OSE
Station 1:
Keratometry - Bausch and Lomb -
had read about the machine beforehand but foolishly hadn't given myself
the opportunity to use one - despite this found it easier to use than a
JS. Then questions on image doubling and image/object and PS images
Station 2
Focimeter - pretty straightforward
although of course all the dials were way off when I sat down. Bifocal
pair - at least they weren't varis
Station 3
Slit lamp - band keratopathy and
pseudophake, then a terribly long time (it seemed) on different illuminations.
Station 4
Fields. Homomous quadrantinopia,
didn't find it at first and had to be pushed all the way by kindly examiners.
Questions on pathway.
Station 5
Pupils. Adies. Questions on loss
of tendon reflexes (central inhibitory control pathology)
Station 6
Motility - please oh please get
together and practice doing it in two minutes. Had a horrible time, but
again kindly examiners, woman's eyes were completely baffling, hazarded
a guess at CPEO and by her expression knew I was right. Not sure I actually
got any points here though
Station 7
Direct. Normal eyes. Found this
in fact very confusing and wasted my and the examiners time looking over
the same area hunting in vain for a pathology and in fact actually convinced
myself I could see one!!! Questions on using the eye as a loupe. Saw the
woman outside the hospital later on, asked what was wrong with her eyes,
and she replied NOTHING. She was an eye nurse.....
Station 8
By this time just plain tired of
being stressed out, fortunately examiners were as tired as I was (17:30
exam time). Indirect on an old guy with an atrophic area at the macula,
for some reason gave a ridiculous differential (optic disc pit with a resolved
SRD) then saved myself by blurting out ARMD as the bell went.
Stay calm, practice exam skills
ad nauseam, and you'll be fine.
Refraction:
33yr old myope 2/60 and 3/60 unaided
down to 6/5 BE with -5.00DS RE and -5.50DS -1.00DCx170 LE and not accepting
more plus. Also needed BO prism RE once corrected. I was relatively lucky
- he was very co-operative.
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