PGY1 Ophthalmology Ace Mastery Guide

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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.

EIC prep: Stop and Chop day (Chop, Catch, Backup, Cornea)

One map for the 10/23 half day: stop and chop steps, the torn capsule, the backup lens plan, and the refractive surgery numbers and complications. Questions built in.