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Summary OSCE Anterior eye layman explanations

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I passed my OSCEs first time in 2024. These are my notes to help you get that pass. These are detailed and include hours of hard work.

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Layman's AE




Pterygium Pinguecula

Condition: we have a clear transparent
skin in our eye called the conjunctiva on
the white part of your eye. Sometimes the
conjunctiva can undergo changes
causing a small raised whitish yellowish
spot to develop called a pinguecula. Can
occur at 2 points of the eyes, if you
imagine the front of the eye as a clock
face then it usually occurs at the 3 and 9
o'clock positions & both eyes are usually
affected. This doesn't usually cause any
symptoms.
Reason: it tends to occur more
commonly with age, long exposure to UV,
irritation from dust & wind, welding jobs &
CLs wear
Management:
▪︎ the good news is that this is a harmless
condition that we don't need to do much
Condition: We have a transparent clear-like about it especially if it isn't affecting the
film in our eyes on the white part of the eye vision
called the conjunctiva. Sometimes it can ▪︎ important to protect your eyes from UV
thicken and become triangular in shape called radiation & wear sunglasses and a large
a pterygium & can occur at 2 points of the brimmed hat (can grow in the other eye)
eyes, if you imagine the eye to be a clock face ▪︎if there's any irritation/discomfort then we
then to the 3 and 9 oclock points, it can also can use lubricating drops at least 3x/day
extend onto the clear window of the front of & cold compresses such as getting a
the eye called the cornea causing changes to mask and refrigerating it 2x/day
its shape so prescription changes, specifically ▪︎ I’m also going to be giving you a leaflet
astigmatism about your condition to summarise what I
Reason: usually caused by age, constant have just said
exposure to UV radiation, dust & wind ▪︎if you don't like the appearance it can be
[relate it back to the patient's risk factors] removed via surgery or laser but would
Management: have to be privately as it wouldn't be
▪︎ the good news is that this is a harmless covered by the NHS for cosmetic reasons
condition that we don't need to do much about
it especially if it isn't affecting the vision
▪︎important to protect your eyes from UV
radiation and wear sunglasses and a large
brimmed hat (as it can occur in the other eye
as well)
▪︎if there's any irritation/discomfort then we can
use lubricating drops at least 3x/day & cold
compresses such as getting a mask and
refrigerating it 2x/day
▪︎I want you to take pictures so that we can
monitor its growth and come for your regular
eye tests. If it does start to impact the vision
then we can refer you routinely to be seen by
an eye specialist to get it removed via a

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