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FOK (Dentistry)

Subject Description in English: FOKVSZE168_1A 

Subject: Ophthalmology, obligatory elective in the 8thsemester

Blueprint: pathology II

Code: FOKVSZE168_1A

Credits: 1

Credit code: K1E1G0,5

Hours per week: Theory 1, practice 0,5

Institution: Department of Ophthalmology, Budapest Mária utca 39

Aims of tuition:The student should acquire the theoretical and practical knowledge that a non-ophthalmologist (dentist) needs to recognize the serious eye diseases that threaten with blindness. Should know prevention, screening and first aid of eye diseases. Should know appropriate knowledge of symptomatology of eye diseases that require specialized ophthalmologic treatment.

Competence assessment

Signs of acute glaucoma, therapy

Causes of sudden visual loss

Clinical feature of central retinal artery occlusion, acute treatment
Amblyopia
Acute treatment of lagophthalmos

Causes of progressive deterioration of visual acuity
Aim and frequency of ophthalmic screening for diabetes mellitus.
First aid for chemical injury of the eye

Possible causes of leuccoria
Differentiation of conjunctivitis and acute iritis
Clinical manifestation of papilledema, diagnosis and therapy
Differentiation of conjunctivitis and keratitis

Recognition of strabismus
Recognition of corneal erosion, corneal and conjunctival foreign body
Recogniton of visual field defect, management

Recognition of cellulitis orbitae, management
Management of penetrating eye injury
Palsy of nerves responsible for eye movement

Differentiation of infectious and allergic conjuntivitis

Competence in practice
1. Evaluation of near and far visual acuity.

  1. Confrontal examination of visual field
    3. Examination of eye movement in 6 main directions
    4. Examination of ocular alignment
    5. Examination of pupillary reactions and size
    6. Examination of anterior segment with pupillary lamp
    8. Appraisal of eye tension by touching
    9. Eversion of upper eyelid
    10. Removal of conjunctival foreign body

Practical knowledge
Recognition of ophthalmic problem:
1. Deterioration of visual acuity
2. Differentiation of red eye (conjunctivitis, keratitis, anterior uveitis, acute glaucoma).
4. Hemianopic and bitemporal visual field defect.
5. Acute palsy of nerves III, IV and VI.
6. Leukocoria.

Treatment at own responsibility:
1. Conjunctivitis (viral, bacterial, allergic).
First aid:
1. Chemical injury
2. Conjunctival foreign body
3. Acute glaucoma

Reasons for acute ophthalmic referral
1. Sudden visual loss, visual field defect
2. Chemical injuries
3. Acute glaucoma attack
4. Blunt and penetrating trauma
5. Corneal ulcer
6. Corneal foreign body
Reasons of regular ophthalmic control:
1. Diabetes mellitus

Requirements of participation at practices and substitution of absences:Maximum 2 absences from the practices are accepted for signature of the semester. More absences have to be substituted individually. Practices are held every second week: 2x30minutes. (Due to contractions one occasion equals to 2 practices)
Requirements of signature of the semester:No more than 2 absences and successful practice exam
Calculation of the final mark: Performance at the final exam.
Type of exam: Final (practice and theory). Successful practice exam is the prerequisite of the theoretical exam.Form of theoretical exam: Written.
Registration for the exam: Dates are given through the NEPTUN System. The number of accepted students per day is limited.
Modification of exam date: According to the rules of the NEPTUN System.
Legitimating absences from exams:Absences from exams should be legitimated within 3 working days at the head of the department or the tutor of the subject. Exams can be repeated after one week.
List of learning materials:Lange: Pocket Atlas of Ophthalmology