FRCOphth Part 2
Date: April 2013
1- Hess chart with SO palsy- discussion regarding management
2- diagnosis and management of aqueous misdirection
3- IFIS- preoperative risk factors, intra-op and post-op management
4- off licence and off label medication difference, management of c diff outbreak in department, universal precautions for surgery on high risk cases
5- sight impaired and severely sight impaired registration, consent in patient with downs syndrome
1-young pt with keratoconus and bilateral PKP. Questions regarding graft survival rates and systemic associations of KC
2-Subtle deep stromal corneal dystrophy- did not pick this up.
3- FED with DSAEK
Glaucoma and lids
1- unilateral ptosis in elderly pt.
2- pigment dispersion syndrome
3- POAG with previous trabeculectomy
1- Rheumatoid hands- discussion regarding RA management.
2- Horizontal diplopia- likely 6th nerve palsy (elderly pt). Emphasis on cover/ AC test and ocular movement. Discussion regarding differential.
3- Vertical diplopia- emphasis on parks three step test. I diagnosed 4th nerve palsy likely longstanding as the three step test showed no characteristic findings.
1- young pt with CRVO- discussion regarding diferential and tests.
2- indirect and 20 D- peripheral silicone band indent due to prior RD repair.
3- bilateral dry ARMD - refractile drusen
1- proptosis: intraconal mass due to lymphoma. Did not expect diagnosis but interested in clinical approach and differential. Asked to use exophthalmometer.
2- 4th nerve palsy: asked about harada ito procedure.
Pt with POAG and advanced VF loss- discussion around stopping driving and telling DVLA. pt very upset and angry on this news.
Uploaded after result out.
All the best!