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DePARtMent oF SuRgeRy SeCtionS

Dartmouth-Hitchcock Medical Center Department of Surgery 200� Annual Report

Under the leadership of Dr. Donald Miller, our Refractive Surgery

Program has been re-launched and expanded and is now on site for all phases of care. We have acquired the state of the art Wavelight Allegretto laser. Our refractive patients will now receive their initial ophthalmic evaluations, laser treatment and postoperative care at DHMC. Nancy Patterson will serve as the Refractive Surgery Coordinator. We have been very pleased with the growing popularity of this service and our outstanding clinical outcomes.

Dr. Christopher Chapman, Section Chief, has established the Dartmouth Electrophysiologic Testing Center which will include ERG, EOG, VEP and color vision testing. Kim McQuaid, COMT, is the coordinator for clinical services.

Dr. Sandra M. Johnson continues to provide clinical service at DHMC-Manchester. She provides comprehensive ophthalmology, cataract, and glaucoma consultation on a monthly basis.

Dr. Alexandra Elliott, pediatric ophthalmologist, has expanded her children’s practice into the new CHaD facility. We have added specialized ophthalmic testing equipment for children to her service. We now offer sub-specialty clinics in pediatric neuro-ophthalmology and pediatric optometry within CHaD as well. Dr. Susan Pepin will add expertise in pediatric neuro-

ophthalmology and Dr. Christopher Fields in optometry. Dr Christopher Soares will also provide medical and surgical consultation for pediatric patients.

The Section’s new OCT-3 instrument has been installed and is operational for optic nerve and macular imaging. We expect the ocular coherence tomography to be most helpful in following the clinical course of our glaucoma and retina patients. Tom Monego serves as head of Ophthalmic Photography and Imaging.

Faculty ResearchDr. Susan Pepin was appointed a Harmes Scholar in the Department of Surgery last year. Dr. Pepin is conducting research in vision and Alzheimer’s disease and has presented at local, regional, and national meetings.

Dr. Michael Zegans is principal investigator for the national study, “Steroids in Corneal Ulcers Trial.” Dr. Zegans is a National Eye Institute investigator in biofilm formation and pseudomonas infections. Dr. Zegans also serves as a reviewer for Archives of Ophthalmology and the American Journal of Ophthalmology.

Dr. Chapman has initiated studies in retinal cell transplantation and a new clinical trial for diabetic retinopathy.

Dr. Rosalind Stevens serves as expert consultant to Helen Keller International.

Christopher B Chapman, MD

SectionChiefAssistantProfessorofSurgeryandPediatrics

Ophthalmology

Ophthalmology Gross Revenue (in millions)

FY06FY01 FY02 FY03 FY04 FY05

2M4M6M8M

10M12M14M16M18M20M

Ophthalmology Cases

300600900

1,2001,5001,8002,1002,4002,7003,000

FY06FY01 FY02 FY03 FY04 FY05

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Dr. Stevens has also organized the Orbis International eye care project in conjunction with Dartmouth Medical School’s Global Health Initiative project in Tanzania. Dr. Stevens will also be coordinating the Flying Eye Hospital project in Vietnam later this year. Dr. Stevens serves on the advisory board for the Cybersight Telemedicine project. Dr. Stevens will continue to serve as senior instructor for the annual Academy of Ophthalmology Trauma course.

Dr. Miller is co-investigator for the Steroids in Corneal Ulcers Trial and serves as lecturer for the annual Academy of Ophthalmology review course on eye trauma. Dr. Miller has presented locally at grand rounds programs as well as regionally and nationally.

Dr. David Campbell, chief of the glaucoma service, lectures at the Lancaster course held annually and is conducting studies in pseudo exfoliation and glaucoma as well as developing approaches in glaucoma.

Dr. Chris Fields has conducted annual eye care missions into Nicaragua and has been honored nationally for his efforts. Dr. Fields will be providing an elective course on International Ophthalmology for Dartmouth Medical Students.

Grand Rounds and Hosted MeetingsOur monthly Grand Rounds at the Hanover Inn or DHMC continue to be well attended by our referring ophthalmologists. Topics include: Color Vision, Case studies in Neuro-Ophthalmology, Tumor Conference, Uveiis and Orbital disease. Dr.

Douglas Jabs from the Wilmer Ophthalmic Institute at Johns Hopkins was this year’s visiting Curts professor. Dr. James Tsai, an international expert in glaucoma, presented new information on neuro-protection. Dr. Jack Witcher, an international expert on corneal ulcers, presented issues surrounding corneal ulcers in the developing world. Dr. William Anninger, from The Children’s Hospital of Philadelphia, presented “Retinopathy of Prematurity Issues in the 21st Century.”

The FutureThe Section has completed the initial phases of developing a three year residency training program in Ophthalmology. In discussions with both our referring physician partners and national leaders, we have the support and commitment required to launch the highest quality training program possible.

opHtHalmologyDavid Campbell, MDProfessor of Surgery

Alexandra Elliott, MDAssistant Professor of Surgery

Chris Fields, ODInstructor in Surgery

Sandra Johnson, MDAssociate Professor of Surgery

Peter Lapre, ODInstructor in Surgery

Donald Miller, MDAssistant Professor of Surgery

Susan Pepin, MDAssistant Professor of Surgery and Pediatrics

John Petrowski, III, ODInstructor in Surgery

William Rosen, MDAssociate Professor of Surgery

Christopher Soares, MDAdjunct Assistant Professor of Surgery and Instructor of Surgery

Rosalind Stevens, MDAssociate Professor of Surgery

Michael Zeagans, MDAssociate Professor of Surgery and Microbiology & Immunology

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