Dr. Flaka Shoshi, Kosovo Grant Report

I was the recipient of the SOE Educational Grant 2023. I completed the Observership in Budapest – Hungary in the Ophthalmology Department of Semmelweis University,  under the supervision of Professor Zoltan Zsolt Nagy – Cataract and Refractive Surgeon.

I attended the observership from April 4th, 2024, until May 6th, 2024. I spent 4 weeks at the Cornea Department of the Ophthalmology Clinic of Semmelweis University.

I had the opportunity to observe and learn the best practices and patient management from the basic examination, pre-operative assessment, and planning until the final step of the surgery in the operating theatre.

The Cornea Department of Semmelweis University was highly equipped, and the staff was highly professional. Prof. Nagy and his team were very kind and easy to approach. They were willing to answer all my questions and to explain and teach me all the important things that were new to me and that I did not have experience with. Overall, it was a valuable experience for me, especially, coming from a country which continues to have some limitations regarding the highest advancements in Ophthalmology.

I had the opportunity to observe Prof. Nagy every day also in the operating theatre. Being a highly accomplished ophthalmologist and a highly skilful surgeon, he would solve many complicated cases.
I was highly interested in Refractive Surgery and Cataract Refractive Surgery and all the colleagues at the Department were willing to help me broaden my understanding and enhance my skills.

As a resident, it was very important for me to understand and be able to perform pre-operative planning for Refractive Surgery and Cataract Refractive Surgery.

Regarding Refractive Surgery, Prof. Nagy was performing Photorefractive Keratectomy (PRK), Phototherapeutic Keratectomy (PTK), and Refractive Cataract Surgery. Theoretically, these procedures were known to me, however, I did not have much practical experience, therefore I was very enthusiastic to learn from one of the best refractive surgeons.

PRK was very efficient in the treatment of refractive errors and was a very safe procedure. PRK was also used in cases of post-cataract surgery refractive errors such as in cases of Surgically Induced Astigmatism (SIA) and refractive errors due to IOL miscalculation. There were also many cases with different corneal dystrophies that were treated using the PTK.

What caught my attention was the Refractive Cataract Surgery, starting from the premium IOLs planning. Being that the premium IOLs are not yet available in the Center where I am completing my residency program, it was a very good opportunity for me to be trained in premium IOL planning and Refractive Cataract Surgery.

With Prof. Nagy’s experience, refractive cataract surgery was very advanced therefore I was given the chance to examine the patients before surgery, do Toric IOL planning, and observe Prof. Nagy in all surgeries.

Apart from the clinical work I was able to get involved in research too. It has been a very valuable experience for me because I had the opportunity to learn from one of the best ophthalmologists who is also a pioneer of refractive surgery in Hungary.

I am very thankful to SOE for this great opportunity, and I am very grateful to Prof. Nagy and the Ophthalmology Department of Semmelweis University for sharing their knowledge with me and making me feel very welcome in their department.

This will be one of the most valuable experiences that I will always remember and that will enhance my career as a future ophthalmologist. I will always be grateful to SOE for this opportunity, and I will do my best to serve as an ambassador for the great work and programs of SOE