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OCANZ WRITTEN EXAM 2024 LATEST UPDATED 93 QUESTIONS AND ANSWERS
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OCANZ WRITTEN EXAM 2024 LATEST UPDATED 93 QUESTIONS AND ANSWERS
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By: drokuo • 3 months ago
By: PrincessKinsley • 3 months ago
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OCANZ WRITTEN EXAM 2024 LATESTUPDATED 93 QUESTIONS AND
ANSWERS
1. A 75 y/o F comes in for her annual check complaining of reduced
vision and increased intolerance to glare. She has had a myopic shift
and has cataracts. a) What factors should you consider when
referring for cataract surgery?: Cataract Cause of visual complaint
Compramising Lifestyle
Driver
Anisometropia
Visual Acuity
Other Ocular Pathology
General Health and Medications
Patient wants to have operation
2. b) What type of cataract is most likely from the above description?:
Nuclear Sclerotic
3. c) Describe a cataract op in laymans terms: Outpatient Basis
Before surgery seen by a specialist doctor
30-40 minutes on local anaesthetic
,The Surgeon will make a tiny cut in your eye to get to the lens
High-frequency ultrasound device that breaks up the cloudy lens into
small pieces Small pieces gently removed from the eye with suction.
Cloudly lenses replaced by a clear plastic one
4. d) What are the post op drops (names and concentration) and
common post-op complications you would look out for weeks after?:
Postoperative regimens of topically applied antibiotics, corticosteroids,
NSAIDs, and oral analgesic agents vary among practitioners.
From Incision - wound leak
Corneal Astigmatism
Keratopathy
IOP rise
Endopthalmitus
IOL disslocation
Sunset syndrome
Iris epithelial ingrowth
Pupil Capture
CMO
Retinal Detachment
, 5. Signs of Glaucoma: Disc Signs: Asymetric Cupping, Disc
Haemorrhage , Increased cuppping, RNFL changes, PPA, NRR thining.
Visual field loss characteristic to ONH changes, notching, superior
arcuate defect.
6. How is glaucoma diagnosed.: Progression analysis, visual fields and
RNFL scanning using OCT
7. Medisoft plot, RE: false +ve 3% fixation losses 7/10 Le: false +ve 7%
fixation losses 2/10.
What is the reliability of the fields?: Fixation loss higher than about 20%
is deemed unreliable.
A false positive rate around 20% or higher is considered to indicate low
patient reliability
8. Medisoft plot showing a right homonymous hemianopia with
macular sparing.
What is the full name and classification of the condition?
Where in the visual pathway is the loss?: Right homonymous
hemianopia with macular sparing indicating a legion in the posterior
occipital lobe and optic radiations or optic tracts
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