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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