'Ophthalmology departments are among the busiest in any hospital, meaning that opportunities for direct teaching are limited, and the demand for juniors to undertake procedures is significant.' From the Preface Ophthalmology is a challenging and rewarding specialty that is underrepresented in undergraduate education and, consequently, trainee ophthalmologists often begin training with little or no experience in the specific skills required. This book provides the trainee ophthalmologist with a guide to a multitude of practical skills which form The Royal College of Ophthalmologists' syllabus. Using the College curriculum as a structure for the techniques discussed, each topic maintains a consistent format throughout, with RCOphth codes and target years of achievement, an aim, a list of equipment required and a methodical outline of the procedure. In some cases, discussion of the basic principles underlying an investigative technique, or the physiology of a particular sign, is included. Line drawings illustrate techniques where necessary, and vital 'pearls' of information are included as top tips for success. The appendix contains a concise summary of 50 major ophthalmic studies and papers, together with a summary of RCOphth and NICE guidance pertinent to ophthalmology. A much-needed addition to support the trainee's learning environment, Ophthalmic DOPS and OSATS: the handbook for work-based assessments serves as a vital reference as skills are learned and refined either in the workplace or during FRCOphth examination preparation. 'There are 179 competency requirements of the ophthalmology trainee embedded in The Royal College of Ophthalmologists' training curriculum. This may seem daunting to the trainee with little experience in ophthalmology in a learning environment that has hitherto been reliant on an apprenticeship model of experiential learning.' Patrick Watts in the Foreword
Table of Contents
Clinical Assessment (CA). CA2 Assess vision. Acuity in adults. Acuity in children. Colour vision in adults. CA3 Visual fields. CA4 Amsler. CA5 External eye examination. CA6 Pupils. CA7 Cover testing/ocular motility. CA8 Applanation tonometry. CA10 Fundus examination. Direct Ophthalmoscopy. Slitlamp indirect Ophthalmoscopy (SIO). Binocular indirect Ophthalmoscopy (BIO). Patient investigation (PI). PI 1 Orthoptic assessment. PI 2 Corneal shape, structure and thickness. PI 3 Retinal and optic nerve imaging. PI 4 Ocular angiography. PI 5 Ultrasonography. PI 7 Ocular electrophysiology. PI 12 Biometry. PI 13 Visual fields. Practical skills. PS 3 Periocular and intraocular drugs. Intravitreal injection. Orbital floor injection. PS 5 Local anaesthesia. Skin and lid. Sub tenons anaesthesia. Peribulbar anaesthesia. PS 6 Diathermy. PS 7 Cryotherapy. PS 8 Assess lacrimal function. PS 9 Anterior chamber paracentesis. PS 10 Corneal scrape. PS 11 Ocular surface foreign body. PS 12 Occlude nasolacrimal puncta. PS 13 Remove corneal sutures. PS 15 Administer periocular botulinim toxin. PS 16 Apply corneal glue. PS 17 Perform ocular ultrasound. PS 19 Perform anterior chamber. PS 22 Irrigation and debridement of ocular contaminants. PS 23 Biopsy. PS 24 Forced duction testing. SS 8 Surgical measures for the protection of the ocular surface. SS9 Lateral canthotomy and cantholysis. SS10 Biopsy of ocular and adnexal tissues. SS 11 Temporal artery biopsy. SS 14 Laser for management of lens capsule. SS 16 Laser for retinal problems.