Scope of Clinical Practice
The Department of Ophthalmology and Visual Sciences includes a general ophthalmology clinic and seven subspecialty clinics, each with exceptional depth of experience. The Department is the tertiary care center for the State of Michigan and serves as a major referral center for the region. Our patients come from across the country and around the world.

The Department is part of the University of Michigan Health System and shares its mission of excellence in clinical care, research, and education. Physicians at UMHS represent virtually every medical specialty and conduct some 1.5 million patient visits each year. The UM Medical School graduates 170 physicians annually, and, like the larger Health System, is consistently ranked as one of the top institutions in the nation.

Clinical Practices:
Cornea and External Ocular Disease and Refractive Surgery
Eye Plastic, Orbital and Facial Cosmetic Surgery
General Ophthalmology
Glaucoma
Neuro-ophthalmology
Pediatric Ophthalmology and Adult Strabismus
Retina, Uveitis, and Ocular Oncology

Cornea and External Ocular Disease and Refractive Surgery
The Cornea Service specializes in corneal and external disease and refractive surgery with an emphasis on keratoplasty. Approximately 250 keratoplasties and 400 cataract surgeries are performed each year. Cornea specialists conduct some 10,000 patient visits annually, and our contact lens clinic conducts 5,000 patient visits.

Faculty

Shahzad I. Mian, M.D.
Theresa M. Cooney, M.D.
Roni M. Shtein, M.D.
H. Kaz Soong, M.D.
Alan Sugar, M.D.

Common Procedures

• Corneal transplants
• Cataract extraction with implantation of IOL
• Refractive surgery
• LASIK
• LASEK
• Intralase
• Wavefront
• PRK
• CK
• Corneal ring segments

Snapshot of Patient Pool

• Corneal dystrophies
• Dry eyes
• Corneal infections
• Herpes simplex keratitis
• Cataract
• Myopia
• Hyperopia
• Keratoconus
• Corneal ulcers
• Ocular surface problems
• Corneal and conjunctival tumors

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Eye Plastic, Orbital and Facial Cosmetic Surgery
The Eye Plastic, Orbital and Facial Cosmetic Surgery service conducts 4,900 patient visits a year at Kellogg and Mott Children's Hospital, treating children and adults for the whole range of ophthalmic plastic problems. We repair and reconstruct facial trauma, birth defects, skin cancer, ptosis, and orbital tumors. Over 250 orbital decompressions are performed annually, along with almost 600 blepharoplasties and nearly 500 tumor excision/lid reconstructions.

Faculty

James L. Adams, M.D.
Victor M. Elner, M.D., Ph.D.
Bartley R. Frueh, M.D.
Alon Kahana, M.D., Ph.D.
Christine C. Nelson, M.D.
Gregory L. Dootz, Ocularist

Common Procedures

• Enucleation
• Lacrimal system repair (traumatic and functional)
• Lid reconstruction
• Fracture repair
• Botox treatment (cosmetic and therapeutic)
• Ptosis repair
• Blepharoplasty (cosmetic and therapeutic)
• Orbital decompression
• Socket reconstruction (with mucous membrane or amniotic membrane)
• Dacryocystorhinostomy
• Removal of chalazion and other minor skin defects

Snapshot of Patient Pool

• Orbital tumors (pediatric and adult)
• Blepharospasm and hemifacial spasm
• Graves eye disease
• Microphthalmos/anophthalmos
• Trauma (dog bites, MVAs)
• Lid lesions and malpositions
• Birth defects (blepharophimosis and other syndromes)
• Dermatochalasis
• Entropion/Ectropion

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Comprehensive Ophthalmology

The Comprehensive Ophthalmology Service conducts 9,200 patient visits each year, treating and acting as a triage unit for the full spectrum of ophthalmologic disorders and diseases, including traumas such as chemical burns, ruptured globes, and intraocular foreign bodies.

Faculty

James L. Adams, M.D.
Robert C. Arends, M.D.
Terry J. Bergstrom, M.D.
Donald S. Beser, M.D.
Jerome I. Finkelstein, M.D.
Jill E. Green, M.D.
Harjeet Kaur, M.D.
James G. Knaggs, M.D.
Thellea K. Leveque, M.D., M.P.H.
Theresa M. Cooney, M.D.
Donald G. Puro, M.D., Ph.D.
Michael Smith-Wheelock, M.D.
Susan S. Thoms, M.D.
Adrienne L. West, M.D.
Rebecca A. Wu, M.D.

Common Procedures

• Cataract extraction with implantation of IOL
• Surgery for ocular lacerations and ruptured globes
• Removal of corneal and conjunctival foreign bodies
• Removal of chalazion and other minor skin and eyelid lesions
• Laser treatment for diabetic retinopathy, glaucoma, and retinal problems
• Punctal plugs for lacrimal system defects

Snapshot of Patient Pool

• Routine eye examinations
• Cataract extraction with implantation of IOL
• Screenings for diabetic patients
• Ocular manifestations of systemic diseases and medications
• Glaucoma of all kinds
• Ocular trauma
• Blepharitis and lacrimal system problems
• Floaters and vitreous detachment
• Blurred vision
• Urgent and emergent ocular problems: corneal abrasions, corneal and conjunctival infections, iritis, vitreous and retinal hemorrhages, contact lens problems

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Glaucoma

Each year the Glaucoma Service conducts over 9,100 patient visits, treating people who have various types of glaucomas, as well as the full spectrum of anterior segment disorders, diseases, and trauma. Visual field testing, pachymetry, high resolution ultrasound biomicroscopy, and various disc imaging methods using HRT and OCT are used to evaluate our patients.

Faculty

Paul R. Lichter, M.D.
Sayoko E. Moroi, M.D., Ph.D.
Joshua D. Stein, M.D., M.S.
Jennifer S. Weizer, M.D.

Common Procedures

• Cataract with implantation of IOL
• Filtration surgeries including trabeculectomy, thermal sclerostomy, and posterior lip sclerectomy
• Drainage angle surgeries including trabeculotomy and goniotomy
• Glaucoma drainage implants
• Bleb revisions
• Laser procedures including trabeculoplasty, iridotomy, and both external and endoscopic cyclophotocoagulation
• Cyclodialysis cleft closures

Snapshot of Patient Pool

• Ocular hypertension
• Normal tension glaucoma
• Open-angle glaucoma including pigmentary and pseudoexfoliation
• Angle-closure glaucomas including nanophthalmos
• Complex glaucomas due to neovascularization, epithelial downgrowth, uveitis, steroids, carotid/dural cavernous fistulas, corneal dystrophies, trauma, and tumors
• Congenital glaucoma
• Glaucoma associated with syndromes, including aniridia, Marfan's Syndrome, Sturge-Weber/Klippel-Trenaunay-Weber Syndrome, Rieger's Anomaly, neurofibromatosis

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Neuro-ophthalmology

The Neuro-ophthalmology Service conducts 3,900 patient visits each year, treating the full range of neuro-ophthalmologic disorders and diseases, as well as ocular complications associated with systemic diseases such as multiple sclerosis, Parkinson's, lupus, intracranial tumors, and seizure disorders.

Faculty

Wayne T. Cornblath, M.D.
Jonathan D. Trobe, M.D.

Common Procedures

• Cataract with implantation of IOL
• Botox injections for chronic headaches and migraine
• Temporal artery biopsy
• Lumbar puncture

Snapshot of Patient Pool

• Diplopia
• Hydrocephalus
• Optic neuropathy
• Migraine
• Arteritis
• Parkinson's disease
• Papilledema
• Cranial neuropathies
• Pseudotumor cerebri
• Unexplained visual loss
• Bell's Palsy
• Traumatic brain injury
• Craniosynostosis
• Gaze palsies
• Benign essential blepharospasm and hemifacial spasm
• Progressive supranuclear palsy
• Chronic progressive external ophthalmoplegia
• Visual hallucinations

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Pediatric Ophthalmology and Adult Strabismus

The Pediatric Ophthalmology and Adult Strabismus Service conducts 8,400 patient visits each year, treating the full spectrum of pediatric diseases and disorders, as well as adult strabismus patients. Given the large geographic area we serve and the tertiary referral nature of our practice, we see a high frequency of unusual cases, such as Duane syndrome, restrictive strabismus, Graves eye disease, slipped and lost muscles, neurofibromatosis, and craniofacial syndromes. The service is also staffed by four orthoptists who run an orthoptics training program of national reputation.

Faculty

Steven M. Archer, M.D.
Monte A. Del Monte, M.D.
Maya Eibschitz, M.D.
Erika M. Levin, M.D.
Gary S. Sandall, M.D.
Bruce A. Furr, C.O.
Ida L. Iacobucci, C.O.

Common Procedures

• Adjustable sutures
• Dermoid cysts
• Pediatric cataract extraction and IOL implantation
• Pediatric strabismus surgery
• Complex adult strabismus surgery

Snapshot of Patient Pool

• Retinopathy of prematurity
• Congenital cataracts
• Congenital glaucoma
• Strabismus (pediatric and adult)
• Amblyopia
• Birth defects, syndromes
• Retinoblastoma
• Trauma
• Nystagmus
• Hemangiomas
• Botox for strabismus
• Graves eye disease
• Cranial nerve palsies
• Nasolacrimal duct obstruction
• Failed school screening examinations

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Retina, Uveitis, and Ocular Oncology

The Retina, Uveitis, and Ocular Oncology Service conducts 10,400 patient visits each year, treating the full spectrum of retinal disorders and diseases like macular degeneration, CMV retinitis, diabetic retinopathy, sickle cell retinopathy, cystoid macular edema, choroidal melanoma, trauma, and retinal detachment. The service receives referrals for unusual cases such as Stargardt's syndrome, Coats disease, retinoschisis, and angiomas. The Department is home to the Retinal and Macular Dystrophy Center, a world-renowned research facility, which carries on numerous collaborations with the retina clinicians.

Faculty

Grant M. Comer, M.D.
Susan G. Elner, M.D.
John R. Heckenlively, M.D.
Mark W. Johnson, M.D.
Stephen J. Saxe, M.D.
Andrew K. Vine, M.D.
David N. Zacks, M.D., Ph.D.

Common Procedures

• Vitrectomy
• Laser photocoagulation
• Scleral buckle
• Membrane peel
• C₃F₈ injection/Silicone oil placement
• Steroid injection, periocular/intravitreal
• Pneumatic retinopexy
• Photodynamic therapy

Snapshot of Patient Pool

• Retinal detachments
• Macular degeneration
• Diabetic retinopathy
• Uveitis, anterior/posterior
• Central/branch retinal vein occlusion
• Cystoid macular edema
• Trauma
• Macular holes
• Scleritis
• Vitreous hemorrhage
• Endophthalmitis
• CMV retinitis
• Sickle cell retinopathy
• Myopic degeneration
• Ocular melanoma
• Retinoblastoma
• Retinal dystrophies

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