Melaka-Manipal Medical College, Melaka

Department of Ophthalmology

Batch 27- Semester 6

Sessional Examination
Ophthalmology
Date: 4th October 2013 Time: 10.30AM-11.40AM

ANSWER ALL QUESTIONS & ILLUSTRATE WHENEVR NECESSARY

Q1. Structured Essay Question (10 Marks)

A 30 year old accountant Ms M, known case of Graves disease was admitted to eye ward for
sudden impairment of vision in right eye.

A. Write THREE risk factors for thyroid ophthalmopathy. (3)

B. List THREE eyelid signs seen in Graves disease. (3)
C. Name the MOST likely cause for her sudden visual impairment. (2)
D. Mention TWO clinical examinations to confirm the diagnosis. (2)

Q2. Structured Essay Question (10 Marks)

Write FOUR predisposing factors for corneal ulcer (4).

Describe the clinical features of fungal corneal ulcer with minimum three symptoms & 3
signs (3) and outline its management (3).

Q3. Illustration (10 Marks)

Illustrate and label

A. Human crystalline lens (5)
B. Microscopic layers of retina (5)

Q4. Brief Notes (54= 20 Marks)

A. List FOUR signs & THREE treatment options for aphakia.

B. Name FIVE visual field defects seen in open angle glaucoma. Illustrate them.
C. Enumerate all extraocular muscles with their primary action and nerve supply.
D. List TEN fundus abnormalities seen in diabetic retinopathy.