Leonardo Dominguez, M.D. Ophthalmology Vitreoretinal Diseases Revised 10/06/2015 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 per 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 per week). There we selected cases, discussed available treatments, and planned treatments (Surgery, Laser, follow-up, etc.). Attended ground rounds conference (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. The Residency Review Committee for Ophthalmology, functioning in accordance with the policies and procedures of the Accreditation Council for Graduate Medical Education (ACGME), granted the designation of “acceptable qualifications” for teaching and supervising residents without the benefit of the American Board of Ophthalmology certification. CLINICIAN Staff surgeon 1996-1998 Retina Service Santa Lucia Eye Hospital Retina Surgeon Centre Oftalmologico Recoleta Director 1997- 2002 Ciochi Ophthalmological Foundation Buenos Aires, Argentina Retina Unit PROFESSIONAL EXPERIENCE 1) UCSF Department of Ophthalmology Under supervision of Alex Irvine, MD, I was involved in all clinical and academic activities. We had three clinics weekly, with an average of 20 patients each. Assisted Dr. Irvine by examining and participating in the decision making processes. Although I had no responsibility over patient supervision, I had full contact with them by 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 surgery 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 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 (approximately 45 cases, including a Novartis sponsored course in Barcelona, Spain under the supervision of Jordi Mones MD in 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, 19982002. 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 All of the work performed at the Santa Lucia Hospital (1996-1998), as well as a considerable number of cases at the Ciochi Foundation, were 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 Annual Meeting Sociedad Argentina de Oftalmologia Annual FOA Meeting 1992, 1994-97, 1999 - American Academy of Ophthalmology 2000 - ASCRS LECTURES 2001 Panelist, Opening session Sociedad Argentina de Oftalmologia "Diabetic Retinopathy" 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) "Classification of Diabetic Retinopathy" 05/99 Resident Ground Rounds (Sta Lucia Hospital) "Vitrectomy Instrumentation" 12/98 Institute de la Vision "Vitreous Surgery - Managing Cataract Complications" ABSTRACTS AM Eisenbaum , SJ Brown, L Dominguez. A case of endophthalmitis following strabismus surgery with semi-adjustable sutures. An electronic posterior presentation. Presented at the 2nd World Congress of Paediatric Ophthalmology and Strabismus, Milan, Italy. September 7–9, 2012. Mitchell, K., Tran, P., Arnett, A.I., Mosley, T., Hanes, R., Jarvis, C., Hamood, A., Dominguez, L., and Reid, T.W. Organo-selenium coatings inhibit multiple species of biofilm formation on ophthalmic device material. Association for Research in Vision and Ophthalmology Meeting, Fort Lauderdale, FL, May 3, 2012. Mitchell, K., Arnett, A.I., Auten, J-C., Hanes, R., Jarvis, C.C., Thomas, J., Hamood, A., Dominguez, L., Reid, T.W., The Use Of A Covalent Selenium Coating To Inhibit Biofilm Formation On A Silicone Scleral Buckle. Association for Research in Vision and Ophthalmology Meeting, Fort Lauderdale, FL, May 5, 2011. PUBLICATIONS Irvine, Alexander; Dominguez, Leonardo. Transamerican Academy of Ophthalmology. “Clinical manifestations of Behcet's disease" 1997. Dominguez, Leonardo. Medico oftalmologo magazine. Consejo Argentine de Oftalmologia. "Use of PFC in dropped nucleous on complicated cataract surgery" Various papers in Santa Lucia Hospital magazine, Leonardo Dominguez MD.