Date: Nov., 2001
Case 1. Focimetry: only one of the glasses of a pair of bifocals was to be measured. Result given in +ve cyl and then –ve cyl with near add.
Case 2. J-S Keratometry: only one eye of a patient was to be measured. Questions on principle and how to convert answer between dioptres and radius in mm (It’s written on the machine).
Case 3. Pupils: Left RAPD, asked about the papillary pathway.
Case 4. Slit lamp examination: asked to demonstrate all techniques (retroillumination, sclerotic scatter and specular etc.) the eye in question had a stromal scar, pseudophakia with a peripheral iridotomy. Cataract in the other eye. no further questions were asked on the DD.
Case 5. Visual fields: Set up and demonstrate how to do a goldmann field. Left hemianopia on a goldmann. questions on the site of lesion were asked.
Case 6. Ocular motility: old man with LE esotropia Mixed nerve palsy
Case 7. Indirect ophthalmoscopy: of only one eye was asked. Drawn on a retinal chart. Looked like an old toxoplasmosis scar.
Case 1. EOG arden ratio
24yr old with moderate myopia got 6/4 with retinoscopy in both eyes and accepted about another 1.5D of + before blurred and Duochrome suggested balanced. Later accepted more plus separating retinal (about –7) from subj (-4.75) by too much to pass even though my retinal got the right cyl and axis. Both results gave me 6/4 bilaterally though and I did a Maddox rod balance.
MCQs: lot of emphasis on clinical examination and optics. almost no formulae calculations were required. I did 270.