Ophthalmic Pathology

Maria Del Valle Estopinal, M.D.

The Ophthalmic (eye, ocular) pathology service at the Gavin Herbert Eye institute is a sub-division of general pathology focusing attention to diseases of the globe, orbit and conjunctival membranes. Donald S. Minckler M.D., who has decades of experience in ocular pathology, heads the division.

Just like general pathologists, ocular pathologists examine and diagnose tissue diseases involving both surgical (biopsy) and removed eye specimens, including autopsy eyes of interest for clinical or research purposes. Eye pathology interacts continually general or sub-specialty pathologists as many maladies do not confine themselves to one body area. The eye or surrounding tissues, for example, may be the first site involved in numerous primary or metastatic cancers or other systemic diseases such as bacterial or viral infections, hyperthyroidism, and trauma.

Ophthalmology Board Certification and more recently Maintenance of Certification have always emphasized the importance of ocular pathology. Besides diagnostic services for the community’s ophthalmologists, providing eye pathology training for residents in ophthalmology is among the main tasks of eye pathologists across the country. It is essential for ophthalmologists to acquire a good basic understanding of ocular pathology in order to best understand findings during their examinations. An accurate clinical diagnosis or at least a comprehensive differential diagnosis, always based on knowledge of tissue pathology, is the priority goal of the clinical ophthalmologist assessing a patient complaint.

The primary tool of the ocular pathologist is the light microscope, now hugely aided by digital imaging and digital photography for teaching purposes. Molecular pathology techniques such as immunoperoxidase staining are now also commonly applied to tissue diagnosis in ocular pathology. Scanning electron microscopy, transmission electron microscopy, and newer research tools such as the femtosecond laser may also be applied to special problems.

The advantage that double training for eye pathologists (ophthalmology and pathology) conveys is that he/she can more accurately communicate with clinicians submitting specimens and ophthalmology residents than a non-ophthalmologist pathologist. The University of California, Irvine Medical Center/Gavin Herbert Eye Institute is the only institution in Orange County with a dedicated ophthalmic pathologist. Although Dr. Minckler has retired from direct patient care, he is extremely involved in all eye pathology cases and is an invaluable member of the teaching faculty at the Gavin Herbert Eye Institute.

 

CATARACT SURGERY
Marjan Farid, M.D.

Austin Fox, M.D.
Sumit (Sam) Garg, M.D.
Sanjay Kedhar, M.D.
Olivia Lee, M.D.
Ken Lin, M.D., Ph.D.
Sameh Mosaed, M.D.
Matthew Wade, M.D.

COMPREHENSIVE
Kavita K. Rao, M.D.

CORNEA SURGERY
Marjan Farid, M.D.
Sumit (Sam) Garg, M.D.
Sanjay Kedhar, M.D.
Olivia Lee, M.D.
Matthew Wade, M.D.

GLAUCOMA
Austin Fox, M.D.
Ken Lin, M.D., Ph.D.
Sameh Mosaed, M.D.

LASIK REFRACTIVE SURGERY
Marjan Farid, M.D.
Sumit (Sam) Garg, M.D.
Matthew Wade, M.D.

LOW VISION REHABILITATION
Karen Lin, O.D.
Nilima Tanna, O.T.

NEURO-OPHTHALMOLOGY
R. Wade Crow, M.D.
Lilangi Ediriwickrema, M.D.
Vivek Patel, M.D.
Sam Spiegel, M.D.

OPHTHALMIC PATHOLOGY
Maria Del Valle Estopinal, M.D.

OPHTHALMIC PLASTIC & RECONSTRUCTIVE SURGERY/
OCULOFACIAL COSMETIC SURGERY

Lilangi Ediriwickrema, M.D.
Jeremiah Tao, M.D.

OPTOMETRIC SERVICES
Joseph Bui, O.D .
Timothy Scott Liegler, O.D.

Kailey Marshall, O.D.
Annabelle Storch, O.D.
Kimberly Walker, O.D .

PEDIATRIC OPHTHALMOLOGY
Charlotte Gore, M.D.

Stephen Prepas, M.D .
Mohammad Riazi, M.D.
Donny Suh, M.D.

RESEARCH
Lbachir BenMohamed, Ph.D.
James Jester, Ph.D.
Tibor Juhasz, Ph.D.

Vladimir Kefalov
M. Cristina Kenney, M.D., Ph.D.
Tim Kern, Ph.D.
Philip Kiser
Henry Klassen, M.D., Ph.D.
Anthony Nesburn, M.D.
Krzysztof Palczewski, Ph.D.
Eric Pearlman, Ph.D.
Magdalen Seiler

RETINA/VITREOUS
Andrew Browne, M.D., Ph.D.
Baruch Kuppermann, M.D., Ph.D.

Stephanie Lu, M.D.
Mitul Mehta, M.D.
Mohammad Riazi, M.D.

UVEITIS
Sanjay Kedhar, M.D.
Olivia Lee, M.D.

For ophthalmology
appointments, please call:

Gavin Herbert Eye Institute
949-824-2020

Laser Refractive Surgery
949-824-9970

UC Irvine Medical Center
714-456-7183

Optical Shop
949-824-7690 Phone
949-824-8850 Fax


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