TO UNDIP are no history of eye trauma or intraocular surgery.

Visual
September 2022 acuity is 20/200 in both eyes. Significant finding on
examination in both eyes are mild ciliary injection, mutton
1. For the last 10 days a patient has been in an ICU on fat KPs, mild anterior chamber cells and moderate vitreous
mechanical ventilation. After a febrile episode, blood cell. Funds examination reveals sunset glow fundus in both
cultures grew Candida. Why might an ophthalmologist be eyes. There are no laboratory evidence of systemic disease.
consulted? The clinical presentation that could be found in this patient:
A. choroiditis or endophtnalmitis occurs in less than 1 % of a. Neuritis retrobulber
in patients with candidemia b. Neovascularization in the disc
B. More than 5 % of untreated candidemia patients develop C.Progressive outer retinal necrosis
ocular finding of infection d. Rhegmatogen retinal detachment
C. Intravitreal antifungal therapy are indicated in any e. Dalen - Fuchs nodules
patients with Candida sepsis
D. Intravitreal antifungal in combination with intravenous 4. Which of the following is the most common corneal
antifungal therapy are indicated in any patients with finding of Juvenile Idiopathic Arthritis?
Candida sepsis a. Thickening of Descemets membrane
E. There is no need to perform dilated ophthalmoscopy if b. Deep stromal neovascularization
the patients receiving systemic antifungal therapy, so no c. Calcific band keratopathy
consultation with ophthalmologist is indicated d. Nummular keratitis
e. Decompensated cornea
2. A 40 years old woman came to the eye clinic with the
chief complain of foreign body sensation and whitening in 5. What test may suggest a specific surgical approach to
her right eye. On ophthalmology examination revealed RE persistent macular edema in an eye With a long-standing
VA Was 20 / 100, pericorneal injection, and peripheral (several years duration) intermediate uveitis that has no
corneal thinning at 3-6 o'clock until limbus, lucid interval(-). active inflammation under treatment with
There was no cell / flare in AC, the lens and vitreous was immunosuppressive agents?
clear, and the fundus within normal limits. The LE VA was a. fluorescein angiography
20 / 20, and there was no obvious abnormality in left eye. b. MRI of the head and orbit
The patient has a rheumatoid arthritis and didn't control c. optical coherence tomography (OCT)
regularly to the rheumatologist. What is the most suitable d. USG Bscan
therapy for this patient? e. indocyanine green
a. Topical and oral corticosteroid
b. Topical non steroid antiinflammatory drug (NSAID) + oral 6. Bilateral CME in a patient with bilateral, chronio,
corticosteroid granulomatous anterior uveitis with 2+ cells in the anterior
c. Topical lubricant + topical / oral collagenase inhibitor + chamber, posterior synechiae, and 2+ vitreous cells, and
immunosuppressive agent funduscopy Within normal limit is most effectively
d. Topical lubricants and topical autologus serum managed by which of the following?
e. Topical and oral antibiotic a. oral acetazolamide
b. topical ketorolac
3. A 39 ears old woman comes with blurred vision and c. systemic corticosteroids and systemic
photophobia in her both eyes for 2 weeks. 1 weeks prior to immunomodulatory therapy
the eye clinic, she had headache, fever, and tinnitus. There d. pars plana vitrectomy
e. oral NSAID
7. A 78-year-old man presents for an eye examination. He
reports no symptoms and has a history of bilateral cataract
extraction. On examination, there is low-grade cell and flare
in the anterior chamber of the right eye, an intraocular
pressure of 6, and an otherwise normal funds examination
in that eye. Examination of the left eye is normal and a
review of systems is notable for a history of smoking, but is
otherwise unremarkable. The patient is not on any eye
drops. What would be next step in management of this
patient's condition?
a. extensive uveitic workup, including assessing for
sarcoidosis, syphilis, and tuberculosis and starting the
patient on topical corticosteroids
b. vitreous biopsy with flow cytometry to look for primary
intraocular lymphoma
c. carotid Doppler ultrasonography to assess for significant
stenosis of the right carotid artery
d. reassurance and observation, as this is a common finding
after intraocular surgery, presumably due to breakdown of
the blood-aqueous barrier
8. A 50-year-old woman presents with chronic scleritis,
headaches, a history of branch retinal artery occlusion, and
tracheomalacia. What test may further assist in the
diagnosis and treatment?
a. quantitative and qualitative anti nuclear antibody testing
b. lumbar puncture and spinal fluid analysis
c. urinalysis
d. anti-cyclic citrullinated antibody test
9. What further testing may be required in a patient with
non granulomatous anterior uveitis with hypopyon and
HLA-B27-positive ankylosing spondylitis?
a. urinalysis
b. pathergy test
c. aqueous tap for polymerase chain reaction testing
d. chest x-ray and cardiac echogram
10. A 23-year-old male medical student is very anxious
about some test results and seeks further information from
an ophthalmologist. He reports that during a class about
human leukocyte antigen (HLA) haplotypes, his medical
school performed HLA screening on all of the students, and
he learned that he is positive for HLA-B27. He is now
exceedingly worried about developing acute anterior
uveitis (AAU). What counseling should the ophthalmologist
provide to this patient after a normal eye examination?
a. Almost 10% of individuals who are HLA-B27 positive
manifest AAU, but it typically affects females, so he does
not need to worry.
b. Approximately 8% of the population is positive for HLA-
B27, while only 0.012% of the population will develop AAU,
so it is much more likely that he will never manifest AAU.
C. Almost two-thirds of individuals who are HLA-B27
positive manifest AAU so there is real risk of his developing
the disease, and he should be monitored closely.
d. There is no need to worry, because HLA-B27 is not
associated with AAU. It is recommended that he see a
rheumatologist, because HLA-B27 is associated with the
sero negative spondylo arthropathies.
11. Which of the following statements correctly describes
the relationship between intraocular lens (lOL) implant
power, axial length, and corneal power?
a The loL power should be increased as the power of the
cornea increases and the axial length increases.
b. The lOL power should be increased as the power of the
cornea decreases and the axial length increases
C. The lOL power should be increased as the power of the
cornea increases and the axial length decreases.
d. The lOL power should be increased as the power of the
cornea decreases and the axial length decreases.
12. If a patient is found to have a best-corrected visual
acuity of20/40 in each eye but reports that vision is
adequate for his needs, which factor would cause the
ophthalmologist to consider cataract surgery? (20)
a. The level of lens opacity equals the level of vision loss.
b. The patient has no medical problems that would
contraindicate surgery.
c. The ophthalmologist is unable to see the patient's retina
well enough to evaluate it.
d. The patient would be able to perform his activities of
daily living more easily with bettervision.
13. Which of the following is a source of potential
complications during cataract surgery in a uveitis patient?
a. shallow anterior chamber
b. zonular laxity
c. endogenous endophthalmitis
d. phacolytic glaucoma
14. All of the following may result in shallow or flat anterior
chamber in the postoperative period after cataract surgery,
except
a. Wound leak
b. Pupillary block
c. Suprachoroidal effusion/ haemorrhage
d. Posterior infusion syndrome
e. Ciliary block with aqueous misdirection
15. You are a busy and experienced cataract surgeon. In the
first week following an uncomplicated phacoemulsification,
you discover that your patient is left with a spherical
equivalent of +2.5 D. Your target refraction was plano. The
patient's preoperative axial length was 23.5mm on
immersion axial biometry and the Ks were 44.0 D and 45.0
D, with normal corneal topography and a normal slit lamp
exam. What is the most likely explanation for this refractive
surprise?
a. Inadvertent placement of the IOL in the sulcus instead of
the capsular bag.
b. Use of the incorrect regression formula in the IOL power
determination.
c. Placement of the wrong IOL due to confusion with
another patient
d. Miscalculation of corneal power due to previous
refractive surgery in the operated eye.
16. If ciliary block glaucoma is suspected as causing a
shallow anterior chamber after cataract surgery, all of the
following maneuvers may be useful, except:
a. Miotic drops such as pilocarpine to constrict the pupil,
deepen the anterior chamber and open up the trabecular
meshwork
b. Aqueous suppressants such as beta blockers and
carbonic anhydrase inhibitors to lower the IOP
c. NdYag laser disruption of the anterior hyaloid face
d. Mechanical vitrectomy to decompress the vitreous and
disrupt the anterior hyaloid face
17. Evaluation of the cornea is important prior to cataract
surgery. Which of the following statements is true?
a. Corneal transplant surgery should be combined with
cataract extraction when guttata are present in order to
speed visual rehabilitation
b. Specular microscopy is the best means of determining
how well the cornea will fare following cataract surgery
c. Normal corneal pachymetry measurements obtained in
the early morning suggest that the cornea will probably
remain clear following cataract surgery
d. Corneal pachymetry should be performed late in the day,
after the cornea has had longer exposure to the
environment
e. Other than determining lens implant power, keratometry
does not have a role in the preoperative evaluation for
cataract surgery
18. A-76 year old man complains of difficulty driving
because of reduced vision. His best corrected visual acuity
is 20/70 OD and 20/40 OS. Goldmann visual fields are
constricted, more in the OD than in the OS. A moderate
nuclear cataract is present OD, and a mild one is seen OS.
His IOP is 23 mmHg OD and 18 mmHg OS. He uses timolol ½
% bid OD and dorzolamide tid OD. His cup-disc ratio is 0,7
OD and 0,6 OS. The fundus is otherwise normal. Which of
the following statements is true?
a. Cataract surgery should not be considered because of the
risk of loss of fixation postoperatively
b. cataract surgery combined with glaucoma filtering
surgery is the only approach that should be considered for
this patient
c. Medical glaucoma treatment should be maximized
before considering cataract surgery
d. The visual field constriction in this case is probably a. hipotrofi kanan
caused by glaucoma b. hipertrofi kiri
e. The use of latanoprost after cataract surgery may c. exotropia
increase the risk of postoperative CME d. esotropia
e. hipertrofi kanan
19. a 67 yo man presents with the diffuse corneal edema 1
day after phacoemulsification and posterior chamber IOL 22. women, 23 yo come to hospital with chief complaint
implantation. The entire central and peripheral cornea are blurred vision in right eye especially after exercise. Drop
equally affected. The cornea in the opposite eye was eyelid not found. Visual acuity RL: 20/80 nc.IOP 17 mmHg,
normal. There is no pain and IOP 17 mmHg. what is most pain RAPD (+) in right eye, funduscopy normal limit.what
likely cause the edema? the mechanisms underlie complaints of blurring especially
a. anterior chamber collapse with IOL/endothelial touch after exercise?
b. decompensated fuchs endothelial dystrophy a. ischemic
c. toxicity of intraocular solutions used during surgery b. demyelinisasi
d. descemet’s membrane detachment c. compression
d. degenerative
20. which pf the following statements is true about the
management of cataract associated with ocular trauma? 23. a 40 yo women came to the eyeclinic with complaint of
a. after blunt or penetrating trauma in children, fibrincan be constant double vision for the last 4 months. Full eye
deposited on the anterior lens capsule that mimics the examination showed proptosis and restrictive gaze palsies
appearance of cataract. on both eyes, higher grade on RE if move to lateral and
b. cataract associated with large corneal lacerations should superior. There were eyelids retraction on both eyes. She
be removed through the laceration to avoid making and revealed the history of palpitation and changes on her
additional corneoscleral wound. menstrual cycle for the past months. In this patients, what
c. if a cataract does not develop in the injured eye within 10 muscle hypertrophy?
daysof the trauma, the patient is unlikely to develop a a. lateral and medial
cataract later. b. lateral and superior
d. phacoemulsification through a small limbal incision is the c. inferior and superior
best approach to the removal of any cataract associated d. inferior and medial
with acut trauma.
e. the benefits of inserting an IOL at the time of surgery 24. a woman 28 yo came with photophobia. On
outweigh the risks when removing a cataract during the examinationthe visual acuity is 20/20 OU. There was no
repair of a paracentral corneal laceration. limitation on eye movement of both eyes. Anterior and
posterior segment are within normal limit except for the
21. wanita, 54 tahun datang ke poli mata dengan keluhan pupil anisocor. In bright light RE 2mm, and LE 3mm. in dim
pandangan double. Riw. Trauma disangkal. Pada light RE 4mm, LE 6mm. after cocain pharmacological
pemeriksaan dijumpai VODS: 20/40 nc. Segmen anterior testing, RLE 4mm. The most common diagnosis for the
tenang. Terdapat kekeruhan ringan di lensa. Hirschberg test above patien is:
kesan 0. Pasien diperiksa Maddox Rod dan penlight dengan a. horner syndrome
Maddox diletakkan pada mata kanan, didaptkan hasilnya b. third nerve palsy
titik kuning berada diatas, garis merah berada di bawah. c. pharmacologic pupil
Apakah diagnosis pasien dari hasil Maddox rod tersebut? d. physiological anisokor
25. Pasien wanita usia 45 tahun dengan keluhan nyeri 28. After a motor vehicle accident a 23 years -old maname
kepala hebatdisertai pandangan mata double. Dari to emergency departement presents with unilateral
pemeriksaan. Riwayat dahulu tidak jelas.Namun beberapa marked proptosis, diplopia and prominent episkleral vessel.
hari ini pasien mengeluh sakit kepala habat disertai He complains of a rushing sound in his head. Which of the
muntah. Pemeriksaan opthalamologidijumpai adanya following is most likely possibillity :
keterbatasan gerak bola mata, pemeriksaan MRI terlampir. a. Orbital floor fracture
Berdasarkan gambaran MRI dibawah ini, manakah nervus b. Retroorbital haemorrhage
kranialis yangpaling sering terkena c. Carotid Cavernosus Fistula
d. Dissection of carotid artery
e. Posterior draining dural shunt

29. Man 60 yo with chief complain decreased vision in the

left eye since the last 3 years. VOD 6/6 VOS 6/40 RAPD (+),
VF examination shows inferior altitudinal defect. Fundus
examination revealed optic disc appear hyperemia . In

a. III fellow eye show disc at risk. What is diagnosis?

b. IV a. Iskemik optic neuropathy

c. V b. Optic disc drusen

d. VI c. Inflammatory optic neuropathy

d. Papilitis

26. A 50 years old man coma to eyeclints of episodic spasm

of his eyelids slace 3 years ago. The complaints god 30. A 15 year old female patient came with diplopia with

worsened and progressive evertime that disrupted his daily past medical history DM (+) , gaze palsy to the left in right

activities. From examination showed that there were eye ( limitation in adduksi ) and nystagmus at abduksi left

contraction oculi of both eyes during facial grimacing. The eye . What is the most likely the diagnosis on this patient?

patient diagnosed with Meige syndrome. The most a. One and half syndrom

probable diagnose of patient is b. INO

a. Hemianopia homonim c. Eight and half syndrom

b. Facial myokimia d. Bilateral Intranuclear Ophthalmoplegia

c. Myasthenia gravis
d. Essential blefarospasme 31. A 40 year old woman complains of headaches, eyepain,
and blurry vision when reading book. Gonioscopy shows a

27. Obese woman 32 yo come to hospitas with blurred peripherally shallow chamber with a double iris hump on

vision in right eye and headache. VA RE 6/24 NC with IOP indentation. What is the initial management of this patient?

15 mmHG. Funduscopy show papilledema.MRI show empty a. Prostaglandin analog

sellar. What least likely condition correlate with her b. Laser iridotomy

diagnosis : C. Clear lens extraction

a. Hemianopsia Homonim D. Trabeculectomv

b. Visual Obscuration e. Laser iridoplasty

c. Enlargement blind spot

d. Incomitan esotropia
32. If we use a Goldman type, large diameter goniolens.
What is the effect of applying indentation?
a. This may indent the sclera and falsely narrow the angle
B. This may help differentiate between appositional and
synechial angle closure
C. This may indent the cornea and falsely open the angle
D. This may help to break an attack of acute angle closure
glaucoma
33. A day after cataract surgery on her left eye, a 55 year
old woman with small eye complained pain and blur. Visual
acuity hand movement. There were flat bleb, flat anterior
chamber, anterior lens displacement and intraocular
pressure 48 mmHg.
What is the díagnose of this patient:
a. Phacoanaphylactic glaucoma
B. Lens particle glaucoma
C. Phacomorphic glaucoma
d. Malignant glaucoma
E. Refracter glaucoma
34. Pada pasien glaukoma, setelah ditentukan berapa
target TIO dan diberikan terapi, saat dilakukan evaluasi TIO
telah mencapai target namun terdapat progresifitas
glaukoma, apa
yang harus dilakukan?
A. Turunkan target TIO
B. Follow-up 6 bulan
C. Re-evaluasi setelah 6-12 bulan
d. Lanjutkan terapi evaluasi setelah 3 bulan
E. Ganti terapi dengan obat glaukoma lain
35. Seorang wanita 55 tahun datang dengan keluhan 2 hari
yang lalu mata kana tiba-tiba nveri, merah dan penglihatan
kabur. Pada pemeriksaan didapatkan VOD 1/300, kornea
edema, CO kesan dangkal, pupil midilatasi, lensa keruh tak
rata, lain-lain sulit dinilai. Vos 6/15, segmen anterior
tenang, lensa keruh tak rata, optic disc normal. Pada
pemeriksaan gonioskopi mata kiri tampak Schwalbeline d 4
kuadran.
Diagnosos apa yang paling mungkin:
a. Acute Primary Angle Closure
b. Primary Angle Closure Glaucoma
C. Phacomorphic glaucoma
d. Neovascular glaucoma
e. Phacoanaphylactic glaucoma
36. Characteristics of glaucama suspect :
a. suspicious optic nerve or nerve fiber layer appearance
and a visual field defect
b. visual field defect suggestive of glaucoma and a
corresponding glau-comatous optic nerve abnormality
C. family history of glaucoma in a first-degree relative
d. elevated IP with evidence of optic nerve damage
37. Anti glaukoma di bawah ini kontraindikasi pada konsidi
aquous misdirection
a. acetazolamide
b. latanoprost
c pilocarpin
d. timolol maleat
38. pasien 43 th datang dengan pandangan kabur dan mata
tidak nyaman. Riw trauma dijumpai. Pemeriksaan
ophthalmologi dijumpai : VOD 6/48 NC, TIO 35 mmHg, COA
dalam. Funduscopy tidak ditemui adanya GON. Jika
dilakukan pemeriksaan gonioskopi maka gonioskopi apa
yang ditemui pada pasien ini, kecuali
a. widening of the ciliary body band
b. absent or torn iris processes
c. white, glistening scleral spur
d. high PAS
39. pasien wanita 35 th datang dengan keluhan mata kanan
buram, tanpa disertai rasa nyeri ataupun mata merah.
Pasien sedang hamil trimester 1. Pemeriksaa oftalmologi
didapatkan VOD 5/60,VOS 6/10, TIO OD 40 mmHg, TIO OS
20 mmHg. Segmen anterior kedua mata normal, COA VH gr
III, lensa jernih. Funduskopi OD papil N II CDR vertikal 0.8,
cupping glaucomatosa +. Funduscopy OS CDR vertikal 0.3.
Tatalaksana medikamentoosa yang diberikan pada pasien
tersebut adalah
a. Golongan CAI
b. Golongan beta bloker
c. Golongan alfa agonis
d. golongan PGA
40. A 30 years old white male with myopia in the both eyes.
The examination reveals an IOP of 28 mmHg with anterior
segment krukenberg spindle and mid peripheral iris
transillumination defect. Funduscopy is in normal limit,
gonioscopy dense pigmented trabecular meshwork. What is
the recommended management for this patient
a. filtering surgery
b. peripheral laser iridotomy
c. timolol maleat eye drop
d. laser iridoplasty
41. laki-laki 32 th datang dengan keluhan pandangan mata
kanan kabur, saat melihat tulisan seperti bergelombang,
sejak 1 minggu yang lalu. mata kiri tidak ada keluhan. Visus
OD 6/20 PH -, OS 6/6. Tidak ada riwayat sistemik maupun
trauma. Pasien seorang perokok, peminum kopi, pekerjaan
teknisi computer. Dari pemeriksaan FFA didapatkan
gambaran smoke stack pattern. Tatalaksana yang tepat
untuk kondisi pasien saat ini adalah :
a. photo dynamic therapy
b. injeksi anti VEGF intravitreal
c. laser fotokoagulasi
d. observasi setiap bulan
e. injeksi triamcinolone acetonide subtenon
42. wanita 65 th mengeluh pandangan mata kiri Kabur
mendadak sejak 1 bulan yang lalu. Riwayat hipertensi dan
DM terkontrol. Dari pemeriksaan oftalmologis didapatkan
visus OD 6/10, OS 1/300. Status oftalmologis mata kanan
dalam batas normal, mata kiri kornea jernih, COA dalam,
pupil RAPD +, lensa keruh tak rata, funduscopy didapatkan
gambaran papil batas tidak tegas, flame shape hemorhage
4 kuadran, makula suram. Pemeriksaan penunjang
sederhana yang dapat menjadi dasar dilakukan inisiasi laser
fotokoagulasi pada pasien tersebut adalah :
a. Gonioskopi
b. OCT
c. FFA
d. HFVA
e. Contast sensitivity test
43. Laki-laki 25 tahun dikonsulkan dengan keluhan mata kiri
kabur. Visus 1/60 segmen anterior tenang, lensa jernih, CV
cell grade 2. Funduscopy mata kiri didapatkan opasifikasi
sepanjang pembuluh darah besar disertai area perdarahan,
frosted branch angitis (+), periphlebitis (+). Saran
pemeriksaan laboratorium yang tepat adalah:
a. C- Reactive protein
b. CD4+ T cell count
c. Rhematoid Factor
d. Electrolyte sedimentation Rate
e. ANA test
44. wanita 30 th mengeluh mata kanan melihat bitnik hitam
setelah bangun tidur sejak 2 minggu yll. Tidak didapatkan
riwayat trauma, penyakit sistemik disangkal, pasien tidak
menggunakan kacamata. Visus mata kanan 6/10, mata kiri
6/7,5. Segmen anterior kedua mata dalam batas normal.
Pemeriksaan segmen posterior dan funduscopy mata kanan
didapatkan schaffer sign (-), operculated hole +
superotemporal, retinal detachment superotemporal
perifer dengan subretinal fluid + minimal. Tatalaksana
terbaik untuk kondisi tersebut adalah:
a. Scleral Buckle
b. pneumatic retinopexy
c. laser demarkasi
d. vitrectomy pars plana
e. scleral buckle + vitrectomy pars plana
45. seorang pria 55 th dengan DM + sejak 15 tahun terakhir
dengan control gula tidak teratur dating dengan keluhan
pandangan kedua mata kabur. Visus OD 4/60, OS 5/60
segmen anterior tenang dalam batas normal, lensa keruh
tak rata, funduscopy didapatkan: mata kanan neovascular
vessel di papil N.II, traksi (+) tidak mengancam fovea, hard
eksudat (+) ekstra fovea. Mata kiri neovascular vessel di
retina superonasal, traksi (-), hard eksuddat (+) ekstra
foveal. Tatalaksana yang tepat untuk pasien tersebut:
a. OD observasi, OS laser fotokoagulasi
b. OD vitrectomy, OS laser fotokoagulasi
c. OD laser fotokoagulasi, OS laser fotokoagulasi
 d. OD vitrektomi, OS vitrectomy
e. OD vitrektomi, OS Observasi
46. seorang laki-laki usia 14 th datang dengan keluhan mata
kiri kabur, tidak disertai mata merah sejak 6 bulan yll, visus
mata kanan 6/6 dan dalam batas normal. Mata kiri visus
2/60 lensa jernih, funduscopy didapatkan teleangiectasis
retina, sea fan pattern di retina perifer, serta eksudat di
parafovea. Dari pemeriksaan FFA didapatkan gambaran
leakage. Gambaran yang paling mungkin pada pasien ini
adalah:
a. Eales disease
b. Susac syndrome
c. Coats disease
d. von hippel-Lindau Disease
e. Idiopathic retinal vasculitis, aneurysma and neuroretinitis
47. bayi premature usia 32 minggu, BB 1460 gr dikonsulkan
untuk screening ROP. Dari funduscopy baik mata kanan dan
kiri didapatkan ridge dengan fibrovascular proliferation di
zona anterior dari polus posterior sisi temporal. Kondisi
tersebut termasuk dalam tahapan:
a. Aggressive posterior ROP
b. Treshhold Disease
c. High Risk pretreshold ROP/Type 1 ROP
d. Lower risk pretreshold ROP/Type 2 ROP
e. plus disease
48. seorang mahasiswa 21 th datang ke poli mata dengan
keluhan mata kiri kabur mendadak setelah bermain basket
1 minggu yll. Riwayat trauma disangkal. Penyakit sistemik
disangkal, riwayat penggunaan kacamata ukuran -3.50 D
kanan dan kiri. Visus mata kanan 5/60 dengan koreksi 6/6,
mata kiri 1/60.segmen anterior kedua mata dalam batas
normal, funduscopy mata kanan retina tigroid, lattice
degeneration di inferior, mata kiri retina detachment di
inferior, macula off dengan apex disisi nasal, break
horseshoe di inferonasal anterior equator dengan
indentasi, tamapak pigment clamping. Hal ini sesuai dengan
lokasi break pada:
a. lincoff rule 1
b. lincoff rule 2
c. lincoff rule 3
d. lincoff rule 4
49. Wanita usia 68 tahun, mengeluh pandangan mata
kanan gelap mendadak 5jam yang lalu, tidak nyeri, Visus
mata kanan 1/300, segmen anterior tenang, lensa keruh tak
rata. Funduscopy didapatkan retinal whitening dan cherry
red spot. Pemeriksaan penunjang Yang perlu dilakukan
pada pasien tersebut adalah
a. ESR dan CRP
b. VDRL dan TPHA
c. BGA dan Ferritin
d. Tekanan Darah dan Profil Lipid
50. Laki Taki 37 tahun datang dengan keluhan mata kiri
kabur, visus mata kanan 6/15 mata kiri 6/60. Pemeriksaan
oftalmologis segmen anterior kedua mata dalam batas
normal. Funduscopy kedua mata didapatkan gambaran
material kekuningan dan bulat seperti flekberbentuk pipih
tersebar di area makula. Gambaran FFA didapatkan 'dark
choroid" Diagnosis yang tepat untuk pasien in adalah:
A. Best Vitelliform Dystrophy
b. Early Onset Drusen
C. Sorsby Macular Dystrophy
d. Stargard Disease
e. Pattern Dystrophy
51. A 24 vears old woman wants to wear a soft contact lens
for her daily life activity. Her last prescription for right eye :
S -8.00 D, left eye : S-9.50 D. The contact lens power will be
a. Right eye: S-8.00 D, left eye: S-9.50 D
b. Right eye: S-7.25 D, left eye: S-8.50 D
C. Right eye: S -6.00 D, left eye : S-6.50 D
d. Right eye: S -6.50 D, left eye: S-7.50 D
52. A -6.00 sphere S neutralizes at the retinoscopic reflex
when the axis of the streak at the 170 meridian. A -2.50 D
sphere neutralizes at the retinoscopic reflex when the axis
of the streak at the 80 meridian. Assume that the working
distance is 50 cm. What is the appropriate refractive
correction for the patient?
a. S-2.50 D C-6.00 D x 170
b. S -4.50 D C-6.00 D x 170 b. Doing the cataract extraction for her right eye and giving
C. S -4.50 D C-3.00 D x 80 contact lens prescritpion.
d. S-2.50 D C-6.00 D x 80 c Doing the cataract extraction for right eye and doing clear
lens extraction for her LE.
53. A patient diagnosed as Pigmentous Retinitis, the d. Doing the cataract extraction for right eye and doing
distance visual acuity is 20/200. The predicted add will be: phakic IOL for her left eye
a. S+4D
B. S+ 8 D 57. A fluorescein dye test of contact lens fitting procedure
C. S + 10 D are listed below. What parameter do you need to adjust?
d. S + 20 D

54. A 20 years old boy came to an eve clinic. He had used a

soft contact lens for a weeks. His chief complain is a red
eye, a discomfort when using his contact lens. Examination
under slitlamp biomicroscope showed no movement during
blinking reflex, mild circumferential injection, corneal
surface was quitè good. What is the diagnosis of this
condition?
a. Flat fitting a. Decrease the diameter.

B. Steep fitting b. Increase the base curve.

C. Atipical alignment c. Increase the sagital depth.

D. Corneal infection d. Decrease the optical zone.

e. Decrease the periferal edge

55. A patient comes to your clinic, she has a problem after

using rigid gas permeable (RGP) contact lens. Her chief 58. A 50 years old female patient having a chief complain

complain were unstable visual acuity and the RGP lens were for her near work activity. She has 4 Dioptre myop history

easily move out. Contact lens fitting examination shows for both eyes. She needs a glasses for reading a newspaper

movement 4-6 mm. Fluoerescein pattern were showed and far activity. What kind of lens design would you give to

dark figure at the centre of RGP lens. What is the possible your patient?

problem that we are dealing with? a. Trifocal design.

a. Deposit problem. b. Bifocal round top design.

b. To loose syndrome. c. Bifocal flat top design.

c. Contact lens induce red eye. d. Progressive addition lens design

d. Tight lens syndrome,

e. Hypoxia syndrome 59. Seorang pasien dengan dengan kelainan refraksi S -5.00
C -1.50 × 180° dilakukan fitting lensa kontak lunak torik

56. A 20 years old female patient came to your clinic with a dengan axis 180. Pada pemeriksaan slit lamp menunjukkan

unilateral cataract at the right eye. A cataract extraction sentrasi lensa kontak cukup baik, namun posisi marker jam

were programmed next month. Ocular examination were 6 lensa kontak berada pada jam 4. Tuliskan resep lensa

normal at the left eye. What is the best choice for her? kontak torik yang seharusnya dipesan untuk pasien

a. Doing the cataract extraction for her right eye and giving tersebut

glasses prescritpion. a. 5-5.00 C -1.50 x 30°

b. S -5.00 C -1.50 x 60° a. Leber’s congenital amaurosis
c. S -5.00 C-1.50 x 120- b. Refractive amblyopia
d. S -5.00 C -1.50 x 150° c. Delayed visual maturation
e. S -5.00 C -1.50 x 180° d. Foveal hypoplasia

60. Pada kelainan refraksi S -5.00 D dengan hasil 63. The 5 month old child shown in the figure presents
pemeriksaan Keratometri Flat K 7,80mm, akan with a 5 to 6 week history of progressive lid and
menggunakan lensa kontak rigid gas permeable (RGP), Base orbital swelling. He has been otherwise healthy,
curve akhir yang dipilih berdasarkan fitting statis dan eating and gaining weight normally, without a
dinamis yaitu 7,85 mm. Berapakah keukatan RGP yang history of fever. Appropriate treatment of the
diberikan? patient, might consist of all of the following
a. S-4.00 D except:
b. S -4.25 D
c. S -4.50 D
d. S-4.75 D
e. S-5.00 D

61. You are asked to see a neonate to rule out ocular

signs of intrauterine infection. You note that the
infant has microcephaly, jaundice and a history of
seizures. All of the following ocular findings would
be suggestive of congenital toxoplasmosis except:
a. Cataract a. Subcutaneous alpha interferon
b. Retinochoroiditis b. Oral prednisone
c. Vitreous cells c. Intralesional triamcinolone and
d. Optic nerve atrophy betamethasone
d. Oral low dose methotrexate
62. The parents of a 5 month old boy bring him into
you office concerned that he does not to see 64. A 3 month old boy presents with a white pupil,
anything. He was the product of a full term, which his parents first noticed in photograph of
uncomplicated pregnancy and had neonatal the child. The patient’s fundus is shown in the
problems. Developmental history reveals the he is figure:
rolling over and starting to sit unsupported. On
your examination, the child does not fixate or
follow but will blink at a bright light. Cyclopegic
refraction reveals +3.00 sphere OD and +3.00
sphere OS. Pupils are round, equal size and briskly
reactive to light, without a RAPD. He has full
ductions and versions an approximately 20 0
exotropia, but no nystagmus or wondering eye
movements. He also has clear media and a normal This finding is commonly associated with all of the
fundus. This child most likely has following except:
 a. Microphthalmos that has begun to spontaneously drift upward several times
b. Retinal detachment a day (figures)
c. Foveal hypoplasia
d. Glaucoma

65. A 7 years old boy who sustained a fall 2 weeks ago

What is the most likely diagnosis?
developed swelling and 4 mm of proptosis of the
a. Dissociated vertical deviation
left eye over the last 48 hours. He has not acted ill
b. Superior oblique palsy
and has been playing normally. His visual acuity is
c. Consecutive hypertrophia
20/25 OD and 20/40 OS. The most likely cause on
d. Orbital fat adherence syndrome
these finding is
a. Rhabdomyosarcoma
69. A patient with a near esodeviation greater than 10 PD
b. Orbital cellulitis
more than the distance deviation is considered to have
c. Optic nerve glioma
which one of the following?
d. Lymphangioma
a. divergence insufficiency
b. High accommodative convergence to accommodation
66. A 11 years old boy is diagnosed with well
ratio (AC/A)
controlled, intermitten ecotropia. Which one of
c. convergence insufficiency
the following is stereopsis testing is most likely to
d. high AC/A exotropia
reveal?
a. Monofixation syndrome
70. A 45 years old man has a large esodeviation secondary
b. Excellent stereopsis
to a complete unilateral sixth cranial nerve palsy, which has
c. No stereopsis because of temporal
shown no improvement after 1 year. Which one of the
hemiretinal suppression
following is the most appropriate treatment?
d. No stereopsis because of diplopia

67. Seorang anak usia 8 tahun dengan tajam penglihatan

6/6 pada kedua mata. Pada pemeriksaan didapatkan 40 PD
XT pada posisi primer, upgaze 60 PD XT dan downgaze 20
PD XT, overaksi oblique inferior pada kedua mata, dengan
kontrol fusi buruk. Pembedahan yang dapat
dipertimbangkan adalah
a. Recess R Lateral pada kedua mata
b. Recess R Lateral dengan infraplacement pada kedua a. Transposition of vertical recti
mata b. Large resection of the involved lateral recti muscle
c. Recess R Lateral dengan inferior oblique anteriorization c. Large resection of the involved lateral recti muscle
pada kedua mata with recession of the ipsilateral medial rectus
d. Recess R Lateral dengan inferior oblique anteriorization d. Botulinum toxin injection to the ipsilateral medial
pada kedua mata dan supraplacement pada kedua mata rectus muscle

68. A 6 year old patient with a history of strabismus surgery 71. To investigate potential risk factor for cataract we
for congenital esotropia presents with a history of a left collection group of samples, one for cataract and the other
for normal eyes afterwards we determined whether risk
factor were presents within both group, then compared the 75. Pada suatu penelitian yang meneliti pengaruh rokok
proportion of risk factor. This research methodology is dengan kejadian katarak di salah satu kabupaten,
termed: mengambil sampel orang usia 30 tahun yang merokok
a. clinical trial dan tidak merokok masing-masing sebanyak 2500
b. case report orang. Sampel diikuti selama 20 tahun untuk
c. cohort study mendapatkan informasi kejadian katarak pada
d. case control masing-masing kelompok :
e. cross sectional Pada pasien penelitian yang paling sesuai
a. Case control
72. There are 2 cataract surgeons in your working area with b. Cohort
a total population of 1.000.000 people. Each surgeon has 2 c. Cross sectional
surgery days/week and working for 50 weeks a year. Reach d. Randomized control trial
a cataract surgical rate (CSR) of 1000 for every surgery days, e. Descriptive prospective
each surgeon has to operate as much as:
a. 10 patients/day 76. Penelitian factor resiko terus diikuti ke depan, perlu
b. 20 patients/day indictor?
c. 30 patients/day a. Odd ratio
d. 40 patients/day b. Prevalence ratio
e. 5 patients/day c. Incidence ratio
d. Prevalensi
73. Your working area has a total population of 1.000.000.
from extrapolation of the population survery result, 77. Integrated people-centered eye care adalah, kecuali ?
there are 10.000 people with blindness, 5000 of them a. Setiap pasien mendapatkan pelayanan
have cataract blindness. The prevalence of cataract Kesehatan mata seumur hidup
blindness is : b. Setiap pasien mendapat promosi, prevensi,
a. 0,4% treatment, rehabilitasi
b. 0,5% c. Kerjasama dengan lintas sector
c. 0,6% d. Setiap pasien mendapatkan pelayanan
d. 0,8% Kesehatan mata selama menderita sakit
e. 1.0%
78. Pemeriksaan GDS teratur pada pasien DM adalah
74. A scening test using direct ophthalmology to look for pencegahan apa
diabetic retinopathy was performed in 250 patient. a. Primer pada DM
The sensitivity was estimated to be 80%, if 100 patient b. Primer pada retinopati DM
have the disease, how many patient will come out as c. Sekunder pada DM
false negative? d. Tersier pada retinopati DM
a. 20
b. 75 79. Devinisi prevalensi adalah :
c. 170 a. Jumlah seluruh kasus penyakit pada periode
d. 180 waktu tertentu dibagi dengan jumlah
e. 200
 keselutuhan orang pada populasi selama periode d. Quicker Procedure
waktu tersebut
b. Jumlah kasus baru pada periode tertentu, dibagi 82. Patofisiologi terjadinya kondisi diatas adalalah
dengan jumlah orang yang bebas penyakit pada a. Diinsersi m. retractor palpebra
awal periode b. Horizontal laxity
c. Jumlah kasus baru pada periode tertentu dibagi c. Vertical instability
dengan jumlah orang yang tidak mendapatkan d. Overriding m orbicularis pre septal ke pre tarsal
penyakit pada periode tertentu
d. Jumlah kasus baru pada periode tertentu dibagi 83. Seorang wanita datang dengan mata berair sejak 3
dengan person time at risk selama periode bulan lalu. Riwayat 1 tahun lalu terkena bell's palsy
tertentu sudah dilakukan kelopak mata belum membaik.
Diagnosis pada pasien diatas
80. Penelitian melakukan penelitian di jawa barat untuk a. Ektropion sikatrikal
memeriksa apakah status sosioekonomi dari rumah b. Ektropion paralitik
tangga berhubungan dengan cangkpan imunisasi pada c. Ektropion involusional
anak berusia 12-59 bulan. 4000 rumah tangga d. Ektropion mekanikal
diseleksi secara acak dan diberikan kuesioner kepada
kepala rumah tangga untuk mengetahui stasus
imunisasi anak mereka. Seorang anak dikatakan telah 84. Tatalaksana ektropion pada kasus diatas adalah . . ..
diimunisasi bila mereka mereka menerima sekurang- a. Z plasty
kurangnya satu dosis BCG, sekurang-kurangnya tiga b. Graft mucosa + cartilage
dosis DPT, dan sekurang-kurangnya satun dosis vaksin c. Lateral Tarsal strip
campak, baik yang catat melalui kart vaksinasi atau d. Lamela anterior reposition
yang dilaporkan oleh ibu atau pengasuhnya. Kuesioner
juga mencakup pernyataan mengenai status 85. Pasien 68tahun datang dengankelopak mata
sosioekonomi. turn.Pemeriksaan di dapatkan MRD 1 : 4 mm, MRD 2:
Apakah jenis rancangan penelitiann ini? 4 mm, fungsi levator 14 mm. Prosedur yang dipilih
a. Cross sectional pada pasien tersebut adalah.....
b. Case control a. Fasanella servat
c. Chort b. Aponeurosus surgery
d. Eksperimental c. Levator resection
d. Frontal sling
81. Seorang wanita, 78 tahun, datang dengan keluhan
kedua mata seperti tertusuk – tusuk kelopak mata dan 86. Kelaianan pada gambar dibawah in adalah….
bulu mata masuk ke dalam. Pemeriksaan didapatkan
distraction test 3 mm, snap back tes grade 1 ( 2-3
detik ) , cantal medial laxity 1mm, canthal lateral laxity
2 mm, Prosedur koreksi yang dilakukan pada pasien
tersebut adalah
a. Weiss procedure
b. Pentagonal incision + direct closure
c. Jones Procedure
 88. Pasien dengan tumor 20 mm x 6 mm full thickness pada
sentral margo palpebra superior curiga ganas. Akan
dilakukan eksisi dan rekonstruksi pasca eksisi luas. Prosedur
tindakan rekonstruksi yang akan dilakukan adalah ...
a. Mustade rotation flap
b. Cuttler beard Flap +graft cartilago
c. Hughes Flap + graft kulit

d. Glabellar flap

89. Pasien 55 tahun, datang dengan keluhan mata merah

berulang, keluar kotoran, Tatalaksana pasien tersebut
adalah…

A. Spoeling dan probing

B. Pemberian antibiotik lokal, sistemik dan kuretase
C. Incise + drainage
D. Dacriosistorhinostomi
a. Blepharophymosis syndrome
b. Telecanthus
90. Seorang laki2 68 tahun datang dengan benjolan di
c. Ptosis
kelopak mata. Diagnosis yang paling memungkinkan dari
d. Epicanthal fold
kasus tsb adalah :
e. Cryptopthalmus

87. Tatalaksana pada kasus diatas adalah:

a. 1 steps /2 steps: koreksi ptosis + Y to V plasty
b. koreksi ptosis
c. Y to V plasty

d. Anterior lamellar reposition

 A. Melanoma maligna
B. Ca basal
C. Ca squamosal
D. Sebaceous gland carcinoma Diagnosis yang paling mungkin pada pasien
tersebut adalah
91. Pasien laki-laki 32 tahun, riwayat merokok datang a. Ocular surface squamous cell neoplasia
dengan kedua mata menonjol. Jantung berdebar, tremor b. Limfoma
dan berkeringat +. Pada pemeriksaan didapatkan mata c. Adenitis
seperti melotot. Kelaianan tersebut dinamakan d. Pleomorphic adenoma
a. Dalrymple's sign
b. Von Graefe's sign 95. Tatalaksana yang tepat pada pasien diatas adalah
c. Goldzeiher's sign a. Wide excision dengan cryotherapy
d. Cogan lid b. Incisi + PA
c. Terapi antibiotik dan kortikosteroid
92. Pasien laki-laki 32 tahun, riwayat merokok datang sistemik
dengan kedua mata menonjol, Jantung berdebar, tremor d. Eksisi in toto
dan berkeringat +. Pada pemeriksaan didapatkan mata
seperti melotot. Pasien datang dengan mata merah, nyeri 96. Aa 4 year old child is referred for new onset of
saat menggerakkan bola mata, edema palpebra, chemosis. bilateral epiphora. Examination show eyelashes on
Tatalaksana pasien tersebut adalah both lower eyelid rubbing against inferior cornea.
a. Lubricant, perubahan pola hidup, dan anti nyeri The parents states that an older sibling has similar
b. Sistemik kortikosteroid dosis tinggi symtomps, which resolved without treatment.
c. Radiasi What is the most likely diagnosis ?
D. Tarsoraphy a. Entropion
b. Epiblepharon
93. Predileksi umur pada rhabdomyosarcoma adalah c. Euryblepharon
a. 1-3 tahun d. Trichiasis
b. 2-5 tahun e. Ankyloblepharon
c. 5-7 tahun
d. 10-13 tahun

97. Tatalaksana kasus diatas adalah ?

a. Frontal sling
b. Lateral tarsal strip
c. Tarsal fixation fracture
94. Pasien usia 68 tahun, datang dengan keluhan mata d. Blepharoplasty
kanan merah sejak 1 tahun terakhir.
98. Wanita muda memiliki massa di superotemporal.
Dulu sudah dioperasi 2 kali, sekarang nyeri. CT
 scan menunjukkan massa mendesak orbita dan
ada titik tulang / destruksi tulang. Diagnosis ?
a. ACC
b. Pleomorphic adenoma
c. Rhabdomyosarcoma
d. SCC

99. Lesi di konjungtiva mengarah ke kornea dengan

feeder vessel dan leukoplakic. Setelah dilakukan
pemeriksaan PA, ditemukan adanya massa full
thickness, full thickness squamous cell metaplasia
di epitel membran menginvasi ke membran basalis
dan stroma. Diagnosis ?
a. CIN
b. Squamous ca in situ
c. Invasive SCC
d. Squamous papilloma

100.Anak proptosis OS, visus 6/15. CT scan

menunjukkan fusiform optic nerve enlargement.
Hasil PA menunjukkan hair-like juvenile pilocitoma
dengan astrositoma dan rossental fiber serta
arachnoid hyperplasia. RAPD (+) disertai optic disc
swelling. Diagnosis ?
a. Glioma
b. Schwannoma
c. ON sheath meningioma
d. AVM