NBE CME programme for DNB consultants - National Board Of ...

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NBE CME programme for DNB consultantsEndophthalmitisHistory - Intraocular Surgery; Trauma / Injury; Corneal Ulcer; Systemic IllnessExamination - Visual acuity especially Projection; Wound status, Suture abscess; Anterior Chamber;Reaction and Hypopyon; IOL Type / Aphakia / Vitreous in AC; Red GlowDiscussion - Etiology; Investigations including Vitreous tap. Emphasis on microbiological stainingand culture methods; Management including preparation and choice of Intravitreal therapy,Pharmacology of the drugs used; Surgical ManagementFacial paralysisHistory - Recent Illness / URI; Trauma; Ear Infection; Leprosy; Other InfectionsClinical Examination - Type of Facial palsy UMN / LMN; Bells phenomenon / Exposure Keratitis /Lagophthalmos; Test other cranial nerves; Test Corneal sensations; ENT examination; EpiphoraInvestigations - CT Scans; MRI Scan; EMGDiscussion and management - Medical Management; Role of Tarrsorraphy; Facial BlocksHerpes Zoster OphthalmicusHistory - History and development of lesions; HIV / ImmunodeficiencyExamination- Involvement of branches; Immunocomprimised lesions; Lesion Characteristics /Staining Techniques; Multiple Cranial Nerve involvement; Uveal InvolvementDiscussion - Management / Management in Immunocomprimised patient; ComplicationsCongenital anomalies of Anterior / Posterior SegmentPoints to be discussed - Uveal Lesions Complete / Incomplete / Grading of choroidal coloboma /Clinical Associations / Management / Complications / Genetics; Cornea Dystrophies / PresentationsInvestigations and Management; Retina / Clinical Associations / Genetics / Investigations /ManagementTraumatic CataractHistory - Nature of Injury / Occupation; Visual Disturbances; Pain / Redness (secondary Gl)Examination - Visual acuity; Corneal wound if Any (Perforating Injury); Lens status (Rosette Cataract/ Subluxated / dislocated); Vitreous status (Loss / In AC / Disturbed and its importance); Retinastatus. role of USGDiscussion - Timing and Type of the surgery; Use of CTR in Subluxated cataracts / ZonnularDehiscence; Vitrectomy; Choice of IOLDermoidPoints- Should be able to describe the lesion adequately; Able to give differential diagnosis ofdermoid; Systemic Associations of dermoid; Pathlogy of dermoid; Management of dermoid / Excisionin toto; Need for Lamellar graft in limbal dermoidsLid TumorsPoints-Exposure to U V Light / long sun exposure; Premalignant lesions of skin;Should be able todescribe the lesion adequately; Palpation of Lymph nodes / should know the lymphatic drainage ofthe lid / metastasis; Clinical Diagnosis of BCC / SCC / MCC; Histological features of BCC / SCC /MCC / ; Management options / Frozen Section ; Management of Lid defects / Large and small /name and technique of various lid sharing procedures / skin GraftingUveitisHistory- Visual disturbances; Pain / redness; Macropsia / Micropsia / Metamorpopsia and itsClinical Correlation; Flashes of Light; ScotomaExamination- Visual Acuity; Demonstration of Aqueous Flare / Cells; Posterior Synechie; LensStatus / cataract; I O P; Examination of Fundus / Indirect Ophthalmoscopy and Goldman 3 mirror forPars planitis; Any Other102
NBE CME programme for DNB consultantsDiscussion - Acute / Chronic / Healed Uveitis; Appropriate investigations; Management(Pharmacotherapy of Uveitis; Details of steroids use / indications / dosage / route and complications;Immunosuppressive drugs / Indications / Routes / Complications); Surgical Management; AnyOtherCorneal Opacity / ScarsPoints to be discussed - Coloured diagram of the findings; Cause of the lesion / Traumatic /Degenerative / Dystrophy; Test Ocular Surface; Management including L K / Amniotic MembraneGraft / P K; Limbal stem cell transplant / Amniotic membrane graft / Lamellar KeratoplastyEntropion / EctropionPoints to be discussed - Cause; Management including surgeriesPseudophakiaDiscussion - Type of IOL Used Advantages and disadvantages of the IOL material; Special IOLS likePhakic I O L, Accommodative I O L, Scleral Fixated I O L, Multifocal; Indications, Properties of the I OL stated as above; Patient Selection Which I O L to use in Multifocals; Problems with the above I OL’S; I O L Calculation Which Formula to useCranio Facial DisordersExamination and discussion-Know various cranio facial disorders and the etiology in relation withsutures; Know about the various skull sutures ; ComplicationsAngle Closure GlaucomaHistory - Pain / Redness/ Blurred vision; Colored haloes and its significance; Previous attacks;Using Glasses; Headache / Eye acheExamination with special reference to - IOP recording; Anterior chamber depth / Von Herrick’sClassification; Gonioscopy findings / Grading of the angle / Occudable / Non occludable; Anteriorchamber activity ; Nanophthalmos; Examination of the other eye too; Fundus examination Diagramsof Cup Disc ratio. Marking of the NRR, and Examination of the Nerve fibre layer by red free light.Importance of documentation of findings should be stressed; Visual field examination At least byconfrontation Procedure should be explained and testedDiscussion - Management of A C G; Role of Iridotomy / Iridoplasty; Malignant / Inverse glaucomaDiabetic RetinopathyPoints- Master 90 D examination Draw Retinal Diagram with color coding; Confirmation of thefindings; How to Differentiate MA with Blot Hges; CSME present or not. Criteria for CSME; High RiskCharacteristics Staging of DR according to latest criteria; Look out for NVI, NVA, NVD, NVE;Management plan of the patient including Metabolic control, Parameters; Indications / Procedure /details of Focal / Grid and PRP/ Type of laser used / Settings of the laser / No of settings / quadrantselection; VR surgery / Indications / Vitrectomy / Immediate / Late; Associated HypertensiveRetinopathy; Role and Indications of FA Findings therein; Any otherRetinal Vascular DiseasePoints - Master 90 D examination Draw Retinal Diagram with color coding; Confirmation of thefindings; Ischemic / Non Ischemic; Role of F A and its findings; Systemic examination check up;Treatment options Medical / Whether to do laser treatment or not; Indications / Procedure / Detailsof Focal / Grid and PRP/ Type of laser used / settings of the laser / No of settings / quadrantselection; Surgical Management. AV Sheathotomy; Associated Hypertensive RetinopathyRetinal DetachmentHistory-Dimness of vision; Loss of field of vision; Floaters / Flashes; Using Glasses HIGH MYOPIA;Trauma / Intraocular surgery; Diabetes; Systemic ConditionsExamination- Visual acuity; Pupillary Reactions; IOP; Indirect Ophthalmoscopy / Goldman 3 mirror103
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