1. Diagnosis of Chalazion
- Key Areas:
- Diagnosis of chalazion
- Common Errors:
- Focusing on management strategies rather than accurate diagnosis
2. Hypertension and Retinal Artery Occlusion
- Insight:
- The link between systemic diseases like hypertension and specific ocular emergencies, such as retinal artery occlusion
- Strengths:
- Recognizing secondary causes of hypertension and the importance of targeted investigations
- Improvements:
- Enhance skills in emergency management and referral for ocular conditions
3. Herpes Zoster Ophthalmicus
- Insight:
- Early recognition and management are crucial to prevent complications
- Urgent referral to ophthalmology is critical for preserving vision
- Strengths:
- Effective identification of immediate management steps and pharmacological treatments for post-herpetic neuralgia
- Improvements:
- Enhance understanding of confidentiality, capacity assessment, and legal aspects regarding patient information sharing
4. Trachoma
- Key Topics:
- Non-pharmacological management
- Public health measures
- Culturally safe communication
- Improvements Needed:
- Providing specific, relevant answers
- Ensuring culturally safe communication
5. Acute Eye Redness and Pain Management
- Key Topics Discussed:
- Examination for ocular conditions
- Investigation for underlying causes
- Immediate management
- Candidate Performance:
- Incorrect differential diagnoses and investigation choices
- Improvement Areas:
- Accurate assessment of ocular conditions
- Appropriate selection of investigations
- Timely management actions
6. Raised Intraocular Pressures, Blepharitis, and Facial Skin Lesion
- Key Topics Discussed:
- Risk factors for raised intraocular pressures
- Non-pharmacological management of blepharitis
- Diagnosis of a facial skin lesion
- Candidate Performance:
- Confusion between symptoms and risk factors
- Inappropriate management advice for blepharitis
- Improvement Areas:
- Differentiate between symptoms and risk factors
- Provide case-relevant management advice
7. Worsening Vision in an Older Male
- Key Topics Discussed:
- Differential diagnoses
- Interim management before specialist assessment
- Considerations for driving fitness
- Candidate Performance:
- Lack of knowledge in differential diagnosis and assessing fitness to drive
- Improvement Areas:
- Improve understanding of ophthalmologic conditions and legal/medical standards for driving assessments
8. Dry and Irritated Eyes
- Key Topics:
- Diagnosis of eye conditions based on clinical findings
- Candidate Performance:
- Incorrect diagnosis, overlooking relevant clinical findings
- Improvement Areas:
- Accurate eye examination
- Appropriate management based on diagnosis
9. Visual Field Loss
- Key Topics:
- Diagnosis and differential diagnosis of bilateral peripheral visual field loss
- Candidate Performance:
- Misidentification of relevant examination findings
- Improvement Areas:
- Accurate neurological and ophthalmological examination techniques and diagnosis
10. Raised Intra-Ocular Pressures
- Medical Heading: Ophthalmology
- Key Topics:
- Risk factors for glaucoma
- Appropriate management options
- Interpretation of skin lesions
- Candidate Performance:
- Offered general risk factors without specificity
- Proposed inappropriate management steps for diagnosed conditions
- Improvement Areas:
- Detailed risk factor assessment for glaucoma
- Precise management strategies, both pharmacological and surgical, as appropriate
11. Sudden Loss of Vision and Incidental Skin Lesion
- Medical Heading: Ophthalmology, Dermatology
- Key Topics:
- Differential diagnoses for sudden vision loss
- Focused historical inquiry
- Skin lesion management
- Candidate Performance:
- Misidentifications such as amaurosis fugax as a diagnosis
- Incorrect management approaches for identified skin lesions
- Improvement Areas:
- Develop a precise approach to sudden vision loss diagnosis and lesion management
- Avoid misinterpretations of symptoms as diagnoses
12. Red Watery Eye
- Medical Heading: Ophthalmology
- Key Topics:
- Differential diagnoses and examination of a unilateral red eye in a child
- Candidates Did Well On:
- Identifying age-appropriate causes of a red eye
- Improvement Areas:
- Focus on specific examination relevant to the eye
- Avoid over-generalization or irrelevant examination details
13. Range of Eye Conditions
- Topic Discussed:
- Diagnosis and management of various ophthalmological conditions, including ‘red eye’ and other common presentations
- Candidates Did Well On:
- Recognizing classic descriptions and using clinical photographs to guide diagnoses
- Improvement Areas:
- Incorporating all provided information for differential diagnoses
- Match differentials closely with clinical presentations