Medical Student Lecture Handouts

 Goals and Objectives:

The goal of this elective is to expose medical students entering any discipline to the fundamentals of ophthalmology including:

  • The basic eye examination,
  • Recognition of common ophthalmic conditions
  • An understanding of the ophthalmic manifestations of selected systemic diseases
  • When to manage and when to refer patients with ophthalmic problems

Upon completion of the elective, the student should be able to:

  1. Perform a basic eye exam including obtaining a complete history, visual acuity, testing pupillary function including an understanding of the afferent pupillary defect, external examination, eye movements (using Hirshberg reflex) and confrontation visual fields.
  2. Know when a dilated fundus exam is indicated and practice fundus exam using the direct ophthalmoscope.
  3. Become familiar with common eye conditions that any primary care physician is likely to encounter including the indications for urgent or elective referral.
  4. Demonstrate their knowledge in the following areas:
    1. Acute and chronic vision loss
    2. The Red eye
    3. Ocular and orbital injuries
    4. Amblyopia and strabismus
    5. Neuro-ophthalmology
    6. Ocular manifestations of systemic diseases
    7. Ocular pharmacotherapy and ocular side effects of systemic medications
  5. Complete all assigned online lectures and reading assignments (below).

Required materials:

Bradford CA. Basic Ophthalmology. American Academy of Ophthalmology 2004 ; Chapters 1-9 A copy is on reserve at the Northport VA medical library and can be borrowed for the elective.

LECTURE VIDEOS AND HANDOUTS *

Basic Eye Exam   | handout | video A | video B | reprint |
Red Eye | handout | video | summary table |
Ophthalmic Trauma | handout | video | reprint |
Amblyopia Strabismus | handout | video A | video B |
Systemic Diseases | handout | video part A | video part B |
Slow Vision Loss | handout | video |
Sudden Vision Loss | handout | video |
 Surgical Videos | cataract a | cataract b | Glaucoma filter | Glaucoma valve |

Hieroglyphics of the Eye Exam (P Sibony)
Referral Guidelines for the Primary Care Physician (P Sibony, F ElBaba)
Basic Eye Exam

* Note. if the video does not open after allowing for adobe player try viewing on a different browser, i.e. chrome or firefox

 

Other Useful Clinical Resources for Medical Students:

Vislisel J. Iowa Guide to the Ophthalmology Match 2013-2014: [excellent, comprehensive summary of the application process]

Root, Timothy MD  Ophthobook, ISBN-13; 978-1448638826

          Neuro-opthalmology: https://www.youtube.com/channel/UC5HcfsELV0W9AqtvJvpQQSg

Basic Eye Anatomy and Exam:

https://uicapture.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=34936855-fcb7-4e96-93ec-a9d50044df35

 The Slit Lamp exam:

http://webeye.ophth.uiowa.edu/eyeforum/atlas-video/slitlamp.html

 Acute Vision Loss and the Red Eye: (May duplicate slightly what is already on SB Website)

https://uicapture.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=eb65b5d4-505e-451a-95d3-f93aa9dd8da8

https://uicapture.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=26b33a32-e445-418e-8da9-4fcf593eccf7

https://aao.box.com/s/dn87nowwyix9cnndrmghbupe1guwajcr

 Ocular and Orbital Injuries:

https://uicapture.hosted.panopto.com/Panopto/Pages/Viewer.aspx?id=0b4cbe61-e7db-4d49-8fdf-086550313785

 Surgical Videos (From EyeRounds.Org):  Use especially if scheduled to see a procedure in the OR

http://www.eyerounds.org/video/Cornea/PKP.htm - Cornea Transplant

http://www.eyerounds.org/atlas-video/Phaco-first-case.htm - Cataract surgery

http://www.eyerounds.org/atlas-video/ahmed-valve-glaucoma-surgery.htm - Glaucoma tube shunt

http://www.eyerounds.org/tutorials/intravitreal-injection/index.htm#video1 – Intravitreal injection (done VERY often in the clinic)

http://www.eyerounds.org/video/PediatricOphth-Strabismus-vids/medial-rectus-recession.htm  - Strabismus surgery

http://www.eyerounds.org/atlas-video/blepharoplasty-upper.htm - Blepharoplasty

 Practical “Print” material:

Timroot.com – good starting point for clinical exam

Eyeguru.com – more detail comp to Tim Root with high yield info and modules on OCT

 Quiz Material:

http://kellogg.umich.edu/theeyeshaveit/quiz/Side_Effects_of_Medication_Quiz/0.html - Anatomy, systemic disease, trauma, medications

 

Are you interested in pursuing a residency in Ophthalmology ? Read this ......