iFile: Ruptured Retinal Artery Macroaneursm
Chief Complaint: A 67 years old female came with the complaint of sudden painless diminution of vision in the left eye for 1 day. History of Present Illness: Sudden painless diminution of vision with associated floaters in the left eye for the last 1 day. There was no history of any trauma, redness, watering or discharge. Past Ocular History: No history of any past ocular disease Past Medical Hist...Read More
A 23 years old female presented to the ophthalmology clinic with complaints of blurring of vision in the left eye since the past 4-5 days with associated mild pain around the left eye, mainly on ocular movements History of Present Illness: Patient did not give any history of associated nausea, vomiting, headache, tingling numbness or limb weakness. There was no history of any preceding febrile ill...Read More
i-File: Normal Tension Glaucoma
Chief Complaint: A 37 years old male presented to us with a history of progressive deterioration of vision on 30/09/2020. History of Present Illness: He was diagnosed elsewhere to have glaucoma and came to us for further management. Past Ocular History: He was already on on Latanoprost ED HS, Dorzolamide + Timolol combination BD. The patient underwent Trabeculectomy in both eyes in the year 2010 a...Read More
i-File: Floppy Eyelid Syndrome
History of Present Illness: A 60-year old male patient presented with recurrent episodes of watering and foreign body sensation of both eyes for 8 years. He gave no history of redness or discharge from the eyes. There was no history of spontaneous eversion of the eyelids. He was treated conservatively with lubricants but had no relief of symptoms. He complained of snoring during sleep with associa...Read More
A 60-year male presented with C/O diminution of vision in the Right Eye. The patient is not a known case of any known systemic illness, although gives a vague c/o chest pain and the occasional headache. Examination revealed a vision of 4/60 with an IOP of 16mmHg as measured by GAT. The right Eye reveals the unremarkable anterior segment with minimal lenticular changes. Vitreous cavity quiet with f...Read More
Retina Case Presentation in Practical Exam: 10 Tips
DNB practical exam is a time-bound test of knowledge, presentation skills, swiftness and presence of mind. In the exam, a candidate usually gets 4 long cases with 20 mins per case (a whole 2 minutes more than you can take to write each answer in the theory exam). That usually includes 2 anterior and 2 posterior segment cases. Although 2 posterior segment cases may seem like a daunting task, there ...Read More
Pearls for Practical Exam in Ophthalmology for Postgraduates
Facing PG practical examination in ophthalmology is not difficult. However, the student must prepare properly to face it. Please remember the examiners are coming to help only. Therefore, the student should not be afraid of the examiners. Preparations for the practical exams During the course The preparation to face the exams is a continuous process starting from the beginning of the course. Stude...Read More
Objective structured clinical exam (OSCE) has regained popularity as a significant part of practical examinations in recent times. This is in part due to the pandemic making it difficult to hold exams with actual patients. It also removes subjective bias and is considered a fair way to examine candidates. There are certain strategies that enable the student taking an OSCE based exam to do well and...Read More
Question papers of Ophthalmology
DNB Question Bank Topic Wise And Paper Wise KLE University Question Bank (2010 – 2018) Compiled by Dr. Sameeksha Agrawal & Dr. Ankit Agrawal DNB: Topic-wise Question Bank (DEC 2015 TO JUNE 2018) Compiled by Dr. Sameeksha Agrawal DNB Question Bank Special thanks to Dr. Gopal Rao Year Wise DNB Question Paper (1999-2007) Special thanks to Dr. Debmalya Das DNB Question Bank Topic-wise DNB Question Ban...Read More
Spots Bitot's spot=White, foamy area of keratinizing squamous metaplasia of bulbar conjunctiva, seen in vitamin A deficiency. Brushfield spot=Whitish grey spot in peripheral iris, seen in Down's syndrome. Elschnig spot=Yellow patches overlying area of choroidal infarction in hypertension. Fischer-Khunt spot=Senile scleral plaque, area of hyalinised sclera anterior horizontal rectus muscle ...Read More