Observership report Otakar Dušek, Czech Republic – Department of Ophthalmology, Martin-Luther-Universität Halle-Wittenberg, Germany

During my two-week observership at the Department of Ophthalmology, Martin-Luther-Universität Halle-Wittenberg, University Hospital Halle (Saale), Germany’s largest ocular trauma center, I focused primarily on vitreoretinal surgery and ocular trauma, observing pars plana vitrectomy for retinal detachments, endophthalmitis, expulsive subretinal hemorrhage, dislocated lens material, and complex proliferative vitreoretinopathy. Many cases represented “oculus ultimus” situations, often performed under general anaesthesia, providing a unique opportunity to see cutting-edge approaches in posterior segment surgery. I also observed complex anterior segment procedures, including cataract and glaucoma surgery in patients with aniridia due to PAX6 mutations, cornea and limbal stem cell transplantation, amniotic membrane grafts, excimer-assisted keratoplasty, and lacrimal surgery including endoscopic DCRS.

The department’s structured educational program was highly inspiring. Each morning began with a concise five-minute synopsis on an ophthalmic topic—ranging from NASA research on spaceflight-associated eye changes to retinal cell biology or environmental impacts on eye health—followed by updates on the latest developments in ophthalmology. Weekly grand rounds, outpatient clinics, and multiple operating theatres allowed me to closely observe complex surgical cases and clinical decision-making. Discussions with senior surgeons and colleagues provided invaluable insight into managing challenging trauma and vitreoretinal cases. This combination of daily synopses, observation of diverse procedures, and expert commentary made the experience highly instructive and motivating for a young ophthalmologist.

I am particularly grateful to Professor Arne Viestenz for his surgical expertise, human approach, and leadership as President of the International Society of Ocular Trauma, as well as to all colleagues and staff who welcomed me and generously shared their knowledge. Meeting Professor Viestenz at last year’s SOE Trauma Wetlab and observing the SOE grant application process during this visit provided valuable insight for my role as Czech national representative of SOE Young Ophthalmologists. I also thank the SOE for making this observership possible.

Beyond the hospital, Halle offered rich cultural experiences, including Handel’s birthplace and the Nebra Sky Disc, preserved in one of Europe’s oldest archaeological museums, along with historic salt production and one of Germany’s oldest universities, rounding out a memorable and highly educational visit.

Otakar Dušek