Download KUHS (Kerala University of Health Sciences) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd Year Ophthalmology Syllabus
l. Methods in Biostatistics by B K Mahajan
m. Textbook of Preventive & Social Medicine by Gupta & Ghai
n. Text book of Preventive & Social Medicine by Gupta& Mahajan
o. Essentials of Community Medicine by Suresh Chandra
p. Introduction to Biostatistics by Sathya Swaroop
q. Community Medicine with Recent Advances by AH Suryakantha
r. Principles and Practice of Community Medicine by Dr. Asma Rahim
s.Indian Primer to Palliative Care
t. Community Medicine Simplified by Sreejith P S, Paras Medical Books
Reference Books:
a. Preventive Medicine and Public Health Appleton Century Crofts ? Maxcy, Kennith F
Rosenau
b. Preventive Medicine for the doctor in his community ? Level H R & Clark E G; Mc Graw
HillBook Company
WHO Online resources
c. Theory & Practice of Public Health ? Hobson W Oxford University
Press d. American P H Association Communicable Disease Control in man
e. Manson's tropical diseases ? Wilcock's & Manson
f. Oxford test book of Public Health 4th edn.
g. Public Health & Preventive Medicine J M Last
WHO online resorsess
National health websites- mohfw, ncdc
OPHTHALMOLOGY
I. Goal
The broad goal of the teaching of students in Ophthalmology is to provide such knowledge and
skills to the student that shall enable him/her to practice as a clinical and as a primary eye care
physician: and also to function effectively as a community health leader to assist in the
implementation of National Programme for the prevention of blindness and rehabilitation of
the visually impaired.
II. Objectives
At the end of the course, the student shall be able to:
1. Identify common diseases of the eye
2. Diagnose and treat common diseases of the external eye-conjunctivitis, stye, extraocular
foreign body, corneal abrasion, Vitamin A deficiency
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3. Recognise and initiate treatment (prior to referral) for sight threatening diseases like acute
glaucoma, keratomalacia, corneal ulcer , ocular trauma, alkali/chemical injuries.
4. Demonstrate knowledge of blindness and its causation. Be an active participant in the
implementation of the National Programme for Control and prevention of Blindness
5. Integration: To provide an integrated approach towards other disciples especially ENT,
General Surgery, General Medicine etc.
III. Course Contents
The student should have knowledge on the following topics taken during their course.
IV. Topics
Title
Acute conjunctivitis, Trachoma, Allergic conjunctivitis, Pingencula, Pterygium, Xerosis/bitot
spots, Dry eye, Angular conjunctivitis, neonatal conjunctivitis, subconj hemorrhager, D/D of
conjunctival and limbal nodule
Chronic conjunctivitis, Dry eye, Membraneous conjunctivitis, Inclusion conjunctivitis Corneal
Inflammations: Corneal Ulcers-bacterial, , fungal, viral, Mooren's Ulcer Vitamin A Deficiency
and keratomalacia, Exposure keratitis, Neuroparlytic keratitis, Corneal blindness, Eye
banking, eye donation, Keratoplasty, Arcus senilis, Corneal oedema
Deep / interstitial keratitis, degenerations and dystrophies, Overview of keratorefractive
surgery.
Scleritis, episcleritis
Iridocylitis, Panophthalmitis, Endophthalmitis
Systemic associations of uveitis,Choroiditis, Coloboma iris, ocular albinism,
Vitreous hemorrhage-causes
Synchisis syntillans, Asteroid hyalosis
Angle closure glaucoma, Open angle glaucoma, steroid induced glaucoma, lens
induced glaucoma including surgery and management
Cataract and management , cong. Conditions, surgery and complications, lens
abnormality Secondary glaucomas, Congenital glaucoma
Fundus changes in Diabetes, Hypertension, anaemias, Pregnancy induced hypertension,
Hematological disorders, Myopia
Photocoagulation
Retinal vascular diseases-
Central retinal artery occlusion, Central retinal vein occlusion, Retinal detachment
Retinopathy of prematurity, Retinitis pigmentosa, retinoblastoma
Pappilledema, Optic neuritis, Optic atrophy
Awareness of amblyopia, Types of squint
Paralytic, non-paralytic)
Common causes of proptosis, Orbital ellulites, Cavernous sinus
thrombosis Dacryocystitis-congenital, Acute, chronic, Epiphora
ectropion entropion, trichiasis, ptosis, Iagophthalmos, symblepharon, blepharitis,
Chalazion,
Refractive
error,
Myopia,
hypermetropia,
Astigmatism,
Presbyopia,
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aphakia/pseudophakia, Anisometropia, overview of keratorefractive surgery
Chemical injuries, Open globe injuries, closed globe injuries and first aid treatment
including sympathetic injuries.
Siderosis bulbi, Chalcosis, medico legal aspects
Definition and types of blindness.
Causes of blindness
Promotion of eye donation
NPCB, Vision 2020, Eye
camps
Symptomatic disturbances of vision, Overview of Recent advances in Ophthalmology
Lasers in Ophthalmology
Enucleation ? Indication , technique
Eye & systemic diseases including AIDS
Causes of sudden /partial/ painless dimension of vision
Ocular malignancy-retinoblastoma and malignanant melanoma of choroid
Pharmacology
Chronic side effects of systemic medication, local anaesthetics, viscoelastics, steroid and
NSAIDS
V. Skills
At the end of the course, the student shall be able to:
a. Elicit a history pertinent to general health and ocular status.
b. Assist in diagnostic procedures such as visual acuity testing, examination of eye, Schiotz
tonometry, staining for corneal pathology, confrontation perimetry, direct ophthalmoscopy
examination, squint examination.
c. Interpreting FFA, Optical Coherance Tomography (OCT), Humphrey Perimetry, Corneal
Topography, Gonioscopic findings and observing laser and surgical procedures d. Diagnose
and treat common problems affecting the eye.
e. Interpret ophthalmic signs in relation to common systemic disorders
f. Assist/ observe therapeutic procedures such as subconjunctival injection, corneal
conjunctival foreign body removal, nasolacrimal duct syringing and tarsorrhaphy g. Provide
first aid in ophthalmic emergencies.
h. Assist to organize community survey for visual check up.
i. Assist to organize primary eye care service through primary health centres.
j. Use effective means of communication with the public and individual to motivate for
surgery in cataract and for eye donation.
k. Establish rapport with his seniors, colleagues and paramedical workers, so as to effectively
function as a member of the eye care team.
l. Assist in speciality clinics ? namely, Cornea, Retina, Glaucoma, Squint & Low Vision Aid clinic
m.v Commuicate with patients regarding common opthalmological problems, investigations
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and treatment .
n.v Common ethical issues in ophthalmology and eye donation.
VI. Knowledge
At the end of the course, the student shall have knowledge of:
a. Common problems affecting the eye.
b. Principles of management of major ophthalmic
emergencies c. Main systemic diseases affecting the eye.
d. Effects of local and systemic diseases on patient's vision and the necessary action required
to minimize the sequelae of such diseases.
e. Adverse drug reactions with special reference to ophthalmic manifestations
f. Magnitude of blindness in India and its main causes.
g. National programme for control of blindness and its implementation at various levels.
h. Eye care education for prevention of eye problems.
i. Role of primary health centre in organization of eye camps.
j. Organisation of primary health centre and the functioning of the ophthalmic assistant.
k. Integration of the national programme for control of blindness with the other national
health programmes.
l. Eye bank organization
m. Caring for the eye and preventing damage in an unconscious patient
VII. Details of Lectures
Basic Anatomy, Physiology of eye, adenexa, lacrimal apparatus and orbit
Diseases of eyelids, lacrimal apparatus, orbit, Disease of conjunctiva
Disease of cornea, Disease of sclera, Disease of uveal tract,Disease of lens
Glaucoma, Vitreous, Injuries of the eye, Intraocular tumours, Retina, Optic nerve
Refractive errors/Refraction, Squint, Operations of the eye, Basic of neuro-ophthalmology,
Systemic disease and eye, Adverse drug reactions, Ophthalmic emergencies, Magnitude of
blindness
National Programme for control of blindness, Eye bank organization/ Eye donation,
Organisation of eye camps, Rehabilitation of the blind.
VIII. Clinical teaching during posting Clinical posting in batches during 5th& 7th
Semester.
Theory Lectures, Tutorials, Group discussions, Integrated teaching, Seminars, Approx. 100
Lectures of one hour each.
IX. Details of practicals X.
Clinical postings
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8.00 am to 9.00am - Clinical lecture
9.00am -12 noon - Case demonstration in outpatient department discussions during clinical
postings, case records, seminars, discussions, clinical exam
12-1 pm: Clinical lecture
Minimum one day per week is devoted for live operative surgery demonstration and
discussion.
Separate clinical record/ log books
PATTERN OF EXAMINATION Theory?
one paper 40 marks
(Should contain one question on pre-clinical and para-clinical aspects, of 10 marks)
Oral (viva)-10 marks
Clinical-30 marks
Internal assessment-20marks (theory-10; practical-10)
Total-100 marks
Scheme of Practical Examination
One long Case
: 1 x 15=15 marks
Two Short Case
: 2 x 5 = 10 marks
OSCE (5 stations)
: 5 x 1 = 5 marks
Total
:
30 marks
Internal Assessment
:
10 marks
Grand Total :
40 marks
Text book recommended
1. Parson's disease of eye ? Sihota & Tandon
2. Ophthalmology for under graduates? Dr. P.S. GirijaDevi
Reference books
Clinical ophthalmology : Kanski J J
OTORHINOLARYNGOLOGY
A. Goal
The broad goal of teaching undergraduate students Otorhinolaryngology is to ensure that they
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This post was last modified on 06 August 2021