Candidate 28
Date: June, 2004
Centre: Bradford
 
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Just to say thanks for the help from your site mainly the OSES, the exam was very well run and on the whole quite straightforward a  brief summary of the exam is below, hope that it is of some use:

OSE: very straightforward

Station 1
Goldmann Three Mirror (ray diagram etc). 

Station 2
CT scan of lacrimal fossa lesion.

Station 3
FFA of a classical CNVM and optic disc drusen, principles of FFA
 
Station 4
Biometry and suitability of IOLs in an index myopia patient
 
Station 5
Hess of CN III palsy, principles off hess etc
 
Station 6
B Scan of a PVD with subhyaloid blood, Principles
 
Station 7
Labelling of lacrimal apparatus (why?), 
 
Station 8
Humphrey field of inferior quadrantinopia

 
MCQs: generally quite straightforward but absolutely nothing on lasers or refractive surgery, quite a bit on clinical ophthalmology some of these were very tough

OSCE: incredibly well organized virtually nobody in my group of four saw the same patient, it was a bit of a shock when we walked through to the examination area as there were about 70-90 patients there 
for the afternoon session on day 1 alone, generally nice examiners 
 

Focimetry (distance and near both lenses): straightforward, principles, use of green light in focimeter
 
JS keratometry: straightforward but focussing initially set off, principles, and asked to draw a power cross of the readings
 
Direct: STBRVO, ARM, questions on optics of direct

Indirect: PVD, Macular scar, tilted disc, questions on magnification, fields of view of the lenses and aspheric surfaces
 
Pupils: absolute bugger, dual pathology of some sort, questions on light and accommodation reflex
 
Motility: right DVD with limited eye movements a surgically corrected infantile esotropia, I think the fact that I nailed this one sort of let the examiners help me a bit with the pupils case which went really badly
 
Slit lamp: keratoconus, just asked to describe what i saw not asked to demonstrate techniques, diagnosis requested after they let  me look at the other eye (PK'd)
 
Fields: inferior homonymous quadrantinopia, questions on use of different colour hat pins and static and kinetic perimetry, where is the lesion, congruous and incongruous lesions

REFRACTION:
Held in the university of Bradford optometry dept. so lots of nice kit and great individual refraction rooms, thankfully I got a pair of nice examiners and a nice patient 74 year old male
 
RE: mixed astigmatism +2.25DS/-0.5DC axis 170 , near add +2.0
 
LE: mixed astigmatism about +2.0DS cant remember the axis but there was a scissors in this eye , near add +2.0 got him to 6/5 and N5 in both eyes, (worth noting that he was seeing about 6/18 and 6/12 unaided and only 6/9 with pinhole)
 
Maddox orthophoria

Had about 5 minutes for questions on different strengths for near  add depending on hobbies of patient and optics of Maddox rod.
 

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