TABLE OF CONTENTS

EYE PATHOLOGY SPECIMEN PROCESSING MANUAL FOR RESIDENTS

This manual is written for ophthalmology residents rotating in Ophthalmic Pathology to aid in specimen examination and processing. Here are some tips on navigating this site. For all figures, click to enlarge, for topics and references many of the terms and topics are highlighted so click if indicated to link for more details. For your convenience buttons move to the next page or you can use the table of contents to search specific topics.

TABLE OF CONTENTS (Click on the heading to link to the topic)
COURSE OBJECTIVES
RESIDENT SYLLABUS
SUGGESTED READING
RESIDENT RESPONSIBILITIES

GENERAL INFORMATION
Clinical History
Fixation of Tissue
Freezing Tissue
Handling Tissue
Labeling Cassettes
Placing orders
Gross Only (Identification) General Information
Example Reports for Gross Only Specimens Surgical Devices, Implants,
Preparing Reports
Micro Descriptions
Final Diagnosis

SPECIFIC INSTRUCTIONS FOR SURGICAL SPECIMENS
Glaucoma Filtration Devices, (Baerveldt, Ahmed Valve, Express Shunts)
Extraocular muscle
Intraocular Lenses for ID Only
Native Human Lenses
Instructions for Specific Tissues
Cornea
Conjunctiva
Epiretinal Membranes
Orbital Biopsies
Eyelid Lesions
Temporal Arteries
Vitrectomy/Lensectomy Washings
Vitrectomy Washings from HIV Patients
Anterior Chamber / Vitreous Taps
Fine Needle Aspiration
Conjunctival Smears

SPECIFIC LESIONS
Lymphoproliferative Lesions
Multiple Specimens from the Same Patient
Instructions for Whole Surgical Eyes
Melanoma
Retinoblastoma
Endophthalmitis
Eviscerations and Exenterations
Outside Slide Reviews

ERRORS TO AVOID IN SURGICAL PATHOLOGY

PROCESSING
INSTRUCTION FOR EMBEDDING
SPECIAL INSTRUCTIONS FOR BIOPSIES
Figure 1 Orientation for Embedding

DETAIL TECHNIQUES FOR EVALUATION OF SURGICAL AND AUTOPSY EYES

Gross Work-up
Preparation of Eyes for Gross Study
External Exam
Transillumination
Opening Eyes for Internal Examination

Internal (Gross) Examination of the Eye

Self Test for Gross Evaluation of Eye Specimens

Handy References for JSEI Residents:

a. Frequently called phone numbers.
b. Examples of embedding instructions and histochemistry special stains use

c. Examples of immunohistochemistry use

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