Ophthalmic surgery
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Discuss the rationale and methods of sterilizing surgical instruments
used in ophthalmology
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Write notes on:
a. the complications of retrobulbar anesthesia
b. the technique of peri-bulabr anesthesia for cataract extraction
which favour
(parts of the questions)
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Discuss the relative risks and benefits of general and local anesthesia
in cataract surgery
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Discuss the various surgical procedures for ptosis
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What are the indications for a tarsorrhaphy? How would you perform the
operation?
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Discuss laser iridotomy, its indications and complications
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What are the indications for iridectomy? Outline the techniques and
comment on the possible side effects.
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Discuss the management of a patient of 58 years with pseudophakic bullous
keratopathy of one eye and a developing cataract in the unoperated eye.
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A lady of 75 years with some dyspnoea at rest because of chronic obstructive
airways disease has VA 6/18 in the right eye and VA 6/60 in the left because
of cataract. Describe, with reasons, your management. Give details, with
reasons, of your technique of operation for left cataract extraction in
such a patient, including pre-operative medications and anesthesia.
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Write short notes on:
a. ophthalmic diathermy
b. capsulorrhexis
c. use of excimer laser
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Discuss
a. the complications of the use of the YAG laser
b. the mode of action of the excimer laser and its complications
c. the complications of trabeculectomy
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What changes may occur in aqueous humour dynamics following ocular surgery?
Discuss the management of complications that may result.
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Outline the techniques of vitrectomy currently available. List the indications
for and complications of each method.
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Discuss the principles with clinical complications of vitreous surgery.
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In a young myope, the visual acuity is suddenly reduced to 6/36 by an
upper temporal bullous retinal detachment. Describe the management of this
patient and of any ensuing complications.
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Discuss the surgical principles involved in treatment a patient with
a rhegmatogenous retinal detachment.
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In what ways may the refraction of an eye be influenced by all forms
of ophthalmic surgery?
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Discuss in detail each of the following:
a. beta-radiation
b. botulinum toxin; its indications and mode of action
c. the various forms of viscoelastic substances
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Discuss the indications for radiotherapy in ophthalmic practices, What
complications may occur?
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Discuss the principles of cryotherapy and its use in ophthalmology
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Discuss the indications for photocoagulation of the retina.
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Discuss the diagnosis and management of a patient with a postoperative
intraocular infection.
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How would you investigate and treatment a patient with a shallow anterior
chamber following intraocular surgery?
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What are the indications for the removal of an eye? What surgical techniques
may be used and why?