The Orbital and Ophthalmic Plastic and Reconstructive Surgery Division at the Jules Stein Eye Institute, UCLA School of Medicine, enjoys an extremely proud tradition of excellence and innovations which have earned local, national, and international recognition in oculoplastics. The division was initiated by Henry I. Baylis. M.D. and Norman Shorr, M.D., F.A.C.S.

Fellowships in Orbital and Ophthalmic Plastic Reconstructive and Cosmetic Surgery

Norman Shorr, M.D., and Henry I. Baylis, M.D. are preceptors of the two oculoplastic fellowships centered at the Jules Stein Eye Institute. Both fellowships are approved and sponsored by the prestigious American Society of Plastic and Reconstructive Surgeons (ASOPRS). Dr. Robert A. Goldberg serves as associate preceptor for both fellowships. Dr. Raymond S. Douglas directs the Orbital and Oculoplastic Surgery service at the West Los Angeles and Sepulveda Veterans Administration Medical Centers (VAMC).

The fellowships are equivalent in their overall experience, and there is considerable overlap in daily activities and responsibilities of the two fellows. Each fellowship is an intense twenty-four month experience which combines extensive teaching and research requirements with clinical responsibilities involving attending-level coverage of busy clinical services at two county hospitals, two VA hospitals, and the University hospital.

Fellowship Goals

The fellowships are designed to train the next generation of leaders in orbital and ophthalmic plastic reconstructive and cosmetic surgery. The goals of the fellowship are as follows:

• To train clinicians with diagnostic and surgical skills who are at the pinnacle of oculoplastic practice. To promote scientific curiosity and provide a basis for a lifetime of active inquiry, investigation, and innovation.

• To train researchers who can advance the field of orbital and ophthalmic plastic surgery through scientific inquiry and who can present findings in both written and oral format in a professional and coherent fashion.

• To train oculoplastic teachers with the knowledge, skill, and commitment to provide leadership in oculoplastic education and to carry the responsibility of educating subsequent generations of oculoplastic surgeons.

• To train physicians of unimpeachable ethical character who are caring and compassionate and who maintain and promote uncompromisingly high standards and absolute commitment to the responsibilities of patient care.

We take the responsibility of training fellows extremely seriously and seek individuals who have demonstrated not only the intellectual capability and physical stamina required to carry the enormous research, teaching, and patient care responsibilities required in the fellowship, but also enthusiasm, leadership skills, and dedication to excellence which will allow them to pursue a lifetime career of innovation and leadership in oculoplastic surgery.

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FACILITIES

Jules Stein Eye Institute

The Oculoplastic Division enjoys the world class facilities of the Jules Stein Eye Institute, an internationally recognized center of excellence in teaching, research, and patient care in all aspects of ophthalmic disease and surgery. It is a tertiary referral center to which complex oculoplastic and orbital case are referred locally, nationally, and internationally.

Clinical Facilities

The fellowship involves intense exposure to orbital and oculoplastic surgery. Fellows assist the preceptors in private cases, in the office operating rooms, and in the Jules Stein Eye Institute operating room. The fellows generate their own private cases from their practice in the University Ophthalmology Associates (UOA) at UCLA, as well as from the oculoplastic clinics at the VA and county hospitals. Fellows serve as attending physicians for trauma and clinic  cases including blepharoplasty, ptosis, endoscopic and open brow lift, facelift, laser resurfacing, eyelid and lacrimal reconstruction, orbital decompression, orbital tumor surgery, orbital fracture reconstructive surgery, enucleation, and socket reconstructive surgery.

Orbital Operating Room

The Orbital Disease Center at the Jules Stein Eye Institute was established to facilitate referral and multi-disciplinary management of orbital disease cases. An orbital operating room with state-of-the art customized technology for orbital microsurgery, cranial bone grafting, bony orbital reconstruction, osteosynthesis, orbital and sinus endoscopic laser surgery, and complex soft-tissue and lacrimal reconstruction has been established at the Jules Stein Eye Institute.

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Aesthetic Reconstructive Surgery Service

The newest discipline in the field of oculoplastic surgery is aesthetic reconstructive surgery. The Aesthetic Reconstructive Surgery Service is an academic unit that provides an academic focus for teaching activities in aesthetic reconstructive surgery including facelift, endoscopic eyebrow lifts, upper facial recontouring, upper and lower blepharoplasty, mid facial surgery including cheek lifts, mid facial augmentation, laser resurfacing, orbital and eyelid trauma, cancer surgery, and periorbital aesthetic reconstructive bony surgery.

The unit provides a focus point for research in aesthetic reconstructive surgery, maintains a patient database of aesthetic reconstructive surgery patients, and maintains a video library of live aesthetic reconstructive surgical procedures. The fellows participate in teaching and dissection courses, and perform research in aesthetic surgery. We believe that the discipline of aesthetic reconstructive oculoplastic surgery is an integral part of oculoplastic practice, and we expect the fellows to be well versed philosophically and technically in the aesthetic reconstructive surgery of the periorbital area and face by the end of their fellowship training. This includes not only the ability to evaluate, plan, and execute primary aesthetic surgical procedures, but also to evaluate and treat the patient’s structural, functional or aesthetic problems following previous cosmetic surgery.

Ophthalmic Services

Clinical excellence at the Jules Stein Eye Institute extends into all ophthalmic subspecialties. Consultation and clinical collaboration with other services such as neuro-ophthalmology, cornea and external ocular disease, and pediatric ophthalmology are routine and benefit both the fellows’ education and patient care. There is close cooperation with the Division of Ophthalmic Pathology, and informal and formal pathology rounds are scheduled to review specimens generated by the service. Excellent medical photography, ultrasonography, and visual physiology services are also available.

Multidisciplinary Collaboration

There are many occasions to share patients with other clinical services such as neurosurgery, plastic and craniofacial surgery, head and neck surgery, and dermatology. The UCLA Medical Center has outstanding faculty and house staff who enjoy academic and clinical collaboration. Interactions with other surgical services often involve multidisciplinary surgical procedures. The opportunities to learn and teach in this environment are enormous, and the resulting interactions provide a level of care unattainable by an isolated approach. There are no formal rotations onto these services in the twenty-four month fellowship, but extensions to the fellowship can be arranged which include formal rotations onto collaborative services in both hospital based and office based settings.

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Research Facilities

The fellow is expected to participate in the ongoing research activities of the Orbital and Ophthalmic Plastic Surgery Division. Specific research facilities available to the fellows include: research laboratory space, a fully equipped anatomic dissection laboratory with access to fresh anatomic cadaver material, computer support including unlimited access to computerized literature databases, and access to a major national biomedical library. Photographic and secretarial support as well as editorial services are available to the fellow for manuscript preparation and submission.

Collaborative Research

There is an enormous amount of research expertise in the Jules Stein Eye Institute basic science research laboratories, in the UCLA medical school, and on the UCLA campus as a whole. It is difficult to conceive of any problem for which expertise is not available somewhere within the extended research campus. Scientific collaboration is encouraged and facilitated within the UCLA system. A high-resolution magnetic resonance imaging system developed in collaboration with the Department of Radiology is available for use by fellows.

Other areas of collaborative research currently pursued by fellows include development of an animal model of optic nerve trauma with the Department of Neurosurgery and the Brain Research Institute; Graves research with Terry Smith, M.D.; computer-generated orbital apical anatomy with the neuroimaging laboratory of the Department of Neurology; and ongoing clinical research collaborations with the Departments of Dermatology and Plastic Surgery.

Basic Science Lab

Dr. Raymond S. Douglas oversees the basic science labs of the Orbital and Ophthalmic Surgery Division, which is located at Harbor-UCLA Medical Center. This facility is equipped for surgery and for a variety of basic investigations.

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Educational Programs

Daily ongoing educational activities at the Jules Stein Eye Institute, including weekly Grand Rounds and other educational conferences are available to the fellow as time permits. The fellow has the opportunity to make two formal case presentations at Grand Rounds. Case presentations are also made by fellows at the Oculoplastic and Neuro-Ophthalmic Combined Orbit Conferences, which meet on a monthly basis. The oculoplastic fellows conference is oriented specifically towards the fellows and conducted by the preceptors and meets twelve times a year to discuss challenging cases and cover a prescribed intensive reading list in oculoplastic and orbital surgery.

Travel Funds

Travel funds are made available to the fellow. Attendance at the annual meeting of the American Society of Ophthalmic Plastic and Reconstruction Surgery and the American Academy of Ophthalmology is expected and financially supported.

Personal Computer

Each fellow is provided with a laptop computer for the use throughout their fellowship.

Continuing Medical Education

Activities in orbital and oculoplastic surgery form a cornerstone of the Jules Stein Eye Institute Continuing Medical Education Program. Courses are held throughout the year both at the Institute and at the private offices of Drs. Henry Baylis and Norman Shorr. The Division actively participates in the teaching program at the annual meeting of the American Academy of Ophthalmology. Fellows not only participate in the courses as instructors but also play an active role in the planning and implementation of the continuing education programs within the Division. A national video conference service has been recruited to reach a national audience and further enhance our reputation and influence in the area of continuing medical education.

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Preceptor Rotation

While each fellowship places emphasis upon the value of establishing a long term relationship with one preceptor and learning in immersion the way of thinking of that preceptor, a formal rotation system has been implemented in order to enhance the exposure of the fellows to all aspects of the programs.

Formal rotations onto collaborative services in both hospital-based and office-based settings can be arranged as extensions to the fellowship.

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PRECEPTORS 

Henry I. Baylis, M.D.

Norman Shorr, M.D., F.A.C.S.

Clinical Professor of Ophthalmology in the UCLA School of Medicine, Department of Ophthalmology and Director of the Orbital and Ophthalmic Plastic Reconstructive and Cosmetic Surgery fellowship at Jules Stein Eye Institute, UCLA School of Medicine. After his residency at the Jules Stein Eye Institute, Dr. Shorr completed fellowship training with Henry I. Baylis, M.D. Dr. Shorr is actively involved in resident and fellow education. He has authored or co-authored over 130 publications. Dr. Shorr has been in private practice in Beverly Hills since 1976 and directs a busy Ambulatory Surgery Center. Dr. Shorr sees a broad range of patients who represent the full spectrum of orbital and oculoplastic surgery as well as cosmetic surgery.

Robert A. Goldberg, M.D.

Associate Professor of Ophthalmology in the UCLA School of Medicine, and Chief of Orbital and Ophthalmic Plastic Surgery at the Jules Stein Eye Institute. After his residency education in ophthalmology at the Jules Stein Eye Institute, he completed a fellowship with Dr. Norman Shorr. He then undertook a second year of fellowship training in orbital disease, which included rotations with Jack Rootman, M.D., in London, England. He has a full time faculty practice at the Jules Stein Eye Institute and participates extensively in research and in resident and fellow education. His practice incorporates the entire range of orbital and oculoplastic surgery, with a clinical focus on diseases and surgery of the orbit, including orbital oncology and bony orbital reconstruction.

Raymond S. Douglas, M.D., Ph.D.

Dr. Douglas is an orbital and ophthalmic plastic surgeon and member of the full time faculty of the Jules Stein Eye Institute. He completed a fellowship with Dr. Norman Shorr. He currently sees patients in his private office, located inside the Jules Stein building. Additionally, he is Chief of Ophthalmology at the Sepulveda Veterans Administration Medical Center. Dr. Douglas’ area of expertise is in ophthalmic plastic and reconstructive surgery, which encompasses diseases of the eye socket (thyroid eye diseases or tumors), and tear duct. Dr. Douglas’ area of expertise also includes cosmetic surgery and treatments of the eyelids and face, including blepharoplasty, forehead lifting, Juvéderm and Restylane injections to the eyelids and face, laser skin rejuvenation and laser skin resurfacing.

Other participating members of the UCLA Department of Ophthalmology oculoplastic faculty:

FELLOWSHIP ALUMNI

Our fellowship alumni form a cohesive national network and are the pride and joy of the UCLA oculoplastics program. Our alumni provide, individually and as a group, significant national leadership in oculoplastic surgery.
 

INTERNATIONAL FELLOWS