Teaching University Geomedi LLC

Faculty: Medicine

Educational Program and Steps: MD Undergraduate Program 

Training course: Ophthalmology

Author/authors: Giorgi Chichua MD, PhD, Tinatin Jiqurashvili MD, PhD

Syllabus
Name and Status of teaching Ophthalmology
course (clinical compulsory of specialty)

Teaching Language English

Author/Authors
Name, Surname
Contact Information
Training Semester
Number of Credits and Hours
distribution according to the
student’s teaching hours
Consulting time
Aims of The Training Course
Preconditions for permission
Learning outcomes 1.
Doctor of Medical Sciences - Giorgi Chichua MD, PhD
Tel: 577443200, e-mail:georgechichua@yahoo.com
Tinatin Jiqurashvili MD, PhD
Tel: 577456542, e-mail: tjiqurashvili@geomedi.edu.ge@yahoo.com
IX
5 ECTS credits – 125 hour
Contact hours – 51 hr
lecture – 12 hr
practicum classes – 36 hr
midterm assessment – 1 hr
final exam – 2 hr
Independent work –74 hr
Individual work / consultation at least 1 hour per week (at the time specified in the timetable)
The course aims to teach students:
The main eye disease detection, diagnosis and treatment methods.
Pathology of the nervous system. General surgery
Knowledge and understanding
Student will know:
Basic therapeutic and surgical eye diseases, etiology, pathogenesis, clinics, diff-diagnostics,
diagnostics;
Characteristics of age-related eye diseases and eyesight;
Eye diseases inspections tools;
Connection of eye diseases with therapeutic diseases of other systems;
Connection of eye diseases with neurological and neurosurgical diseases, methods, indications
and contra-indications;
Eye diseases treatment tools, indications and contra-indications.

2. Ability
Student will be able to:
Conduct patient's physical examination, anamnesis, and instrumental and laboratory
examinations, if necessary;
Make interpretation of the data obtained, and state a diagnosis;
Develop a treatment plan according to the diagnosis.
Make effective verbal and nonverbal communication with patient and his relatives;
Register the data obtained;
Make oral and written reports concerning patient’s condition;
Share information with colleagues in written, verbal, direct and in other communication forms;
Make an extraction from patient’s medical history, concerning patient’s condition;
Give an instructional advice for patients concerning the disease, its care and hygiene issues;
Identify pathologies according to the results of the examinations;
 Make an interpretation of the results of the examinations;
Use the knowledge gained from course in the processing of professional activity.
Responsibility and autonomy
The student can make autonomous decisions and take responsibility for these decisions.
Continuation of studies at a higher level. Respect for patient rights at a professional level..
Field competences:
Student approves the following field competences:
 patient counseling, assessment of clinical cases, appointment of diagnosis, differential
diagnosis, discussion of disease management plan, Assistance in emergency medical
care, Knowledge of subscription to medicines, Conducting Practical procedures,
Effective communication in medical contexts, In clinical practice, the use of ethical
and legal principles, Assessment of psychological and social aspects of patient's illness,
Using evidence-based principles, skills and knowledge, effective use of information
technologies and information in medical context, Implementation of health promotion
activities, involvement in public health issues, effective work in the health care
system, Professionalism.

Content Duration of Curatio – 13 Days

Day 1 - Lecture 1 hr.

Introducing syllabus
Introducing the Assessment System
General review of discipline
A brief history of the development of Ophthalmology, anatomy of organ of sight, physiology of
organ of sight; the optical system of the eye, refraction; development of clinical refraction.
Examination methods of the sight organs. Optical glasses, accommodation of eye,
physiological and pathological changes of the accommodation
Practicum classes - 3 hours.
Anatomy of organ of sight, physiology of organ of sight; the optical system of the eye,
refraction; development of clinical refraction. Examination methods of the sight organs.
Optical glasses, accommodation of eye, physiological and pathological changes of the
accommodation;
Vision screening, eye ground screening, symptomatic
Demonstration of clinical skills.

Day 2 - Lecture 1 hr.

Eyelid inflammatory diseases, eyelid diseases; meibomian gland diseases, eyelid muscle diseases,
eyelid position changes, ectropion; eyelid tumors, eyelid congenital malformations;
Practicum classes - 3 hrs.
Oral presentation of the studied material.
Eyelid inflammatory diseases, eyelid diseases; meibomian gland diseases, eyelid muscle
diseases, eyelid position changes, ectropion; eyelid tumors, eyelid congenital malformations;
patient examination, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills.

Day 3 - Lecture 1 hr.

Diseases of the Tunica conjunctiva, acute infectious conjunctivitis, viral conjunctivitis;
inclusion blennorrhea in newborns; acute follicular conjunctivitis, follicular conjunctivitis
diseases; endogenous conjunctivitis, allergic conjunctivitis, conjunctivitis degenerative changes.
Practicum classes- 3 hrs.
Oral presentation of the studied material
Diseases of the Tunica conjunctiva, acute infectious conjunctivitis, viral conjunctivitis,
Inclusion blennorrhea in newborns; acute follicular conjunctivitis, follicular conjunctivitis
diseases; endogenous conjunctivitis, allergic conjunctivitis, conjunctivitis degenerative changes,
patient examination facilities, diff diagnosis, diagnosis, treatment plan.
Presentation of the practical skills, case-method.
Clinical Case

Day 4 - Lecture 1 hr.

Lachrymal system diseases, corneal diseases, viral keratitis, tuberculosis keratitis; keratitis of
unknown etiology; corneal dystrophy of corneal membrane and degeneration.
Practicum classes - 3 hrs.
Oral presentation of the material studied.
Lachrymal system diseases, corneal diseases, viral keratitis, tuberculosis keratitis; keratitis of
unknown etiology; corneal dystrophy of corneal membrane and degeneration. Patient
examination tools, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills, case-method.

Day 5 - Lecture 1 hr.

Sclera and its diseases, vascular tract diseases; symptoms of Iridocyclitis and Choroiditis ;
toxico - allergic (acute) uveitis, pupil and its changes;
Practicum classes - 2 hrs.
Oral presentation of the studied material.
Sclera and its diseases, vascular tract diseases; symptoms of Iridocyclitis and Choroiditis; toxico
- allergic (acute) uveitis, pupil and its changes. Patient examination tools, diff. diagnostics,
diagnostics, treatment plan.
Presentation of the practical skills, case-method.
Day 6 - Lecture 1 hr.
Uncertain etiology keratitis, dystrophies and degenerations of the cornea membrane. Cornea
scars and carrots, corneal size and anomalies of cornea, cornea membrane tumors.
Practicum classes - 2 hrs.
Oral presentation of the studied material.
Patient examination tools, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills, case-method.
Day 7 - Lecture 1 hr.
Sclera, its diseases, episcleritis, scleritis.
Practicum classes - 2 hrs.
Oral presentation of the studied material.
Patient examination tools, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills, case-method.
Day - 8 Midterm Exam- 1 hour.

Day 9- Lecture 1 hr.

Vascular tunic diseases. Symptoms of Iridocyclitis and Choroiditis; toxico - allergic (acute)
uveitis, pupil and its changes. Crystalline lens diseases; cataract, congenital cataract, acquired
cataract.
Practicum classes - 3 hrs.
Oral presentation of the studied material.
Patient examination tools, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills, case-method.

Day 10- Lecture 1 hr.

Pupil and its disorders; Lens and its diseases; Changes in the lens, Cataract . Congenital and
acquired cataracts; Surgical and modern methods
Practicum classes - 2 hrs.

Teaching Format
Teaching/Learning methods
Material and technical
resources for the necessity of
training course
Assessment criteria
Oral presentation of the studied material.
Patient examination tools, diff. diagnostics, diagnostics, treatment plan.
Presentation of the practical skills, case-method
Day 11 - Lecture 1 hr.
Vitreous humor diseases, pathology of intraocular pressure, primary glaucoma; closed angle
glaucoma; mixed forms of glaucoma, retina, and its diseases, symptoms. Diseases caused by
disorders of blood circulation.
Practicum classes- 3 hrs.
Oral presentation of the studied material.
Presentation of the practical skills, case-method.
Day 12 - Lecture 1 hr.
Optic nerve diseases, optic nerve edema, ischemic neuropathy; optic nerve degeneration
caused by intoxication, visual nerve atrophy, visual pathway diseases; visual function disorder.
Inferior oblique muscle and its diseases. Symptomatology of eyeball diseases; orbital septum
inflammatory diseases; endocrine exophthalmos; exophthalmus (е. pulsans), eyeball tumors,
injuries of eye and its appendages.
Practicum classes - 3 hrs.
Oral presentation of the studied material.
Presentation of the practical skills, case-method.
Day 13 - Lecture 1 hr.
Orthoporphia and heterophoria, esotropia, paralytic strabism and nystagm. Orbital diseases and
tumors.
Traums, injuries, wounds and foreign bodies, thermal and chemical damages of eye and its
appendages .
Practicum classes - 3 hrs.
Oral presentation of the studied material.
Traums, injuries, wounds and foreign bodies, thermal and chemical damages of eye and its
appendages .
Presentation of the practical skills, case-method.
17 day – final exam – 2 hrs.
The main form of teaching: lecture, practicum classes.
Lectures are held with the usage of presentation material and computer technology.
Practicum classes are held in clinic as curatios, where students have group discussions and
analysis of the lecture material. Observation on patients, symptomatic diagnostics, diagnostics,
formation of the communication skills with patients - collecting of the anamnesis, planning the
treatment course, analysis of situational tasks.
Students’ term assessment methods are: oral presentation of the material, presentation of the
practical skills, case-method, students self-assessment, midterm assessment.
During independent work students are working on given course materials, it contains
understanding and analysis.
Clinic, auditory
Evaluation system produces:
a) 5 types of positive assessments:
a.a) (A) excellent-91%-100%
a.b) (B) very good-81-90%
a.c) (C) good-71-80%
a.d) (D) satisfactory-61-70%
a.e) (E) acceptable -51-60%

2 types of negative assessments:

b.a) (FX) couldn’t pass- 41-50%-Which means that more work is needed. The student can
enroll in independent work and is given the right of an additional test.
b.b) (F) Fail-Less than 40% Work carried out by the student is not enough and the student must
retake the subject.

The semester assessment includes the necessary components-Midterm assessment and Final
exam. Each component has its percentage of the overall system of assessment, which
determines the course author/authors. For example: (1) 70/30 or (2)60/40, which means that in
the first case midterm assessments include assessment's 70 %, final exam 30%, in the other case
Midterm assessments include assessment’s 60%, and Final exam 40%.

Final exam should not be exceed more than 40%.

The assessment of the midterm is divided into the components
(Midterm, activity on seminar/practical matter, presentation, quiz, situational tasks, essay and
etc.) The percentage of the subject teacher defines itself
The student has the right to pass the final exam, which has crossed the minimum competence
margin of the midterm assessment (defined in accordance with the educational program).
If midterm assessment and final exam total point is 41-50, student is allowed to repass
additional exam. If midterm assessment and final exam total point is 40 or less than 40 student
is obliged to take subject again.
Student has the right to pass the exam in the same semester, at least 5 days after the final exam.

The assessment of a student shall be held by 100 grade point system that is composed of: 60
grade points for midterm assessments, 40 grade points for the final exam.

 The mid-term grade points shall be earned by the following assessment methods:
Oral presentation of the material – is held 9 times, except the first day, evaluated as 9 points per
term.
Presentation of the practical skills- is held 6-times, totally 24 points:
Collection of the anamnesis from patient, physical examination and registration of data – 1
point.
Interpretation and reading of the results of the instrumental examination - 1 points.
Diff. diagnostics and diagnostics - 1 point.
Development of the treatment plan- 1 point.
Case-method (review of situational task) - is held 6-times and assessed by 6 points.
Student's self-assessment: Student assesses his own learning knowledge with 0-1 points
1 point - The student is satisfied with his own knowledge
0 points - The student is dissatisfied with his own knowledge

Midterm exam is assessed with 20 points; it is held in complex manner, including: 1) test format
exam, including tests based on clinical cases – 8 points; 2) OSCE – is held in 12 stations, 4
minutes for each station. For each trial they get max. 1 point (1 point – very good response;
0,75 point – good response; 0.5 point – satisfactory response; 0,25 point – minimal or bad
 response, 0 – no response at all) and earns 12 points.
The minimum grade point for the positive assessment shall be 30 grade points of the midterm
assessment.

Final exam is assessed with 40 points; it is held in complex manner, including: 1) test format
exam, including tests based on clinical cases – 20 points; 2) miniCEX – assessed by 20 points
(see the attached miniCEX evaluation paper template).
The minimum grade point for the positive assessment of final exam shall be 21 grade points.

Student has the right to pass the exam in the same semester, at least 5 days after the
final exam.
Basic literature Gupta A.K., Aggarwal V.K., Goel N. - Handbook of clinical trials in ophthalmology. Jaypee
Brothers Medical Publishers, 2014.
Vaugham&Asbury`s general Ophtalmology

Complementary literature 1.Chloe R. A., Forsen J. W, - Color atlas of ear disease. 2nd ed., BC Decker Inc. 2002.
2. Vaugham&Asbury`s general Ophtalmology
3. Ed.: Weisbecker C.- Physicians`desk refenerce for ophthalmology. 23-rd ed., Medical
economics, Philadelphia, 1995
http://search.ebscohost.com/

Author/authors: