October 6 – 17, 2014
My two weeks on ENT was immediately followed by two weeks on Ophthalmology. Without very little prior exposure to this specialty, you could say I was certainly a little stressed! However, my concerns were proven to be completely unwarranted. We were rostered to work in a variety of environments, each welcoming with its own learning objective.
The majority of my time was spent in the Eye Casualty Clinic seeing patients with acute illnesses like infections, foreign bodies in the eye, pain, etc. We also reviewed quite a number of follow up patients. Being in Eye Casualty allowed us to learn and hone some critical skills including how to take and document an opthalmology specific history, how to measure intraocular pressures, more practice using a slit lamp (with lenses) for indirect ophthalmoscopy and using a fundoscope for direct ophthalmoscopy. In addition, we also had the chance to see more specialised tests using machines such as optical coherence tomography and wide-field retinal imaging using Optos. Many thanks to the doctor in Eye Casualty for giving us much of your time teaching us!
We also had the opportunity to spend time in theatre, where I had the chance to see procedures such as an orbital decompression for Graves disease, ocular biopsy suspicious for cancer, and of course, cataract surgery. Although it may seem mundane after watching it more than 5 times, intravitreal injections are an important component for treatment of diseases that affect the retina, such as macular degeneration and diabetic retinopathy. As someone who is interested in General Practice, I especially appreciated learning how to identify and refer ocular emergencies.
And to end my brief blurb about my time on ophthalmology, here’s a photo of my (currently) healthy looking retina!