All questions answered. Here is a quick summary of what was covered:
What Was Answered (Both Sections, All Questions)
Section A - 50 Marks
Q1. Cataract (Long Answer - 10 marks):
- a) Definition - opacification of the crystalline lens
- b) Etiology (age-related, traumatic, metabolic, drug-induced, congenital, radiation, secondary) + Classification (by morphology: nuclear, cortical, PSC; by maturity: immature, mature, hypermature, Morgagnian)
- c) Signs & symptoms of senile cataract (painless vision loss, glare, monocular diplopia, "second sight," reduced red reflex, slit-lamp findings)
- d) Investigations (biometry, visual acuity, slit-lamp, IOP, fundus, B-scan) + Management (phacoemulsification as gold standard, SICS, ECCE, IOL implantation, complications)
Short Notes (Q2-9): Night blindness, Red eye, Chalazion, Subconjunctival haemorrhage, Myopia, Acute conjunctivitis, Keratitis, Acute iridocyclitis
Section B - 50 Marks
Q1. Pterygium (Long Answer - 10 marks):
- a) Definition - triangular fibrovascular subepithelial conjunctival ingrowth onto cornea
- b) Etiology (UV radiation, dryness, genetics) + Types (atrophic/intermediate/fleshy; true vs pseudopterygium; Tan's classification)
- c) Management (UV protection, conjunctival autografting as gold standard, adjuvant MMC/beta-irradiation, bare-sclera avoided due to 80% recurrence)
- d) Complications (astigmatism, visual axis involvement, recurrence, scleral melt from MMC, diplopia, squamous cell carcinoma risk 2-10%)
Short Notes (Q2-9): Tonometry, Slit-lamp examination, Ophthalmoscopy, Snellen visual acuity chart, Painful blind eye, Corneal transparency, Retinoscopy, Sudden loss of vision