Dr. MOUSTAFA EL DAKROURY, EGYPTIAN
would like to share my experiences
was on 24th Sep and
started with Ophthalmic Surgery and Pathology Table (
One British examiner and another Indian examiner)
with Ectropion, pathogenesis, diagnostic clinical tests and some
surgical procedures-it was a very detailed discussion.
topic started with a clinical picture of a traumatic cataract-with
detailed discussions about the effects of ocular trauma.
British Examiner started with complications of Trabeclectomy with
special focus on shallow ac, its d/d and management
topic was a case of Refrac Accom Esotrpia with residual deviation-a
detailed discussion regarding the types of surgeries and
complications, with management of scleral perforation.
table was on General Medicine and Neuro-ophthalmology (One
Indian and one Arabian who is an Ophthalmologist-a nice examiner)
with 70 yr lady pt with picture of scleromalacia perforans, discussion
on types of scleritis
Scenario was a pt complaining of increasing waist circumference and
shoe size-d/d and management- discussions revolving around Pituitary
Adenomas and Thyroid including medical and surgical management.
Arabian Examiner started with questions on post chasmal visual field
defects, defects of higher visual function and effects of ICA and VBA
Next was a
picture of Anisocoria with detailed discussions on Horners including
Pharmacological testing .
Next was a
picture of PUK with H/O of Nasal bleeding with discussions on Wegener
anaphylactic shock with IVFA & managment.
table was on Ophthalmic Medicine (One Indian Examiner,
another Lady Examiner from UK-An equally nice Examiner)
with a picture of a angle closure Glaucoma with detailed discussions
on it, next case was a picture of NPDR with CSME with detailed
management with special emphasis on ETDRS and Anti-VEGFs including,
dosage, procedures and complications
examiner started with a picture of proptosis with discussions on D/D ,
investigations and detailed discussions on Orbital Cellulitis and
I.O.I.D. with special emphasis on steroid and Anti metabolites, Her
next picture was of an Angioid Streak with discussions on D/D ,
systemic associations, complications with special emphasis on CNVM
question was about Myaesthenia along with diagnostic procedures
(including procedure of Edrophonium Test in details with complications
and management) and management of MG.
one day gap on 26th Sep I had the Clinical Exam.
Station 1- Anterior Segment (One
Indian Examiner, the other one was the Arabian examiner whom I faced
in my Neuro Table).
case was a case of Fungal corneal ulcer with hypopyon with discussions
about dx and tx.
case was a young male patient with inferonasal Iris coloboma with
nystagmus, and the third case was a complicated one with a young pt
with circumferential limbal abnormality with stromal corneal opacity,
pupillary membrane and some patches on the Iris.
procedure in the ant seg station was mainly focused on the use of the
Slit lamp with different filters, demonstration of sclerotic scatter
and specular reflection etc
Station 2- Posterior segment (One
Indian Examiner another British Lady Examiner –Equally nice one).
case was a middle aged lady( SL with 78D Lens) with an ST-BRVO with
macular edema with Pre retinal Hge-discussions revolved around the
systemic investigations, special diagnostic procedures and management(
lasers anti anti-VEGF).
case was a young lady (I/O with 20D lens) with a old traumatic
choroidal rupture with the management options.
case was a young male (SL with 78D) with a traumatic Macular hole,
with discussions about staging, clinical diagnosis (Watzke-Allen, and
He-Ne Test) and management.
Station 3- Neuro-Ophthalmology and Ocular Motility disorders (Two
case was a young male for gross torchlight examination ( anisocoria)
and then Ocular Motility-he had Inverse Duane Sign-I was very happy to
diagnose it as aberrant Regeneration of Traumatic third Nv palsy.
case was an Optic Disc anomaly-? Optic Disc coloboma and I was asked
to perform a confrontational VF testing-I did it with a white and a
red pin and the examiners were happy.
case was an Alternating Exotropia and I was asked to perform a cover
–uncover testing and to comment on the vision of the patient.
Station 4 – Oculoplasty (One
Indian & another British examiner)
case was a middle aged male pt with Bilateral Ptosis-I was asked to
perform a detailed Ptosis examination and I diagnosed it as a MG pt.
The discussions revolved around the diagnostic procedures and the
treatment options for the patient.
was a young girl with a prosthetic eye with contracted socket,
discussions were about the causes for these contraction, preventive
measures and detailed surgical options for the patient.
was TED with Full examination & lid signs.