Pediatric practice. Ophthalmology

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You have to be very patient and have a very good rapport. He also adds the importance of being detail-oriented, especially for ophthalmology since it deals with a very small organ.

Chris says there are people who have the natural ability to do surgery, especially small surgery. Some with normal dexterity can do it with dedication and practice. Chris explains there are varying levels of natural ability just like with anything else. Most people can learn it and do just fine.

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Chris treats mostly children with strabismus cross-eyed or amblyopia lazy eye. These are the bread and butter of pediatric ophthalmology as well as nasolacrimal duct obstruction. He sees all age ranges and premature babies who have retinopathy of prematurity all the way up to young children with strabismus and amblyopia. He also sees teenagers continuing their eye care.

He also treats adult strabismus. So he treats all ages, mostly children. As a private practice doc, Chris gets to the office between am and am. He sees patients through the day. There are eye emergencies but there is not that many of them. Usually, most things can be triaged and then seen the next day. An example of eye emergency where he as to go in is an injury where the eye is ruptured globe. It usually needs to be surgically repaired that night.

Another eye emergency is a retrobulbar hemorrhage from an orbit fracture or trauma to the eye. So it needs to be decompressed.

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Angle-closure glaucoma is another one but this does not happen in children. Other than these emergencies, most things can be pushed off until the next day. What caused Chris to move from academics to private practice was his friend offering him the job, along with his wife.

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It was more of a personal decision for him than anything against academics. He mentions both private practice and academics have upsides and downsides. Most of his patients are not surgical in pediatric ophthalmology. In general or adult ophthalmology, there is a higher percentage of surgical patients. Most of the adults are there for cataract surgery.


Pretty much everybody, if they live long enough, gets a cataract and needs surgery. There is also a big need for them. The path to ophthalmology residency includes an intern year. Most people do a transitional year but you can also do a medicine year. Some programs will let you do a pediatric year if you want to specifically do pediatrics.

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Then you would have to do ophthalmology residency consisting of three years. Then a year after that, you can do a fellowship in pediatric ophthalmology of strabismus.


Chris says ophthalmology is competitive to match in, out of medical school; but pediatrics is easy to get a fellowship in. There are a couple of reasons Chris thinks the fellowship is not as popular. Another possible reason is that it pays less than general ophthalmology for a variety of reasons. Just because the field is less surgical, a lot of children are on medicaid.

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So the reimbursement for pediatric ophthalmology is not as strong as for general ophthalmology. So Chris thinks these things discourage people from choosing it. He would still encourage anyone to do it if they like kids. Like all the competitive fields, the most important thing to be competitive for ophthalmology is to do well in your classes and your USMLEs. There are DOs in ophthalmology. The hard part is if you were a DO and got into ophthalmology residency. After that, you can do pediatrics if you want without a problem. You could do neuro ophthalmology and do pediatric neuro ophthalmology.

There are only four or five of them in the country. Talk to your healthcare provider about getting your child immunized today. The Department of Ophthalmology at Boston Children's Hospital offers the latest and best in diagnostics and care for children with vision problems, no matter how simple or complex. We specialize in treating cataracts in babies and children, traumatic eye injuries, juvenile glaucoma and a variety of other conditions and focus on patient-centered care.

In pediatrics, patient-centered care is based on the understanding that the family is the child's primary source of strength and support, and the expert on that child's well-being. The perspectives and participation of patients and their families are an important part of the decisions made by our healthcare providers regarding each child. Patient-centered care means that the physicians, nurses and support staff take the time to listen to each patient and family.

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It means educating parents about their child's condition and treatment options, supporting them emotionally, providing resources and assistance, involving the patient and family in decisions, and advising based on what is best for each individual child. Patient-centered care leads to better health outcomes and results in patients and families feeling more satisfied with their hospital and medical care experience.

Sign in or sign up for MyChildren's Patient Portal to begin scheduling. Patient Resources Patient Story Two life-threatening conditions. One remarkable wish. Notes Blog Read clinical updates and the latest insights from Boston Children's specialists. Flu Season is Here Talk to your healthcare provider about getting your child immunized today. Department of Ophthalmology. Contact the Department of Ophthalmology Fax Notable features of the Department of Ophthalmology include: A specialized Pediatric and Adult Strabismus Service for comprehensive evaluation and treatment of misaligned eyes strabismus.

A Pediatric Cataract Service that is a national leader in surgery with nearly 50 operations each year on babies and children with cataracts. A Retina Service that is known worldwide for its expertise in evaluating common and rare retinal degenerative conditions using state of the art diagnostic procedures, including electroretinogram ERG and visual evoked potential VEP testing. An Orthoptic Service staffed by internationally-trained orthoptists, who specialize in evaluation and treatment of eye muscle problems. Our orthoptists work under the supervision of our pediatric ophthalmologists to recommend eye exercises when indicated and to perform measurements of strabismus and visual acuity in children of all ages.

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