Pediatric Ophthalmology and Adult Strabismus Fellowship
Fellowship at Wilmer is stimulating and enjoyable in a supportive atmosphere that we experienced ourselves during a most productive time in our own careers. One-on-one contact with faculty - learning, operating, and teaching in the field of pediatric ophthalmology and adult strabismus takes place within a full-service ophthalmology department. The division has seven full-time pediatric ophthalmologists, one pediatric optometrist, and three orthoptists. Our fellows can take advantage of continued exposure to world-renowned ophthalmologists in all ophthalmic subspecialties, via lectures, conferences and weekly departmental Grand Rounds.
History and Structure of the Fellowship
This fellowship program provides broad exposure to both medical and surgical treatment of pediatric eye conditions and adult strabismus. The Zanvyl Krieger Children’s Eye Center at the Wilmer Eye Institute is a tertiary referral center where clinical fellows enjoy well-rounded exposure to both the clinical and academic sides of pediatric ophthalmology and adult strabismus. We are privileged to have our pediatric and adult facilities combined in a unified, modern, and child-friendly center, providing excellent exposure to a wide variety of pediatric eye diseases as well as to strabismus in adults
We have trained over 75 clinical fellows in pediatric ophthalmology and adult strabismus since 1979. They have come from a wide cross-section of residency programs, both from the United States and abroad, and a few have come from private practice to start a new career. About 40% are now in private practice, with the other 60% in academic positions, including five professors and seven department chairs.
Program Overview
The Pediatric Ophthalmology Team at AAPOS 2023
Fellowship at Wilmer is stimulating and enjoyable in a supportive atmosphere that we experienced ourselves during a most productive time in our own careers. One-on-one contact with faculty - learning, operating, and teaching in the field of pediatric ophthalmology and adult strabismus takes place within a full-service ophthalmology department. The division has seven full-time pediatric ophthalmologists, one pediatric optometrist, and three orthoptists. Our fellows can take advantage of continued exposure to world-renowned ophthalmologists in all ophthalmic subspecialties, via lectures, conferences and weekly departmental Grand Rounds.
More About the Program
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Fellows participate in a Vision for Baltimore
health care event in celebration of World Sight DayWe encourage academic pursuits during the fellowship year. We host departmental Grand Rounds four times each year and have six Pediatric Ophthalmology Journal Clubs each year. We also have a year-long pediatric ophthalmology didactic curriculum that is held weekly on Tuesday evenings. The curriculum covers a comprehensive pediatric ophthalmology textbook, landmark articles from the pediatric ophthalmology literature, and noteworthy new studies.
The clinical schedule allows the fellow to attend these lectures and conferences. Our faculty also conduct surgical skills training sessions in strabismus and anterior segment surgery for both fellows and residents.
Clinical Year Schedule (Sample):
Monday
- Fellow 1: ROP - Dr. Repka (a.m.); Clinic - Dr. Doyle
- Fellow 2: Bethesda Clinic - Dr. Kraus
Tuesday
- Fellow 1: OR - Dr. Repka or Dr. Kraus
- Fellow 2: Clinic - Dr. Guyton
Wednesday
- Fellow 1: Clinic - Dr. Collins; OR - Dr. Kuwera (p.m.)
- Fellow 2: OR - Dr. Guyton or Dr. Kuwera
Thursday
- Fellow 1: Clinic - Dr. Repka, Dr. Richardson or Dr. Kuwera
- Fellow 2: Clinic - Dr. Kraus
Friday
- Fellow 1: OR - Dr. Collins
- Fellow 2: OR - Dr. Doyle or Dr. Richardson
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The team getting ready for a day in the operating room.
The fellow will gain comprehensive experience in a wide variety of strabismus surgeries, with exposure to hang-back techniques,
cyclovertical surgery, and adjustable sutures in both children and adults. In addition, experience is gained in congenital cataract and glaucoma surgery, nasolacrimal probings, and ROP screening and treatment.
Fellows practicing surgical techniques in the wet lab with Dr. Kuwera
Procedure
Primary Surgeon
Assistant
Strabismus Surgery
Horizontal strabismus
161 (62-218)
137 (8-159)
Vertical strabismus
35 (7-38)
51 (2-26)
Inferior oblique
18 (5-26)
19 (2-18)
Superior oblique
1 (0-15)
8 (1-8)
Muscle transpositions
4 (0-20)
10 (0-20)
Adjustable sutures
110 (4-153)
69 (4-78)
Botox injections
0 (0-1)
2 (1-8)
Non-strabismus Surgery
Exams under anesthesia
9 (2-20)
8 (0-20)
Probings and other nasolacrimal procedures
2 (0-6)
4 (0-15)
Ptosis
0 (0-1)
0 (0-1)
Cataract with IOL
8 (0-9)
3 (1-12)
Cataract without OIL
8 (0-5)
6 (1-24)
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Fellows are required to complete a research project during their fellowship. This can be either a project of their own choosing or one of the many projects being conducted by our faculty. We encourage fellows to submit their research to AAPOS, ARVO, and/or AAO.
Fun mentorship activities at the Wilmer Eye Institute
Learning how to build a Lancaster Red-Green Torch
with Drs. Guyton and Kuwera.
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We provide a PGY-5 stipend for our fellows (plus fringe benefits, including individual health insurance). The stipend is supported in part by the Judith and Paul Romano "Binocular Vision and Strabismus" Fellowship Endowment Fund. To help defray part of this expense, the department requires accepted fellows to apply to sources of outside funding when applicable, such as the Heed Ophthalmic Foundation, which provides partial fellowship support to U.S. applicants.
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Fellows meet weekly with Dr. Kuwera and Dr. Collins for didactics, as well as bi-monthly to discuss fellowship progress, research, and career plans. At these meetings, curriculum and performance are addressed. There are many opportunities to select additional mentors within the Wilmer/Hopkins community.
To Apply
Application deadline for 2025-2026 is September 2024.
Note: 2024-2025 application cycle has closed
Fellowship start date: July 1, 2025, with a few days allowance for relocating as necessary.
Availability: 2 open spots
Interviews: We invite promising applicants to an interview at Johns Hopkins. We are sometimes able to interview international applicants at the Annual Meeting of the American Academy of Ophthalmology.
Submission process: All applications will be submitted centrally to the SF Match. Please refer to the SF Match website to register for the match and read about the process for applying to Ophthalmology Fellowship training. Once registered you can view our program listing on the SFMatch directory website for all required documents.
U.S.-trained residents apply for a Maryland medical license. Upon receipt, they will be appointed as junior faculty at the Wilmer Eye Institute.
Prerequisites for International Medical Graduates: Applications from other countries are encouraged, particularly from applicants seeking to return to an academic training program in their home country.
- Successful completion of the ECFMG examinations and award of certificate
- USMLE Step 1, Step 2 and Step 3
All fellows, whether from U.S. or international residency programs, receive the same fellowship experience with the same responsibilities.
Fellowship Director
Dr. Edward Kuwera is an Assistant Professor of Ophthalmology who specializes in complex strabismus, including the surgical management of cyclovertical diplopia, reoperations, and strabismus from thyroid eye disease. He is one of very few surgeons in the world who performs adjustable strabismus surgery for both adults and children on the same day of the procedure. He is an award-winning educator and is working on several projects, among them to improve adjustable surgery techniques, enhance retinoscopy, and Lancaster Red-Green testing. Dr. Kuwera is a member of PEDIG and is the Division Education Champion for pediatrics/strabismus and Co-Division Education Champion in ophthalmic optics, alongside Dr. Guyton. Dr. Kuwera teaches clinical skills, surgical techniques, and review of the basic sciences. He organizes weekly didactics in pediatric ophthalmology for the program.
Associate Fellowship Director
Dr. Megan Collins is the endowed Allan and Claire Jensen Professor of Ophthalmology, Associate Professor of Ophthalmology and an Associate Faculty member at the Johns Hopkins Berman Institute of Bioethics. She provides comprehensive care to pediatric patients and performs surgery for adult and pediatric strabismus. Dr. Collins also sees patients with vascular anomalies and craniofacial malformations. In addition to her clinical practice, she is the course director of the residency ethics and professionalism curriculum. Her research interests include the doctor-patient relationship, public health ethics, and barriers in access to pediatric eye care. Dr. Collins is Co-Principal Investigator on Vision for Baltimore and Vision for Chicago, two public-private research partnerships to develop sustainable models of school-based vision care and to evaluate the impact of eyeglasses on academic performance. Dr. Collins also founded and co-directs the Johns Hopkins Consortium for School-Based Health Solutions.
Faculty
Dr. David Guyton is the Zanvyl Krieger Professor of Pediatric Ophthalmology. His primary interests are in complicated strabismus, ophthalmic optics and ophthalmic instrumentation (currently vision screening devices). Time spent with Dr. Guyton will be mostly in strabismus, with a mix of pediatric and adult cases. Adult strabismus cases, comprising approximately 75% of Dr. Guyton’s practice, provide the fellow a unique opportunity to become familiar with more advanced diagnostic and treatment modalities in strabismus. Adult strabismus is more surgically focused than pediatric strabismus because of less long-term follow-up needed. Exposure to adult strabismus cases allows the fellow to become comfortable and familiar with surgical techniques needed for re-operations, as well as crucial diagnostic techniques.
Dr. Courtney Kraus specializes in pediatric ophthalmology and adult strabismus with particular interest in pediatric cataracts and corneal diseases. Surgical experience with Dr. Kraus will include pediatric cataracts with and without primary IOL implantation, secondary IOLs and IOL exchanges, and specialty lenses. In addition, she provides medical and surgical care of glaucoma, ptosis, and nasolacrimal duct disorders.
Dr. Michael Repka is the David L. Guyton, M.D., and Feduniak Family Professor of Ophthalmology. He joined the Wilmer faculty in 1985 and currently serves as the chief of the division of pediatric ophthalmology and adult strabismus and the vice chair for clinical practice at Wilmer. He is nationally and internationally known for his contributions in the fields of pediatric ophthalmology, strabismus, retinopathy of prematurity, and pediatric neuro-ophthalmology. Time spent with Dr. Repka provides exposure to all of these areas.
Dr Jefferson Doyle is an assistant professor of ophthalmology. He specializes in pediatric ophthalmology and genetic eye diseases. His main focus is pediatric and juvenile forms of cataracts, glaucoma, and anterior segment dysgenesis. His genetics interests include Marfan syndrome and related connective tissue disorders, complex inherited forms of strabismus in both children and adults, and pediatric retinal dystrophies. Surgical experience with Dr Doyle will include pediatric cataracts with and without primary IOL implantation, scleral sutured IOLs for ectopia lentis, and glaucoma angle surgery. Clinic experience will include a wide range of genetic disorders, both ocular and systemic, including use and interpretation of handheld and formal electroretinography.
Dr. Cody Richardson specializes in pediatric ophthalmology and adult strabismus with the main focus on comprehensive pediatric care. Surgical experience with him includes adult and pediatric strabismus as well as pediatric cataract surgery.
Dr. Bo Wang specializes in pediatric ophthalmology, pediatric glaucoma, adult strabismus and retinopathy of prematurity. Surgical experience with Dr. Wang will include pediatric cataracts, pediatric glaucoma surgeries (angle based, tube shunt, endoscopic/external diode laser), and strabismus. Clinic experience will include a wide range of ocular disorders, including interpretation and use of OCT.
Contact Us
For administrative inquiries:
Linda Mitchem
Wilmer 233
Johns Hopkins Hospital
600 North Wolfe Street
Baltimore, MD 21287-9028
Phone: (410)-955-5493
Fax: (410) 955-0809
E-mail: [email protected]
For programmatic inquiries or other questions:
Edward Kuwera, M.D.
E-mail: [email protected]