Medical clerkships

  • Pathology, Landeskrankenhaus [Province hospital] St. Pölten
  • Universitätsklinik für Unfallchirurgie Wien [university hospital for trauma surgery, Vienna]
  • Universitätsklinik für Innere Medizin Wien [university hospital for internal medicine, Vienna]
  • Universitätsklinik für Psychiatrie Wien [university hospital for psychiatry, Vienna]
  • Universitätsklinik für Augenheilkunde und Optometrie Wien [university hospital for ophthalmology and optometry, Vienna]

Activities during medical school

  • Demonstrator at the anatomical institute of the university of Vienna
  • In-depth education at the Institut für Funktionelle Pathologie Wien [institute for functional pathology Vienna]
  • Research associate: Research fellowship at the biochemical-pharmacological cornea laboratory of the 1st ophthalmological hospital: October 1986; 2nd gynecological university hospital Vienna: July 1st, 1986 until December 31st, 1986

Residency in ophthalmology and optometry

  • Visiting physician and contract assistant physician: 1st Universitäts-Augenklinik Wien [1st university hospital for ophthalmology Vienna] October 1st, 1986 to March 31st, 1987
  • Minor fields of study: Internal medicine at the 1st Medizinische Universitätsklinik und Universitätsklinik für Chemotherapie [1st university hospital for internal medicine and university hospital for chemotherapy]: April 1st, 1987 until October 1st, 1987
  • University assistant professor: 1st Universitäts-Augenklinik Wien [1st university hospital for ophthalmology Vienna] since April 1st, 1987

Surgical training

  • Cataract and cornea: Munich (Germany), Uppsala (Sweden), Vienna; glaucoma: Leiden (Netherlands), Vienna; posterior compartment surgery: Durham (USA) Antwerp (Belgium), Vienna; refractive surgery (courses: ICL, Artisan-IOL; Veriflex-IOL): Cologne, Vienna, Innsbruck, Lisbon; all required courses for refractive laser surgery (Nuremberg, DOC)
  • Activities in special outpatient departments
  • Founder and director of the outpatient clinic for inflammatory eye diseases and biocompatibility: 1994
  • Director of the uveitis outpatient clinic of the 1st university hospital for ophthalmology 1994-1995
  • Director of the diabetes outpatient clinic of the 1st university hospital for ophthalmology 1993-1994
  • Member of the glaucoma outpatient clinic 1987-1992
  • Member of the cornea bank 1986-1992
  • Member of the outpatient clinic for artificial lens implantation, refractive surgery and cornea disorders 1987-1992
  • Co-founder of the outpatient clinic for pediatric ophthalmology and the „Pediatric Cataract Study Group“
  • Activity at the outpatient ward at the AKH: 2007

Surgical experience: Procedures

  • Anterior segment surgery
  • Cataract surgery:
    Phacoemulsification, posterior capsulorhexis, lensectomy, ECCE, ICCE, laser phaco, AquaLase, coaxial and bimanual microincision surgery, one- day surgery
  • Cataract surgery in complex initial situations: Uveitis, pseudoexfoliation lentis, glaucoma, diabetes, congenital  cataract, primary persistent hyperplastic vitreous body, persistent fetal vasculature, persistent membrane iridopupillaris, luxated lenses, trauma, Marfan- and Marchesani syndrome, and in complex situations (pupilloplasty, aniridia, sphincterotomy, iris retractors, membranectomies, rTPA, etc.), prosthetic iris implants, iris diaphragm lens, Endo capsular ring and Kapselabstandring, sulcus supported implants.
  • Surgery of infantile/juvenile cataracts: Combined with posterior capsulorhexis, vitrectomy, glaucoma, pupilloplasty, persistent fetal vasculature syndrome
  • Combined cataract/glaucoma surgery
  • Combined cataract/corneal surgery with and without keratoprosthesis
  • Combined cataract-vitreoretinal surgery
  • Introduction of phacoemulsification to the veterinary school, university of Vienna (surgery on dogs)
  • Aphakia: Secondary posterior chamber lenses, sulcus supported implants, intraocular lenses with transscleral fixation, iris claw lenses (Artisan IOL), anterior chamber lenses
  • Glaucoma surgery: Trabeculectomy, cyclodestructive procedures with diode laser, ultrasound and cryotherapy, cyclodialysis, goniotomy, Molteno tube implants, Ahmed valve implantations, use of cytotoxic substances (5FU, mitomycin C), trabeculotomy, viscocanalostomy, deep sclerectomy, iridectomy, iridotomy, laser trabeculoplasty)
  • Corneal surgery: Perforating keratoplasty, lamellar keratoplasty (DSEK, DMEK), temporary keratoprostesis, corneal gluing (using histoacryl), eccentric micro-keratoplasty, sclerocorneal transplant, amniotic membrane transplant, EDTA chelation
  • Refractive surgery: Keratotomy for astigmatism, wedge resection, phakic intraocular lenses (ICL, Artisan), pseudophakic intraocular lenses (Sulcoflex), refractive lens exchange, “steep axis incision”, giving courses for photorefractive keratotomy (PRK, LASEK, LASIK)
  • Posterior segment surgery: Pars plana vitrectomy (incl. 23g vitrectomies), intravitreal gas tamponades, implants of heavy fluids (perfluocarbons), silicone oil tamponade, silicone oil removal, macular hole surgery, ILM rhexis in CME and macular holes, macular pucker, peeling of the membrana limitans interna in CME, PVR surgery, vitrectomy with keratoprosthesis, buckle surgeries (buckles, cerclages), removal of foreign intraocular bodies with endomagnets or forceps, recovery of luxated intraocular lenses and lens nuclei, caring for complex trauma cases, surgery after choroidal expulsive hemorrhage, surgery in endophthalmitis, diagnostic vitrectomy, ruthenium applicators, intravitreal injection of Posurdex in phase 3 study, application of intravitreal medications (Avastin, Lucentis, triamcinolone)
  • Trauma surgery: Plastic reconstruction of the eye lids and the tear ducts, foreign body extractions, care for complex perforating injuries of the eyeball Symblepharon, pterygium, conjunctival and corneal tumors Enucleations, eviscerations with and without implant Plastic and reconstructive surgery of the eye lids and ocular appendages (including tumor surgery).
  • Surgery on lacrimal system
  • Biopsies of the arteria temporalis
  • Laser surgery:
  • Panretinal and focal retinal laser, focal macular laser, grid laser
  • Laser suture removal, Argon laser trabeculoplasty
  • Diode laser in secondary glaucoma and retinal defects
  • CWNd:YAG laser iridotomy, membranotomy, vitreotomy, vitreolysis and capsulotomy,
  • YAG laser removal of lens precipitates
  • Erbium YAG laser of cataracts and vitreous bodies
  • Photorefractive keratotomy (PRK, LASEK) and laser in situ  keratomileusis (LASIK) using an Excimer laser
  • Demonstration surgeries in various eye surgery courses
  • Live surgeries: European Society of Cataract and Refractive Surgery (cataract with uveitis), Xian (China), veterinary school of the
    University of Vienna, Sevilla Refractivas
  • Glaucoma surgery: Trabeculectomy, cyclodestructive procedures with diode laser,  ultrasound and cryotherapy, cyclodialysis, goniotomy, Molteno tube implants, Ahmed valve implantations, use of cytotoxic substances (5FU, mitomycin C), trabeculotomy, viscocanalostomy, deep sclerectomy, iridectomy, iridotomy, laser trabeculoplasty)

Patents

  1. 1. Amon-Apple “enhanced square edge IOL”
  2. 2. Sulcoflex IOL
  3. 3. Optirhex IOL

Development of instruments, implants, and “termini”

  • Phaco spatula
  • Intraocular lens design
  • Capsular equatorial ring
  • Secondary posterior chamber lens
  • Development of a medication delivery system
  • Capsulorhexis-fixed IOL
  • Introduction and international establishment of the term: “Uveal and capsular biocompatibility”