Departments

When skin conditions must be treated with surgery, we offer patients the most comprehensive, state-of-the-art surgical techniques available, including Mohs Surgery for recurrent or high-risk skin cancers. We treat skin diseases ranging from the most common conditions, to the most complicated or rare skin cancers. Our team includes physicians, registered nurses, and other clinicians who collaborate to provide compassionate care to our patients. Our team also works closely with specialists in other departments, including plastic surgeons, ophthalmologists, head and neck surgeons, and radiation cancer experts, allowing patients to get the full benefit of a multidisciplinary approach to a range of skin conditions.

At Yale, our ophthalmologists offer patients a unique combination of world-class clinical care and cutting-edge research. We provide comprehensive eye care, from routine exams to diagnosis and treatment of the most complex and challenging eye conditions and diseases. Our patients have access to world-renowned subspecialty expertise both within ophthalmology and other areas of medicine.

An estimated three million Americans have glaucoma, the second leading cause of blindness nationally and worldwide. The disease can strike anyone at any age and often has no symptoms. As a result, many people with glaucoma don’t realize they have it. At Yale, our top priority is to preserve sight. We provide world-class, comprehensive care for glaucoma, including the most severe and difficult-to-treat cases. Our internationally renowned physicians are expert in all aspects of glaucoma, from diagnosis and treatment to surgery. Our glaucoma practice is an early adopter of new technology and techniques. We were the first glaucoma specialists in the area to introduce computerized perimetry—a machine that tests all aspects of sight, including peripheral vision—and cameras that snap 3-D images of the optic nerve. Yale’s ophthalmologists employ a variety of cutting-edge techniques and treatments, including the latest in 3-D X-rays, imaging, and laser surgery.

The Ocular Oncology Program at Smilow Cancer Hospital cares for patients with benign and malignant tumors of the eye, the eyelids, and the orbit. It is one of only a few centers in the nation dedicated full-time to ocular oncology within a cancer hospital. As most cancers of the eye and orbit are rare, treatment at a center with extensive expertise and experience is important. Our ocular oncology team is dedicated to individualized and integrated care for each patient. The Ocular Oncology Program at Smilow collaborates with caregivers in other specialties including melanoma, breast cancer, neuro-oncology, radiation oncology, pediatric oncology, and lung cancer. We treat the following conditions: Tumors and cancers of the eyelids, conjunctiva, cornea, lacrimal gland, and orbit Intraocular tumors of the iris, ciliary body, choroid, retina and optic disc Ocular melanoma Retinoblastoma Ocular metastases Lymphoma Hemangioblastoma Hemangioma Astrocytoma Nevus von Hippel-Lindau Tuberous sclerosis Gliomas

We offer sophisticated approaches for the management of skin cancers, ranging from the most common to the most complicated or rare. At the heart of our program is microscopically controlled excision, known asMohs surgery, the most successful treatment to cure recurrent or other high-risk skin cancers. We have been offering the procedure since 1998, and today, our physicians perform 3,500 Mohs surgeries each year. Mohs surgery has revolutionized the treatment of such skin cancers as basal cell carcinoma and squamous cell carcinoma, and the chances of lasting, disfiguring scars are minimized. In this procedure, the cancer is removed layer by layer, and, after each step, the tissue is examined under a microscope, allowing our dermatologists to confirm that all of the cancer cells have been eliminated as the surgery progresses. This maximizes the chances of removing all of the abnormal cells while still preserving as much of the normal skin tissue as possible.

The largest center for specialty dermatology in Connecticut, Yale’s Department of Dermatology is among the oldest in the United States. Our doctors and nurses provide safe, compassionate, and innovative care to all members of our community. We offer treatment for skin conditions, all of which can interfere with quality of life. Cutting-edge therapies are often the only hope for patients with resistant dermatologic illness, which affects the whole skin surface. Our physicians are deeply rooted in research, including the exploration of new technologies such as photopheresis for cutaneous T-cell lymphoma and graft-versus-host disease. Our patients often benefit from early access to new treatments and therapies discovered by researchers at Yale. Specialized clinics for organ transplant patients, photopheresis, ichthyosis, and inherited skin disease One of two centers in the state with a pigmented lesion clinic, phototherapy center, and cutaneous lymphoma clinic Cutting-edge microscopically controlled excision (Mohs technique) for recurrence of high-risk cancers Technically advanced referral center for expert diagnosis of benign and malignant skin disorders Large dermatopathology lab, which processes 75,000 patient biopsies annually

Our dermatologists are here to help improve the health and appearance of patients’ skin, and to diagnose and treat both benign and malignant skin conditions. We provide specialized care for the full spectrum of skin disorders, including acne, alopecia areata, psoriasis, inherited skin disease, and skin issues arising after organ transplant and during cancer treatment. We are one of two centers in the state with a pigmented lesion clinic, phototherapy center, and cutaneous lymphoma clinic. The clinical research efforts of our dermatologists have contributed significantly to the treatment of skin tumors such as melanomas and cutaneous T-cell lymphomas. We are actively exploring the uses of advanced technologies such as photopheresis, a therapy for life-threatening and debilitating diseases like cutaneous T-cell lymphoma and graft-versus-host disease. A large portion of the department's research is performed through two separate research entities—the Yale SPORE in Skin Cancer Center and the Spitzoid Neoplasm Repository.

Yale ophthalmologists are committed to addressing the most complex eye problems with vision-saving care. We provide a complete range of services that address minor problems like pink eye to major diseases and conditions, including glaucoma, cataracts, and macular degeneration. We provide medical and surgical care for retinal disease, strabismus, and uveitis, as well as reconstructive and aesthetic ophthalmic plastic surgery and pediatric ophthalmology. Our patient-friendly clinic includes on-site services such as corneal topography, electrophysiologic testing, fluorescein angiography, fundus photography, lasers, optical coherence tomography (OCT), and visual fields. Our practice includes not only highly esteemed physicians, but also world-renowned researchers, which means our patients have access to the latest treatments and advances. Specialized care is offered in the following areas: Comprehensive eye care Cornea, cataract, and refractive surgery Diabetic eye care Glaucoma Neuro-ophthalmology Ocular immunology/uveitis Ocular oncology Optometry and contact lenses Orbital and reconstructive ophthalmic plastic surgery Pediatric ophthalmology Retina, macula, and vitreous diseases New injectable treatments for macular degeneration and diabetic retinopathy to slow or halt vision loss Complex retina surgeries; specialized retina evaluation and care, including laser treatment for premature newborns; medical and surgical care of diabetic retinopathy and macular diseases Cataract surgery with optional premium lenses; donor and artificial corneal transplants Specialty fitting of contact lenses for aphakic adult and pediatric patients, corneal transplant patients, and keratoconus patients Complete spectrum of orbital and reconstructive ophthalmic plastic surgery and cosmetic eye surgery

Aging almost always means cataracts—a clouding of the lens of the eye that results in impaired vision. Luckily, surgeons can remove most cataracts in a relatively simple outpatient operation. We offer patients outpatient surgery, anesthesia eye drops, and the latest in imaging, assessment, and diagnostic tools. Our doctors are deeply committed to restoring as much sight as possible with minimal discomfort. Our ophthalmologists excel at all forms of cataract surgery, and use innovative techniques, including small-incision procedures that require no suturing, resulting in faster recovery and better vision. We specialize in cataract removal for patients with complex eye conditions, including corneal disease, glaucoma, and small pupils. Experts in a wide range of eye surgeries, our specialists routinely combine cataract removal with other procedures to minimize time in the surgical suite and speed recovery.

Patients with moderate-to-severe psoriasis often require a host of medications to manage their disease. One type in particular—biologics—are highly effective, but they can be complicated to administer. They are also expensive, which means navigating insurance coverage can be difficult and result in treatment delays. The Psoriasis Treatment Program brings together a board-certified medical dermatologist who specializes in psoriasis and a pharmacist from Yale New Haven Hospital Ambulatory Clinical Pharmacy Services who is an expert in psoriasis medication management and coordinating insurance coverage. Together, this dedicated team can manage patients’ care in a seamless fashion, which ensures prompt care. One medical professional focuses on the disease process and treatment selection; the other medication management. In this collaborative model, patients meet with their physician first to discuss a treatment plan and talk separately with the pharmacist. The pharmacist talks in depth with the patient, obtaining a complete medical history and answering all questions related to potential laboratory tests and prescribed medications, which can include injections they self-administer at home, as well as oral and topical treatments. The two points of access mean that patients aren’t condensing all of their questions about their treatment plan into one appointment, and the two medical professionals communicate closely about their psoriasis patients. If one is not available to help, the other can. Patients can work directly with their pharmacist on all issues related to medications, side effects, and insurance coverage in between follow-up appointments with their physician. Having two points of contact allows patients timely access to their medical team as well as their prescribed medications. The program brings together a physician who has expertise in treating psoriasis and a pharmacist with additional training in outpatient care and in dermatologic medications, including those for psoriasis. Managing medications for dermatologic patients is the pharmacist’s full-time job. The pharmacist educates patients about the medications and can obtain insurance coverage and set up home delivery of the medications, taking many hassles and obstacles out of the patient’s hands.

The Skin & Kidney Cancer Program at Smilow Cancer Hospital brings together an extensive, multidisciplinary team to diagnose, treat, and care for patients with all types of skin cancers, including melanoma, as well as kidney cancers. Established over 30 years ago, our program includes experts in surgery, medical oncology, dermatology, urology, pathology, dermatopathology, radiology, genetics, and radiation oncology. Members of the team are national and international leaders in clinical and laboratory research focusing on improving treatment and outcomes for our patients. From patients who present with an early-stage diagnosis or more complex, metastatic disease, our team is prepared to provide each patient with the most comprehensive and cutting-edge treatment available. Each patient’s care is reviewed by our multidisciplinary care team to develop a personalized treatment plan. Clinical trials are also available to patients through Yale Cancer Center, bringing the latest treatment options to our clinics to benefit patients. Our doctors are at the forefront of melanoma and kidney cancer treatment and research, including novel immunotherapy approaches and the genetic characterization of kidney cancers. Smilow Cancer Hospital places great emphasis on taking care of all of our patients’ needs through a network of supportive care services. Nurses with dedicated knowledge and skills care for our patients through the continuum of their treatment. Patients and their families also have access to social workers to provide psychosocial support, as well as pastoral support, nutritional counseling, physical therapy, palliative care, and integrative medicine. After the initial diagnosis—and depending on the presentation of the disease—each patient is evaluated by our dermatologists, surgeons, urologists, and/or medical oncologists. For some presentations of melanoma and other skin cancers, particularly in the early stages in which disease has not spread beyond the primary site or lymph nodes close to the primary site, surgery may the preferred initial treatment. Specialized surgical expertise is essential for the management of melanoma and other skin cancers, which can occur on any skin site and even in areas not exposed to the sun. Some skin cancers appear in delicate areas such as the face, nose, ear, or hand and often require the expertise of a plastic surgeon. For certain regions of the body, our team collaborates with other highly trained surgical subspecialties, including thoracic surgery and neurosurgery. To care for kidney cancer, we work closely with oncologists and urologic surgeons. In the early stages of melanoma, pathology results from the tumor will determine the risk of developing metastases (spread to distant organs) in the future. If the results indicate a high risk for melanoma metastases, treatments are available to reduce the risk and possibly prevent or delay melanoma recurrence. Adjuvant therapies (or therapies given after surgery

Conditions of the eyelid, tear drain system, and orbit—the tissue and bone surrounding the eye—can be painful, debilitating, and vision-impairing. Yale ophthalmologists provide first-class care for patients with these issues collectively known as oculoplastic and orbital conditions. We have the expertise and experience to treat a wide range of eyelid problems, including drooping eye, eyelids turned in and out, and misdirected eyelashes. We also see patients with eyelid growths and inflammations such as infections, styes, benign growths, and minor skin cancers. In addition, our physicians diagnose and treat conditions and diseases of the tear duct and drain systems, as well as trauma, tumors, and loss of an eye.