Ophthalmology

Ophthalmology (/ˌɒfθælˈmɒlədʒi/, OFF-thal-MOL-ə-jee)[1] is a clinical and surgical specialty within medicine that deals with the diagnosis and treatment of eye disorders.

[3] Following a medical degree, a doctor specialising in ophthalmology must pursue additional postgraduate residency training specific to that field.

[4] Ophthalmologists prescribe medications to treat ailments, such as eye diseases, implement laser therapy, and perform surgery when needed.

[7] A brief list of some of the most common diseases treated by ophthalmologists:[8][9] The most valued pharmaceutical companies worldwide whose leading products are in Ophthalmology are Regeneron (United States) for Macular degeneration (AMD) treatment and Bausch Health (Canada) for Front of eye.

Subsequent OCT scans are used to assess the efficacy of managing diabetic retinopathy, age-related macular degeneration, and glaucoma.

Electrooculography (EOG) is a technique for measuring the corneo-retinal standing potential that exists between the front and the back of the human eye.

Visual field testing to detect dysfunction in central and peripheral vision which may be caused by various medical conditions such as glaucoma, stroke, pituitary disease, brain tumours or other neurological deficits.

Corneal topography is a non-invasive medical imaging technique for mapping the anterior curvature of the cornea, the outer structure of the eye.

[2] They recognized the sclera and transparent cornea running flushly as the outer coating of the eye, with an inner layer with pupil, and a fluid at the centre.

It was believed, by Alcamaeon (fifth century BC) and others, that this fluid was the medium of vision and flowed from the eye to the brain by a tube.

Celsus the Greek philosopher of the second century AD gave a detailed description of cataract surgery by the couching method.

The Greek physician Galen (second century AD) remedied some mistaken descriptions, including about the curvature of the cornea and lens, the nature of the optic nerve, and the existence of a posterior chamber.

[22] Hunayn ibn Ishaq, and others beginning with the medieval Arabic period, taught that the crystalline lens is in the exact center of the eye.

[24] Avicenna wrote in his Canon "rescheth", which means "retiformis", and Gerard of Cremona translated this at approximately 1150 into the new term "retina".

Some mistakes persisted, such as: why the pupil changed size (seen to be vessels of the iris filling with blood), the existence of the posterior chamber, and the nature of the retina.

A major breakthrough came with the appointment of Baron de Wenzel (1724–90), a German who became the oculist to King George III of Great Britain in 1772.

Clinical developments at Moorfields and the founding of the Institute of Ophthalmology (now part of the University College London) by Sir Stewart Duke-Elder established the site as the largest eye hospital in the world and a nexus for ophthalmic research.

[31] In Berlin, ophthalmologist Albrecht von Graefe introduced iridectomy as a treatment for glaucoma and improved cataract surgery, he is also considered the founding father of the German Ophthalmological Society.

The prominent physicists of the late nineteenth and early twentieth centuries included Ernst Abbe (1840–1905), a co-owner of at the Zeiss Jena factories in Germany, where he developed numerous optical instruments.

Ophthalmologists are physicians (MD/DO in the U.S. or MBBS in the UK and elsewhere or DO/DOMS/DNB, who typically complete an undergraduate degree, general medical school, followed by a residency in ophthalmology.

At the end of the five years, the graduating ophthalmologist must pass the oral and written portions of the Royal College exam in either English or French.

The concurrent training and work experience are in the form of a junior residency at a medical college, eye hospital, or institution under the supervision of experienced faculty.

Further work experience in the form of fellowship, registrar, or senior resident refines the skills of these eye surgeons.

Nepal Ophthalmic Society holds regular conferences and actively promotes continuing medical education.

Clinical training takes place within public, Health Service Executive-funded hospitals in Dublin, Sligo, Limerick, Galway, Waterford, and Cork.

Some trainees take extra time to obtain MSc, MD or PhD degrees and to undertake clinical fellowships in the UK, Australia, and the United States.

[36] For candidates in the military, a stringent two-year graded course, with quarterly assessments, is held under Armed Forces Post Graduate Medical Institute in Rawalpindi.

There is only one professional organization in the country that is duly recognized by the PMA and the PCS: the Philippine Academy of Ophthalmology (PAO).

[39] Attainment of board certification in ophthalmology from the PBO is essential in acquiring privileges in most major health institutions.

Fluorescein angiography
An ophthalmologist performing surgery
Anatomy of the Eye, 1200 A.D.
Early Ophthalmology instruments
New York Ophthalmic Hospital, 1893
Albrecht von Graefe
Allvar Gullstrand