NBEO Part 3 PEPS– Clinical Skills (New 2026/ 2027 Update) Questions & Answers {Grade A} 100% Correct (Verified Solutions)

NBEO Part 3 PEPS– Clinical Skills (New
2026/ 2027 Update) Questions & Answers
{Grade A} 100% Correct (Verified
Solutions)

ERM - Testing - Correct answer Mac OCT, Fundus photo, Amsler




ERM - Treatment - Correct answer Monitor, Amsler, Consider PPV with ILM peel if


BCVA >20/40 or significant intraretinal cysts




ERM - FU - Correct answer 6 - 12 mo




ERM - Education - Correct answer You have an ERM, which is a membrane growing


over the macula. This can lead to distorted or wavy vision if it continues to grow.

Rarely, the membrane may spontaneously resolve. You should check your vision at


home using one eye at a time with an Amsler grid, at least once every week. If you


notice any distortion in the grid or changes in your vision, RTO. Otherwise, we will


monitor you every 6-12 mo

,Mac Hole - Testing - Correct answer Mac OCT, Amsler, Watzke-Allen testing




Mac Hole - Treatment - Correct answer Impending hole - monitor. Full thickness hole


- PPV with ILM peel and gas tamponade




Mac Hole - FU - Correct answer Monitoring q 4-6 mo. If Sx, FU after release from


retina




Mac Hole - Education - Correct answer The jelly inside your eye called the vitreous is


adhered to several different points, including the macula. It will naturally begin to


detach over time, but it can start to pull on the macula tissue if it does not detach


properly. In your case, the jelly pulled too hard on the retina and ripped the retinal


tissue. In order to restore your vision, surgery is needed. I'll have you RTO for a FU

after you are released from retina.




RP - Testing - Correct answer Fundus photo, Mac OCT, FAF (ONH drusen), ERG, EOG,


Goldmann VF, Genetic testing for RPE-65

,RP - Treatment - Correct answer 10,000 IU Vitamin A Palmitate qd, Luxturna if (+) RPE


65 gene, Refer to LV for device evaluation, Refer to OT for mobility training, Refer to


PCP for systemic management (hearing loss)




RP - FU - Correct answer 6-12 mo




RP - Education - Correct answer You have a genetic condition called RP that leads to


progressive vision loss over time. Your peripheral and night vision is lost first, and you


may slowly lose your central vision as well. You are also more prone to developing


cataracts and swelling in the retina, which can impact the vision. First we want to refer


you for genetic testing to see if you are a candidate for gene therapy. Vitamin A has


also been found to help slow down progression. I also want to refer you to a low vision


specialist and occupational therapists, as they can get you devices and training that

can help you see and navigate the world better. I'd like to see you every 6-12 months,


but RTO sooner if your vision worsens suddenly.




AMD - Testing - Correct answer Mac OCT, IVFA, FAF, Amsler

, AMD - Treatment - Correct answer Mild - UV protection, quit smoking, daily


multivitamin or diet high in antioxidants. Moderate - Add AREDS II. Advanced - Refer to


retina, Syfovre for GA, AntiVEGF for CNV




AMD - FU - Correct answer Dry - 6-12 months. Wet - 1 mo or after release from retina




AMD - Education - Correct answer You have a condition called macular degeneration.


This condition has many risk factors including a (+) FOHx, UV exposure, smoking, and


age. This condition affects your central vision so it is important that we prevent


progression of the disease by eating a healthy diet high in antioxidants, green leafy


vegetables, high omega-3 fatty acids, wear UV protection, and avoid smoking or


second hand smoke. AREDS II is a vitamin supplement shown to help slow down


progression of moderate AMD. If severe or wet AMD develops, I'll refer you to a retinal

specialist for treatment. Otherwise, I'll continue to monitor you every 6-12 months. RTO


sooner if you notice sudden changes in your vision.




CME - Testing - Correct answer Mac OCT, IVFA (metalloid)