Family & Emergency Physician Symposium

A skills-transfer and ophthalmology update for family and ER physicians

Saturday, June 7
1330-1715
Eye Care Centre, Halifax

This session will provide an update in ophthalmology skills and knowledge base through a combination of hands-on and didactic learning.

Objectives
At the end of this session, participants will be able to:

  • Develop a systematic technique for performing eye examinations
  • Gain familiarity with the use of the slit lamp and direct ophthalmoscope
  • Recognize serious eye conditions that would require urgent referral in adults and children


Course chairs
Rajender Mohandas, MD (ophthalmologist)
Cindy Forbes, MD (family physician)
Michael Clory, MD (emergency physician)

Agenda

Introduction
Systematic process for performing an eye exam stressing non-equipment based testing (eg, vision, extraocular motility, external exam)
Introduction to the slit lamp describing proper patient/observer positioning and settings. A description of the proper use of the direct ophthalmoscope and how it can be used most effectively, not just for looking at the fundus but also for detecting corneal abrasions, identifying cataracts or vitreous hemorrhage using the red reflex.

Skill session 1

Rotating sessions

  • Slit lamp use
  • Direct ophthalmoscope use
Description of history and physical findings of common conditions (cataract, age-related macular degeneration, and glaucoma). A brief description of the current treatments (phacoemulsification, intravitreal injections, and drops with possible side effects) with an emphasis on presentation of postoperative complications.
Description of history and physical findings of urgent sight threatening conditions (retinal detachment, corneal ulcer, endophthalmitis, angle closure glaucoma, temporal arteritis).

Skill session 2

Rotating sessions

  • corneal foreign body removal
  • common office procedures such as patching and lid eversion
  • detection of afferent pupillary defect removal
Open discussion and Q&A

Maximum no. participants: 30
Fee: $149