including IOL exchange)
  • Laser vision correction (including LASIK and PRK), as well as ICL
  • Medical and surgical management of corneal and external diseases, including dystrophies
  • Exposure to endothelial keratoplasty (DSAEK, DMEK)
  • Amniotic membrane use
  • Glaucoma with MIGS, SLT, and advanced medical management
  • Anterior segment reconstruction

Outpatient Clinic

The medical management of refractive, corneal, and external disorders, as well as glaucoma and the preoperative evaluation and postoperative care of surgical cases. Accordingly, fellows will gain extensive exposure to the patients of the full-time staff. Fellows will perform the initial examination of most patients, forming tentative diagnoses and therapeutic plans before presenting the patients to the attending physician for discussion and final disposition.

Surgery (Operating Room)

The surgical experience is derived from the surgical volume of the Service faculty. Generally, fellows will operate on major and minor corneal and complicated anterior segment procedures, as well as glaucoma procedures that are regularly performed by faculty. There will be significant exposure to complex cataract surgery, as well as refractive cataract surgery with use of an imaged-guided femtosecond laser and intraoperative aberrometry.

Refractive Surgery Service (Waltham)

Fellows will be involved in office-based procedures, including laser vision correction, intacs for keratoconus and superficial keratectomy. Fellows are responsible for evaluating refractive candidates, and presenting their findings to the appropriate Attending. Fellows play an active role in the intraoperative and post-operative care of refractive patients. The fellow will assist with preoperative planning for cataract and refractive surgery and will review charts with the appropriate Attending.

On-Call

Fellows will help cover office call for the Mass Eye and Ear, Waltham, site through the answering service and discuss cases as needed with the covering attending. The anterior segment fellow will also be a member of the Longwood ophthalmology consult team. This will include serving as primary consultant to one or more of the hospitals in the Longwood medical area that Mass. Eye and Ear covers (including Brigham and Women’s Hospital). This home call is shared with Mass. Eye and Ear residents and other Mass. Eye and Ear fellows.

Research Activities

Fellows are expected to participate in clinical research projects. Participation includes becoming familiar with the various active projects and protocols and performing study assessments as needed. All fellows will need to complete the Collaborative Institution Training Initiative for human subjects.

Additional Activities

Fellows have traditionally played an integral role in the education of residents.

  • Each year there is a Fellows Course at Mass. Eye and Ear.
  • The fellow is expected to write a review paper that will be published as in an ophthalmic journal, undertaken with faculty mentorship.
  • Fellows are expected to give one 30-minute Grand Rounds presentation during the academic year.

Funding and Benefits

Note: Clinical fellows must meet the requirements for full (unlimited) licensure in Massachusetts.

Salary: $62,000/year

Malpractice: Malpractice premiums are fully paid by Mass. Eye and Ear.

Health Insurance: Family health insurance will be provided through the benefits program of Massachusetts Eye and Ear Associates. The fellow will need to contribute to this benefit as well, according to Mass. Eye and Ear guidelines.

Vacation/Sick leave: Each fellow is allowed three weeks (15 workdays) per year. All vacation time must be planned in advance and be pre-approved by the fellowship director.

Meetings: Attendance and participation at appropriate meetings is encouraged. Each fellow is required to attend one meeting per year, although many attend more than one. Fellows get one week (five work days) to attend meetings. Fellows are reimbursed for travel to meetings up to $1,500 per academic year.

How to Apply

The Anterior Segment fellowship participates in the San Francisco Match Program. 

It is expected that the applicant will be:

  • Board eligible in Ophthalmology
  • Have performed an ACGME-accredited ophthalmology residency or equivalent
  • And will be eligible to obtain a full license in the state of Massachusetts

Only completed applications will be considered for interview. Applications must include an updated CV and 3 letters of reference. One letter must be from your residency Program Director and should include information about your surgical experience and skill. Do not send more than three letters unless the fourth letter is from a research preceptor. 

Applicant interviews are generally conducted in October or November.

Page Last Updated

August 2, 2018