This website has helped me tremendously
through part 1 and 2 mrcophth ...
A bit tricky ; Elkington MUST be learnt from cover to cover . Also read the
squint chapter in Kanski, and did lots of past MCQs as i find for me that's
the only way it sticks ... used Bhan, did all the questions on mrcophth.com
and Chua's book ( success in mrcophth part 2 )
passed on my first attempt.
Chua's book with the tutorials was invaluable , as well as the many OSE past
questions on the website.
CT scan showing enlarged extraocular
muscles. Asked how this patient may present.
Humphrey Visual Field showing a small
nasal step. Asked about reliability.
Hess Chart showing LR palsy . Asked about
Herring's and Sherrington's law , and which muscles were over/underacting
. Not asked diagnosis.
Visual Evoked Potential tracings - 3 of
Prentice rule calculation.
AC/A ratio calculation using gradient
Fluorescien angiogram showing what looked
like branch vein occlusion ; asked principle of test and findings.
Ray diagram of Maddox rod.
Intimidating exam but fairly friendly examiners.
Visual field- Confrontation : Very good
patient with Left homonymous hemianopia with macular sparing. Asked use
of red pin, and where the lesion was.
Slit Lamp- Previous ECCE with sutures in
place and superior P.I. Asked about methods and how to demonstrate them.
Keratometer - Javal Schiotz. Asked to take
reading , and then principles.
Focimeter - Bifocal lens ; asked to find
distance and near portion power. could NOT get near portion centred
?prism in near portion ?
Indirect - Positioned patient , mentioned
macular hyperpigmentation but felt like the examiner wanted more.
Direct - Widespread CR atrophy, felt like
the examiner wanted more.
Pupils - middle aged male with dark irides
; difficult to see with poor lighting . Looked like Adies ; asked a ton
of questions of various pharmacological tests.
Ocular motility - elderly lady with left
hypotropia seen on Hirschberg reflexes ; did not move with cover/uncover
; asked possible reason - patient was NPL in that eye. went on to test
motility and stupidly did ACT (alternating cover test) at each position
of gaze ; asked by examiner whether it made any sense to do that if the
eye was not fixing , I agreed politely.
Had a great patient ; 50 myope whose occupational requirements were reading
and using the computer. 6/60 and 6/36 VA initially which after retinoscopy
corrected to 6/6. Did subjective,duochrome and +1 blur test BE ( corrected
to 6/5 BE ), then found her near add , making sure arms length vision was
comfortable for computer use. Finally did Maddox Rod ( no Maddox wing
available ) and finished in 25 mins.
Hope this helps
Good luck to all!