Direct- Retinal scar ?toxo.
Qs about opthalmoscope and effect in myope.
Indirect - RD repair with
buckle. Few Qs on magnification and field of view with different lenses.
Motility - Restriction in
upgaze of RE - didn't know diagnosis.
Pupils- RAPD, Few Qs on
pathways and pharmocology (predictable).
Slit lamp - new machine,
wasn't clear where all buttons were. Pt with keratoconus, thinning,
sub-epithelial scar. Asked to say how i'd do sclerotoc scatter,
retroillumination but didn't have to do it. Discuss the filters.
VFs- Think was inf
quadrantonopia but seemed to have more peripheral field so was a little
confused. Needed some prompting. Asked about Red pin - still not convinced
about its use.
Keratometer - JS, new
version, never used it before, ballsed it up royally, needed a lot of help.
No time for Qs.
Focimeter - didn't know how
to switch it on or how to read from it, managed with assistance to get
result of SV high cyl lens. Qs on principals.
OSE & MCQ - straight fwd
Ret - RE 6/9 LE 6/6
Subj 6/4 6/4
Binoc balance, duochrome, near, maddox. All done in 25 mins.
The key is be happy with ur Ret, makes it so much easier. I was lucky to have
had such a good patient.
Overall - Fair, helpful examiners
If fail will be because of OSCE and unfamiliarity with equipment (Keratometer,