Purpose of the course:

The International University Expert course “Clinical Methodology in Refractive, Cataract and Corneal Surgery”, aims to provide an integral education in the topic in a suitable framework for modern e-learning, using an comprehensive program, ranging from the basic sciences of refractive surgery, such as: Ocular Anatomy, Physiology and Optics, to the advanced methods of surgical correction of cataracts, corneal and refraction surgery along with management of complications.
The didactic material is created evidence-based, above all in refractive surgery, providing the knowledge which is today necessary on the subjects of Refractive, Cornea and Lens surgery  which are necessary for the modern comprehensive refractive surgeon. The Course also offers teaching activities about methodologies of analysis of  the outcomes of refractive surgical procedures as well as a certified course on Good Clinical Practices.

The Course offers also the possibility for the student to develop, optionally, a Research Project at the end of the course, in which the student will need to be able to demonstrate the acquired the adequate skills and apply the methodology and techniques of clinical research that have been learned during the course . This activity is performed under the tutorship of the well-known experts of the International Faculty of the Course.

The advances of communication have made scientific knowledge more globally accessible, facilitating the learning process across the internet and other computer platforms, giving rise to a quicker and more flexible way to learn. Online education, in which the Course Directors are experts, ensures the reception of educational programs such as this course, to a large number of ophthalmologists, through a flexible form that suits the demanding medical profession.

The creation of this course and the resulting University Certification is done for the benefit of the international ophthalmology community to cover the gap that today exists in many Ophthalmology teaching programs about Refractive Surgery. The Course has the university recognition, once that is completed and evaluated, at the level of UNIVERSITY EXPERT, by the University of Miguel Hernandez of Alicante, Spain.

Objectives of the course:

  • To offer a comprehensive review of fundamental clinical and  scientific knowledge related to Refractive Surgery.
  • To provide a didactic comprehensive educational program about the fundamentals and advances of modern Refractive Surgery.
  • To offer updated information about  refractive topics related to lens surgery.
  • To offer updated information about  those relevant corneal surgery topics related to Refractive Surgery.
  • To Incorporate evidence-based medical concepts following international guidelines for the clinical practice in Refractive, Cornea and Lens surgery.
  • To offer certified information about the use of Good Clinical Practices  standards in the clinical practice and especially in relation to clinical trials in Refractive, Cornea and Lens surgery.
  • To create an interactive network channel between students and a panel of international consultants and professors at a global level..
  • To integrate the  students that follow the Course in research projects related to topics of the course.
  • To enhance the relevance  of continued and self-medical e- education.
  • To help the students reach a level of knowledge in the theoretical framework necessary to establish a solid future practical fellowship in the topics of the Course.


1. Introduction to the Refractive Surgery Module

Part A: Basic Refractive Surgery Course

2. A Short History about Refractive Surgery
3. Refractive Anatomy of the Eye
4. Accommodation of the Eye
5. Methods of studying the eye in Refractive Surgery
6. Methods of studying the Refraction of the eye: Subjective and Objective methods (I) y (II)
7. Refractive errors: causes and associated comorbidities
8. Epithelial thickness mapping in Refractive Surgery screening
9. Methods for the correction of Ametropia: Optical compensation and contact lenses
10. The Correction of High Myopia and High Hyperopia Refractive Errors
11. Outcomes in Refractive Surgery
12. Complications of Refractive Surgery
13. Refractive Surgery and Quality of life

Part B: Advanced Concepts of Refractive Course (Corneal Refractive Surgery)

14. The Sociology of Refractive Surgery
15. Excimer Laser and Photoablation: Basic concepts
16. Surface Excimer Laser Ablation Surgery (PRK)
17. Modern Myopic PRK
18. Laser in Situ Keratomileusis (LASIK) (I)
19. LASIK: Surgical Technique (II)
20. The practice of LASIK and PRK: Surgical Videos
21. Customized Excimer Laser Surgery
22. LASIK: Reoperation Enhancements
23. Myopic Lasik and Astigmatic Lasik
24. Hyperopic Lasik
25. Complications of Lasik
26. Femtosecond Laser Small Incision Lenticule Extraction (SMILE)
27. Presbyopia Surgery
28. Laser Refractive Surgery for Presbyopia: PresbyLASIK
29 Intracorneal Inlays in the correction of   Presbyopia
30. Dry Eye in Refractive Surgery (I): Clinical relevance and diagnosis
31. Dry Eye in Refactive Surgery (II): Treatment

Part C: Advanced Refractive Course (Intraocular Refractive Surgery)

32. Phakic intraocular lenses (I): An introduction
33. Phakic IOLs (II): How to March Patients with Lenses for A Successful Outcome
34. Phakic IOLs: (III) The Artilens IOLs
35. Phakic IOLs (IV): The ICL IOL
36. Modern Multifocal IOLs (I): What do they offer, what can we get
37. Modern Multifocal IOLs (II): Complications and their management
38. Extended Depth of focus (EDOF) Intraocular lenses


– End of Module Evaluation:
A- Case study Evaluation:
– Questions
– Answers
B- MCQ Test

1. Introduction to the Corneal Module

Part A: Fundamentals of Corneal Imaging and Treatment Modalities:

2. Basics of Corneal Imaging
2.1 Application of Aberrometry in the Clinical Practice
2.2 Anterior Segment OCT
3. Corneoplastic Surgery
3.1 Modern Trends in Corneal Grafting Surgery
3.2 Post-operative follow up and Complications in Keratoplasty
4. Keratoconus Diagnosis and Management (I)
5. Keratoconus Diagnosis and Management (II)
5.1 ICRS: Types and Indications
5.2 Guide of Actions in Keratoconus
6. Crosslinking
6.1 Corneoplasty Surgery
6.2 Crosslinking in Refractive Surgery
6.3 Crosslinking in Corneal Infectious

Part B: Modern Corneal Transplantation Surgery:

1. Corneal Basic Suturing techniques
2. Corneal Surgical Instruments tutorial
3. Corneal Lamellar Techniques:
3.1 DALK
– Big Bubble Technique
– Manual Technique
3.2 DMEK
3.4 Bowmann Layer Transplantation
4. Penetrating Keratoplasty (PKP)
5. Femtosecond Laser Corneal Surgery
5.1 Introduction to Fs Laser Corneal Surgery
5.2 Femtosecond Lasik
5.3 Femtosecond laser assisted Keratoplasty
5.4 Femtosecond laser Corneal Excision
5.5 Femtosecond laser assisted Keratopigmentation and other applications
6. Glaucoma in Corneal Transplantation: Therapeutic approaches
7. End of Module Evaluation:
A- Case Study Evaluation:
– Questions
– Answers
B- MCQ Test

1. Introduction to the Module: Modern treatment alternatives of keratoconus
2. Keratoconus: Diagnosis, Grading and Advanced Treatment alternatives
3. Paediatric Keratoconus
4. Intracorneal rings and segments
5. Advanced concepts in Collagen Cross Linking (CXL)
6. Advanced Keratoconus treatment with combined customised PRK and CXL
7. Corneal grafting in Keratoconus
8. Cataract surgery in Keratoconus

9. End of Module Evaluation
A- End of Module Case study Evaluation
–  Questions
– Answers
B- MCQ Test

1. Introduction to the module

Part A: Surgical Modalities

1. Basic Phacoemulsification Course
1.1 Introduction and Basic Concepts
1.2 Elements of Phacoemulsification
1.3 Starting Up the Surgery
1.4 Viscoelastics in Phacoemulsification
1.5 Phacoemulsification Surgery: Stepwise Approach (PART 1)
1.6 Phacoemulsification Surgery: Stepwise Approach (PART 2)
1.7 Complications in Phacoemulsifications
1.8 End of Course Quiz
2. Minimal Invasive Lens Surgery Course
2.1 MILS: Part 1
2.2 MILS: Part 2
2.3 End of Course Quiz
3. Refractive Lens Exchange: Indications and Outcomes
3.1 Refractive Lens Exchange
3.2 End of Course Quiz
4. Femtosecond Assisted Cataract Surgery
5. Refractive Surgery after Cataract Surgery
6. Cataract Surgery following Corneal surgery
7. Bilensectomy: Indications, surgical techniques and outcomes


8. Intraocular lenses in Refractive lens Surgery
8.1 IOL Calculation
8.2 IOL Calculation following Corneal Refractive Surgery
8.3 Aspheric IOLs
8.4 Toric IOLs
9. End of the Module Evaluation

A- End of Module Case study Evaluation:
– Questions
– Answers
B- MCQ Test

  1. Introduction to the module
  2. How to understand the outcomes of refractive and lens surgery: standard indexes and graphs for reporting refractive surgery
  3. Guidelines and standards in Refractive Surgery
  4. Guidelines and standards in Cataract Surgery
  5. Guidelines and standards in Cornea Surgery

End of the Module Evaluation

A- End of Module Case study Evaluation
–  Questions
– Answers
B- MCQ Test

1. External Educational Service link
2. Module Course  Evalution
3. How to understand the outcomes of refractive and lens surgery: standard indexes and graphs for reporting refractive surgery
4. Guidelines and standards in Refractive Surgery
5. Guidelines and standards in Cataract Surgery

End of the Module Evaluation

A- End of Module Case study Evaluation
– Questions
– Answers
B- MCQ Test

1. Instructions for the End of the Course Evaluation:  

1.1 Clinical Cases Final Evaluation:
– Questions
– Answers
1.2 Final Project (Optional)

2. Epilogue : The full history of Refractive Surgery and future innovations to come


Course Director

  • Prof. Dr. Jorge L. Alió – MD, PhD, FEBOphth

Associate Director Course

  • Dr. Jorge L. Alió del Barrio MD, PhD, FEBOS-CR


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