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Ophthalmology
Draft proposed by Dr Annie Fok
Reviewed by Dr S P Wu
Essential Skills
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.
Download Syllabus (28 November 2023)
VIEW another syllabus
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.
