Exam Overview
How to Use Your Observation Time Wisely
Read the Station Overview: Think of it as reading the instructions before assembling IKEA furniture. Trust us; it helps!
Familiarize Yourself with the Room: Know where the necessary items are and get comfortable before you begin.
Practice with Equipment: Pretend you're seeing the slit lamp for the first time.
Slit Lamp Operation: Get cozy with that slit lamp; it’s the star of the show!
Focus the Slit Lamp: Don't forget to remove the focusing rod!
Wash Your Hands: No one wants their eyes examined by someone with dirty hands. Be a hygiene hero!
Disinfect the Slit Lamp: This is like putting on deodorant before a date. Always a good idea!
Set Out Supplies: Lay out your supplies like a chef prepping for a cooking show, but remember, NO OPENING PACKAGES!
Ask “Where” Questions: If you can't find something, just ask! But ask properly!
During the Exam
Ask Patients: "Which eye should we poke- I mean, examine?" Communication is key!
One Eye Wonder: You’ll be performing BIO on ONE eye. Don’t get greedy—stick to the one they tell you to view.
Seated or Reclined: You can either have the patient seated or reclined. Just make sure they consent to reclining first.
Verbal Findings: State your findings clearly and accurately.
Know your territory: The peripheral retina extends from the equator to the ora serrata. You should see at least part of the vortex vein ampulla and try to avoid seeing vasculature from the posterior pole arcades in your view!
Binocular Indirect Ophthalmoscopy (BIO)
Check Everything: Make sure to examine the posterior vitreous, optic nerve, four arcades, and macula. Use the biomicroscope and non-contact fundus lens like a seasoned pro.
Findings on ONE Eye Only: Remember, you're only looking at one eye, so make sure you’ve got your observations locked and loaded. Share them verbally like you’re trying to impress a crowd at an eye care convention.
Non-Contact Fundus Lens Examination
Direct and Retroillumination: You’ll need to examine the crystalline lens using both methods. Don’t forget—light source should be maxed out for retroillumination.
Anterior Vitreous: Don't forget to look at all the floaties in the anterior vitreous! Verbalize, verbalize, verbalize!
Dilated Biomicroscopy
15 Minutes of Glory
Total Examination Time: 18 minutes (15 minutes of examination + 3 minutes of observation)
Observation Time: 3 minutes
The proctors are like surprise guests at a party – they’ll show up with 30 seconds to go, so be ready!
Tips and Tricks
Stay Calm: Remember, you prepared for this moment!
Practice, Practice, Practice: Enlist your friends, family, or classmates as practice patients.
Visualize Success: Picture yourself passing the exam and celebrating with drinks—Hot cocoa sounds nice after this.