PGY1 Ophthalmology Ace Mastery Guide

Apple Podcasts: Library → ⋯ → Follow a Show by URL → https://nh-ophtho.pages.dev/podcast.xml

1. Your first eye consult: the eight-point exam, WHO cataract grading, and the phone call

The eight-point exam in order and why that order, what each finding tells you, the WHO cataract grades (nuclear, cortical, posterior subcapsular), and how to present a consult in twenty seconds. Questions built in.

2. The five can't-miss eyes: Lose, Red, Hit, Burn, Droop

Five emergency pictures and the first move for each: sudden vision loss, the dangerous red eye, trauma, chemical burn, and the drooping lid with a big pupil. Questions built in.

3. The red eye ladder: sort a red eye in sixty seconds

Five rungs (Surface, White, Window, Iris, Pressure) and four checks (Vision, Light, Ring, Stain) to find the cause of a red eye, with the steroid-drop rule. Questions built in.

Week 2 reading: Fungal keratitis, MUTT 1 and MUTT 2 (Nat first, no pill)

Which drop first for a filamentous fungal ulcer, and does an oral voriconazole add-on help? What the two trials change at the bedside. Questions built in.

Week 3 reading: Diabetic eye disease, stage, center, sugar (Protocols S and T)

The diabetic retinopathy stages, the 4-2-1 rule, and what Protocol S (PRP vs ranibizumab) and Protocol T (three anti-VEGF drugs) changed. Questions built in.

Week 3 reading: The language of uveitis, the SUN nomenclature

Where, When, How much, How active: the SUN anatomic classes, onset and course words, cell and flare grading, and activity terms. Questions built in.

Week 4 reading: Ocular hypertension, confirm the visual field (OHTS)

Why most abnormal visual fields in OHTS did not repeat, the artifacts that fake a defect, and the confirm-then-call rule. Questions built in.

Week 4 reading: The optic nerve trials, ONTT and IIHTT

Optic neuritis: pulse and scan. Idiopathic intracranial hypertension: pill and weight. What each trial changed. Questions built in.

Stop and Chop prep, Part 1: Stop and chop, step by step

The stop and chop sequence, the four classic beginner errors, surge control, and pump logic.

Stop and Chop prep, Part 2: The broken posterior capsule

Timing-based plans for a capsule tear, conversion to extracapsular surgery, anterior vitrectomy rules, and the close-out.

Stop and Chop prep, Part 3: Lenses and backup lens plans

Bag, sulcus, and anterior chamber lenses: power changes, optic capture, sizing, materials, and an upside-down three-piece.

Stop and Chop prep, Part 4: Refractive lecture pearls

Microkeratome flaps, overcorrection, central islands, corneal power, pellucid, and ectasia treatments.

Stop and Chop prep, Part 5: Complications rapid-fire quiz

Twelve quick questions: striae, DLK stages, PISK, central toxic keratopathy, sterile infiltrates, and keratoconus.