Focimeter a pair of single vision specs (both lenses). Explain the
optics of the focimeter
Javal Schiotz K readings on one eye of a patient. Then explain the
principles behind keratometry with
reference to the different types of machine.
Pupils: RAPD. Asked about different diagnosis of this and about the
different pupil tests (Pharmacological)
Slit lamp: describe the different features of the slit lamp from top
to bottom . Examine a patient with
descemetocele and demonstrate the different methods of examining the
Direct: examine the eyes (ie anterior segment and fundus).
Patient was not brilliantly dilated but they asked me to concentrate
on the discs and describe them in
detail. Questions about filters on the direct.
Indirect: not v well dilated but I was allowed to use the 28D. Choroidal
naevus and I was not asked to
examine both eyes. I was asked about the optics of the indirect and
when you would use a 28D.
Ocular motility: Lateral rectus palsy or possible Duanes. Asked to
do near and distant cover tests and ocular mot exam and describe my findings.
Fields (confrontational): generalized peripheral constriction both
eyes. Asked differential diagnosis..
Refraction: 53 year old taxi driver approximately -0.75/+2.00@90 both
eyes. one eye scissors
The examiners were all really helpful and you did not feel too rushed.