FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2014
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OPHTHALMOLOGY
PAPER -
OPH/J/M4/126/\V
Time : 3 hours
Max. Marks : 100
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Important instructions:
- Attempt all questions in order.
- Each question carries 10 marks.
- Read the question carefully and answer to the point neatly and legibly.
- Do not leave any blank pages between two answers.
- Indicate the question number correctly for the answer in the margin space.
- Answer all the parts of a single question together.
- Start the answer to a question on a fresh page or leave adequate space between two answers.
- Draw table/diagrams/flowcharts wherever appropriate.
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- a) Enumerate the differential diagnosis of a pigmented iris lesion. (6+4)
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b) Write a short note on histopathology of choroidal melanoma. - Classify corneal dystrophies. Describe the histopathological changes of stromal dystrophies and specific stains used in each. (4+6)
- Discuss the differential diagnosis of retinoblastoma. Discuss the factors which affect the genetic counseling for patients of retinoblastoma.
- What is blade-free cataract surgery? What are its advantages over conventional phaco-emulsification? What are its disadvantages? (2+4+4)
- Describe technique, advantages and disadvantages of topical, retrobulbar block, peribulbar block and facial block - anaesthesia for ocular surgery. (2+3+3+2)
- Discuss the differential diagnosis, investigations and management in a 22 year male with unilateral, profound and sudden diminution of vision. (4+2+4)
- a) Classify various ocular lubricating agents used in the management of dry eye disease. (4+2+4)
b) What is the role of preservatives used in them?
c) What are the various types of preservatives used in lubricating agents? - a) Describe in brief various aberrations of the optical system of the eye. (5+5)
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b) What are the various corrective mechanisms both in the eye to overcome these?
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