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Summary OSCE Posterior eye laymans

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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 Posterior eye

Dry AMD

1.​ C: mention dry AMD in its early/late stage. Is a slowly progressive condition which
causes by a buildup of deposits due to wear and tear at back of the eye at the central
part- colour vision, close up work, fine details, you can imagine having brand new car
tyres and overtime they become worn out…
2.​ S: slowly progressive condition and may not experience any symptoms, straight lines
appear wavy, affect central vision,
3.​ R: age, if someone in the family has had the condition, persistent exposure to UV,
smoking, high BP, poor diet
4.​ M: unfortunately there is no actual treatment but be rest assured there are things we
can do to stop it from getting worse so that it doesnt develop into its more severe
form known as wet AMD where new blood vessels grow and leak fluid and bleed and
can significantly reduce the vision if not treated as soon as. For now, it's important to
protect eyes from UV radiation- sunglasses, brimmed hat, incorporate a lot of leafy
green vegetables, AREDs supplements, if you smoke then it's important to give up on
smoking or speak to someone about it and I know that it will be hard, a really good
thing is that you can join societies for additional advice as you are not alone in this
and there are many others with the same condition as you, I can also refer you
routinely to low vision clinic to discuss options like maginifers which can help you see
things close-up, I can also make a note for the doctor to see whether you meet the
criteria for being partially sighted if you would like and this can benefit you in many
ways such as financially, in the meantime I want you to monitor your central vision
using the grid chart we used earlier (explain how to use) and return asap if you notice
any new changes as this could indicate that it has now developed into wet AMD. I will
also be issuing you a leaflet which will give you more information about your
condition and summarise what I have just said.
5.​ P: if don't, can progress to wet form where there's leakage of fluid and blood and can
cause a rapid loss of central vision, for that we would need to refer you onwards for
some eye injections to treat the condition


Do you have any questions?
●​ Will I go blind?
Because the wear and tear is more located at the part of your eye that is responsible
for the central part of your vision, you will notice your symptoms more at the centre
but your peripheral/side vision will remain intact. As long as you are monitoring
yourself, we can pick up deterioration in your vision and get you managed
appropriately.
●​ But I need to drive?
I understand that this is not what you wanted to hear but there are other ways we can
manage this condition. At this point you are still within the driving standards so I
would not be concerned. But we will monitor you to make sure it hasn't progressed.
Can give you a leaflet and a grid to monitor. Some information about macula society
where you will find support, can refer you *later* for some magnifiers if your central

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