ADVANCED CLINICAL INVESTIGATION

SHE Level 5
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MMB521439
Module Leader Lynne Watson
School School of Health and Life Sciences
Subject Vision Sciences
Trimester
  • B (January start)-C (May start)

Pre-Requisite Knowledge

UK GOC registration (BSc (Hons) DipOptom / MCOptom) or GOC registration with optometry degree equivalent to BSc (Hons) or Optometric work experience without GOC-registration (non-UK, minimum 2 years) or Other vision-related qualification without GOC registration

Summary of Content

This module is designed to provide students with a comprehensive and up to date knowledge on advanced clinical diagnostic techniques including non-invasive imaging techniques such as OCT in the context of diagnosis and management of ocular disease.

Syllabus

Principles of Optical Coherence Tomography (OCT) Principles of Ultra wide-field retinal imaging Principles of specular microscopy Principles of frequency doubling perimetry Principles of anterior segment Scheimpflug photography Practical - Technique of OCT Practical - Technique of Ultra wide-field retinal imaging Practical - Technique of specular microscopy Practical - Technique of frequency doubling perimetry Practical - Technique of anterior segment Scheimpflug photography Practical - Technique of indirect ophthalmoscopy with scleral indentation Case interpretation and discussion - OCT Case interpretation and discussion - Ultra wide-field retinal imaging Case interpretation and discussion - specular microscopy Case interpretation and discussion - frequency doubling perimetry Case interpretation and discussion - anterior segment Scheimpflug photography

Learning Outcomes

Following successful completion of the module students should be able to:1. Demonstrate a critical understanding of the principles of various advanced clinical diagnostics techniques2. Demonstrate a critical understanding of the utility of the techniques covered3. Critically appraise the limitations of the various techniques4. Confidently apply the techniques covered in the module in a clinical context 5. Devise clinical decisions based on the information gained by utilising the techniques6. Draw conclusions from the diagnostic information gained and to take appropriate steps in the context of patient management

Teaching / Learning Strategy

This module consists of a series of clinical lectures and hands-on workshops in the form of a clinical placement at the Lothian Optometry Teach and Treat Clinic and/ or at a similar facility, which is currently being developed in Glasgow. Students will be trained to use the latest ophthalmic investigation instrumentation to aid diagnosis and management of ocular disease. Students will also be encouraged to supplement the practical training by independent learning as well as critical reflection, such as on the limitations of the technology being used. The clinical placement will consist of no more than 24 hours.

Indicative Reading

Sakata LM, Deleon-Ortega J, Sakata V, Girkin CA. Optical coherence tomography of the retina and optic nerve - a review. Clin Experiment Ophthalmol . 2009 Jan;37(1):90-9. van Velthoven ME, Faber DJ, Verbraak FD, van Leeuwen TG, de Smet MD. Recent developments in optical coherence tomography for imaging the retina. Prog Retin Eye Res . 2007 Jan;26(1):57-77. Manivannan A, Plskova J, Farrow A, Mckay S, Sharp PF, Forrester JV. Ultra-wide-field fluorescein angiography of the ocular fundus. Am J Ophthalmol . 2005 Sep;140(3):525-7. Csutak A, Lengyel I, Jonasson F, Leung I, Geirsdottir A, Xing W, Peto T. Agreement between image grading of conventional (45b0) and ultra wide-angle (200b0) digital images in the macula in the Reykjavik eye study. Eye (Lond) . 2010 Oct;24(10):1568-75. Elliot DB. Clinical Procedures in Primary Eye Care, 3 rd ed., 2007. Kanski JJ & Bowling B. Clinical Ophthalmology - A systematic approach, 7 th ed., 2011.

Transferrable Skills

Ability to use a range of advanced clinical instruments Advance the knowledge on the diagnosis and management of ocular disease Critical thinking and reflection Critical evaluation of clinical examination techniques

Module Structure

Activity Total Hours
Practicals (FT) 10.00
Independent Learning (PT) 156.00
Placement 24.00
Assessment (PT) 6.00
Lectures (FT) 4.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 0.00 75.00 45% Clinical Case Report
Exam (Dept) 01 1.00 25.00 45% Online Case Discussion Assessment of Clinical Skills