Week 6 Reading Assignment and Statistics
||Principles of intraocular pressure and aqueous dynamics, glaucoma exam, open angle glaucoma, angle closure glaucoma
||Cornea 6-8; Fundamentals 12-14
||Corneal immunology, corneal neoplasia; vitreous/retina/RPE physiology
||173-248 (Cornea); 283-310 (Fundamentals)
*The AAO reading schedule is based off the 2016-2017 BCSC series, available starting June 15, 2016.
**My reading schedule is based off the 2012-2013 BCSC series, as I do not own the new editions.
Since there are multiple ways to read through the BCSC, I decided to format the reading schedule based on weeks, rather than post multiple reading events. This also allows me to reuse these events every year, instead of creating this again next year.
The two featured reading schedules are adapted from Dr. Brian T. Chan-Kai’s article on the American Academy of Ophthalmology’s website, and the reading schedule my colleagues and I used in residency. While my reading schedule may typically seem a bit lighter, keep in mind that Dr. Chan-Kai’s schedule takes less time (31 weeks vs. 34 weeks), and goes through 12 of the 13 texts (mine covers 11 of 13).
Additionally, Dr. Chan-Kai starts the reading two weeks into the new residency year (presumably to allow for orientation and such). I am going to start the reading schedule on this site on July 1 for simplicity, and also to allow for a few weeks of review at the end before the OKAP. Obviously, these are all guidelines, and you can adapt the schedule however you see fit.
For someone wanting to read through the BCSC in a year to study for the ABO Written Qualifying Exam, this reading schedule should be modified, in that the written board exam doesn’t test on Section 1: Update on General Medicine or Section 2: Fundamentals and Principles of Ophthalmology.
Week 6 Overview
This week’s reading, regardless of the reading plan, begins the deep dive into the bulk of ophthalmic disease. Impressively, by this point, if you have followed the AAO’s reading schedule, you will have already completed reading 2 BCSC textbooks (Fundamentals, Lens and Cataract)! If you follow the plan I used, you will finally be done reading through Fundamentals this week, just as you begin learning about some very interesting corneal diseases.
If you haven’t started figuring out a way to mentally organize eye diseases, this is probably your last chance to start a “review as you go” strategy without getting super far behind. Obviously, both glaucoma and corneal disease are very high-yield topics (not just for tests but also clinically), and the wider and deeper your base of knowledge, the better you’ll be at recognizing atypical disease and deciding when to broaden your differential diagnosis.
The AAO Plan:
The first few chapters of the Glaucoma book do a wonderful job of explaining aqueous dynamics and the theory of how we understand the manipulation of intraocular pressure, then describing the clinical progression of glaucoma (regardless of the etiology). Chapters 4 (open angle glaucoma) and 5 (angle closure glaucoma) are incredibly high-yield when it comes to both the classification of glaucoma as well as learning how to properly manage patients with glaucoma. I will be writing up more detailed chapter tips at some point, but be sure to pay attention to the glaucoma studies that are reviewed, as these studies form the basis of how we understand risk factors and management of glaucoma. From these two chapters you should become very comfortable formulating a general approach to classifying glaucoma and recognizing the various causes of increased intraocular pressure. This is one of those crucial weeks where understanding is vital, so be willing to spend extra time reading through each chapter.
Ophthalmology Review Plan:
This week’s reading assignment covers corneal inflammations and neoplasia, and finishes up Fundamentals. Dry eyes, corneal infections, and corneal inflammations are incredibly common in clinical practice, so being comfortable recognizing these different diseases and their findings, as well as having a logical approach to treating these diseases, will help keep you from developing gastric ulcers when trying to decide what to do with that Pseudomonas corneal ulcer on call.
Week 6 Tips and Helpful Resources
For tips on reading these sections, please check out the following pages (I will be working on developing more content for this section):
- gonioscopy.org: For those reading through the Glaucoma book, this is a great time to learn gonioscopy clinically if you haven’t already. Because the videos and images here are very detailed with narration, it can be a great supplemental resource to use while trying to understand everything you’re reading.