|I was giving the part 2 for the
second time and was a bit nervous, But I must say all examiners were very
nice and even at times helping us 'see' the mistakes that we were making.
Direct ophthalmolscopy ; Myopic
patient with glasses , started with the routine of direct ophthamoscopy
but was asked immediately to look in the supero temporal quadarant ..could
see confluent cryo marks.asked what they could be for ...answered about
possible retinal tear. was asked about magnification of DO.
indirect Ophtalmoscopy : Vitreous
hemorrhage .could barely see the disc .asked wether I could look in the
other eye for a possible etiology.. other eye had a disciform scar
asked questions about magnification of lenses used . I think they had deliberately
kept a 28D to see which one we picked up!
keratometry . sstraightforward case
with equal K readings! asked about the keratometers I knew .Von helmholtz
, javal Schiotz and automated ,asked principle of each ofthese and the
Focimetry Antique piece which
I took time to understand but got through with reading distance correction
of one glass. Was asked about principle only.
Slit lamp. Old lady with bandages
atound her arms and a neck collar. asked for positive findings , Examiner
expected Pseudophakia to be answered and, was much relieved to hear it
from me.asked to demonstrate calibration of tonometer and the various filters
in the slit lamp.
Visual fields. Myopic lady with
constricted visual fields.I goofed here and found an asymmetric visual
field defect unlike any known pattern.asked DD . said it could be retina
or post chiasmatic . examiner gave me a queer smile and led me out of the
Pupils. RAPD , asked caused. M.S,
CRVO large R.D asked about pupillary pathway and chemical tests for
Adies and Horners pupil. later lernt that the patient had streptococal
orbital cellulitis with optic nerve affection in his childhood.
Motility. This was the clincher.
young lady with glasses with Xo tropia more at distance than near asked
for a cover test and then motlity. Could elicit restriction of medial rectus
with slight enophthalmos but no palpebral fissure narrowing asked
to predict ocular history knowing this and looking at the glasses.(Hypermetropic)
Said about possible overcorrection of esotropia with MR recession hence
the consecutive squint Xotropia.
Young Myope O couldn'.t believe
my luck, but there he was the ideal refraction case . finished within time
and confirmed correction with duochrome monocularly and binocularly for
P.S I prepared for all staions with
a set format of examinations and questionnare and adhered to it . In the
OSCEs I made sure the instruments were turned to the '0' position before
i got started and I made sure that if the patient wore glasses I had a
good look at the glasses!