William Maul Measey Ophthalmic Surgical Training
(MOST) Laboratory

The William Maul Measey Ophthalmic Surgical Training (MOST) Laboratory advances ophthalmic microsurgical training with access to the latest technology and techniques that are needed to efficiently and safely learn ophthalmic surgery in an increasingly complex environment.

The Most Lab in Action


MOST Lab Curriculum

The resident surgical training curriculum at Wills is mentor-based, with residents assigned operative mentors who follow them during their second and third years. There are robust didactic lectures for all levels of skill acquisition, and surgery is taught in a graded responsibility fashion, whereby trainees are expected to complete tasks appropriate for their pre-requisite skill level. For a given grouped set of surgical tasks there are dedicated lectures and practice sessions that include virtual reality simulation and directed time in the microsurgical lab. These consist of bi-weekly sessions during a resident's first and second years, and more intensive group group sessions during the residents' senior year.  Fellows are also granted access to the lab, as are all Wills faculty. Visiting attendings are able to use the lab to work on or investigate new techniques, and the lab is also open for industry to demonstrate new devices and adequately train practicing surgeons to use those devices.  The lab is used in concert with Wills Eye continuing medical education, where lecture series can be paired with in-lab training.

The lab is composed of nine workstations, including state-of-the art Haag-Streit Hi-R Neo microscopes mounted to custom-designed ergonomic tables. These stations form an integrated A/V system with the ability to receive or send external digital signals, as well as a large format touch screen monitor for collaborative teaching. In order to give equal exposure to multiple platforms, the lab maintains phacoemulsification units from Alcon, B&L (with vitrectomy capabilities) and J&J. We have 16 sets of OR grade microsurgical instrumentation including MST sets. Work at the stations can either be done on porcine tissue or synthetic tissue. The lab also features two VRMagic EyeSi simulator systems that are networked to other training programs throughout the world, allowing users to track their progress along a defined pre-surgical curriculum. These simulators also feature complications management software.

Most Lab_Doug Wisner instructional
Most Lab_Doug Wisner instructional
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Director: Douglas M. Wisner, MD
Co-Director: Michael Abendroth, MD
Coordinator: Marie Fiorillo