By Tien Yin Wong
Many new remedies and diagnostic strategies in ophthalmology were sophisticated or newly built in the past 4 years, a brand new variation reflecting those alterations is so much well timed.
The scope and objective of the booklet could be in line with the 1st variation, which gives a wide evaluate of the professional ophthalmology examinations for ultimate yr ophthalmology citizens and trainees. The publication bargains basically with key evidence and issues which are very important from the exam viewpoint. in basic terms info and evidence which are thought of correct and important to the tests are lined, with themes that could be of medical curiosity, yet aren't generally validated in tests, in particular omitted. Time-challenged readers also will enjoy the wisdom received from quite a few different resources or textbooks which are now geared up and synthesized during this e-book. whereas no longer intended to switch the traditional textbooks, adequate details is contained in the e-book to function the most revision textual content closer the assessments.
the fashion and structure of this publication is deliberately didactic, with questions and brief solutions. the reply encompasses a "model beginning statement," first by way of a type process to help association of proof, after which the center rationalization in concise brief notes. "Exam tips" are inserted to supply an perception into innovations of answering types of questions and while acceptable, a "Clinical technique" part is usually incorporated.
within the re-creation, issues comparable to new realizing of affliction mechanisms (e.g., genetics of eye diseases), new investigations (e.g., OCT), and novel strategies and remedy (e.g., using antivascular endothelial development components, new refractive surgical options) are lined.
This e-book could be a helpful advisor to the ultimate 12 months ophthalmology citizens and trainees taking the professional ophthalmology examinations, rather for checks with a powerful oral or viva part. even though essentially geared toward applicants trying the British postgraduate assessments (FRCS, FRANZCO, MRCS, MRCOphth and FRCOphth), it's also helpful for different exam platforms (e.g., the yankee Boards). Many junior citizens, in truth, locate the data convenient in the course of grand rounds.
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Extra info for The Ophthalmology Examinations Review (Second Edition)
7. Preparation Retrobulbar or peribulbar anesthesia Superior rectus suture with 4/0 silk Conjunctival peritomy Full thickness limbal incision with Beaver blade and complete incision with scissors, from 9-3 o’clock (larger than ECCE) Peripheral iridectomy with Vanna scissors Lens removal Dry lens with Weck sponge Apply cryoprobe between iris and cornea onto lens Alternatively, can use vectis and forceps to remove lens AC-IOL implantation Constrict pupil Reform AC with viscoelastics Insert AC-IOL with help of lens glide Wound closure 10/0 nylon sutures Subconjunctival steroidantibiotic injection HO W d o you perform phacoemulsification?
Management of PCO 1. 2. 3. 4. Types of PCO Proliferation of epithelium (Elschnig’s pearls and Soemrnering’s ring) Primary opacification of capsule Primary fibrosis of capsule Problems with PCO Visual dysfunction (VA, contrast, color) Decrease view of fundus - management of Diabetic retinopathy RD IOL decentration with capsular phimosis Risk factors for PCO Young patient DM, uveitis General principles of management Intraoperative stage - prevention of PCO Surgical factors Complete removal of soft lens matter Polish posterior capsule Consider primary posterior capsulotomy (pediatric cataract) The Ophthalmology Examinations Review 34 IOL design factors Acrylic IOL (lower risk because more IOUposterior capsule apposition) Posterior bowing of optic (more IOUposterior capsule apposition) Laser barrier ridges (prevent epithelium from migrating behind IOL) Heparin-coated IOL (not proven) 5.
2. 3. 4. 5. 6. 7. Preparation Retrobulbar or peribulbar anesthesia Superior rectus suture with 4/0 silk Conjunctival peritomy Full thickness limbal incision with Beaver blade and complete incision with scissors, from 9-3 o’clock (larger than ECCE) Peripheral iridectomy with Vanna scissors Lens removal Dry lens with Weck sponge Apply cryoprobe between iris and cornea onto lens Alternatively, can use vectis and forceps to remove lens AC-IOL implantation Constrict pupil Reform AC with viscoelastics Insert AC-IOL with help of lens glide Wound closure 10/0 nylon sutures Subconjunctival steroidantibiotic injection HO W d o you perform phacoemulsification?