OSE
Station 1
2 A-scan readings questions
What is this? Comment on quality and how can you improve it?
Actually there were differences in 2 readings.
Station 2
Fesnel prism its ray diagram
Station 3
Humphrey field showing left inferior homonymous quardrantonopia.Questions
on diagnosis and site of lesion.
Station 4
Hess chart showing limitation of upgaze.
Mechanical restriction due to thyroid eye disease.
Station 5
Lacrimal drainage system diagram and to label its parts.
Station 6
B-scan question was not on diagnosis but what structures are shown.
It was like a storm in the vitreous could be a fibrovascular mass.
Station 7
FFA with lots of signs like laser marks ischaemia, neovessels,
macular oedema and exudates. Five minutes was a bit short for this station
as there are lot of signs to record.
Station 8
CT scan of the orbits showing a ethomoidal sinusitis
involving medial orbital wall.
Questions were not on diagnosis only on what is it principle and what
can you see.
MCQs
Straight forward covering optics clinical methods and bit of
clinical ophthalmology.
OSCE
Case 1
Direct and indirect ophthalmoscope, pupils dilated. There was an optic
disc pit and retinitis pigmentosa. Priciples etc. Questions on the magnification
different lenses.
Case 2
Focimetry and Javal-Schiotz Keratometer, readings and principles.
Case 3
Pupils. patient had right Horner I checked reflexes he asked me to
do again and there was RAPD on the other side asked me about pupillary
pathway.
Case 4
Slit lamp examination. Patient had Fuchs heterochromia with KPs one
eye had cataract other was pseudophakic. Demonstrate specular reflection.
Case 5
VF by confrontation. Patient had left inferior homonymous quardrantonopia
obeying the midline. Asked about different colour pins and different types
of visual field. The examiner appeared impressed when I mentioned frequency
doubling perimetry.
Case 6
Ocular Motility, patient was wearing high plus glasses had bilateral
esotropia nystagmus small corneas with pseudophakia and trabeculectomis
done. Ocular motility was basically describing nystagmus.
Refraction
57 year-old with compound hypermetropic astigmatism with 1.75 add.
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