1
Opthalmology
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ACKNOWLEDGEMENTS :
THANK YOU SO MUCH !!!
Mukesh . M - for sending the department questions
Raja Swetha . M ]
Durga Lakshmi . R ] for suggestions of University exam
Suriya Praba . R ] questions
This Question bank currently includes
All Possible Questions From Each Chapter .
University questions have been included here & there
( but NOT Complete !!! )
I've prepared them based on the idea :
" Each and every Final year Part 1 student
must know atleast these topics
before moving onto the next year " .
4
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PROMETHIANZ
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WISHING YOU All 3 DISTINCTIONS AND THE FIRST PLACEs
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Yours truly - N. Shakthi . G.S
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Table of contents
SECTION 1
Anatomy & Physiology of Eye ( pg 8 )
SECTION 2
Optics & Refraction ( pg 9 , 10 )
SECTION 3
Diseases of Eye ( pgs 11 - 31)
A. CONJUNCTIVAL DISEASES ( pg 11 , 12 )
B. CORNEAL DISEASES
( pg 13 , 14 )
C . SCLERAL DISEASES
( pg 15 )
D. UVEAL TRACT DISEASES ( pg 16 , 17 )
E. LENS DISEASES ( pg 18 , 19 )
F. GLAUCOMA ( pg 20 , 21 )
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G. VITREOUS DISEASES ( pg 22 )
H .RETINAL DISEASES ( pg 23 , 24 )
I.NEUROPTHALMOLOGY ( pg 25 )
J. OCULAR MOTILITY DISORDERS
( pg 26 )
K. EYELIDS DISORDERS ( pg 27 , 28 )
L. LACRIMAL APPARATUS
DISEASES ( 29 M.ORBIT DISEASES (
pg 30 )
N.OCULAR INJURIES ( pg 31 )
SECTION 4
Ocular Therapeutics ( pg 32 )
SECTION 5
Systemic & Community Ophthalmology ( pg 33 )
SECTION 6
Practical Ophthalmology ( pg 34 , 35 )
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SECTION 1
Anatomy & Physiology of Eye
( Go through them once !
Very basic & must know
to understand further topics * )
But few possible questions that can be asked :
1. Structures of eye developed from each embryonic layer *
2. Wald ' s visual cycle
3.Differences between light & dark adaptation
4.Coats of eyeball & its appendages *
5.Define phototransduction
9
SECTION 2
Optics & Refraction
( Important for Viva )***
Essay
1.myopia ***
2.astigmatism**
3.hypermetropia***
4.Refractive surgery ( may be asked )
10
5m
1. Types & uses of each optical lens ( ** mainly for viva )
2.pseudophakia ***
3.aphakia ***
4.Anisoemtropia *
5.presbyopia ***
6.contact lens *
7.LASIK *
2m
1.mechanism of accomodation
2.spasm of accomodation
3.paralysis of accomodation
4,strum ' s conoid **
11
SECTION 3
Diseases of
Eye
A . CONJUNCTIVAL DISEASES
Essay
1.phlyctenular keratoconjunctivitis **
2.Trachoma ***
3.bacterial conjunctivitis *
4.allergic conjunctivitis *
12
5m
1.acute bacterial conjunctivitis
2.ophthalmia neonatorum **
3.pterygium ***
4.spring catarrhal (vernal keratoconjunctivitis) ***
5.viral conjunctivitis *
6.ecchymosis / subconjuctival haemorrhage ***
2m
1.parts of conjunctiva
2.blood supply of conjunctiva
3.differences between viral / bacterial / allergic / chlamydial
conjunctivitis *
4.chronic bacterial conjunctivitis
5, angular bacterial conjunctivitis
6.epidemic keratoconjunctivitis *
7.simple allergic conjunctivitis
8.atopic keratoconjunctivitis
9.pinguecula *
10.
Name some tumors of conjunctiva
13
B. CORNEAL DISEASES
essays
1. bacterial corneal ulcer ***
2. fungal / mycotic corneal ulcer **
3. herpes zoster opthalmicus **
4.ocular lesions of herpes simplex & HSV keratitis **
5m
1.keratoconus ***
2.Management of corneal ulcer ***
3. complications of corneal ulcer **
4.acanthamoeba keratitis **
5. keratoplasty ***
6.corneal degeneration ( see through once )
7.Dystrophies of cornea ( see through once )
8.Interstitial keratitis *
14
2m
1. Layers of cornea *
2, Is cornea vascular ? Mention the mechanism of its transparency *
3.hypopyon corneal ulcer
4.treatment of non healing corneal ulcer *
6.Mooren's chronic serpinguous ulcer
7.marginal & geographical & dendritic ulcer s **
8.exposure keratopathy *
9.photo - ophtalmia*
10. congenital megalocornea
11.Arcus senilis **5
12.keratitis - neuroparalytic
13, Mention few refractive corneal surgery
14.causes for corneal oedema *
15.pannus **
15
C . SCLERAL
DISEASES
5m
1. episcleritis *
2. scleritis **
3.. staphyloma
2m
1. Conditions causing blue sclera
16
D. UVEAL TRACT DISEASES
Essay
1.anterior uveitis (iridocyclitis) ****
5m
1.classification of uveitis **
2. granulomatous & non granulomatous inflammation of uvea
3. Management of uveitis **
4.differences between acute iridocyclitis ,
acute congestive glaucoma & acute conjunctivitis
5. endopthalmitis ***
6. panopthalmitis ***
7.malignant melanoma of uvea *
8intermediate uveitis
9. Posterior uveitis *
17
2m
1.iris & ciliary body & choroid structure *
2.keratic precipitates **
3. Bechets syndrome
4. Reiters syndrome
5. AIDS manifestation of uvea ( CMV retinitis ) *
6.iris nodules *
7.aqueous flare *
8.hypopyon **
9.pthisis bulbi
10.Vogt - Koyanagi - Harada syndrome
11. Evisceration ***
12.mention few congenital anomalies of uveal tract
18
E. LENS DISEASES
Essay
1.Define cataract . Classify cataract . Write in detail Age related
/ Senile cataract ***
( etiopathogenesis , types , stages , clinical features & management )
2.Complications of Cataract surgery ***
5m
1. Congenital cataract ***
2.complicated cataract **
3.pre operative investigations for cataract surgery ***
4.conventional ECCE surgery ***
5.phacoemulsification ***
6.Intra Ocular Lens ***
7.After / Secondary cataract ***
19
2m
1.describe lens structure ***
2.Reasons for lens transparency ***
3.hypermature cataract *
4.metabolic cataract *
5.grading of nuclear hardness on slit lamp biomicroscopy *
6.preoperative preparation s & medications for cataract surgery **
7.SRK formula for IOL power calculation ***
8.dislocation of lens
9.lenticonus
10.iris shadow ***
11.differences between nuclear cataract
& immature cortical cataract ***
12.recent trends in cataract surgery
20
F. GLAUCOMA
essays
1. Define glaucoma . Explain in detail Primary open angle glaucoma POAG
***
( etiopathogenesis , clinical features , management )
2. Define glaucoma . Explain in detail primary angle closure disease
( complete ) PACD ***
( etiopathogenesis , clinical features , management )
3. Classify secondary glaucoma . Explain in detail the following
( lens induced* , neovascular** , uveitis induced , steroid
induced glaucomas )
21
5m
1. Primary congenital / developmental glaucoma **
2. anti - glaucoma drugs ***
3. normal tension glaucoma *
4.Optic disc changes & visual field defects in POAG***
5.primary angle closure glaucoma *
2m
1. anatomy of angle of anterior chamber **
2. aqueous humor - formation & drainage ***
3.Shaffer ' s grading of angle width of anterior chamber
4.Ocular hypertension *
5.peripheral iridectomy
6.glaucoma drainage devices
7.primary angle closure suspect *
8.Laser trabeculoplasty*
9.trabeculectomy
22
G. VITREOUS
DISEASES
2m
1.vitreous haemorrhage
2.vitreous detachment
3.vitreous opacity
4.pars plana vitrectomy
5.vitreous substitutes *
23
H .RETINAL DISEASES
Essays
1. Diabetic retinopathy ***
2. Hypertensive retinopathy ***
3. retinoblastoma **
5m
1.retinopathy of prematurity
2.cystoid macular oedema *
3.central retinal artery occlusion **
4. retinal vein occlusion ***
5. retinitis pigmentosa **
6. retinal detachment **
7. age related macular degeneration **
24
2m
1. retinal applied anatomy
2.Eale ' s disease *
3.central serous chorioretinopathy
4. layers of retina
5.toxemia of pregnancy *
6. Photoretinitis /solar retinopathy
7.arteriolar reflex changes in hypertensive retinopathy **
8.congenital diseases of optic disc
9.cotton wool spots **
10.drusen ***
11. A - V crossing changes ***
12.ocular ischemic syndrome
13.leucocoria **
14.enucleation ***
25
I. NEUROPTHALMOLOGY
5m
1. papilloedema ***
2. optic neuritis ***
3. optic atrophy *
4.toxic / nutritional optic neuropathy i.e Toxic amblyopia **
5.lesions of visual pathway *
6.abnormalities of pupillary reactions ***
7.differences between papilloedema , papillitis , pseudopapillitis *
8.colour blindness & tests for colour vision *
2m
1.amaurosis *
2. optic nerve anatomy
3. visual pathway
4.pupillary relexes **
5.amblyopia
26
J. OCULAR MOTILITY DISORDERS
( see through once ...
not important for UG point of view in our University )
Possible Questions That Are Commonly Asked :
5m
1.Define strabismus / squint .* Classify them * and write in detail
( any one type can be asked )
2.strabismus surgery
3. Nystagmus
2m
1.Name the extra ocular muscles . What are their actions ? **
2.name the synergists , antagonists & yoke muscles of eyeball
3.amblyopia *
4.diplopia *
5.Maddox rod & wing tests
6.differences between paralytic & non paralytic squint *
27
K. EYELIDS
DISORDERS
5m
1.blepharitis **
2.chalazion ***
3.hordeoulum externum ( stye ) ***
4.ectropion ***
5.entropion ***
6.ptosis ***
7.tumours of eyelid **
28
2m
1. anatomy of eyelids*** ( layers & glands mainly )
2.name some congenital anomalies of eyelids
3.lid oedema causes
4.hordeoulum internum
5, trichiasis **
6, distichiasis **
7, madarosis **
8.symblepharon *
9.lagophthalmos *
10. Lid retraction causes
29
L. LACRIMAL APPARATUS DISEASES
5m
1.tear film - describe the structure & functions ***
Write in detail about dry eye & it's management ***
2.watery eye - epiphora & hyper lacrimation ***
( causes & investigation )
3.congenital dacrocystitis ***
4. chronic dacrocystitis **
5.acute dacrocystitis **
6.dacryo cysto rhinostomy *** ( DCR )
7.dacryo adenitis *
2m
1.lacrimal apparatus **
2.mention the lacrimal glands **
3.Mikulicz ' s syndrome
4.dacryopes
5.mention some tumors of lacrimal gland
6.Dacryo cystectomy ( DCT ) ***
7.mucocoele **
30
M.ORBIT DISEASES
( see through once ...
not important for UG point of view in our University )
Possible questions that are commonly asked :
5m
1.proptosis *
2.orbital cellulitis***
3.cavernous sinus thrombosis
4.endocrine exopthalmos ( thyroid eye disease ) **
5.blow - out orbital fracture *
2m
1.describe the formation , walls & contents of orbit *
2.enopthalmos
3. Lid signs of thyroid eye disease ***
4.name some tumors of orbit
5.exenteration ***
31
N.OCULAR INJURIES
10m
1. Ocular injuries ***
5m
1.blunt ocular injuries *
2.intra ocular foreign body
3.chemical ocular injuries *
4.sympathetic opthalmitis *
2m
1.penetrating & perforating ocular injuries *
2.siderosis bulbi *
3.chalcosis
4.extra ocular foreign body
32
SECTION 4
Ocular Therapeutics
( see through once ...
not important for UG point of view in our University )
Possible questions that are commonly asked :
2m
1. Mention 4 anti viral drugs for ophthalmic use *
2..Mention 4 anti fungal drugs for ophthalmic use *
3.mention 4 anti glaucoma drugs with dosage & mechanism of action **
4.Mention 4 corticosteroids for ophthalmic use & mention the
indications **
5.Mention few tear film substitutes *
6.mention few intra ocular irrigating solutions & visco
elastic substances used for cataract surgery *
7.anti - VEGF - examples and indications for use
8.name some lasers used in ophthalmology & with their indication *
33
SECTION 5
Systemic & Community
Ophthalmology
( Important for Viva )***
5m
1.xeropthalmia ***
2.National Program for Control of Blindness ( NPCB ) ***
2m
1. Ocular involvement in AIDS *
2.Definitions of blindness ***
3.Vision 2020 ***
4, major causes of blindness in India *
5.SAFE strategy for Trachoma control
6.eye camp *
7.eye bank *
8.District Blindness Control Society ( DBCS ) *
34
SECTION 6
Practical Ophthalmology
( see through once ...
not important for UG point of view in our University )
Possible questions that are commonly asked :
5m
1.fundus fluorescein angiography *
2.Ocular ultra sonography *
3. Optical coherence tomography *
2m
1. Common ocular symptoms & signs and their causes
( any symptom & sign can be asked - refer to
Comprehensive Ophthalmology by AK Khurana 6th edition
35
pg s. 494 , 495 , 496 for symptoms
pg s . 523 , 524, 525 for signs )
2.tests for near & distant visual acuity * ( Snellens )
3.differences between conjunctival & ciliary congestion
4. uses of pinhole ***
5, What is the normal Intra ocular pressure ( IOP ) ?
How will you measure it ? ( name different tyoes of tonometers )
6.what is the normal extent of visual field ?
Define scotoma and list different types of perimeters
7.electro retino graphy ( ERG ) & electro oculo graphy ( EOG ) - Uses
8,slit lamp examination *
9, gonioscopy - angle structures seen & applications *
10.mention few darkroom procedures **
11.keratometry - principle & uses
12.retinoscopy - mention mydriatics and cycloplegics used ***
& mention the observation with
inference 13.peribulbar block
14.differences between direct & indirect opthalmoscopy *
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ALL
THE
BEST