Purpose of the course:

The 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 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 Cataract and Cornea surgery which are necessary for the modern comprehensive refractive surgeon. The Course also offers teaching activities about methodologies of medical research, analysis of results, statistical methods such as the computer program SPSS, as well as a certified course on Good Clinical Practices, explaining also the Helsinki declaration for the purpose of clinical research.

The Course offers also the possibility for the student to develop 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 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 degree 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.

Objectives of the course:

  • Provide a comprehensive review of basic scientific review related to refractive surgery.
  • To provide an didactic comprehensive educational program about the fundamentals and advances of refractive surgery.
  • Focus of refractive topics related to cataract surgery.
  • Focus on corneal diseases and the perspective analysis of refractive treatment.
  • Provide a summary of essential surgery skills, research and instrumentations that a refractive surgeon needs.
  • Incorporate evidence-based medical concepts following international guidelines for management practice.
  • Training in good clinical practices in relation to clinical trials.
  • Create an interactive network channel between students and a panel of international consultants and professors at a global level.
  • The students are introduced to the fundamentals of research methodology and analysis of data using as scientific tools Biostatistical methods and Good Clinical Practice standards.
  • The integration of students in research projects related to themes of the course.
  • Enhance the importance of continued and self-medical education.
  • To help the students reach a level of knowledge in the theoretical framework necessary to establish a solid internship for training.
  • Creation of active channels in the analysis method, management and advice of complicated clinical situations.
  • Training for surgeons to learn methods of detection and treatments of issues. They will know how to treat these issues with an ethical perspective keeping in mind the rights of the patients.


Part A: Basic Refractive Surgery Course

  1. A Short History about Refractive Surgery
  2. Fundamentals of anatomy, physiology and optics of the eye
  3. Errors of refractions, causes, and associated defects
  4. Methods of studying the eye for refraction: Subjective and Objective
  5. Methods of studying the eye for refractive surgery
  6. Outcomes in Refractive Surgery
  7. Surgical correction of Refractive Surgery
  8. The indication of different surgical techniques in myopia, hypermetropia astigmatism and presbyopia
  9. Methods of Ametropic correction: Optical compensation and contact
  10. Refractive surgery complications
  11. Refractive Surgery and Quality of life
  12. Excimer Laser and Photoablation Basics

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

  1. Customized Laser Excimer Surgery
  2. The Correction of High Myopia and High Hyperopia Refractive Errors
  3. Intracorneal Inlays: A solution for correction of Presbyopia
  4. Laser Refractive Surgery for Presbyopia: PresbyLASIK
  5. Surface Laser Ablations
  6. Femtosecond Laser Small Incision Lenticule Extraction (Smile) vs. PRK and LASIK
  7. LASIK: Surgical Technique
  8. LASIK: Enhancements
  9. Video Gallery

Part C: Advanced Refractive Course (Intraocular Surgery)

  1. Phakic IOLs: How to Match Patients with Lenses for a Successful Outcome
  2. Modern Multifocal IOLs: What do they offer, what can we get?

Part A: Surgical Modalities

  1. Basic Phacoemulsification Course
    1. Introduction and Basic Concepts
    2. Elements of Phacoemulsification
    3. Starting Up the Surgery
    4. Viscoelastics, Phacoemulsification
    5. Phacoemulsification Surgery: Stepwise Approach (PART 1)
    6. Phacoemulsification Surgery: Stepwise Approach (PART 2)
    7. Complications in Phacoemulsifications
    8. End of Course Quiz
  2. Minimal Invasive Cataract Surgery Course
    1. MICS: Unit 1
    2. MICS: Unit 2
    3. End of Course Quiz
  3. Refractive Lens Exchange
    1. Refractive Lens Exchange
    2. End of Course Quiz
  4. Intraocular lenses in Contract Surgery
    1. IOL Calculation
    2. Aspheric IOLs
    3. Toric IOLs
    4. Multifocal surgery
  5. Femtosecond Assisted Cataract Surgery
  6. Refractive Surgery after Cataract Surgery
  7. Evaluation

Part A: Fundamentals of Corneal Imaging

  1. Basics of Corneal Imaging
    1. Application of Aberrometry in Clinical Practice
    2. Anterior Segment
  2. Corneoplasty Surgery
    1. Modern Trends in Corneal Grafting Surgery
    2. Post-operative follow up and Complications in Karatoplasty
  3. Keratoconus Management
    1. ICRS: Types and Indications
    2. Guide of Actions in Keratoconos
  4. Crosslinking
    1. Corneoplasty Surgery
    2. Crosslinking in Refractive Surgery
    3. Crosslinking in Infectious Complications
  5. Video Gallery
    1. Manual: PKP VS DALK
    2. Femtosecond Laser Graft Fashioning: Types
    3. Femtosecond Laser Assisted: PKP VS DALK
  6. AMO Intralase Physician Couse
    1. Intralase Lasik
    2. Intralase Keratoplasty
    3. Videos
  7. Evaluation
    1. Case Study
    2. MCQ Test
  1. Introduction to its treatment
  2. Keratoconus grading and Therapy
    1. Video Class
    2. Pubications
  3. Intercorneal rings and segments
    1. Video Class
  4. Advanced concepts in CXL
    1. Video Class
    2. Publications
  5. Corneal grafting
    1. Video Class. Part 1
    2. Publications
    3. Video Class. Part 2
  6. Cataract Surgery in Keratoconus
    1. Video Class
  7. Pediatric Keratoconus
    1. Video Class
  8. Evaluation PDF
  1. Basic Suturing Lesson
  2. Surgical Instruments tutorial
  3. Guidelines in Refractive Surgery
  4. Guidelines in Contaract Surgery
  5. Guidelines in Cornea Surgery
  6. MCQ Test
  1. Instructions
    1. Clinical Case Evaluation
    2. Final Project


Course Director

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

Associate Course Professor

  • Dr. Mohamed El Bahrawy

Associate University Staff

  • Dr. José Miguel Roman
  • Dr. Francisco Arnalich

  • Dr. Roberto Fernandez-Buenaga

  • Dr. Jorge L. Alió Del Barrio

Scientific Advisors

  • Dr. Jack Holladay
  • Dr. Richard Lindstrom

International Tutors

  • Dr. Adel Barbara
  • Dr. Alaa El Danasoury
  • Dr. Antonio Marinho
  • Dr. Arturo Chayet
  • Dr. Arun Gulani
  • Dr. Dan Reinstein
  • Dr. David O`Brart
  • Dr. Enrique Graue
  • Dr. Francesco Carones
  • Dr. George Kymionis
  • Dr. George O. Waring IV
  • Dr. Jesper Hjortdal
  • Dr. John Kanellopoulos
  • Dr. Jose Salgado Borges
  • Dr. Leonardo Matropasqua
  • Dr. Mahmoud Ismail
  • Dr. Marco Fantozzi
  • Dr. Miguel Maldonado
  • Dr. Mohamed Shafik
  • Dr. Mounir Khalifa
  • Dr. Osama Ibrahim
  • Dr. Paolo Vinciguerra
  • Dr. Rafael Barraquer
  • Dr. Ramon Lorente
  • Dr. Richard Packard
  • Dr. Richard Lindstrom
  • Dr. Roberto Belluci
  • Dr. Ronald Krueger
  • Dr. Shmuel Levinger
  • Dr. Samuel Masket
  • Dr. Suphi Taneri
  • Dr. Victoria de Rojas


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