Iowa City VA Health Care System
Ophthalmology Service
VA
Ophthalmology Service is dedicated to providing the highest quality
care to our veterans of military service. Since 1998, we have been fortunate
in attracting greater numbers of veterans to our clinic seeing over
8,000 patient visits per year. Our surgical service performs about 400
major surgeries per year. The tremendous growth in our services has
provided increased opportunities for our staff, residents, and faculty
to excel in providing ophthalmologic care.
The Clinic

The heart
of the VA Clinic is our staff. We have two RNs with extensive
ophthalmologic and surgical experience, an optometrist, an ophthalmic
technician and a clerk, all who have dedicated their professional
energy to veterans and the Eye Clinic.
Far
less important, but equally impressive, is the equipment that
we have available to use at the VA Eye Clinic.
We have four fully
equipped lanes with outstanding slit lamps, indirect ophthalmoscopes,
and workstations for our physicians and optometrist.
We have a laser room
with a YAG laser, an argon laser, and an infrared laser. We have
a new Humphrey visual field analyzer as well as a Goldmann kinetic
perimetry unit. We have a full equipped Minor Room Suite with
a binocular microscope and we have a fundus camera which we can
use for external photos, as well as photos of the disc and retina.
In short,
our clinic is staffed and equipped to provide the highest quality
care for our veterans.
Operating Room

The
most outstanding feature of the operating room, as in the clinic,
are the people that work with the surgeons in the eye operating
room. These nurses and technicians have provided consistent excellent
service to our eye surgeons, provide the most up-to-date equipment,
and have excelled in decreasing the turn around time to the bare
minimum, allowing us to increase our surgical volume.
In
the operating room, we have many pieces of equipment which give
us the ability to operate in the latest fashion. We have a ceiling
mounted Zeiss microscope with dual coaxial lights with video capability
which allows us to tape the surgeries of residents and run through
those later, increasing our teaching capabilities. We have recently
purchased a state of the art phacoemulsification unit, allowing
us to perform cataract surgery in a safe and efficient manner. We
have stocked foldable lenses which allow us to use small incisions
Additionally, we have
some of the latest intraocular devices for cataract, glaucoma, and
corneal surgery. We have the Colorado needle and other devices that
allow us to perform state of the art oculoplastics surgery as well.
We perform scleral buckles, but do not perform vitrectomies at the
present time in this operating room. In short, the staff of the
operating room, together with the latest equipment make the operating
room at the VA Hospital one of the finest in the nation.
Educational Support
The Veterans
Administration has always had education as one of its top priorities.
Three of the residents from the University of Iowa are paid by
the Veterans Administration and 3 residents are always on station
at the VA Hospital. The 3rd year resident acts as the
chief resident and is in charge of the day to day management of
the clinic. A 2nd year resident, who is beginning the
surgical part of his/her training, is a key player both in the
clinic and in the OR. And finally, a 1st year resident
who is in the beginning of his/her career, focusing on the medical
management of ophthalmology is an integral part of the clinic
and uses the faculty, 3rd year and 2nd year

A fully equipped wet
lab at the VA allows residents to practice their surgery on cadaver
and animal eyes.

Currently, the chief
of the service works approximately half-time at the VA and half-time
at the University. The chief of service attends most of the resident
surgeries and helps with some of the administrative duties of the
clinic.
We also have the services
of a highly experienced optometrist. Additionally, the VA is staffed
with subspecialty help from the Retina Service, the Oculoplastics
Service, the Glaucoma Service and the Cornea Service from the University
of Iowa Department of Ophthalmology and Visual Sciences.
Iowa City VA Health Care System