FirstRanker Logo

FirstRanker.com - FirstRanker's Choice is a hub of Question Papers & Study Materials for B-Tech, B.E, M-Tech, MCA, M.Sc, MBBS, BDS, MBA, B.Sc, Degree, B.Sc Nursing, B-Pharmacy, D-Pharmacy, MD, Medical, Dental, Engineering students. All services of FirstRanker.com are FREE

📱

Get the MBBS Question Bank Android App

Access previous years' papers, solved question papers, notes, and more on the go!

Install From Play Store

Download MGR MBBS 3rd Year Ophthalmology Syllabus

Download MGR (The Tamil Nadu Dr. M.G.R. Medical University) MBBS (Bachelor of Medicine and Bachelor of Surgery) 3rd Year Ophthalmology Syllabus

This post was last modified on 02 July 2021

OPHTHALMOLOGY

I. Goal
The goal of teaching of students in ophthalmology is to provide such
knowledge and skill to the students that will enable them to
1. Diagnose and manage common ophthalmic diseases, ocular

--- Content provided by​ FirstRanker.com ---

manifestations of systemic diseases and emergencies.
2. Knowledge of using common drugs keeping in mind their
adverse reaction.
3. Knowledge of common ophthalmic investigations and interpretation
of results.

--- Content provided by​ FirstRanker.com ---

II. Objectives
A. Knowledge
1. Aetiology, Clinical features and treatment of conjunctival
infections, allergies, pterygium, xerosis and trachoma.
2. Aetiology, Clinical features, complications and treatment of

--- Content provided by FirstRanker.com ---

coreneal ulcers, keratomalacia and other inflammations of sclera
and cornea.
3. Basic principles of corneal blindness eye donation and corneal
transplant (keratoplasty).
4. Aetiopathogenesis and complications of ectropion, entropion,

--- Content provided by​ FirstRanker.com ---

ptosis, lagophthalmos, symblepharon and lid inflammations.
5. Aetiology, clinical features and treatment of lacrimal sac infections
and causes of epiphora.
6. Classification, clinical features,diagnosis and treatment of various
forms of congenital and senile cataract.

--- Content provided by‌ FirstRanker.com ---

7. Classification, clinical features, diagnosis and treatment of various
forms of glaucoma.
8. Classification, etiology, clinical features, complications and
management of various diseases of uveal tract.

9. Classification, aetiology, clinical features and treatment of various

--- Content provided by FirstRanker.com ---

refractive errors and presbyopia.
10. Types of blindness causes and their management .
11. Objectives of National Program for Control of Blindness,
Trachoma control Program and vision 2020.
12. Aetiology, Clinical features and treatment of common retinal

--- Content provided by​ FirstRanker.com ---

disorders including retinopathies vascular occlusions,
degenerations, inflammation and detachment.
13. Types of ocular trauma,clinical features, complications and
management including sympathetic ophthalmia.
14. Aetiology, Clinical features and management of optic nerve

--- Content provided by‌ FirstRanker.com ---

disorders including optic atrophy, differentiation of papilloedema
and optic neuritis.
15. Aetiology, clinical features and management of orbital diseases
common causes of proptosis.
16. Ocular manifestation of systemic diseases including diabetes,

--- Content provided by⁠ FirstRanker.com ---

hypertension, tuberculosis, leprosy, anemia, AIDS and pregnancy
induced hypertension.
17. Ocular side effects of systemic drugs.
18. Aetiology, Clinical features and principles of treatment of vitreous
diseases e.g., haemorrhage, degeneration, endophthalmitis.

--- Content provided by FirstRanker.com ---

19. Recent advances in ophthalmology-lasers, intraocular lens
implantation.
B SKILLS
1. Determine visual acuity
2. Test Colour vision

--- Content provided by⁠ FirstRanker.com ---

3. Anterior segment examination using torch light and slit lamp
biomicroscope
4. Use of direct ophthalmoscope.

5. Determine field of vision by confrontation method
6. Removal of extra ocular foreign body

--- Content provided by‌ FirstRanker.com ---

7. Perform epilation of eyelashes.
8. Incise and drain lid abscess
9. First aid for chemical injuries.
C. INTEGRATION
The Under graduate training in ophthalmology will provide an integrated

--- Content provided by⁠ FirstRanker.com ---

approach towards other disciplines like Neuro-Sciences, Dermatology,Dental,
ENT, Obstetrics & Gynaecology, Pediatrics, General Surgery and General
Medicine.
II TEACHING HOURS - 100
1. Lectures ? 64hours,

--- Content provided by FirstRanker.com ---

2. Theory TESTS-3x2=06 hrs
3. Integrated Lectures ? 20 hours
4. Demonstration - 4 hours
5. seminars --6 hours
III TEACHING METHODOLOGY

--- Content provided by‌ FirstRanker.com ---

Didactic lectures,
Seminars,
Short lectures,
Case presentations,
DEMONSTRATION,

--- Content provided by‍ FirstRanker.com ---

Theatre live surgical demonstration,
Attending ward round,
Minor theatre- foreign body removal, syringing nasolacrimal duct,
Visual acuity testing.
IV THEORY SYLLABUS

--- Content provided by​ FirstRanker.com ---

1. Anatomy of orbit, eye ball & adnexa.
2. Anatomy of visual pathway, pupillary pathway
3. Physiology of eye.
4. Bio-chemistry of ocular tissues.
5. Lid swellings, blepharitis

--- Content provided by⁠ FirstRanker.com ---

6. Ptosis, Lagopththalmos, ectropion, entropion, symblepheron

7. Anatomy of lacrimal drainage system, dacryocystitis and management
8. DD of limbal nodule,
9. Scleral, Episcleral affections
10. Pterygium, pseudo pterygium and its management

--- Content provided by‍ FirstRanker.com ---

11. Etiology, Clinical features and management of Allergic conjunctivitis,
ophthalmia neonatorum, and other conjunctivitis.
12. Etiopathogenesis and clinical features, complications and management of
Bacterial, fungal, viral and protozoal corneal ulcer,
13. Etiology and types of cataract, preoperative evaluation, different types of

--- Content provided by FirstRanker.com ---

cataract surgery and post operative complications
14. Classification, etiopathogenesis, clinical features and management of various
glaucomas.
15. Various types of refractive errors and management. Retinoscopy and
pinhole, & Colour vision test

--- Content provided by‍ FirstRanker.com ---

16. Differential Diagnosis of Red eye.
17. Clinical features, Management and complications of uveal tract diseases.
18. Causes and types of blindness. National Program for Control of
Blindness(NPCB)District Blindness Control Society(DBCS) VISION 2020,
Eye Bank, Hospital corneal Retrieval Program (HCRP) ? objectives and

--- Content provided by‌ FirstRanker.com ---

functions
19. Aetiology, Clincial features and management of optic neuritis, optic atrophy
and papilloedema
20. Diabetic retinopathy, Hypertensive retinopathy, retinal detachment, Retinitis
pigmentosa, retinopathy of prematurity, retinal vascular occlusion

--- Content provided by FirstRanker.com ---

21. Signs of thyroid opthalmopathy.
22. Ocular manifestations of systemic disease.
23. Ocular motor nerve palsies
24. Types of ocular injuries, clinical features and management of chemical, blunt
injuries, sympathetic ophthalmia

--- Content provided by‍ FirstRanker.com ---

25. Causes of proptosis, clinical features, complications and management of
orbital cellulitis
26. White reflex in pupillary area.
27. Watch incision and curettage for chalazion, incision and drainage for lid and
lacrimal abscess, removal of corneal foreign body, epilation, enucleation and

--- Content provided by⁠ FirstRanker.com ---

evisceration
28. Lasers in ophthalmology
29. Ocular anaesthesia.
30. Types of strabismus, cover uncover test, Hirschberg's test
31. Types of amblyopia and management

--- Content provided by​ FirstRanker.com ---

32. Dry eyes & thyroid ophthalmopathy.

33. Ocular manifestations of rheumatological diseases.
34. Clinical presentation and discussion of ophthalmic cases
35. Medical ethics- Bioethics
-Benefits & harm,

--- Content provided by⁠ FirstRanker.com ---

-human dignity & human rights
V PRACTICAL SYLLABUS
LIDS;
Ptosis, lagophthalmos,entropion, ectropion.
Blepharitis, Chalazion, hordeolum internum, hordeolum externum,

--- Content provided by FirstRanker.com ---

Pterygium, limbal nodule, bitot's spot, subconjunctival hemorrhage
Chronic dacryocystitis
LENS:
Cataract
Lens induced glaucoma

--- Content provided by⁠ FirstRanker.com ---

GLAUCOMA
Primary glaucoma
Secondary glaucoma
UVEITIS
CORNEA

--- Content provided by⁠ FirstRanker.com ---

Corneal opacities, corneal ulcers (purulent & non purulent)
Anterior staphyloma
SURGICAL INSTRUMENTS, slides,(microbiology, pathology
Specimens, Drugs used in ophthalmology
INVESTIGATIVE tools (Fluorescein strips, ophthalmoscope etc)

--- Content provided by‌ FirstRanker.com ---

Visual Field charts, imaging,(CT, MRI, USG)
Refraction set, pinhole, maddox rod,
slit lamp examination
Tonometry
Colour vision

--- Content provided by​ FirstRanker.com ---

VI - REFERENCE LEARNING BOOKS
Parson's Diseases of the eye
Kanski's Text Book of ophthalmology
Kanski's Atlas in ophthalmology

VII Theory Examination :

--- Content provided by FirstRanker.com ---

1 . Essay
1 x 10 marks
= 10 marks
1. Brief Answeres 5 x 4 Marks
= 20 marks

--- Content provided by‌ FirstRanker.com ---

2. Short Answers 5 x 2 Marks
= 10 marks
--------------
Total
40 Marks

--- Content provided by‍ FirstRanker.com ---

VIII Practical Examination & sOSCE examinations
LONG CASE : 1 x 15 30 minutes 15 marks
Presentation-5 marks
Diagnosis & management-5 marks
Discussion-5 marks

--- Content provided by​ FirstRanker.com ---

SHORT CASES: 2 x 5 30 minutes 10 marks
Presentation -5 marks
Discussion -5 marks
OSCE/SPOTTERS 5 X 1 (10 minutes) 5 marks
Display for OSCE

--- Content provided by FirstRanker.com ---

Investigative tools & microbiology, pathology slides , Clinical Scenario
--------------
Total
30 marks
---------------

--- Content provided by FirstRanker.com ---

Viva
:
10 marks
I.A.
:

--- Content provided by​ FirstRanker.com ---

` 20 marks ( Theory 10, Practical
10)
SUGGESTED LONG CASES:
- Cataract, Aphakia,Pseudophakia, Lens induced glaucoma
SUGGESTED SHORT CASES;

--- Content provided by‍ FirstRanker.com ---


- Corneal opacity, Corneal ulcers, iritis, Pterygium, Bitots spots, Hordeolum
Internum & externum, Subconjunctival hemorrhage, blepharitis,ectropion,
entropion, trichiasis.
IX --VIVA
VIVA

--- Content provided by⁠ FirstRanker.com ---

=
10 marks ( 4 x2.5 )
Refraction
2.5 marks
Community ophthalmology

--- Content provided by‌ FirstRanker.com ---

2.5 marks
Systemic ophthalmology (includes Basic)
2.5 marks
Instruments & Pharmacology
2.5 marks

--- Content provided by​ FirstRanker.com ---

X INTERNAL

ASSESMENT =
20 Marks

--- Content provided by‍ FirstRanker.com ---

Theory (average of minimum 3 tests)
10 marks

Practical
( Practical 5 marks + Log Book 5 marks

--- Content provided by​ FirstRanker.com ---

10 marks

Log Book to be approved by HOD
FORMATIVE ASSESSMENT-WHEN TO SUBMIT ?
-
Formative assessment is an ongoing assessment wherein students in groups are allotted

--- Content provided by‍ FirstRanker.com ---

to be with a specific tutor/ consultant in the hospital during OPDs, theatre ? everyday for
about an hour.
-At the end of the each (3) posting, the tutor/consultant does a formative assessment of
the students who are posted with him/her.
Schedule for Formative assessment

--- Content provided by FirstRanker.com ---

PERIOD
POSTING DURATION
TESTS
4th Semester
4 Weeks

--- Content provided by‌ FirstRanker.com ---

One theory test
6th Semester
4 Weeks
Two theory tests and
two clinical test

--- Content provided by‍ FirstRanker.com ---

9th Semester
2 Weeks
One theory and one clinical test
Subjects wise Tests: (To be held according to clinical postings)
Test 1- Anatomy,physiology, biochemistry,pharmacology & pathology

--- Content provided by⁠ FirstRanker.com ---


Test 2-Cataract,glaucoma, cornea
Test 3-Uvea, Retina, Refraction, Neuro ophthalmology, systemic & community ophthalmology
Test 4-Model examination (Complete Syllabus including recent advances).
INTERNAL ASSESSMENT TEST-UNIT WISE ? submitted as below
X INTERNAL

--- Content provided by​ FirstRanker.com ---


ASSESMENT =
20 Marks
III.
Theory (average of minimum 3 tests)

--- Content provided by​ FirstRanker.com ---

10 marks
IV.
Practical
10 marks
V. For practicals ? the following can be added- Practical assessment is done by

--- Content provided by FirstRanker.com ---

end of posting practical exam and OSCEs similar to the university
exams. .
MEDICAL ETHICS-RESPECT OF CADAVER needs to be covered during their
induction into MBBS before anatomy dissection and classes.
MEDICAL ETHICS needs to be covered when students are introduced to clinics.

--- Content provided by FirstRanker.com ---

Separate medical ethics lecture or classers not required separately in ophthalmology.
INTEGRATED TEACHING ? needs to be addressed at a higher pan departmental
meeting involving the overall UG curriculum in- charge and all the departments. Not
possible by one department alone to decide on integrated teaching.
RECORD / LOG BOOK ? submitted- log book approved by the HOD has to be

--- Content provided by‍ FirstRanker.com ---

submitted at the time of university practical examination. The formatted log book has
already been made and available with the academic officer.
CRRI Orientation programme based on the clinical subjects- once again has to be done
by the overall UG curriculum ? in ? charge during overall orientation sessions.
Separate session needed for ophthalmology.

--- Content provided by‌ FirstRanker.com ---

Foreign body removal
Syringing of nasolacrimal duct
Observing IOP recording, perimetry recording,
Other investigative procedures
THEORY SYLLABUS

--- Content provided by‍ FirstRanker.com ---

MUST KNOW:
1. Anatomy of eye and various structures(parts)
2. Anatomy of visual pathway, pupillary pathway

3. Anatomy of lid - lid swellings, blepharitis, ptosis, lagophthalmos, ectropion,
entropion, symblepheron

--- Content provided by⁠ FirstRanker.com ---

4. Anatomy of lacrimal drainage system - dacryocystitis and management
5. VITAMIN A -Clinical features and WHO classification and management of Vit A
deficiency
6. DD of LIMBAL NODULE
-vernal,phlycten,episcleritis,scleritis,pterygium,pseudopterygium and its

--- Content provided by‌ FirstRanker.com ---

management
7. CONJUNCTIVITIS -Etiology, clinical features and management of Allergic
conjunctivitis, ophthalmia neonatorum, and other conjunctivitis.
8. CORNEAL ULCER -Etiopathogenesis and clinical features of Bacterial,fungal,viral
and protozoal corneal ulcer and its complications and management

--- Content provided by‌ FirstRanker.com ---

9. CATARACT -Etiology and types of cataract, preoperative evaluation, different types
of cataract surgery and post operative complications
10. GLAUCOMA -Classsification, etiopathogenesis, clinical features and management
of various glaucomas
11. REFRACTIVE ERRORS -Various types of refractive errors and management.

--- Content provided by​ FirstRanker.com ---

Retinoscopy and pinhole test
12. RED EYE -Differential Diagnosis of Red eye. Clinical features, management.
13. UVEITIS ?Iridocyclitis, clinical features and management
14. Causes and types of BLINDNESS. National Programme for Control of
Blindness(NPCB), District Blindness Control Society(DBCS),VISION 2020,EYE

--- Content provided by⁠ FirstRanker.com ---

BANK, Hospital Corneal Retrieval Programme(HCRP) - Objectives and Functions
15. Differentiation of optic neuritis, optic atrophy and papilloedema
16. Layers of retina. Diabetic retinopathy, hypertensive retinopathy, retinal detachment,
retinitis pigmentosa, retinopathy of prematurity, central retinal vein
occlusion(CRVO) and branch retinal retinal vein occlusion(BRVO)

--- Content provided by FirstRanker.com ---

17. Tests for visual acuity, colour vision, recording IOP, direct ophthalmoscopy
18. FIELD TESTING Confrontation method and Bjerrum screen
19. Medical ethics.
DESIRABLE TO KNOW:

1. Types of ocular injuries. Clinical features and management of chemical injuries,

--- Content provided by FirstRanker.com ---

blunt injuries, sympathetic ophthalmia.
2. Causes of Proptosis. Clinical features, complications and management of Orbital
cellulitis
3. Ocular manifestations of Tuberculosis, Leprosy, AIDS, Eclampsia, Anemia
4. Antibiotics, antifungal, antiviral, steroids, mydriatrics and cycloplegics.

--- Content provided by‌ FirstRanker.com ---

Antiglaucoma drugs- dose, mode of action and side effects
5. Incision and curettage for chalazion. Incision and Drainage for lid and lacrimal
abscess. Removal of corneal Foreign body, epilation
6. LASERS in ophthalmology
NICE TO KNOW:

--- Content provided by‌ FirstRanker.com ---

1. Origin, insertion, nerve supply and actions of Extra ocular muscles
2. Types of strabismus, cover uncover test, Hirschberg's test
3. Types of amblyopia and management

Practical syllabus
Must know;

--- Content provided by‌ FirstRanker.com ---

1. Basic examination of the eyes
2. Visual acuity recording- presence of refractive error or other ocular pathology
3. Detection of conjunctivitis, presence of extra ocular foreign body, cataract, iritis
4. First aid for ocular trauma-in particular chemical injuries
5. Management of conjunctivitis

--- Content provided by​ FirstRanker.com ---

6. Referring patients requiring ophthalmic opinion to the eye specialists.
7. Counseling for the patients with diabetes mellitus, hypertension, thyroid disorders,
pregnancy induced hypertension for a thorough ophthalmic check by the competent
ophthalmologists
Desirable to know;

--- Content provided by‍ FirstRanker.com ---

1. To check for presence of glaucoma
2. Neurological disorders requiring ophthal opinion- papilloedema-raised intra
cranial pressure
3. Presence of diplopia ? ocular motor nerve palsies= to R/O DM, HT, SOL
4. To give a thorough irrigation of eyes with clean water in the presence of chemical

--- Content provided by⁠ FirstRanker.com ---

injuries
5. To detect corneal pathology & refer the patients to an ophthalmologist.
Nice to know;
1. The presence of intra ocular infections
2. The presence of retinopathies

--- Content provided by​ FirstRanker.com ---

3. To detect papilloedema
4. To remove conjunctival foreign body ( not corneal foreign body)
5. Refer patients with any suspected ophthalmic diseases to the competent ophthalmologist.