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Viva:
1. Biometry – discuss regarding principle, formula, how to choose IOL
2. PDR – ask to describe, pathogenesis, management
3. Papilloedema- approach and management
4. NAI and DVLA
5. Discuss on lattice degeneration and optic atrophy
6. Communication skills:
* The scenario was to counsel a middle age man who was referred from a
GP for corneal abrasion wound and recently diagnosed of retinitis
pigmentosa.
OSCE:
Station 1. Cataract and anterior segment
Case 1 LE corneal opacity/scarring. DDx crystalline keratopathy
?causes
Case 2 RE microcornea LE prosthesis.DDx anterior segment dysgenesis
Case 3 LE iridodialysis.
Station 2. Glaucoma and lid
Case 1 LE GDD/pseudophakia/uveitis
Case 2 BE POAG with Mild NPDR ?target IOP
Case 3 Bilateral involutional ptosis
Station 3. Posterior Segment
Case 1 LE Pale disc with beigmester papillae
Case 2 LE superior barricade laser scar
Case 3 RE PDR/DME with laser scar
Station 4. Strabismus and orbit
Case 1 LE ptosis+exotropia +hypotropia+ proptosis
Case 2 Rt 7th CN palsy with Rt esotropia/hypertropia with prism
glasses
Station 5. Medicine and neurology
Case 1 VF- tunnel vision
Case 2 cranial nerve examination
Case 3 BE pale disc ?cause ?Mx
Case 4 RE Trabec+pseudophakia/ LE PI+pseudophakia with pale
disc/glaucoma disc/chorioretinal atrophy
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