History

Question 1

Different PC in ophthalmology - 6

Answer 1

Reduced visual acuity
Blurring 
Pain
Flashes, floaters
Tearing 
Discharge

Question 2

Red flags - 3

Answer 2

Sudden change to vision
Acute Red eye
Trauma

Question 3

PMH - what 2 things are important to ask about?

Answer 3

DM

HTN

Question 4

FH - what disease of the eye has a strong family history?

Answer 4

Glaucoma (4-9 times increase)

Question 5

DH - what drug can cause cataracts?

Answer 5

Steroids

Question 6

SH:

When should DVLA be contacted? - 2

Answer 6

If they have difficulty reading a number plate from 20 metres away or if they have a visual field defect.

Question 7

Acute eye assessment:

A-F approach

SKIP - YOU’D BASICALLY DO AN EYE EXAMINATION!

Answer 7

Acuity 
Bright light assessment - including the cornea and conjunctiva 
Disc on fundoscopy 
Eye movements
Fields

SKIP - YOU’D BASICALLY DO AN EYE EXAMINATION!

Question 8

Anterior segment:

Components? - Remember the 3 for posterior then you can work out the parts in the anterior

Symptoms during pathology:

Do they get pain?

What other symptoms do they get? - 2

Answer 8

Lashes 
Lids
Conjunctivae 
Cornea 
Anterior chamber 
Iris 
Lens 

Painful
Red eye
Light sensitivity

Question 9

Posterior segment:

Components? - 3

Symptoms during pathology:

Do they get pain?

What other visual symptoms do they get? - 3

Answer 9

Vitreous humour
Retina
Optic nerve

Painless
Loss of vision
Flashes (photopsia)
Floaters