Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd year Ophthalmology Syllabus

MUHS Ophthalmology CBME U.G Curriculum
(a) Competencies: The student must demonstrate :
1. Knowledge of common eye problems in the community
2. Recognize, diagnose and manage common eye problems and identify indications for referral,
3. Ability to recognize visual impairment and blindness in the community and implement
National programmes as applicable in the primary care setting.
(b) Integration: The teaching should be aligned and integrated horizontally and vertically in
order to allow the student to understand the structural basis of ophthalmologic problems,
their management and correlation with function, rehabilitation and quality of life.
TEACHING METHODS & HOURS
Large Group
Small group
SDL
AETCOM
Total
Clinical/Field
Teaching
teaching/Practical
Posting
/Tutorials
-
-
-
-
-
-
3rd part
30 hours
60 hours
10 hours
MODULE
100 hours
PHASE 2
I/I
3.2
PHASE 3
Total
30 hours
60 hours
10 hours
100 hours
8 weeks
CURRICULUM
UG CURRICULUM FOR LARGE GROUP TEACHING
Topic
Topic
No. of
Integration Method of
code
hours
Teaching
(30)
Visual Acuity Assessment
OP1.1 Describe the physiology of vision
1 hr
physiology LGT
OP1.2 Define, classify and describe the types and
2 hrs
LGT
methods of correcting refractive errors
OP1.4 Enumerate the indications and describe the
1 hr
LGT
principles of refractive surgery
Lids and Adnexa, orbit
OP2.1 Enumerate the causes, describe and discuss
2 hr
Human
LGT
the etiology, clinical presentations and
anatomy
diagnostic features of common conditions of
the lid and adnexa including

---

Hordeolumexternum / internum, blepharitis,
preseptal cel ulitis , dacryocystitis ,
hemangioma, dermoid, ptosis , entropion, lid
lag, lagophthalmos
OP2.6 Enumerate the causes and describe the
1 hr
LGT
differentiating features and clinical features of
proptosis
Conjunctiva
OP3.3 Describe the aetiology , pathophysiology,
2hr
LGT
ocular features, differential diagnosis,
complications and management of various
causes of conjunctivitis
Corneas
OP4.1 Enumerate, describe and discuss the types and 3 hr
Human
LGT
&
causes of corneal ulceration
anatomy
OP4.2 Enumerate and discuss the differential
diagnosis of infective Keratitis
OP4.4 Enumerate the causes and discuss the
1hr
LGT
management of dry eye
OP4.5 Enumerate the causes of corneal blindness
1 hr
LGT
OP4.6 Enumerate the indications and types of
1 hr
LGT
keratoplasty
OP4.9 Describe and discuss the importance and
1 hr
LGT
protocols involved in eye donation and eye
banking
Iris and Anterior Chamber
OP6.1 Describe clinical signs of intraocular
2 hrs
LGT
inflammation and enumerate the features that
distinguish granulomatous from non
granulomatous inflammation.
OP6.2 Identify and distinguish acute iridocyclitis from
chronic iridocyclitis
OP6.7 Enumerate and discuss the aetiology, the
4 hr
Human
LGT
clinical distinguishing features of shallow and
Anatomy
deep anterior chamber . Choose appropriate
investigations for patients with above
conditions of anterior chamber
Lens

---

OP7.2 Describe and discuss the aetio-pathogenesis ,
1 hr
Pathology LGT
stages of maturation and complications of
cataract
OP7.4 Enumerate the types of cataract surgey and
1 hr
LGT
describe the steps intraoperative and
postoperative complications of extracapsular
cataract extraction surgery
Retina & Optic Nerve
OP8.1 Discuss the aetiology , pathology , clinical
1 hr
Human
LGT
features and management of vascular
Anatomy
occlusion of the retina
,
Pathology
OP8.3 Demonstrate the correct technique of a fundus 1 hr
LGT
examination and describe and distinguish the
funduscopic features in normal condition and
in conditions causing abnormal retinal exam
OP8.5 Describe and discuss the correlative anatomy , 2 hr
LGT
aetiology , clinical manifestations, diagnostic
tests , imaging and management of diseases of
optic nerve and visual pathway
Miscel aneous
OP9.2 Classify , enumerate the types, methods of
1 hr
LGT
diagnosis and indications for referral in a
patient with heterotropia/ strabismus
OP9.5 Describe the evaluation and enumerate the
1 hr
LGT
steps involved in the stabilization , initial
management and indication for referral in a
patient with ocular injury

---

UG CURRICULUM FOR SMALL GROUP TEACHING
Topic
Topic
No. of Integration
Method of
code
hours
Teaching
(60)
Visual Acuity Assessment
OP1.5
Define, enumerate the types and the
2 hr
SGT
mechanism by which strabismus leads to
amblyopia
Lids and Adnexa, orbit
OP2.4
Describe the aetiology , clinical
2 hr
SGT
presentation, Discuus the complication
and management of orbital cel ulitis
OP2.5
Describe clinical features on ocular
2 hr
SGT
examination and management of a
patient with cavernous sinus thrombosis
OP2.6
Enumerate the causes and describe the
3 hr
SGT
differentiating features and clinical
features and management of proptosis
OP2.7
Classify the various types of orbital
4 hr
SGT
tumors . Differentiate the symtoms and
signs of the presentations of various types
of ocular tumors
OP2.8
List the investigations helpful in diagnosis 2 hr
SGT
of orbital tumors. Enumerate the
indications of appropriate referral
Conjunctiva
OP3.4
Describe the etiology, pathophysiology ,
2hr
SGT
ocular features, differential diagnosis ,
complication and management of
trachoma
OP3.5
Describe the etiology, pathophysiology ,
2 hr
SGT
ocular features, differential diagnosis ,
complication and management of vernal
catarrh
OP3.6
Describe the etiology, pathophysiology ,
2 hr
SGT
ocular features, differential diagnosis ,
complication and management of
pterygium

---

OP3.7
Describe the etiology, pathophysiology ,
1 hr
SGT
ocular features, differential diagnosis ,
complication and management of
symblepharon
Cornea
OP4.3
Enumerate the causes of corneal edema
2 hr
SGT
OP4.7
Enumerate the indications and describe
2 hr
SGT
the methods of tarsorraphy
Sclera
OP5.1
Define, enumerate and Describe the
2 hr
SGT
etiology, associated systemic conditions ,
ocular features, indications for referral ,
complication and management of
episcleritis
OP5.2
Define, enumerate and Describe the
2 hr
SGT
etiology, associated systemic conditions ,
ocular features, indications for referral ,
complication and management of scleritis
Iris and anterior chamber
OP6.3
Enumerate systemic conditions that can
3 hr
SGT
present as iridocyclitis and describe their
ocular manifestations
OP6.4
Describe and distinguish hyphema and
3 hr
SGT
hypopyon
OP6.5
Describe and discuss the angle of the
3 hr
SGT
anterior chamber and its clinical
correlates
OP6.8
Enumerate and choose the appropriate
3 hr
SGT
investigations for patients with conditions
affecting the uvea
OP6.9
Choose the correct local and systemic
2 hr
SGT
therapy for conditions of anterior
chamber and enumerate their indications
, adverse events and interactions
Lens
OP7.1
Describe the surgical anatomy and the
2 hr
Anatomy &
SGT
metabolism of lens
biochemistry
Retina and Optic Nerve
SGT

---

OP8.2
Enumerate the indications for laser
4 hr
SGT
therapy in the treatment of retinal
disease ( including retinal detachment,
retinal degeneration , diabetic
retinopathy and hypertensive
retinopathy)
OP8.8
Enumerate and discuss treatment
5hr
SGT
modalities in management of diseases of
retina
Miscel aneous
OP9.3
Describe the role of refractive error
2 hr
SGT
correction in a patient with headache and
enumerate the indications of refrral
OP9.4
Enumerate, describe and discuss the
3 hr
SGT
causes of avoidable blindness and the
national programs for control of blindness
( including vision 2020)
UG CURRICULUM FOR CLINICAL DEMONSTRATION/BED SIDE TEACHING /
DOAP:
Topic
Topic
No. of
Integration
Method of
code
hours
Teaching
(10)
Visual Acuity Assessment
OP1.3
Demonstrate the steps in performing the
1 hr
physiology
DOAP
visual acuity assessment for distance
vision, near vision, color vision , the pin
hole test and the menace and blink
reflexes
Lids and Adnexa , Orbit
OP2.2
Demonstrate the symptoms and clinical
1 hr
Human
DOAP
signs of conditions enumerated in OP2.1
Anatomy
OP2.3
Demonstrate under supervision clinical
1 hr
DOAP
procedure performed in the lid including :
bel s phenomenon, assessment of
entropion / ectropion, perform the

---

regurgitation test of lacrimal sac, massage
technique in congdacryocystitis and
trichiatic cilia removd by epilation
Conjunctiva
OP3.1
Elicit document and present an
1 hr
DOAP
appropriate history in a patient presenting
with a " red eye" including congestion ,
discharge , pain
OP3.2
Demonstrate document and present the
correct method of examination of a red
eye including vision assessment , corneal
lustre, pupil abnormality, ciliary
tenderness
OP3.8
Demonstrate the correct technique of
1 hr
DOAP
removal of foreign body from the eye in a
simulated environment
OP3.9
Demonstrate the correct technique of
instil ation of eye drops in a simulated
environment
Cornea
OP4.8
Demonstrate the correct technique of
removal of foreign body in cornea in a
simulated environment
OP4.10 Counsel patient and family about eye
1 hr
DOAP
donation in a simulated environment
Iris and Anterior Chamber
OP6.6
Identify and demonstrate the clinical
1 hr
DOAP
features and distinguish and diagnose
common clinical conditions affecting the
anterior chamber
OP6.10 Counsel patients with condition of iris and
anterior chamber about their diagnosis ,
therapy and prognosis in an empathetic
manner in a simulated environment
Lens
OP7.3
Demonstrate the correct technique of
1 hr
DOAP
ocular examination ina patient with
cataract
OP7.5
To participate in team for cataract surgery 1 hr
DOAP
OP7.6
Administer informed consent and counsel
DOAP

---

patient for cataract surgery in a simulated
enviroment
Miscel aneous
OP9.1
Demonstrate the correct technique the
1 hr
DOAP
examine extraocular movements (
uniocular& binocular )
UG CURRICULUM FOR SDL
TOPIC CODE
TOPIC
TOTAL NO. OF INTEGRATI
METHOD
HOURS
ON
OF
TEACHING
Competency OP
Enumerate the
1ST Hour ?
SDL
4.5
causes of corneal
Introduction
blindness
2nd Hour ?
Enumerate the
symposium
indications and
3rd Hour - feedback
types of
Total : 3 hours
keratoplasty
Competency OP
Enumerate ,
1st hour ? Horizontal Horizontal
SDL
9.4
describe and
integration with
integration
discuss the causes
community
with
of avoidable
medicine
community
blindness and the
2nd hour ?
medicine
NPCB ( Including
orientation
VISION 2020)
3rd hour- quiz
Total : 3 hours
Competency OP
Enumerate and
1st hour ?
SDL
6.7
discuss the
Introduction/
aetiology, clinical
Orientation
features of various
2nd hour ? tutorials
glaucomas
Total : 2 hours
associated with
shallow and deep
anterior chamber.
Choose
appropriate
investigations and
treatment for
patients with
above mentioned
conditions
Competency OP
Define , enumerate 1st hour ?
SDL

---

1.5
the types and the
introduction
mechanism by
2nd hour ? role play
which strabismus
Total : 2 hours
leads to amblyopia
Suggested books :
1. Parson's text book of Ophthalmology
2. Kanski' s clinical Ophthalmology
3. Khurana's text book of Ophthalmology
4. Textbook of Ophthalmology, S.K Mittal ( Thieme), 2021 edition

---

Internal Assessment
Subject ? Ophthalmology
Applicable w.e.f batches admitted from 2019 and onwards
Phase
Theory
Practical
Second
-
EOP Practical Examination may be conducted.
MBBS
However, these marks shall not be added to the
Internal Assessment.
3rd Year (III MBBS, PART I)
Phase
I-Exam (March)
II-Exam Prelim (August)
Theory
Practical
Total
Marks
Theory
Practical
Total
Marks
I I/I
50
50
100
100
100
200
MBBS
Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
There shall be 2 internal assessment examinations in Ophthalmology
including Prelim.
2.
The suggested pattern of question paper for internal assessment internal
examinations, except prelim examination is attached at the end. Pattern of the
prelims examinations should be similar to the University examinations.
3.
Internal assessment marks for theory and practical wil be converted to out
of 25 (theory) + 25 (practical). Internal assessment marks, after conversion,
should be submitted to university within the stipulated time as per directives
from the University. Conversion Formula for calculation of marks in internal
assessment examinations.

---

Theory
Practical
Phase II
-
-
Phase III/I
150
150
Total
150
150
Conversion out of
25
25
Conversion
Total marks in 2 Total marks in 2
formula
IA
theory IA
Practical
examinations /6
examinations /6
Eligibility criteria
10
10
after conversion
Combined theory + Practical = 25
1. While preparing Final Marks of Internal Assessment, the rounding-off marks
shall done as il ustrated in fol owing table.
Total Internal Assessment Marks
Final rounded
marks
13.01 to 13.49
13
13.50 to 13.99
14
2. Students must secure at least 50% marks of the total marks (combined in theory
and practical / clinical; not less than 40 % marks in theory and practical
separately) assigned for internal assessment in order to be eligible for appearing
at the final University examination of that subject.
3. Internal assessment marks wil not to be added to marks of the University
examinations and wil be shown separately in mark list.
4. Remedial measures
A. Remedial measures for non-eligible students

---

i) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically. Extra classes for such students
may be arranged.
i ) If majority of the students found to be weak in a particular area then
extra classes must be scheduled for all such students. Even after these
measures, if a student is failed to secure 50% marks combined in theory
and practical (40% separately in theory and practical) after prelim
examination, the student shall not be eligible for final examination.
i i) Non eligible candidates are offered to reappear for repeat internal
assessment examination/s, which must be conducted 2 months before
next University examination. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. The marks in this examination shall be considered for
deciding the eligibility criteria. Fol owing conversion formula shall be
used for converting the marks.
Theory
Practical
Remedial
100
100
examination
Conversion out of
25
25
Conversion
Marks in remedial Marks in remedial
formula
theory
Practical
examinations /4
examinations /4
Eligibility criteria
10
10
after conversion
Combined theory + Practical = 25
B. Remedial measures for absent students:
If any of the students is absent for any of the 2 IA examinations due to
any reasons, fol owing measures shall be taken.
i.
The student is asked to apply to the academic committee of the col ege
for reexamination, through HOD, to ascertain the genuineness of the
reason for absentee.

---

i .
If permitted by academic committee, an additional examination for such
students is to be conducted after prelims examination. Marks for such
additional examination shall be equal to the missed examination.
i i.
Even if a student has missed more than one IA examination, he/she can
appear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,
without changing the denominator.

---

Format for Practical Examinations
Ophthalmology
Internal Assessment Practical
Seat
Long case
OSCE
Viva including Dark
Log book
Practical
No.
including
room instruments,
and Journal
communication
(2 stations of 5 marks
Operative
viva
Total
skil s
each)
instruments
Max
20
10
10
10
50
Marks
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skills and
Communication skills., history taking of a particular symptom.
Prelims and MUHS Final Practical
Seat
Long case
OSCE (4 stations)
Log book and Journal
Dark room
Operative
Practical
No.
including
viva
instruments
instruments
& Oral
communic
ation skil s
Max.
50
20
10
10
10
100
Marks
*Communication skills to be assessed by Kalamazoo Consensus, clinical signs to be assessed by
either GLOBAL Rating Scale or OSCE, Psychomotor Skills to be assessed by OSCE with checklist.
If the skills are small, 2 or 3 skills may be combined.

---

Internal Assessment Theory Examination (I)
Ophthalmology
SECTION "A" MCQ
Instructions:
1)
Put in the appropriate box below the question number once only.
2)
Use blue ball point pen only.
3)
Each question carries One mark.
4)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (10 Marks)
1.
Multiple Choice Questions (Total 10 MCQ of One mark each)
(1x10=10)
a)
b) c) d) e) f) g) h) i) j)
1)
Use blue/black ball point pen only.
2)
Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
Instructions:
attempt to resort to unfair means.
3)
All questions are compulsory.
4)
The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
Use a common answer book for all sections.
SECTION "B" (40 Marks)
2. Long Answer Questions structured clinical questions
(15 x1=15)
a)
(5 x 5=25)
3.Short Answer Questions (Any 5 out of 6),(including 1 on AETCOM)
a)
b) c) d)
e) f)

---

MUHS Final Theory Examination
Ophthalmology
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
FORMAT / SKELETON OF QUESTION PAPER
SECTION "A" MCQ
Instructions:
5)
Put in the appropriate box below the question number once only.
6)
Use blue ball point pen only.
7)
Each question carries One mark.
8)
Students will not be allotted mark if he/she overwrites strikes or put white ink on the cross once
marked.
SECTION "A" MCQ (20 Marks)
1.
Multiple Choice Questions (Total 20 MCQ of One mark each)
(1x20=20)
a)
b) c) d) e) f) g) h) i) j)
k) l) m) n) o) p) q) r) s) t)
SECTION "B" & "C"
Instructions:
1)
Use blue/black ball point pen only.
2)
Do not write anything on the blank portion of the question paper. If written anything, such type of act will be considered as an
attempt to resort to unfair means.
3)
All questions are compulsory.
4)
The number to the right indicates full marks.
5)
Draw diagrams wherever necessary.
6)
Use a common answer book for all sections.
SECTION "B" (40 Marks)
2. Long Answer Questions (Any 2 out of 3) structured clinical questions
(15 x 2=30)
a)
b) c)
(5 x 3=15)
3.Short Answer Questions (All 3),(including 1 on AETCOM)
a)
b) c)
SECTION C (40 Marks )
4 Long answer questions
(15x1=15)
a)
5 Short answer questions( any 4 out of 5) (Clinical Reasoning)
(5x4=20)
a)
b) c) d) e)

---

Document Outline

• MUHS__Ophthalmology_CBME_U_-_Copy.pdf
• Internal assessment format.pdf

---