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OPT027: Anterior Segment - Clinical Examination and Management

This module aims to provide optometrists with detailed insight into anterior segment examination, imaging, diagnosis and management.

There will be illustrated reviews of the most commonly encountered anterior segment signs, discussions centred on differential diagnosis and clinical significance, as well as guidance on management strategies. Thereafter, the optometrist will be able to advise patients on their likely diagnosis and its implications.

The optometrist will be better able to determine which patients may be managed in practice and which should be referred to secondary care ophthalmology. There will be time allocated specifically to latest approaches in keratoconus and keratoplasty. As a result the optometrist will be in a stronger position to manage keratoconus and keratoplasty patients, providing important support to the care given by the ophthalmologist.

Start dateMarch
Duration20 contact hours over one academic term
Credits10 credits - CET points available
Module tutorsMario Saldanha
Bushra Thajudeen
Module codeOPT027

Learning objectives

By the end of the module, you should:

  • be able to understand the examination methods and techniques required for a clinical assessment of the vision, cornea and anterior segment in
  • be able to appreciate the variety of equipment and instrumentation that is used in assessment of the anterior segment, and their fundamental functional principles
  • be able to gain insight into the clinical significance of corneal signs and lesions, to be able to synthesise a management plan based on the most likely differential diagnoses, and then to implement a management strategy to achieve the best outcome for the patient
  • be able to confidently determine when a patient with corneal signs may be managed in practice, and when a referral to the Hospital Eye Service is warranted
  • have acquired a broad understanding of the aetiology and treatment of the more commonly encountered diseases of the conjunctiva and sclera as well as anterior uveitis
  • have acquired a broad understanding of the aetiology, diagnosis and treatment of keratoconus
  • have enhanced knowledge of corneal transplant techniques, with particular emphasis on lamellar surgical techniques
  • have developed a deeper and stronger appreciation of the role of the optometrist in managing the surgical cornea patient, with a special focus on keratoconus and keratoplasty patients.  The role of the optometrist will be discussed both pre-operatively and post-operatively.

How the module will be delivered

The module is taught by way of 10 lectures (PowerPoint with audio) delivered through Learning Central, the University’s e-learning system with supporting resources and references supplied. There are 2 sessions of guided online learning using webinars and based on case discussions. It takes one term to complete.

How the module will be assessed

There are case-based presentations as coursework – these are key features scenarios, where the learner can work through the case by answering sets of questions and see the answers.

Students may submit 1 formative written piece of coursework (1500-2000 words) and receive feedback.

Online Examination (50%): There is a MCQ test that will assess comprehension and application across the entire syllabus which students take at the end of the lecture series.

Written Coursework (50%): Students will submit 1written pieces of coursework (1500-2000 words).

Skills that will be practised and developed

Academic skills:

  • Collate information from a number of resources to improve learning
  • The interpretation and synthesis of clinical data
  • Advancing own knowledge and understanding to higher level

Subject specific skills:

  • The enhancement of clinical examination techniques ·
  • To develop practical skills to assess and advise patients exhibiting cornea and anterior segment abnormalities
  • Thorough knowledge of diagnostic work-up, management strategies, appropriate referral triggers, and pre- and post-operative management for cornea patients
  • Clinical management and decision making in cornea and anterior segment cases
  • Working in a clinical environment

Generic skills:

  • Time management
  • Working independently
  • Improve problem solving skills
  • Communication skills