First station was a case of refraction.
The patient had compound hypermetropic astigmatism and presbyopia.
Objectively Structured Clinical
examination
Case 1
Direct ophthalmoscopy. It was a
case of high myopia with macular scar. I was asked uses of green and blue
filter on the slit-lamp.
Case 2
Indirect ophthalmoscopy showed retinochoroidal
coloboma adn I was asked to roughly draw the locatio fo the coloboma. Asked
about the optic of 20D and how it compares with a 30D lens.
Case 3
Pupillary examination. It was a
case of Adie's pupil and I was interrupted in between and was asked to
give the differential diagnosis of an unilaterally dilated pupil.
Case 4
Keratometry. It was a case of oblique
astigmatism and I was asked about the principle of kertometer and the differences
between the two most common types of keratometer.
Case 5
Lensometer. Asked to do it on a
pair of bifocals. Asked about the working principle of lensometer.
Case 6
Ocular movement. The patient had
a third nerve palsy.
Case 7
Visual field examination on a patient
with albinism and nystagmus. The visual field was constricted and asked
about the possible causes.
Objectively Structured Questions
Station 1
Asked to calculate AC/A ration using
the gradient method and asked the normal ratio for AC/A.
Station 2
Coronal CT scan showing a pituitary
gland adenoma.
Station 3
Hess's chart showing features of
long-stadning 6th nerve palsy. Asked bout the principle of Hess's chart.
Station 4
Asked to draw the ray diagram of
Maddox rod.
Station 5
Humphrey visual field.
Station 6
Coloured fundus and FFA show superior
branch retinal vein occlusion.
Station 7
A patient is wearing +10D glasses
and if they were brought forwards towards the cornea by 3mm. What will
be the power of the glasses?
Station 8
Can't remember.
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