Download VNSGU MBBS 3rd Year Ophthalmology Syllabus

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
OPHTHALMOLOGY

These guidelines are based on MCI recommendations.

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Teaching has to be done keeping in mind the goals and objectives to be achieved by medical
student

(i)
GOAL

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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.

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(II) OBJECTIVES
(a)
KNOWLEDGE
At the end of the course, student shall have the knowledge of
1.Common problems affecting the eye,

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2. Principles of management of major ophthalmic emergencies,
3.main systemic diseases affecting the eye;
4. Effects of local and systemic diseases on patient's vision and the necessary action
required to minimize the sequelae of such diseases;
5. Adverse drug reactions with special reference to ophthalmic manifestations;

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6, Magnitude of blindness in India and its main causes;
7. National programme for control of blindness and its implementation at various levels.
8. Eye care education for prevention of eye problems
9. Role of primary health center in organization of eye camps;
10.organization of primary health care and the functioning of the ophthalmic assistant;

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11. Integration of the national programme for control of blindness with the other national
health Programmes.
12. Eye bank organization

(b)

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SKILLS
At the end of the course, the student shall be able to:
1.elicit a history pertinent to general health and ocular status;
2. Assist in diagnostic procedures such as visual acuity testing, examination of eye,
Schiotz tonometry, Staining of Corneal pathology, confrontation perimetry,

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Subjective refraction including correction of presbyopia and aphakia, direct
ophthalmoscopy and conjunctival smear examination and Cover test;
3. Diagnose and treat common problems affecting the eye;
4. Interpret ophthalmic signs in relation to common systemic disorders,
5. Assist/observe therapeutic procedures such as subconjunctival injection, corneal

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conjunctival foreign body removal, carbolic cautery for corneal ulcers, Nasolacrimal
duct syringing and tarsorraphy;
6. Provide first aid in major ophthalmic emergencies;
7. Assist to organize community surveys for visual check up;
8. Assist to organize primary eye care service through primary health centers.

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9. Use effective means of communication with the public and individual to motivate for
surgery in cataract and for eye donation.
10. Establish rapport with his seniors, colleagues and paramedical workers, so as to
effectively function as a member of the eye care team.

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INTEGRATION
The undergraduate training in Ophthalmology will provide an integrated approach towards
other disciplines especially Neuro-sciences, ENT, General Surgery and Medicine.

LEARNING METHODS

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?
Total teaching hours: 100
?
Theory lectures: 70(4th,6th,7th term.)
?

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Tutorials :30(7th term)
?
Clinical Postings Two clinical postings of 4weeks
First
in

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4th semester and second in 6th semester and 3rd posting of 2 weeks in 7thterm
Bedside clinics 10 weeks of three hours per day 180 hours

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
OPHTHALMOLOGY

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INTRODUCTION ANATOMY & PHYSIOLOGY OF THE EYE COMMON
DISEASE OF EYE.

A) Conjunctiva.
Symptomatic conditions: - Hyperemia, Sub conjunctival Haemorrhage.

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Diseases: -
Classification of Conjunctivitis
:-
Mucopurulant Conjunctivitis
:- Membranous Conjunctivitis Spring Catarrh.

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:- Degenerations :- Pinguecula and Pterigium
B) Cornea :
- Corneal Ulcers: Bacterial, Fungal, Viral, Hypopyon.
:-
Interstitial

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Keratitis.
:-
Keratoconus.
:-
Pannus

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:-
Corneal
Opacities.
:-
Keratoplasty.

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C) Sclera :
:- Episcleritis.
:-
Scleritis.
:-

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Staphyloma.
D) Uvea :
:- Classification of Uveitis
:- Gen. Etiology, Investigation and Principles Management of Uveitis.
:-

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Acute
&
Chronic
Iridocyclitis.
:-

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Panophthalmitis.
:-
End
Ophthalmitis.
:-

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Choriditis.
E) Lens :
I) Cataract ? Classification & surgical management of cataract.
:- Including Preoperative Investigation.
:-

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Anaesthesia.
:-
Aphakia.
:-
IOL

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Implant
F) Glaucoma :

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:- Aqueous Humor Dynamics.
:- Tonometry.

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:- Factors controlling Normal I.O.P.
:- Provocative Tests.
:- Classifications of Glaucoma.
:- Congenital Glaucoma.
:- Angle closure Glaucoma.

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:- Open Angle Glaucoma.
:- Secondary Glaucoma
G) Vitreous :
:-
Vitreous.

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Opacities.
:-
Vitreous.
Haemorrhage.
H) Intraocular Tumours :

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:-
Retinoblastoma.
:-
Malignant
Melanoma

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I) Retina :



:- Retinopathies : Diabetic, Hypertensive Toxaemia of Pregnancy.

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:-
Retinal
Detachment.
:-
Retinitis

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Pigmentosa, Retinoblastoma
J) Optic nerve :
:-
Optic
Neuritis.

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:-
Papilloedema.
:-
Optic
Atrophy.

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K) Optics :

:- Principles : V.A. testing Retinoscopy, Ophthalmoscopy.
:-
Ref.

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Errors.
:-
Refractive
Keratoplasty.
:- Contact lens, Spectacles

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L) Orbit :

:- Proptosis ? Aetiology, Clinical Evaluation, Investigations &
Principles of Management
:- Endocrinal Exophthalmos.

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:- Orbital Haemorrhage.
M) Lids :

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:- Inflammations of Glands.
:-
Blepharitis.
:-
Trichiasis,

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Entropion.
:-
Ectropion.
:-
Symblepharon.

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:-
Ptosis.
N) Lacrimal System :
:-
Wet

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Eye.
:-
Dry
Eye
:- Naso Lacrimal Duct Obstruction

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:-
Dacryocystitis

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O) Ocular Mobility :
:-
Extrinsic

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Muscles.
:- Movements of Eye Ball.
:- Squint : Gen. Aetiology, Diagnosis and principles of Management.
:- Paralytic and Non Paralytic Squint.
:-

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Heterophoria.
:-
Diplopia.
P) Miscellaneous :
:-

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Colour
Blindness.
:- Lasers in Ophthalmology ? Principles.
Q) Ocular Trauma : - Blunt Trauma.
:-

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Perforating
Trauma
:-
Chemical
Burns

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:-
Sympathetic
Ophthalmitis
2) Principles of Management of Major Opthalmic Emergencies :

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:- Acute Congestive Glaucoma.
:- C. Ulcer.
:-
Intraocular
Trauma.

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:-
Chemical
Burns.
:- Sudden Loss of vision
:-

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Acute
Iridocyclitis.
:-
Secondary
Glaucomas

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3) Main Systemic Diseases Affecting the Eye :
:-
Tuberculosis.
:-
Syphilis.

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:-
Leprosy.
:-
Aids.
:-

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Diabetes.
:-
Hypertension
4) Drugs :
:-

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Antibiotics
:-
Steroids.
:-
Glaucoma

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Drugs.
:-
Mydriatics.
:-
Visco

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elastics.
:-
Fluoresceue.
5) Community Ophthalmology :

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:- Blindness : Definition Causes & Magnitude
N.P.C.B.
?
Integration
of N.P.C.B. with other health

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:-
Preventable
Blindness.
:-
Eye

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care.
:- Role of PHC's in Eye Camps.
:-
Eye
Banking.

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6) Nutritional
:- Vit. A. Deficiency.

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
Clinical Ophthalmology cases To Be Covered MBBS

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_________________________________________________________________________
History taking & Eye examination
Assessment of visual function.
Conjunctiva
:-

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Pterigium.
:-
Pinguecula
:-
Conjunctivitis.

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:- Sub Conj. Haemorrhage.
Cornea
:- Corneal Opacity .
:-
Corneal

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Ulcer.
:-
Corneal
Abscess.
:-

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Corneal
Transplant
Sclera
:- Scleritis, Epi Scleritis.
:-

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Staphyloma.
Uvea
:- Iridocyclitis.
Lens
:- Cataract.

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:-
Aphakia
:-
IOLs
:-

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Complications
Glaucoma ? Types, Signs, Symptoms & Management Squint
Lids
:-
Entropion

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:-
Ectropion
:-
Ptosis.

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VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.

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T.Y. M.B.B.S.
OPHTHALMOLOGY - MBBS
___________________________________________________________________________
TUTORIALS
TOPICS

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(Total

30

Hours)

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__________________________________________________________________________
SURGICAL TECHNIQUES

Cataract

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:- ECCE
:-
ICCE
:- IOL Implantation
:-

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Phaco-emulsification.
- Pterigium
- Chalazion
-
Glaucoma

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- Foreign Body Removal
- Enucletion
- Keratoplasty
- Basic of squint, L 10
Instruments

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- OPD
-
Operative
- Basic Examination and Diagnostic instruments
Tonometer, Sac Syringing, Slip Lamp.

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Optics
- Lenses ? Spheres, Cylinders, Prisms, Pinhole, Slit, Maddox Rod &
Maddox wing, Red & Green Glasses.
-
IOLs

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-
Ophthalmoscopy
-
Retinoscopy
-

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Contact
Lenses
-
Colour
Vision

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Drugs
Miotics Antibiotics
Antiglaucoma
Mydriatics
Steroids Anti

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virals
NSAIDS Anti
Fungal
Viscoflastics
Pre-Op. & Post ? Op.

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_

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___________________________________________________________________________
Lecture held each term for VII and VIII term :
Under graduate Theory Lectures:
Topics

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__________________________________________(No.of)_________________________
1. Anatomy & Physiology
4
2.
Optics

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6
3.
Conjunctiva 4
4.
Cornea

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6
5.
Sclera
1
6.

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Uvea 4
7.
Cataract
6
8.

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Glaucoma
6
9.
Optic
Nerve 4

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10.
Retina
1
11.
Vitreous

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4
12.
Squint
4
13. Community Ophthalmology

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2
14.
Lids 4
15.
Orbit

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2
16. Lacrimal Appartus and Dry Eye
4
17. Miscellaneous & Others
2

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____________________________________________________________________
Total Lectures
70
____________________________________________________________________
Tutorials

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30
__________________
100

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