Eye (Opthamology) for Medical Students
Overview Textbooks and References Ten-year series, OSCEs, Tests
  • Introduction
  • Syllabus
  • Timetable
  • Examination
  • Textbooks
  • Booklist
    Online references
    Links and Directories
  • NUH Opthamology Department
        [Uninformative]
  • Singapore National Eye Center (SNEC)
  • Success in MRCOphth

  • Past Year Questions
  • End of posting 98/99
    Online Quizes
  • OSCEs/short cases - 10
  • Retinal/Fundal photos - 30 OSCEs
  •  
    Contributors:

    Anaesthesia Anatomy Biochemistry COFM Dermatology ENT Emergency Medicine Eye Geriatrics Medicine Microbiology
    Obstetrics & Gynae Orthopaedics Paediatrics Pathology Pharmacology Physiology Psycho Med Radiology Surgery
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    Introduction
    Category of subject: Clinical - short posting
    Duration of posting: 3 weeks, end of 3rd/beginning of 4th year
    Final examination: None. End of posting test only.
    Comments:
      A "short" posting with the likes of ENT/Anesthesia, the posting provides more of a taste of the range of opthalmological work rather than a true training experience. Time is spent ranging from standard tutorials in NUH/SNEC to the repetitive click-click-click of the laser PanRetinalPhotocoagualtion to the LASIK operating suite or paeds opthalmo clinics and even visiting Prof Arthur Lim's clinic & OT in Gleneagles.
      Although the time spent is too short to acquire any specialized knowledge, you should at least see the basics of diabetic and hypertensive retinopathy, and acquire a theoretical knowledge of other common eye conditions. This is also the only time (short of being an Eye MO) to acquire practical knowledge of common procedures like patching, PRP and LASIK, which your patients will ask you in future. Just see it once, and you'll remember it for life - if you don't see it, you never be able to imagine it.
      The end of posting test for me consisted of squeezing into this small room in the NUS office, and doing 10 OSCEs. The marks go into this tiny (Read: insignificant) percentage of your surgical paper, if I'm not wrong. In the final MBBS, I think there are a couple of MCQs under Surgery, and maybe rarely an OSCE, but never a short case or essay.
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    Syllabus
    Official syllabus available?: No
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    Timetable
    Schedule:
    2 CGs do each short posting together. 1 goes to NUH, the other to SNEC (at SGH). (in 1999/00)
    Teaching methods:
    I went through SNEC, and the day begins with a 1-2 hour lecture-tutorial (free coffee included).
    After that, you are rostered to the clinics, or various procedure rooms such as laser PRP, orthoptist(eye movements), LASIK, OTs and so on.
    There's a fair amount of idle time - what you want to do with it is up to you.
    I think there was a project/presentation, which they give you time to go to the library for. Mine was Drugs and the Eye or Ocular trauma or something.
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    Examinations
    Breakdown of marks
    - Unknown.
    - Probably < 1% of the overall MBBS Surgical paper.
    Final exam
    - Nil, except as a few MCQs and maybe 1 OSCE in the surgical paper.
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    Booklist
    Primary textbook (choose 1)
    - Colour Atlas of Ophthalmology (Arthur Lim)(3ed) - He used to give this out free to everyone, but it's more an atlas than a textbook.
    - ABC of Eyes (PT KHaw) - Fewer pictures and more text, in a problem-orientated approach.
    - Opthalmology: an illustrated colour text (M Batterbury) - Much like ABC of Eyes.
    Reference text
    - No need
    Other must-have stuff
    - They have lots of nice brochures for laymen, but with a lot of hidden medical gems you must know.
    Nice-to-have stuff
    - Nil
    Revision guides & MCQs
    - Nil
    Book review sites
    - Nil
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    Past year questions
    End of posting test 1998/9
    1)Conjunctivitis does NOT present with loss of visual acuity
       If this is present, another cause must be sought
    2)Prescribing topical analgesics (eg proparacaine) for prolonged periods is very BAD practice.
       Know the complications that can result
    3)So is the use of steroids for prolonged periods or when they are not indicated
    4)A cranical 3rd nerve palsy with a DILATED pupil is a surgical EMERGENCY
       The commonest cause in a young patient is an aneurysm, and an MRAngiogram is indicated
    5)All isolated 6th nerve palsies must be referred to ENT.
       (Especially if epistaxis and conduction deafness is present).This is because the commonest cause is NPC.
    6)Herpes zoster involving the nasal labial fold or the nose tip MUST be referred to opthalmologists.
       This is because the nasociliary nerve is involved, and there is a high chance of a corneal ulcer.

    Interesting slides
    Herpes Simplex
  • Know signs/symptoms
  • Know tests
    Proptosis
  • Know common causes
  • Know why blindness can result
    Bacterial ulcer
  • Know complications
    Ptosis in young child
  • Know causes
  • Know indications for surgery
    Diabetes
  • Know grades & types
  • Know treatment
    CRVO
  • Be able to recognise
  • Know complications

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