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EYE LIDS:
A three year old girl is brought to you with the complain of
inward turn in the eye for the past 6 months. Give diagnosis and
steps in management.
Write a note on etiology or cause of blepharoptosis and list the
surgical procedures for its correction.Give clinical features,
management and classification of Ptosis.
Compare and contrast the clinical feature of stye and chalazion.
Give the brief features and clinical management of internal
hordeolum.
Blephritis and its treatment.
What is symblephron. Give its management and causes
A 7 year old boy comes with drooping of eye lids which
improves when child opens mouth. Give diagnosis and tests
performed to investigate this. Give best treatment options.
70 year old comes with nodular lesion on lower eye lid which
frequently ulcerates and bleeds. Name possible cause. Enlist
treatment options.

LACRIMAL SYSTEM:
1. A 3 month old boy presented with persistent epiphora in right
eye since birth. What is the most likely cause in the otherwise
normal eye ball. Write the steps of management.
2. Give brief clinical features and management of congenital
epiphora
3. Define dacrocystitis and dacroadenitis. Enumerate the clinical
features, complications and treatment of chronic dacrocystitis.
4. A 1 year old boy is brought by the parents with complaint of
epiphora and mucoid discharge on and off from her left eye since
birth. They were prescribed topical medication but the epiphora
persists. Give the diagnosis and management plan for this
condition.
5. Enumerate the layers, origin and function of tear film

CONJUCTIVA
1. Give the clinical features of vernal keratoconjuctivitis.
2. Write a short note on etiology, clinical features, prevention and
treatment of pterygium.
3. A 32 year old lady presents with irritation and foreign body
sensation in left eye . On torch examination, there is triangular
shape fibrovascular tissue on medial conjuctiva extending to the
limbus. Give most probable diagnosis, treatment and complications
if untreated?
4. What are the clinical features and complications of ophthalmia
neonatorum.
5. A 7 year old presents with severe itching of eye and ropy (rope
like) conjuctival discharge. On examination both eyes show
cobble stone papilla on Upper tarsal conjuctiva. Give diagnosis and
treatment options.
6. Write the classification of trachoma
7. What is Herberts point and Pannus.
8. 20 year old student came to eye emergency with severe
discomfort, photophobia and watery discharge from both eyes from
last 3 days. Occular examination revealed his visual acuity of 6/9
in each eye. Severe conjuctival chemosis, follicular reaction and
multiple corneal infiltrates. His younger brother had same
problems two weeks earlier. Give diagnosis, Cause of decreased
vision and treatment options. (KERATOCONJUNCTIVITIS)
9. A 7 days old baby came to eye deptt by her mother with
complaint of yellow discharge from the eyes since birth. What is
the likely cause, Most likely organism, Management of cause.
(OPTHALMIA NEONATORUM)
10. 8 year old child brought by parents with complaint of severe
itching, redness and photophobia which increases in summers.
Examination revealed marked papillary reaction of conjunctiva and
whitish spots at limbal area. Diagnosis, clinical features and
treatment options.

CORNEA
1.Briefly mention the signs of keratoconus and its treatment
options
2.How will you investigate the patient with a corneal ulcer. What is
the treatment of dendritic corneal ulcer
3. Diagnosis, C/F, managment of Herpes simplex keratitis.
Give difference of Herpes zooster keratitis and herpes simplex
keratitis.
4. A 30 year old female with rheumatoid arthritis presented with
redness, irritation and mucoid discharge from eyes. Give diagnosis
and treatment.
5.25 year old man was under the treatment of rheumatologist for
lower backache. He had several attacks of pain and tenderness in
both eyes in the past. He was referred to you with complaint of
gradual detoriation of vision in eyes. How would you explain it.
6.Explain the Counselling or public education of corneal transplant.
7.Give the classification of corneal opacity and treatment options.
8.What is hypopyon ulcer. Give causative organism and treatment.

LENS AND CATARACT


1. What is phacoemulsification. Describe its merits and demerits.
Mention main steps in phacoemulsification. Outline major
complication of this procedure.
2. What is a cataract and its types. What is its treatment in the
elderly person.
3. Enlist causes of cataract in a 2 year old child.
4. What are the different methods to correct aphakia induced by
cataract extraction (ECCE).
5. What are the late post operative complication of ECCE.
6. Describe what is an after-cataract and how will you treat it.
7. What are clinical features and treatment of post operative
endophthalmitis.

8. A 54 year old male presents with sudden painful loss of vision


in right eye. On examination there is hypopyon. He gives history of
right eye phacoemulsification with IOL implantation a few days
back. Give diagnosis and management.
9. Give ophthalmic and systemic causes of ectopia lentis.
10. A 60 year old underwent Uneventful cataract extraction with
lens implant two days after surgery. He complained of visual
reduction with severe pain. Give the most likely diagnosis and
treatment.
11. Give the occular side effects of commonly used systemic
drugs.
12. Give the uses of dilated drops in ophthalmology
13. A 70 year old patient presented with gradual painless loss of
vision in both eyes but more in right eye for past 2 years. Visual
acuity in his right eye was 6/60 and in left eye 6/24. His near vision
improved in last 2 years and he can read without glasses.Previously
he was using +2.50 D for near vision. There is no history of ocular
injury. Give most likely diagnosis. Steps of examination, surgical
procedures and early post operative complications.
14. A 50 year old poorly controlled diabetic presents with severe
pain, redness and marked reduction of vision in left eye. History
revealed that she was operated at an eye camp 3 days earlier for
cataract extraction. Give differential diagnosis, 3 possible
preventive measures to avoid such incidents and treatment.
GLAUCOMA
1. Outline the main steps of trabeculectomy.
2. Briefly describe the clinical features of congenital
glaucoma(buphthalmos).
3. What are clinical conditions associated with circum ciliary
congestion
4. Briefly describe the clinical features and treatment of primary
open angle glaucoma
5. Describe the clinical features of acute congestive glaucoma.
6. Give ocular side effects of commonly used systemic drugs.

7. Enlist main group of topical antiglaucoma medication with very


brief outline of their mechanism of action
8. Mention options for treating rubeotic glaucoma
9. Give medical and surgical treatment options for acute attack of
congestive angle closure glaucoma.
10. A 50 year old visited eye emergency with complains of severe
pain and redness in right eye for last one day. He also had episodes
of vomiting. Ophthalmic examination shows bilateral shallow
anterior chamber and IOP is 45 mmHg in left eye and 18 mmHg in
right eye. Give the treatment of patient in emergency and
afterwards on followup.

UVEAL TRACT
1. What are the clinical features and treatment of iridocyclitis.
2. what are the clinical features and treatment of acute anterior
uveitis.
3. What are the causes of rubeosis iridis.

RETINA
1. Mention types of diabetic maculopathy. Enlist its treatment
options.
2. What are the signs of central retinal vein occlusion. what are the
treatment options.
3. What are the types of retinal detachment. Enlist treatment
options of rhegmatogeous retinal detachment.
4. Give classification of diabetic retinopathy. Outline the treatment
plan of a patient with diabetic retinopathy.
5. A 50 year old man with uncontrolled diabetes presented with
maculopapular rash involving right forehead. Also having pain
photophobia and decreased vision due to central corneal branching
ulcer in right eye. Give its differential diagnosis, diagnosis and

management plan.
6. A 52 year old male diagnosed with type 2 diabetes of 10 year
duration was referred to ophthalmologist to rule out the presence of
diabetic retinopathy. What is the reason for neovessels on retina? If
NVD or NVE is seen on retina, what is the best treatment option
available to cause regression of these neovessels.
7. A 60 year old female diabetic had Hb A1C -8 ,serum creatinine
is 3 and BP is 150/90 mmHg. She developed gradual deterioration
in visual acuity of the right eye. The examination showed media is
clear. What is the most likely diagnosis. What are the different
treatment options.
8. What are the types of RD. Give treatment options .Also
Describe clinical features of proliferative RD.
9. Features of NPDR. And treatment of PDR.
10. A 25 year old highly myopic male presented with painless
decrease in vision in his right eye presenting with seeing of flashes
and floaters in front of that eye for past few days. Give diagnosis
(rhegmatogeous RD) , clinical signs and treatment options.
11. A 60 year old diabetic presented with sudden painless loss of
vision in right eye since 24 hours. He was advised some injection
in the same eye two weeks back by the doctor. What are the
possible causes of sudden painless loss of vison. (chapter 24)
what injection was advised and why? What are the steps in
management.

ORBIT
1.what are the signs and symptoms of orbital cellulitis. How will
you treat it? Management and Treatment of acute orbital cellulitis.
2.A 40 year old female presented with bilateral asymmetrical axial
proptosis.
Enlist differential diagnosis. What clinical signs you will look for
diagnosis. Enlist causes of proptosis and surgical procedures for its
correction.

3.Give the classification of thyroid ophthalmology.

OCULAR INJURIES
1. A12 year old boy had a blunt trauma by first complaint of
double vision with limitations of upgaze and periorbital
ecchymosis. Give differential diagnosis, causes of double vision,
other occular signs, two investigations to confirm and two
treatment options.
2. What is the treatment plan for traumatic hyphema
3. Give an account of ocular blunt trauma on anterior segment of
eye.
4. Ophthalmic emergency deptt data showed that numbers of
trauma cases are on the rise. What are the different preventive
measures you would advice if given a chance at electronic media.
5. A 40 year old male patient comes in eye OPD with complaint of
severe pain,redness and watering from the right eye. He had a
trauma while cutting fodder. On examination there is conjuctival
chemosis, corneal staining is positive and hypopyon is present.
Give diagnosis, treatment and complications
6. Give ocular signs of facial nerve paralysis and steps of
management.
7. Give the importance of eye examination in neurological disease.
8. Clinical conditions associated with circum cilliary congestion.
9. A farmer came to eye deptt with severe pain,redness, decrease
in vision. He had injury with plant material last week.On
examination , his vision was counting of fingers in right eye and
6/6 in left eye. There was central corneal infiltration and ciliary
congestion. Give diagnosis, differential diagnosis and
management.

ERRORS OF REFRACTION:
1. What are the common problems encountered with bilateral
aphakic spectacle correction?
2. Define LASER.Enlist types of refractive errors. What are the
different treatment options to correct those.
3. Describe hypermetropia. Give its etiology, management and
treatment.
4. What is presbyopia. The type of refractive error in presbyopia
and how can you correct it?
5. What are the types of myopia. How will you treat a case of
simple myopia.
6. A 50 year old man presented with blurring of vision distant
which is fully corrected with 6D concave lens. Give the surgical
procedures for treatment of this patient.
7. A 21 year old comes with blurred vision in both eyes.Refractive
error is 3D in both eyes. Name the error and how would you
correct it.
STRABISMUS (SQUINT)
1.a 60 year old hypertensive male presented with spontaneous
horizontal diplopia. On examinaton the left eye was deviated
inward. What is the diagnosis and treatment.
2.A 3 year old boy presented to OPD accompanied by his mother
who noticed squint in his right eye. On retinoscopy, he was found
to be a 3.0D hypermetropic both eyes. Which lens type would be
suitable for his refractive error.
3. Classify concomitant esotropia. Enlist main types of childhood
esotropias. Mention treatment options for accomodative esotropia.
How will you treat a 6 months old child with infantile esotropia.
4.What are the different causes of oculomotor nerve palsy in a 60
year old man.
5. Difference between accomodative and non accomodative
squint.
6.A 3 year old is brought to you by inward turning of right eye for

past 6 months. Give diagnosis and steps in management.


7. Define amblyopia. What are the different methods of testing VA
at different age groups.

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