Director of Research
Department of Ophthalmology
Retinal Service Chief
The Retina Service was organized in 1959 By Morton L. Rosenthal, M.D.as the first working Retina Service in New York City following his training at the Scheppens Eye Institute in Boston. At that time, retinal repair was still in it infancy bolstered by new successes introduced by the technique of scleral buckling.
Over the years, the scope of the Service has gradually expanded from treating primarily retinal detachment and retinal tears to encompassing new and varied technologies, including digital fluorescein angiography, indocyanine green angiography, argon, krypton, dye, and YAG laser treatments.
State-of-the-art small gauge high-speed vitrectomy surgery including the use of long-acting gases, heavier–than–water perflurocarbon liquids, and silicone oil for treating difficult retinal detachment cases is performed routinely at New York Eye and Ear Infirmary of Mount Sinai. Recent innovations such as surgery for macular holes, submacular pathology, complex trauma repairs, as well as restoration of diabetic retinas are daily events. In addition, clinical research involving advanced retinal imaging, stem cells, pharmaceutical therapies for retinal vascular disease, and new surgical tools are integral to the activities of the service.
In 1998, Dr. Thomas O Muldoon assumed the leadership of the Retina Service and was the driving force expanding the research intiatives of the service and architect of its current facility. As a pioneer in vitreous surgery and retinal imaging Dr. Muldoon helped make available the most innovative tools for his patients, his colleagues and upcoming generations of ophthalmologists.
The mission of the Retina Service is to serve the dual roles of providing outstanding specialized patient care and meeting the needs of resident and fellow education and training.
The Retina Service accommodates more than 50,000 patient visits per year, in addition to performing approximately 1009 ERGs, 3657 angiograms and 3855 laser treatments. Service Surgery accounts for approximately 1377 vitrectomy procedures, 244 scleral buckles and 127 cryopexies per year.
The senior retina resident attends surgical retina clinics and helps organize the surgical schedule in concert with the fellows and attendings on the Service.
Surgery is performed under the direct supervision of an attending surgeon, who makes decisions based on the resident’s ability and the patient’s needs. In addition, the resident is responsible for monitoring all current retinal patients, posterior trauma patients, assisting and supervising the junior resident, and is available for retinal consultation on clinic cases.
The senior resident is expected to consult with the Chief of Service on any unusual or complicated cases, reoperations, and scheduling problems. The average number of surgical cases done by each senior resident is 12 scleral buckles, 14 vitrectomies, and 4 cryopexies.
The junior resident is involved primarily with medical retinal patients, learning to interpret advanced diagnostic imaging procedures, perform intraocular injections and perform laser surgery. Each junior resident reads approximately 300 OCTs, 100 fluorescein angiograms, and 130 laser treatments.