Candidate 113

Final MRCS (passed)                          

Centre: Singapore                             

Date:    Sept. 2008 

I am grateful to GOD. I’m thankful to my wife for her constant support. I would also like to say a BIG thank you to the web editor for this website and teaching.

 

Anterior Segment

 

Case 1

An old gentleman with right ECCE wound and PCO

What types of surgery was done? How is that compare with the phaco?

 

Case 2

Shown cornea topography of a young girlà keratoconus. Would you like to comment on the scan result? Show me how you look for Fleisher’s ring.

 

Case 3

Another old gentlemen with left DSEK and right Fuchs’ endothelial dystrophy and NS 3+. At lots of discussion on what would you do for this gentleman if he want cataract surgery on his right eye. Also note this gentleman has nystagmus, what method of anesthesia will you use?

 

Case 4

Middle age gentleman with right prominent cornea nerve and cornea thinning. What are your differential diagnosis?

 

 

Cataract and glaucoma

 

Case 1

Torch light examination of one lady with both eye pseudophakia. What do you see? How do you know she is pseudophakic both eyes. Proceed with direct ophthalmoscopy of the post segment. BE pale disc with CDR 0.8. What would like to do for her?

 

Case 2

Pupil examination. Left RAPD. Fundus pale disc with 1.0 cup. If the other eye same finding, why is she still have RAPD? Asymmetry glaucoma damage.

 

Case 3

Slit lamp examination of one gentleman with increased cup disc ratio. What would you do? Comment on her VF result? If VF defects stable what will you do? What history would you like to know? Child birth with massive blood loss.

 

Case 4

Another gentleman with left RAPD, with peripheral iridotomy. Slit lamp examination…not enough time.

 

 

Neuro-ophthalmology

 

Case 1

An old gentleman. Please examine the cranial nerves from 3 to 8. Noted right partial blepharoptosis and left 6th nerve palsy. Right deafness. Where is the lesion? What are the possible causes?

 

Case 2

A middle age gentleman with downbeat nystagmus. Do general inspection. Proceed to EOM. Comment on the nystagmus increase in lateral gaze (violate the Alexandra’s rule) what are the possible causes?

 

Case 3

VF: A middle age gentleman with bilateral temporal hemianopia more dense superiorly. Where is the lesion? What is the most likely cause? What would you ask in the history?

 

Case 4

A young girl with right head tilt…..bell rung.

 

 

Retina

 

Case 1

Bilateral foveal scar with hyperpigmentation in an old gentleman. No drusen. No vitritis. What are you differential? What would like to do for him? I thought I failed this case. I mentioned Toxoplasmosis.

 

Case 2

A gentleman with tessellated fundus and bone spicule pigment. What is your diagnosis? What will you do for him?

 

Case 3

Another gentleman with ERM and pseudohole. What is your diagnosis? Macula hole or pseudohole?

 

Case 4

Indirect on one old lady with macula hole

 

 

"No one care how much you know, until there know how much you care."