Revised 2/23/2011
Leonardo Dominguez, M.D.
Ophthalmology Vitreoretinal Diseases
CURRENT POSITION
Assistant Professor
Department of Ophthalmology and Visual Sciences
Texas Tech University Health Sciences Center
leo.dominguez@ttuhsc.edu
EDUCATION
Fellowship
Ophthalmology, Retina (1995-1996)
University of California, San Francisco
Director: Alexander R. Irvine MD
Residency
Ophthalmology (1992-1995)
Santa Lucia Hospital
University of Buenos Aires, Argentina
Carlos Plotkin MD (chairman)
Internship
Ramos Mejia Hospital, Buenos Aires, Argentina (1990-1991)
Medicine
Buenos Aires University
Doctor in Medicine (1990)
ACTIVITY AS AN EDUCATOR
1996-1998
Surgical supervisor
Vitreo-retinal Department Santa Lucia Hospital
I made an early commitment to educate Ophthalmology residents. This involved supervision in
outpatient retina referrals, as well as inpatient follow-up. The Santa Lucia Hospital retina service,
(the major referral center in Argentina) receives cases from the city of Buenos Aires as well as
surrounding towns and provinces. It represents an average of 100 retinal referrals a day. We had
exposure to a wide variety of cases, including an average of 7 retinal detachments daily ( a
mixture between rhegmatogenous, diabetic, traumatic, exudative, etc).
We also had a large amount of clinical cases (infections, minor trauma, uveitis, etc). I did
supervise patient clinical examination (indirect ophthalmoscopy, contact lens examination) of
residents (three morning clinics).
There we selected cases, discussed available treatments, and planified treatments (Surgery,
Laser, follow-up, etc).
Attended to ground rounds (twice a week - with other services), and we had our
fluorescein conference once a week.
Lectured residents once a week on different topics (diseases, surgical techniques,
surgical tools, etc).
I was one of the four staff surgeons at the retina service.
I performed an average of five to six surgical procedures a week (not including laser
surgery and office procedures (pneumatic retinopexies), assisted by residents
CLINICIAN
Staff surgeon
1996-1998
Retina Surgeon
Director
1997- 2002
Retina Service
Santa Lucia Eye Hospital
Centre Oftalmologico Recoleta
Ciochi Ophthalmological Foundation
Buenos Aires, Argentina
Retina Unit
PROFFESIONAL EXPERIENCE
1)
UCSF Department of Ophthalmology
Under supervision of Alex Irvine, MD, I was involved in all clinical as well as academic
activities. We had three clinics weekly, with an average of 20 patients each.
Assisted Dr Irvine examining and participating in the decision making processes.
Although I had no responsibility over patient supervision, I had full contact with them,
performing complete clinical examinations and assisting an average of three surgical
cases weekly at Moffit Hospital.
Learned the pneumatic retinopexy procedure, as well as the standard laser surger
procedures (diabetes, retinal detachment, macular edema, ARMD, etc).
Participated at the VA hospital, assisting Dr Daniel Shwartz in many surgical cases.
Participated in weekly ground rounds, Fluorescein conferences (with invited lecturers,
such as Howard Shatz MD, George Hilton MD, etc).
Participated in experimental surgery at Beckman Vision Center, trying to determine the
role of vitrectomy in cataract formation.
Published a paper with Dr. Alex Irvine based on Behcet's disease at the Trans American
Ophthalmological Society (1997)
2)
Retina Service
Centro Oftalmologico Recoleta
(2000-2001)
I was Director of the retina service on this private practice institution.
This institution receives all the surgical cases from one of the biggest HMOs of the country.
There I treated very complex forms of detachments referred there from all provinces. I
performed about 50 cases including: Diabetic fractional detachments, Giant retinal tears,
colobomas, highly miopic multi-operated eyes, removal of silicon oil ( many of them on single
eyes). This Center gave me the chance to perform a considerable amount of cases with
Photodynamic Therapy (45 cases approx) (including a Novartis sponsored course in Barcelona,
Spain (under the supervision of Jordi Mones MD) (June 2000).
3)
Fundacion Oftalmologica Ciochi
(1996 to 2002)
This is a non-profit organization (for charity purposes) with an Eye Care Center also available
for private practice. I served as Director of the retina service.
Since 1996 I performed an average of 50 office based consultations per week.
I performed approximately 200 surgical cases (vitrectomy/conventional surgery) (including
Diabetics, RDs, anterior segment complications, trauma, etc).
I performed approximately 400 laser procedures (PRPs, Focal (tears), Macular photocoagulation,
etc).
4)
Ophthalmologic activity nationwide
Invited to develop surgery on selected compromised situations on the following plazas:
Santiago del Estero (Centro de la Vision) : an average of two monthly surgeries, 1998-2002.
San Luis (Centro de ojos San Luis): several cases, on demand, that include Endophthalmities,
etc.
Mendoza (Hospital San Martin): on demand. Formosa (Clinica de ojos Formosa): on demand.
PUBLIC SERVICE
The entire work made at the Santa Lucia Hospital (1996-1998), as well as a considerable amount
of cases solved at the Ciochi Foundation, has been done on a free basis, in order to help people
with no medical insurance coverage.
MEMBERSHIP IN PROFESSIONAL SOCIETIES
• Consejo Argentine de Oftalmologia "
• Sociedad Argentina de Oftalmologia
• Panamerican Association of Ophthalmology
PROFESSIONAL DEVELOPMENT
Yearly
Annual Meeting Sociedad Argentina de Oftalmologia
Yearly
FOA Meeting
1992, 1994-97, 1999
American Academy of Ophthalmology
2000
ASCRS
LECTURES
2001 Panelist, Opening sesion Sociedad Argentina de Oftalmologia "Diabetic Retinopathty"
TV- broadcast and interactive Symposium through the Country
12/00 Ciochi Foundation Seminar " Management of retinal detachment"
07/00 Hospital Santa Lucia inter-hospital Course " Pneumatic retinopexy indications"
03/00 Universidad del Salvador, grand rounds " Principles of vitreous surgery"
09/99 Resident Ground Rounds ( Sta Lucia Hospital) " Choosing buckling materials"
07/99 Resident Ground rounds ( Sta Lucia Hospital) "Clasification of diabetic retinopathy"
05/99 Resident Ground rounds ( Sta Lucia Hospital) "Vitrectomy instrumentation"
12/98 Institute de la Vision "Vitreous surgery managing cataract complications"
PUBLICATIONS
Transamerican Academy of Ophthalmology.
"Clinical manifestations of Behcet's disease", 1997, Alexander Irvine MD and
Leonardo Dominguez MD.
Medico oftalm61ogo magazine.
Consejo Argentine de Oftalmologia.
"Use of PFC in dropped nucleous on complicated cataract surgery"
Leonardo Dominguez MD.
Various papers in Santa Lucia Hospital magazine, Leonardo Dominguez MD.