|Pathlogy- given clinical features or gross
picture as well as histological pictures with low power and or high power
Retinoblastoma - Told diagnosis ! asked about histological features,
chromosome involved, histological prognostic features.
Toxoplasmosis- Again given the diagnosis and asked to identify on histological
picture, treatment, indications for treatment.
Conjunctival lymphoma-shown picture of patient with a mass in the inferior
fornix, asked about histological features on ordinary PAS and special stains,
asked to make a diagnosis and talk about management of condition.
Delayed posroperative endophthalmitis- no pictures, asked about preoperative
and intraoperative prophylaxis, organisms implicated,treatment of the condition.
Viva - diagnose with pictures of clinical appearance and histology of sebaceous
gland carcinoma; rubeosis and neovascular glaucoma
Station 1 glaucoma, fields
Pseudoproptosis- secondary to myopia, asked for diagnosis, investigations
to arrive at diagnosis.
Primary open angle glaucoma- comment on disc features, comment on fields,
discuss treatment of patient and treatment in general of OHT( reasons
for starting and withholding treatment).
Station 2: Communications skills
Take a history from a diabetic who has presented with sudden loss of
vision ( had vitreous haemorrhage).Obtain informed consent for PRP
Station 3: Anterior segment
Corneal Granular dystrophy - diagnosis, pathology, treatment
Iris nodule - differential diagnosis, investigation, management ( presumed
Lid BCC ( xeroderma pigmentosum) - diagnosis, surgery
Station 4: Posterior Segment
Adult onset Bests disease- diagnosis, investigations( electrophysiology
? Old BRVO, ? leaking telangiectatic vessels- patient had about 3 large
areas of circinate exudates in one quadrant, with obvious collaterals but
no other obvious abnormal vessels no other abnormalities. Asked about
FFA features to arrive at a diagnosis and what features would be an indication
for laser treatment
Station 5 Medicine
Peipheral corneal ulcer and wegeners - diagnosis obtained on history.
asked about investigations to confirm diagnosis, shown MRI of sinuses and
CXR and asked to comment on abnormalities and what to look for, also asked
about treatment of Wegeners.
Loss of vision and giant cell arteritis- extensive history taking.
Asked about investigations and to palpate temporal arteries and comment.
Detailed questioning on management of GCA( doses of steroids, IV or oral,
other treatment options).
Station 6 Strabismus and neuroophthalmology
Third nerve palsy with pupil involvement( young patient) - causes,
investigation, management of diplopia in third nerve,asked about migraine
and 3rd nerve, MS and 3rd nerve
Pale disc with RAPD - causes, investigation
Both cases appear easy but questioning on this station was more in
depth than on the other stations