Ophthalmology

Draft proposed by Dr Annie Fok
Reviewed by Dr S P Wu

Essential Skills View other syllabuses and domains

Domain 1 Professional Values & Behaviour
Domain 3 Procedural skills (detection of red reflex)
Domain 4 Patient Management

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.

Basic Training

Common eye problems
  • Manage common paediatric eye conditions such as nasolacrimal duct obstruction, chalazia, hordeolum, epiblepharon.
  • Approach to epiphora and allergic conjunctivitis.
Cataract
  • Detection of cataract.
  • Common causes of cataract.
Childhood glaucoma
  • Detection of glaucoma
Intraocular mass and tumour
  • Detection of intraocular mass.
  • Differential diagnosis of intraocular mass, particularly retinoblastoma.
Optic neuritis
  • Detection of relative afferent pupillary defect.
Paediatric retinal conditions
  • Recognise the staging, screening methods and management of retinopathy of prematurity ROP.
  • Retinal detachment.
Eye infection
  • Common causes and management of conjunctivitis, blepharitis, peri-orbital and orbital cellulitis.
Strabismus and diplopia
  • Common causes of strabismus and diplopia.
  • Evaluation of strabismus.
Ptosis
  • Common causes of ptosis.
  • Evaluation of ptosis.
Delayed visual behaviour and visual impairment
  • Approach to children with delayed visual behaviour and visual impairment.
  • Understand different types of common refractive errors and amblyopia.
  • Recognise common causes of visual impairment and cortical visual impairment.
Desirable skills
  • Bedside fundoscopic examination – use of direct ophthalmoscope.
  • Use of Snellen Chart for visual acuity testing.
  • Use of Ishihara Chart for colour vision testing.

 

Higher Training

Nystagmus
  • Common causes of nystagmus and its associated features.
  • The need to investigate for visual acuity and ocular abnormality.
Strabismus
  • Neurological causes of incomitant squints.
Ocular manifestations of systemic diseases

Recognise and collaborate in managing the ocular manifestations in systemic diseases:

  • Genetic and chromosomal abnormalities
  • Metabolic disorders such as IEM, hyperthyroidism
  • Craniofacial anomalies
  • Rheumatological and inflammatory disorders
  • Phakomatoses
  • Neuroblastoma

Recognise retinal changes and ocular findings in shaken baby syndrome/abusive head trauma.

Visual impairment and blindness

Understand the genetic of hereditary and non-hereditary conditions that causes visual impairment, particularly Usher syndrome and retinitis pigmentosa.

Desirable skills

Prescribing mydriatics for eye examination.

 

 

 

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