Fry, Constance L.School of Medicine |
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Dr. Fry is board-certified in ophthalmology and specializes in ophthalmic plastic and reconstructive surgery and ophthalmic oncology. Her areas of strength are in teaching and service. She teaches medical students, residents and fellows in ophthalmology, ophthalmic plastic surgery and oncology. She teaches nationally at an annual review course and by writing and editing content for on-line educational modules for maintenance of certification. She serves South Texas by being one of just a few oculoplastic surgeons in the area and the only fellowship-trained ocular oncologist treating intraocular cancer patients with a variety of modalities. She performs advanced treatments such as brachytherapy and biopsies for gene analysis for intraocular tumors. She also treats both children and adults with severe facial injuries and lacrimal, eyelid and socket disorders. Dr. Fry works as part of a multispecialty team coordinating care with oncology, radiation oncology, neurosurgery, otolaryngology and plastic surgery. Dr. Fry`s referral network includes 55 counties in South Texas. Dr. Fry`s research focuses on educating physicians on normative data in the Hispanic patient population and teaching surgeons innovative surgical techniques. |
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| 5/2017 - Present | Associate Preceptor, American Society of Ophthalmic Plastic Surgery, Oculofacial Fellowship | University of Texas Health Science Center at San Antonio, now UT Health, Ophthalmology, San Antonio, TX |
| 9/2015 - Present | Associate Professor | University of Texas Health Science Center at San Antonio, now UT Health San Antonio, Ophthalmology, San Antonio, TX |
| 7/2013 - Present | Medical Director, MARC Ophthalmology Clinic | University of Texas Health Science Center at San Antonio, now UT Health San Antonio, Ophthalmology, San Antonio, TX |
| 9/2006 - Present | Director, Ophthalmic Plastic Surgery & Ophthalmic Oncology | UT Health San Antonio, Ophthalmology, San Antonio, TX |
| Year | Degree | Discipline | Institution |
| 1994 | Clinical Fellowship | Ophthalmic Plastic Surgery, Ophthalmic Oncology | Tulane University School of Medicine New Orleans , LA |
| 1992 | Residency | Ophthalmology (Chief Resident) | University of Texas Health Science Center at San Antonio San Antonio , TX |
| 1992 | Residency | Chief Resident in Ophthalmology | University of Texas Health Science Center at San Antonio San Antonio , TX |
| 1989 | Internship | Internal Medicine | Parkland Memorial Hospital Dallas , TX |
| 1988 | MD | Medicine (Honor Board) | Tulane University School of Medicine New Orleans , LA |
| 1984 | BA | Chemistry | Emory University Atlanta , GA |
Ophthalmic Plastic and Reconstructive Surgery- Dr. Fry is an expert in facial and orbital anatomy and the treatment of complex orbital malignancies, reconstructive surgery after trauma as well as eyelid and lacrimal surgery. This has led to Dr. Fry being an invited speaker/teacher at an international review course in ophthalmic plastic surgery for over 20 years, seven years of which she was course director and her teaching at a national orbital dissection course. This expertise resulted in Dr. Fry pursuing innovative research. She is the first to describe the features of the Latino Eyelid and associate it with genetic analysis. Her publication on this topic is the first to use principle component analysis of genetics in this area of study. |
Ophthalmic oncology and ophthalmic plastic surgery- Dr. Fry participates as an invited committee member to develop educational content for a series of on-line learning modules in ophthalmic oncology/pathology/ophthalmic plastic surgery for an international audience. The course content serves to assist practicing ophthalmologists maintain board certification. |
Resident & Fellow Education- Dr. Fry served as the program director at UTHSCSA from 2007-2013 and is knowledgeable about the ACGME requirements for residency training programs. Since 2014, Dr. Fry has been the UTHSCSA site director for the fellowship in Oculofacial surgery. As each director, Dr. Fry provided both a teaching and service function to UTHSCSA by administering the educational process of new physicians. In 2017, Dr. Fry`s efforts were acknowledged by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and she was elevated to Associate Preceptor for the ASOPRS fellowship. This acknowledged her expanded role as of July 2016 when Dr. Fry assumed responsibility for directing the fellow`s thesis and expanding the multidisciplinary exposure of the fellow to include: Neuro-Ophthalmology, Neuroradiology, Neurosugery, Otolaryngology, Dermatology and Pathology. |
| Date | Description | Institution | # Students |
| 3/2015 - Present | Individual Instruction | UTHSCSA | |
| 9/2013 - Present | Rotation Student Supervision | UTHSCSA | |
| 7/2013 - Present | Individual Instruction | UTHSCSA | |
| 7/2013 - Present | Clinical Skills in Ophthalmology for Allied Health Professionals | UTHSCSA | 20 students |
| Periodic lectures and skills transfer courses, including Objective Skills and Clinical Examinations (OSCEs)for allied health professionals in ophthalmology. The purpose is to improve the skill level of the technicians, encourage progress in their professional development (i.e. obtaining or elevating their certification from the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) and support the mission of UT Health by improving the patient experience in the ophthalmology clinic. Four hours/year. | |||
| 2/2013 - Present | Pre-Doctoral Student Supervision | UTHSCSA | |
| 8/2010 - Present | Eyelid Anatomy 2010-2016 | San Antonio Uniformed Services Health Education Consortium (SAUSHEC) | 75 students |
| An annual hour detailed lecture on eyelid anatomy as part of the annual orbital dissection course with post-doctoral students (residents and fellows) and practicing physicians from across the United States. | |||
| 8/2010 - Present | Ophthalmic Plastic and Reconstructive Lecture Series, Co-director 2010-2017 | UTHSCSA-SAUSHEC | 30 students |
| For 7 consecutive years, Dr. Fry has collaborated with colleagues at San Antonio Uniformed Services Health Education Consortium (SAUSHEC) - the combined residency programs of Wilford Hall and Brooke Army Medical Center) to organize the month long lecture series, set curriculum, give 25-30% of the lectures, write test questions and vet the entire test for accuracy. The test is given to residents of both programs to prepare them for the written board exam. | |||
| 8/2010 - Present | Post-Doctoral Student Supervision | SAUSHEC - the combined programs of Brooke Army Medical Center and Wilford Hall Medical Center | |
| 7/2010 - Present | Post-Doctoral Student Supervision | UTHSCSA | |
| 7/2009 - Present | Pre-Doctoral Student Supervision | UTHSCSA | |
| 10/2008 - Present | Update on Ophthalmic Plastic Surgery and Ophthalmic Oncology for Ancillary Personnel | UTHSCSA | 20 students |
| Periodic educational lectures for allied health personnel in ophthalmology reviewing disease processes and management of patients with problems related to ophthalmic plastic and reconstructive surgery and ophthalmic oncology and practice management issues. Approximately 1 hour lecture/year. | |||
| 6/2008 - Present | Individual Instruction | UTHSCSA | |
| 3/2008 - Present | Individual Instruction | UTHSCSA | |
| 7/2007 - Present | Pre-Doctoral Student Supervision | UTHSCSA | |
| 4/2007 - Present | Individual Instruction | UTHSCSA | |
| 2/2007 - Present | Review of Oral Research Presentations | UTHSCSA | 8 students |
| Small group session with faculty and residents to critique resident research presentations for content and style prior to the annual research meeting. Approximately 4 hours annually | |||
| 11/2006 - Present | Individual Instruction | UTHSCSA | |
| 10/2006 - Present | Individual Instruction | UTHSCSA | |
| 9/2006 - Present | Ophthalmology Patient Safety and Quality Improvement Conference | UTHSCSA | 15 students |
| A one hour interactive teaching activity, formerly known as Morbidity and Mortality Conference, with ophthalmology residents, medical students and faculty discussing patients who have had surgical complications or other management problems typically occurring during a hospitalization. The content covers the six General Competencies of the Accreditation Council of Graduate Medical Education and each presenter is graded on these competencies by selected faculty. In 2008, Dr. Fry developed the conference as a specific evaluation tool whereby faculty can give a written evaluation that functions as immediate feedback. Occurs about 6 times a year. | |||
| 9/2006 - Present | Ophthalmic Plastic and Reconstructive Surgery Lecture Series, Lecturer | UTHSCSA-SAUSHEC | 40 students |
| Prepare and present approximately 6-8 hours of lecture annually on rotating topics in oculoplastic surgery including: orbital diseases, orbital inflammations, orbital and eyelid infections, pediatric orbital tumors, cranial nerve seven palsies, eyelid neoplasms, eyelid reconstruction, thyroid eye disease, review of oculoplastic surgery, ophthalmic oncology and familial cancer syndromes and introduction to ophthalmic emergencies. | |||
| 9/2006 - Present | Inpatient and Emergency Room Rounds | UTHSCSA | 28 students |
| Examining and treating patients that are inpatients or present to the emergency room at University Hospital with residents and medical students; starting in 2014 the fellow also participates in specialty specific portions of these rounds. Approximately 12 residents/year, 1 fellow/year and 50 hours/year. | |||
| 9/2006 - Present | Post Graduate Rotation Supervision | UTHSCSA | |
| 9/2006 - Present | Post Graduate Rotation Supervision | UTHSCSA | |
| 9/2006 - Present | Weekly Grand Rounds in Ophthalmology | UTHSCSA | 60 students |
| A weekly one hour interactive set of presentations and discussions between the faculty and ophthalmology residents at 3 institutions: UTHSCSA and Wilford Hall & Brook Army Medical Centers (SAUSHEC) and the ophthalmology community faculty where interesting and challenging cases are discussed in light of recent advancements in the medical literature, stressing the Accreditation Council of Graduate Medical Education`s General Competencies of medical knowledge, patient care, communication, practice-based learning and professionalism and ethics. In 2008, Dr. Fry developed a specific evaluation tool whereby faculty can give a written evaluation that functions as immediate feedback. | |||
| 9/2006 - Present | Journal Club in Ophthalmology | UTHSCSA | 25 students |
| A 3 hour interactive discussion occurring six times a year. Participants are medical students, residents and faculty in Ophthalmology who review recent articles published in the medical literature for accuracy, ethics, bias, and relevance. In 2008, Dr. Fry developed a specific evaluation tool whereby faculty can give a written evaluation that functions as immediate feedback. The resident presentation is discussed and ultimately evaluated with respect to the six General Competencies of the ACGME. | |||
| 9/2006 - Present | Individual Instruction | UTHSCSA | |
| 2/1994 - Present | Houston Basic Science Course in Ophthalmology, Invited Speaker | University of Texas, Houston | 55 students |
| Dr. Fry has been an instructor at this course continuously since 1994. An international review course, Dr. Fry began giving a two hour lecture and then a three hour lecture. By 2007, this was increased to 8 hours of lecture over two days and she became the Section head of Ophthalmic Plastic and Reconstructive Surgery. Since 2014, Dr. Fry has given 5-8 hours of lecture annually. This is one of three courses that are a month long given in the United States which serves to prepare practicing ophthalmologists, fellows and residents for taking the written qualifying exam of the American Board of Ophthalmology. The comprehensive nature of the review attracts both United States and international students. The course attendance ranges from 45-80 participants per year. | |||
Abstract |
| Jackson CH, Schatz MP, Fry CL. Epiblepharon in the Hispanic population of South Texas; 2017 Apr. (37th Annual Alamo City Ophthalmology Clinical Conference). |
| Lam A, Fry CL, Velasquez RA. Retrobulbar hemorrhage: Redefining the indications for intervention; 2017 Apr. (37th Annual Alamo City Ophthalmology Clinical Conference). |
| Lam A, Fry CL. Ptosis and cholesterol lowering medications (received honorable mention Gordon Award); 2016 Apr. (36th Annual Alamo City Ophthalmology Clinical Conference). |
| Jackson C, Reilly M, Glickman R, Fleming JC, Fry CL. Role of petroleum-based ocular lubricants in intraoperative fires (received the Kenneth L. Piest Award for Excellence in Ophthalmic Plastic Surgery); 2016 Apr. (36th Annual Alamo City Ophthalmology Clinical Conference). |
| Al Zubidi N, Fry CL, Carter JE, Tantiwongkosi B. Ocular motility defects with concordance neuroimaging San Diego, CA; 2015 Feb. (Proceedings of the 41st Annual Meeting of the North American Neuro-Ophthalmologic Society). |
| Al Zubidi N, Carter JE, Tantiwongkosi B, Chevez-Barrios P, Tyler L, Fry CL. Orbital amyloidosis presenting as tonic pupil and extraocular muscle mass San Diego, CA; 2015 Feb. (Proceedings of the 41st Annual Meeting of the North American Neuro-Ophthalmologic Society). |
| Gupta S, Fry CL, Policarpio-Nicolas ML, Bruder JM. Ophthalmopathy: Severe euthyroid Graves or extravascular CLL?; 2014 Jun. (Endocrine Reviews; vol. 35, no. 3Supp). |
| Al Zubidi N, Fry CL, Carter JE. Why isolated lateral rectus muscle enlargement is unique Rio Grande, Puerto Rico; 2014 Mar. (Proceedings of the 40th Annual Meeting of the North American Neuro-Ophthalmologic Society). |
| Herro A, Fry CL, Carter JE. Cavernous sinus syndrome: Where do we go from here? Snowbird, UT; 2013 Feb. (Proceedings of the 39th Annual Meeting of the North American Neuro-Ophthalmology Society). |
| Ramirez AM, Fry CL, Walker LD. Retrobulbar hemorrhage after blunt trauma: A case series; 2009 Apr. (Investigative Ophthalmology and Visual Sciences; vol. 50). |
Book Chapter |
| Fry CL, Naugle Jr TC, Levine MR. Repair of Eyelid Defects with the Orbicularis Oculi Mobilization Technique: NAUGLE-LEVINE PROCEDURE. In: Allen RC, Levine MR. Levine?s Manual of Oculoplastic Surgery, 5th Edition. New York: Springer; 2017. |
| Fry CL. Painful orbital swelling. In: Zwaan, J ed. Decision Making in Ophthalmology, 3rd ed. Philadelphia, PA: Jaypee Bros; 2014. |
| Fry CL, Green MK, Piest KL. Drooping of the upper eyelid (blepharoptosis). In: Zwaan J., ed. Decision Making in Ophthalmology, 3rd ed. Philadelphia, PA: Jaypee Bros; 2014. |
Journal Article |
| Fry CL, Naugle TC, Cole SA, Gelfond J, Chittoor G, Mariani AF, Goros MW, Haik BG, Voruganti VS. The Latino eyelid: anthropometric analysis of a spectrum of findings. E-published ahead of print November 15, 2016 Ophthal Plast Reconstr Surg 2017 Jan;. |
| Fry CL, Naugle TC, Jr. Reply Re: "Muscle prolapse after harvesting autogenous fascia lata used for frontalis suspension in children" Ophthalmic Plastic and Reconstructive Surgery 2012 Jan;28:233-234. |
| Shildkrot Y, Thomas F, Al-Hariri A, Fry CL, Haik BG, Wilson MW. Socioeconomic factors and diagnosis of uveal melanoma in the mid-southern United States Curr Eye Res 2011 Sep;36(9):824-830. |