Week 22 Reading Assignment and Statistics
||Pediatric Ophthalmology/Strabismus 22-28;
Refractive Surgery 9-11
|Pediatric glaucomas, systemic diseases; Presbyopia, post-refractive surgery management
||Pediatric Ophthalmology/Strabismus 9-13, 25;
|Alphabet-pattern strabismus, management of strabismus; Clinical approach to uveitis
*The AAO reading schedule is based off the 2015-2016 BCSC series, available starting June 15, 2015.
**My reading schedule is based off the 2012-2013 BCSC series, as I do not own the new editions.
Week 22 Overview
In this week, you’ll be continuing to work through topics in pediatric ophthalmology and refractive surgery if you’re following the AAO plan, and you’ll be finishing up the strabismus section of the Pediatrics book and starting Uveitis if you’re following ours.
The AAO Plan:
As previously stated, pediatric ophthalmology is a great review of all the other topics. I would strongly recommend reading these sections alongside with the texts covering the corresponding subjects.
With more people having refractive surgery than ever before in the U.S., knowing how to manage ocular diseases in the post-refractive surgery state is very important to understand. While I have no first-hand knowledge about how “testable” this is, I think that from a clinical knowledge standpoint it’s something any ophthalmologist should be comfortable recognizing and managing.
Ophthalmology Review’s Plan:
Strabismus management can be summarized into some general steps:
- Identify the pattern and determine the differential diagnosis
- Diagnose the condition
- Treat any underlying problem
- Optimize amblyopia (in children)
- Once deviation is stable:
- Observe (not acceptable in children of amblyogenic age)
- Prism glasses
It is important, though, to know the basics of how to manage patients, both for amblyopia and for strabismus. There are some special cases of strabismus and some specific surgeries that you probably should know for testing purposes (or if you’re going into pediatric ophthalmology or neuro-ophthalmology). We also tossed in Botox injections into this section as well.
After completing the strabismus section, we actually set aside the pediatrics book until review season (for reasons previously noted). Uveitis is the next book up – we actually skip the first 4 chapters in our reading schedule because it is primarily theory that is hopefully a review of our immunology courses in medical school. While it’s not required reading on our schedule, chapters 1-4 can be useful as a refresher, and offer some useful clinical correlations that help tie in those immunologic principles with ophthalmology. Keep in mind that there may be “testable” material present in chapters 1-4, but in terms of overall “yield” the details listed here may not be as useful as others to learn.
Week 22 Tips and Helpful Resources
For tips and resources on reading these sections, please check out the following pages (I will be working on developing more content for this section):