INTRODUCTORY OCULAR DISEASE

SHE Level 2
SCQF Credit Points 10.00
ECTS Credit Points 5.00
Module Code M2B525792
Module Leader Andrew Logan
School School of Health and Life Sciences
Subject Vision Sciences
Trimester
  • B (January start)

Pre-Requisite Knowledge

SCQF Level 7 Module in Ophthalmic Anatomy & Physiology A; SCQF Level 7 Module in Ophthalmic Anatomy & Physiology B

Summary of Content

The module introduces ocular disease by linking existing knowledge of ocular anatomy and physiology and systemic pathology to ocular disease. The aetiology of the diseases are covered in relation to the anatomy and physiology. In addition, the module is designed to introduce students to the concept of being faced with a patient and working through the steps of the eye examination to decide which disease they have. To do this, students consider an introduction to the history and investigations, in particular they will think about what questions and investigations are appropriate and how the results of these aid in the diagnosis of a condition. Students will learn about communication of the conditions to the patients, and will be introduced to the management options that are available to them.

Syllabus

Introduction to history and symptoms relating to ocular disease Introduction to headache with an emphasis on history and symptoms Review of investigations used when investigating ocular disease Clinical examination of the pupils and common pupil abnormalities Introduction to management options when treating ocular disease Introduction to the following eye conditions in relation to anatomy and physiology, symptoms, investigations and management options, where appropriate: Conditions affecting the Lids, lashes and tears including: -360b7 Ptosis b7 Ectropion b7 Trachiasis b7 Chalazion b7 Hordeolum b7 Pigmented lesions of the lids b7 Blepharitis b7 Dry eye Anterior eye inflammations, including: -360b7 Review of inflammatory response b7 Scleritis b7 Episcleritis b7 Uveitis Ocular allergies, including: -360b7 Seasonal and perenial allergic conjunctivitis b7 Atopic keratoconjunctivitis b7 Vernal keratoconjunctivitis b7 Giant papillary conjunctivitis Ocular infections, including: -360b7 General signs and symptoms of conjuncitivis and keratitis b7 Bacterial infections b7 Viral infections b7 Introduction to infections caused by other microbes Ocular first aid, including: -360b7 Corneal abrasions b7 Mechanical injuries b7 Non-mechanical injuries -1058 Introduction to differential diagnosis of red eye Crystalline lens, including: -360b7 Causes of cataract including trauma, inflammation, age, diabetes and medicines b7 Lens exfoliation syndrome IOP and related disease processes, including: -360b7 Causes of abnormal IOP including b7 Introduction to open angle glaucoma b7 Introduction to secondary glaucoma The Optic Nerve Head, Glaucoma And Other Disorders, including: -360b7 glaucomatuos optic nerve head b7 ischaemia of the optic nerve head b7 toxicity to optic nerve head b7 inflammation of the optic nerve head Retina and associated conditions including: -360b7 Types of maculopathy including age-related maculopathy b7 Vascular occlusions b7 Vascular hypertension b7 Diabetic retinopathy

Learning Outcomes

On successful completion of this module the student should be able to:-1. Understand the important terms relating to disease of the eye.2. Apply knowledge of general and ocular anatomy, pathology and systemic conditions to ocular pathology.3. Consider symptoms relating to abnormal ocular conditions.4. Plan appropriate ophthalmic investigations.5. Synthesise structured approaches to communication, clinical investigation and decision making.6. Develop a clinical hypothesis based on clinical history and examination and apply problem solving approaches, based on evidence based practice, to evaluate the validity of the hypothesis.

Teaching / Learning Strategy

The module will employ a problem-based learning approach to the acquisition of clinical data, the subsequent generation of diagnostic hypotheses and their evaluation as a means of generating differential diagnoses and management planning options. This will be achieved by the use of directed condition investigation by students which will be supported by a number of lectures and seminar sessions in selected topics. The seminars sessions will be student lead. The combination of elements in the strategy has been specifically designed to promote an effective introduction to the problem-based evaluation of clinical data which is becoming increasingly required of practising optometrists.

Indicative Reading

Required: Kanski, J.J. and Bowling, B, (2011), Clinical Ophthalmology: A Systematic Approach Expert Consult, 7th edition Butterworth-Heinemann Indicative Doughty, M.J. , Drugs, Medications and the Eye (Smawcastellane Information Services, Helensburgh) , current edition, ISBN-0-7506-4500-8 Hopkins, G. & Pearson, R. (2007), Ophthalmic Drugs, Diagnostic & Therapeutic Uses, 5th edition, Butterworth-Heinemann Oyster, C.W. (1999) The Human Eye. Structure & Function. Sin aver Associated Inc. ISBN 0-87893-645-9 Bruce AS. Anterior Eye Disease and Therapeutics A-Z, 2 nd ed. Elsevier. Bruce AS. Posterior Eye Disease and Glaucoma A-Z. Elsevier. Elliot David B. (2003) Clinical procedures in primary care: a practical manual, 2 nd ed. Butterworth-Heinemann The College of Optometrists. Clinical Management Guidelines, http://www.college-optometrists.org/

Transferrable Skills

Time management Analytical skills Professionalism Basic interpretation of clinical significance of symptomatology and diagnostic criteria Development of interpersonal communication skills through group investigations Formulation and testing of clinical hypotheses Presentation skills appropriate to clinical case studies Introductory level clinical interactive communication development High order skills in information retrieval, transfer, liaison, debate, analysis evaluation and clinical decision making A reflective attitude to all aspects of patient-practitioner interaction

Module Structure

Activity Total Hours
Independent Learning (FT) 56.00
Seminars (FT) 10.00
Assessment (FT) 4.00
Lectures (FT) 30.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Exams Office) 2.00 70.00 35% unseeen written examination
Course Work 01 n/a 30.00 35% Seminar presentation to peers, class test