Hess chart-6th nerve palsy
Fluorescence angiography-classic CSR-ink blot pattern
Again principle was asked.
CT Scan-bilateral lesion in anterolateral part of each orbit
What investigation is this?
What is the abnormality?-no diagnosis was asked
Possible clinical presentation of this patient.
This was dodgy. Retinal or choroidal detachment?
Again principle was asked
Which structures are involved? (no diagnosis)
Various calculated values of IOL were given and patient's pre-op refraction
was given. We were supposed to chose appropriate IOL (no calculations to
be done) and give reason for choosing that power of IOL.
Also asked if A constant was 119.5 instead of 118.5 what would b the
A figure of lacrimal drainage system.
We were supposed to label the indicated arrows.
Right eye - superior hemidepression
Left eye - superior arcuate scotoma
What is this investigation?
Describe the defect.
Which anatomical structure would b involved?
Draw a ray diagram!!
I was given a pair of bifocal and was supposed to give distant prescription
and near add of both sides in 5 minutes! It was bit hectic.
Asked about how do focimeter work?
Few candidates were really scared as they had never used it before!
but all examiners were very helpful and nice they used to ask whether you
have used it before or not? They also showed how to use it to the candidates
who were not aware of that!
Asked me the principle.
CT & Ocular motility
I had a lady with unilateral thyroid eye disease.
On Cover test she had right exotropia with hypotropia.
On motility - elevation was restricted..
So I concluded that inferior rectus was involved-teethering
Retrogradely when I saw there was mild lid retraction as well!!
but there was no proptosis.
I had a woman with right homonymous hemianopia.
I was asked to do confrontation by whichever method i'm comfortable
So I used red and white pins. Also asked me to draw it.
Anatomically where is the lesion??
Asked to find left blind spot, which I couldn't finish as bell
Woman with bilateral high myopic fundus.
I was asked to examine post pole of both eyes.
Bilateral large disc with cup disc ratio of 0.7, crescent,pigmented
macular scar in left eye. There was PI at 12 o'clock in right eye so probably
acute glaucoma surgery was done.
Was asked to describe disc in RE. Whether was it glaucomatous or not?
I said it could b just myopia giving rise to such appearance and large
cup physiologically. I said I would like to do IOP, VF and other tests
before stamping it as glaucoma.
Also asked me the magnification and about the filters.
BIO (Binocular indirect ophthalmoscopy)
Was asked to examine left eye of the patient who was lying down on
There was disc with inferior scar and multiple pigmented chorioretinal
scars throughout periphery. Was asked to draw my findings.
Asked about 20Dvs.28D as expected!
Classical right Horner syndrome.
Why do you say it is a Horner??
Do you actually do it?
What is significance of those test?
DON'T FORGET TO CHECK ANISOCORIA IN DARK AND BRIGHT LIGHT. Some of
candidates forgot and were in trouble!!
Asked to examine right eye and tell positive findings.
Young pseudophakic patient with posterior capsule opacity & continuous
suture superiorly, few keratic precipitates in lower parts which I missed
on first look!!
Asked me which suture material is it?
Different methods of examination. Demonstrate specular reflection.
Showed tonometer and asked how to calibrate it ?
51 year old lady who was secretary in the same hospital. She was very
near add-+1.50.....N5 with good range.