Veidlapa Nr. M-3 (8)
Study Course Description
Ophthalmology
Course Code
OFK_003
Branch of Science
Clinical medicine; Ophthalmology
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Guna Laganovska
Structure Unit Manager
Guna Laganovska
Structural Unit
Department of Ophthalmology
Contacts
Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 25, oftalmolkat@rsu.lv, +371 67069549
About Study Course
Objective
To provide opportunities for students to acquire knowledge and understanding of the anatomy of the eye, diseases of the anterior part of the eye, cataracts, glaucoma, retinal diseases, eye injuries, paediatric ophthalmology and orbital diseases. To acquire skills of providing emergency medical care, visual acuity examination, diagnosing ophthalmological diseases, comprehending treatment and prevention principles.
Preliminary Knowledge
Anatomy, biology, physics and physiology.
Learning Outcomes
Knowledge
1.On successful completion of the study course the students will have acquired in-depth knowledge and will be able to show eye anatomy on visual aids, to describe physiology of the eye, to explain the most frequent eye disease etiopathogenesis, epidemiology, diagnostic and therapeutic principles and the prognosis.
Skills
1.On successful course completion the students will be able to: • measure visual acuity; • examine the ocular fundus by ophthalmoscope; • handle acute situations in ophthalmology; • examine eye patients to assess the need and volume of ophthalmic assistance.
Competences
1.On completion of the course programme the student will be ready to work with ophthalmic patients in General Practitioner’s surgery and to continue their further studies. The student will be able to perform primary ophthalmic care in compliance with ethical and legal aspects, to evaluate the judgement of an ophthalmologist and to plan the examination and treatment of a patient; to interpret the results of ophthalmic examination, to relate these results to the specific clinical situation and to link them with the joint examination process.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Individual work with professional literature on ophthalmology and e-study materials. The students measure visual acuity independently and examine the eye with the slit-lamp.
The students write an examination protocol.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
A test during each practical class, a test at the end of the course (assessment depending on the knowledge: pass / fail).
The end-of-course examination: OSCE.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Cataracta. Refraction.
Description
Annotation: Students will gain knowledge about the etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods, types of intraocular surgery, peculiarities of the postoperative period
Students will learn the methods of subjective and objective examination of clinical refraction of the eye.
- Basic principles of working with a foropter.
- Determination of spectacle strength.
- Myopia, etiopathopathy, clinic, correction methods.
- Clinic of hypermetropia, correction methods.
- Astigmatism, causes, clinic, correction methods.
- Disruption of accommodation.
- Presbiopia, etiopathogenesis, clinic, correction methods.
Topics covered during the class: 1. Etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods.
2. Methods of cataract surgery.
3. Aphakia, correction methods.
4. Types of intraocular correction.
5.Secondary cataract, clinic, treatment methods.
6. Methods of patient preparation for cataract surgery - analyzes, additional ophthalmological examination - principles of intraocular lens calculation, ultrasound examination of the eye.
7. Peculiarities of the postoperative period for a cataract patient.
8. Visiting the operating room.
9. Examination of the lens in the slit lamp - 2 volunteers or patients. - distance learning
10. Methods of subjective examination of clinical refraction of the eye.
11. Objective examination methods of clinical refraction of the eye.
12. Principles of prescribing glasses
13. Methods for determining clinical refraction
14. Myopia, etiopathopathy, clinic, correction methods.
15. Clinic of hypermetropia, correction methods.
16. Astigmatism, causes, clinic, correction methods.
17. Types of accommodation disturbances, causes, correction methods.
18 Presbiopia, etiopathogenesis, clinic, correction methods.
19. Refractive surgery methods, indications, complications
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Cataracta. Refraction.
Description
Annotation: Students will gain knowledge about the etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods, types of intraocular surgery, peculiarities of the postoperative period
Students will learn the methods of subjective and objective examination of clinical refraction of the eye.
- Basic principles of working with a foropter.
- Determination of spectacle strength.
- Myopia, etiopathopathy, clinic, correction methods.
- Clinic of hypermetropia, correction methods.
- Astigmatism, causes, clinic, correction methods.
- Disruption of accommodation.
- Presbiopia, etiopathogenesis, clinic, correction methods.
Topics covered during the class: 1. Etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods.
2. Methods of cataract surgery.
3. Aphakia, correction methods.
4. Types of intraocular correction.
5.Secondary cataract, clinic, treatment methods.
6. Methods of patient preparation for cataract surgery - analyzes, additional ophthalmological examination - principles of intraocular lens calculation, ultrasound examination of the eye.
7. Peculiarities of the postoperative period for a cataract patient.
8. Visiting the operating room.
9. Examination of the lens in the slit lamp - 2 volunteers or patients. - distance learning
10. Methods of subjective examination of clinical refraction of the eye.
11. Objective examination methods of clinical refraction of the eye.
12. Principles of prescribing glasses
13. Methods for determining clinical refraction
14. Myopia, etiopathopathy, clinic, correction methods.
15. Clinic of hypermetropia, correction methods.
16. Astigmatism, causes, clinic, correction methods.
17. Types of accommodation disturbances, causes, correction methods.
18 Presbiopia, etiopathogenesis, clinic, correction methods.
19. Refractive surgery methods, indications, complications
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Cataracta. Refraction.
Description
Annotation: Students will gain knowledge about the etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods, types of intraocular surgery, peculiarities of the postoperative period
Students will learn the methods of subjective and objective examination of clinical refraction of the eye.
- Basic principles of working with a foropter.
- Determination of spectacle strength.
- Myopia, etiopathopathy, clinic, correction methods.
- Clinic of hypermetropia, correction methods.
- Astigmatism, causes, clinic, correction methods.
- Disruption of accommodation.
- Presbiopia, etiopathogenesis, clinic, correction methods.
Topics covered during the class: 1. Etiopathogenesis of cataracts, classification, clinic, diagnostic methods, treatment methods.
2. Methods of cataract surgery.
3. Aphakia, correction methods.
4. Types of intraocular correction.
5.Secondary cataract, clinic, treatment methods.
6. Methods of patient preparation for cataract surgery - analyzes, additional ophthalmological examination - principles of intraocular lens calculation, ultrasound examination of the eye.
7. Peculiarities of the postoperative period for a cataract patient.
8. Visiting the operating room.
9. Examination of the lens in the slit lamp - 2 volunteers or patients. - distance learning
10. Methods of subjective examination of clinical refraction of the eye.
11. Objective examination methods of clinical refraction of the eye.
12. Principles of prescribing glasses
13. Methods for determining clinical refraction
14. Myopia, etiopathopathy, clinic, correction methods.
15. Clinic of hypermetropia, correction methods.
16. Astigmatism, causes, clinic, correction methods.
17. Types of accommodation disturbances, causes, correction methods.
18 Presbiopia, etiopathogenesis, clinic, correction methods.
19. Refractive surgery methods, indications, complications
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Glaucoma.
Description
Annotation: Students will learn how to diagnose glaucoma clinically and with additional examination methods and to evaluate the principles of glaucoma treatment.
Topics covered during the class:
1. Mechanisms of intraocular fluid production and reflux
2. Glaucoma etiopathogenesis, reflux disease blocks.
3. glaucoma diagnostic methods
4. open angle glaucoma clinic.
5. closed-angle glaucoma clinic, acute glaucoma attack
6. congenital glaucoma.
7. glaucoma treatment methods.
8 eye hypotension.
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Glaucoma.
Description
Annotation: Students will learn how to diagnose glaucoma clinically and with additional examination methods and to evaluate the principles of glaucoma treatment.
Topics covered during the class:
1. Mechanisms of intraocular fluid production and reflux
2. Glaucoma etiopathogenesis, reflux disease blocks.
3. glaucoma diagnostic methods
4. open angle glaucoma clinic.
5. closed-angle glaucoma clinic, acute glaucoma attack
6. congenital glaucoma.
7. glaucoma treatment methods.
8 eye hypotension.
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Eye trauma. Uveitis. Red eye.
Description
Annotation: Students will learn how to clinically and with additional examination methods to diagnose vascular sheath diseases and evaluate the principles of treatment, how to evaluate damage caused by eye trauma and the diagnosis and treatment of orbital diseases, how to provide emergency care in case of eye trauma.Students will learn how to determine the diagnosis and principles of treatment of eyelid, conjunctival and corneal diseases clinically and with additional examination methods. Students will know the causes of red eye and the principles of treatment
Topics covered during the class: 1. Uveitis etiopathegenesis, clinic, treatment.
2. Diagnostic methods for general diseases characterized by uveitis.
3. Subjective and objective symptoms of acute iridocyclitis.
4. Epidemiology of the eye melanoma, clinic, diagnostic methods, treatment methods, their availability in Latvia.
5. Clinic of perforating injuries of the eyeball, principles of emergency care
6. Clinic of eye injuries, principles of emergency care
7 Intraocular foreign body clinic and diagnostic methods
8. Clinic of burns of the eyeball and auxiliary mechanisms of the eye, emergency care, principles of treatment
9. Orbital trauma clinic and treatment principles
10. Orbital tumor clinic and treatment principles
11. Causes of exophthalmia, differential dynamics
12. Eyelid diseases - eyelid skin diseases, blepharitis, barley grain, hail grain,
etiopathogenesis, clinic, treatment methods.
13. Tear apparatus diseases - tear production and reflux test methods. Newborn dacriocystitis, acute and chronic dacriocystitis - etiopathogenesis, clinic and treatment.
14. Conjunctival diseases - types of eyeball injections, their difdg.
Etiology of conjunctivitis, clinic, treatment.
15. Keratitis - corneal syndrome, diagnostic methods of corneal epithelial damage.
Etiopathogenesis of keratitis, clinic, methods of treatment. Consequences of corneal diseases. Corneal transplantation, indications, prognosis.
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Eye trauma. Uveitis. Red eye.
Description
Annotation: Students will learn how to clinically and with additional examination methods to diagnose vascular sheath diseases and evaluate the principles of treatment, how to evaluate damage caused by eye trauma and the diagnosis and treatment of orbital diseases, how to provide emergency care in case of eye trauma.Students will learn how to determine the diagnosis and principles of treatment of eyelid, conjunctival and corneal diseases clinically and with additional examination methods. Students will know the causes of red eye and the principles of treatment
Topics covered during the class: 1. Uveitis etiopathegenesis, clinic, treatment.
2. Diagnostic methods for general diseases characterized by uveitis.
3. Subjective and objective symptoms of acute iridocyclitis.
4. Epidemiology of the eye melanoma, clinic, diagnostic methods, treatment methods, their availability in Latvia.
5. Clinic of perforating injuries of the eyeball, principles of emergency care
6. Clinic of eye injuries, principles of emergency care
7 Intraocular foreign body clinic and diagnostic methods
8. Clinic of burns of the eyeball and auxiliary mechanisms of the eye, emergency care, principles of treatment
9. Orbital trauma clinic and treatment principles
10. Orbital tumor clinic and treatment principles
11. Causes of exophthalmia, differential dynamics
12. Eyelid diseases - eyelid skin diseases, blepharitis, barley grain, hail grain,
etiopathogenesis, clinic, treatment methods.
13. Tear apparatus diseases - tear production and reflux test methods. Newborn dacriocystitis, acute and chronic dacriocystitis - etiopathogenesis, clinic and treatment.
14. Conjunctival diseases - types of eyeball injections, their difdg.
Etiology of conjunctivitis, clinic, treatment.
15. Keratitis - corneal syndrome, diagnostic methods of corneal epithelial damage.
Etiopathogenesis of keratitis, clinic, methods of treatment. Consequences of corneal diseases. Corneal transplantation, indications, prognosis.
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Eye trauma. Uveitis. Red eye.
Description
Annotation: Students will learn how to clinically and with additional examination methods to diagnose vascular sheath diseases and evaluate the principles of treatment, how to evaluate damage caused by eye trauma and the diagnosis and treatment of orbital diseases, how to provide emergency care in case of eye trauma.Students will learn how to determine the diagnosis and principles of treatment of eyelid, conjunctival and corneal diseases clinically and with additional examination methods. Students will know the causes of red eye and the principles of treatment
Topics covered during the class: 1. Uveitis etiopathegenesis, clinic, treatment.
2. Diagnostic methods for general diseases characterized by uveitis.
3. Subjective and objective symptoms of acute iridocyclitis.
4. Epidemiology of the eye melanoma, clinic, diagnostic methods, treatment methods, their availability in Latvia.
5. Clinic of perforating injuries of the eyeball, principles of emergency care
6. Clinic of eye injuries, principles of emergency care
7 Intraocular foreign body clinic and diagnostic methods
8. Clinic of burns of the eyeball and auxiliary mechanisms of the eye, emergency care, principles of treatment
9. Orbital trauma clinic and treatment principles
10. Orbital tumor clinic and treatment principles
11. Causes of exophthalmia, differential dynamics
12. Eyelid diseases - eyelid skin diseases, blepharitis, barley grain, hail grain,
etiopathogenesis, clinic, treatment methods.
13. Tear apparatus diseases - tear production and reflux test methods. Newborn dacriocystitis, acute and chronic dacriocystitis - etiopathogenesis, clinic and treatment.
14. Conjunctival diseases - types of eyeball injections, their difdg.
Etiology of conjunctivitis, clinic, treatment.
15. Keratitis - corneal syndrome, diagnostic methods of corneal epithelial damage.
Etiopathogenesis of keratitis, clinic, methods of treatment. Consequences of corneal diseases. Corneal transplantation, indications, prognosis.
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Retinal diseases.
Description
Annotation: Students will learn how to diagnose retinal, vitreous and optic nerve diseases clinically and with additional examination methods and how to evaluate the principles of treatment of retinal, vitreous and optic nerve diseases.
Topics covered during the class: 1. Retinal changes caused by various diseases;
in case of hypertensive disease,
in case of diabetes.
2. Acute retinal vascular oclusion etiopathogenesis, clinic, diagnostic methods, treatment.
3. Retinal dystrophies - clinic, diagnostics, prognosis.
4. Retinal detachment - etiopathogenesis, clinic, diagnostic methods, treatment methods.
5. Retinoblastoma - clinic, diagnosis, treatment methods.
6. Vitreous body diseases, clinic, treatment methods.
7. Inflammation of the optic nerve.
8. Congestion of the optic nerve.
9. OCT and fundus camera
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
5
|
Topics
|
Retinal diseases.
Description
Annotation: Students will learn how to diagnose retinal, vitreous and optic nerve diseases clinically and with additional examination methods and how to evaluate the principles of treatment of retinal, vitreous and optic nerve diseases.
Topics covered during the class: 1. Retinal changes caused by various diseases;
in case of hypertensive disease,
in case of diabetes.
2. Acute retinal vascular oclusion etiopathogenesis, clinic, diagnostic methods, treatment.
3. Retinal dystrophies - clinic, diagnostics, prognosis.
4. Retinal detachment - etiopathogenesis, clinic, diagnostic methods, treatment methods.
5. Retinoblastoma - clinic, diagnosis, treatment methods.
6. Vitreous body diseases, clinic, treatment methods.
7. Inflammation of the optic nerve.
8. Congestion of the optic nerve.
9. OCT and fundus camera
Literature:
1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p.
2. https://en.wikipedia.org/wiki/Ophthalmology
3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf
4. http://emedicine.medscape.com/ophthalmology
5. http://www.freebooks4doctors.com Ophthalmology
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (OSCE)
Bibliography
Required Reading
1.
Acu slimības. G.Laganovskas redakcijā. Nacionālais apgāds, 2008
2.
Basic and Clinical Science Course Section 1 to 13 / The Eye M.D. Association. – American Academy of Ophthalmology 2020/21Suitable for English stream
Additional Reading
1.
Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2007. – 931 p.Suitable for English stream
Other Information Sources
1.
Lekciju materiāli e-studiju vidēSuitable for English stream