Focimetry: only one of the glasses of a pair of bifocals was to be
measured. questions were asked on principles, optics etc.
Keratometry: only one eye of a patient was to be measured. the instrument
had different axis dials for the 2 eyes which i got wrong and examiner
asked me to have another look which i subsequently corrected. questions
Pupils: middle aged woman with LE ptosis and enophthalmos (pseudoptosis-a
red herring) but no anisocoria but a very slight (grade 1) RAPD on the
right. questions on pharmacological testing of pupil.
Slit lamp examination: asked to demonstrate all techniques (retroillumination,
sclerotic scatter and specular etc.) the eye in question had dry
eye with surface epithelial changes with a superficial corneal opacity.
no further questions were asked on the DD.
Visual fields: bitemporal hemianopia with extension to inferonasal
quadrant in one eye. (pt also had see-saw nystagmus). questions on the
site of lesion were asked.
Ocular motility: old man with LE esotropia and phoria (sometimes
alternating) with horizontal diplopia in primary position and persisting
in extremes of gaze. no defect on ocular motility. i said looks like
squint rather than neurological.
Direct ophthalmoscopy: of only one eye was asked. oblong and round
pigment spicules( but not bone corpuscle like) in inferior fundus with
macular stippling and mild disc pallor. i was asked DD. said sectorial
RP and old BRVO. questions on management and filters.
Indirect ophthalmoscopy: multiple white dots in temporal fundus. I
could not locate another lesion which the examiner wanted me to look for.
questions on lenses, magnification etc.
x-ray: intraorbital FB.
ERG: extinguished b- wave.
B-scan with lateral views as well. i thought it was a funnel RD. other
thought choroidal detachment.
Hess: 4th nerve.
Flourescein: principles and preproliferative DR to describe the features.
Fresnel prism: identification and ray diagram.
Orthoptic report: 4 yr old with 6/60 and 6/6 vision and right suppression
on worth 4 dot and anisometropic hypermetropia questions on cause for amblyopia
type of fixation in RE.
I can't remember.
52 yr old with moderate myopia with high 3-4 D astigmatism in BE. could
improve only to 6/9 with rushing up in the end. very difficult retinoscopy
in one eye. i thought i have failed it but may be as i did all the things
in the right way saved me in the end.
MCQs: lot of emphasis on clinical examination and much less optics.
almost no formulae calculations were required. i did 254.