RANZCO Ophthalmic Sciences study plan
RANZCO Ophthalmic Sciences · Give each week a clear focus.
8 weeks · About 6 hours per week
Ophthalmic Basic Sciences (anatomy, physiology, optics, pathology, pharmacology, genetics)
Map the basic-science syllabus into a one-page concept grid covering anatomy, physiology, optics, pathology, pharmacology and genetics, and mark each cell as known, shaky or unknown
Draw and label the bony orbit, extraocular muscle cone and orbital apex from memory, then annotate the cranial nerve and vascular relations you omitted
Explain aqueous production, trabecular versus uveoscleral outflow and the blood-ocular barrier aloud in under five minutes without notes
Derive the thin-lens and vergence formulae and apply them to three worked problems on spectacle magnification and effective power
Classify the four major ocular reaction patterns of inflammation and give one clinical example of each from memory
Your checkpoint
A completed one-page basic-science concept grid with at least 40 self-written entries, each tagged known, shaky or unknown, plus a list of the ten shakiest items to revisit in week 8
Ophthalmic Basic Sciences (anatomy, physiology, optics, pathology, pharmacology, genetics)
Build a personal pharmacology table listing drug class, mechanism, key ocular side effect and one contraindication for at least 15 agents used in ophthalmology
Describe the principles of wound healing in cornea, sclera and retina, and contrast scarring outcomes in each tissue
Work through genetics problems on autosomal dominant, autosomal recessive and X-linked inheritance, calculating recurrence risks for three pedigree scenarios
Explain the physics of tonometry, biometry and optical coherence tomography in plain language as if teaching a junior trainee
Summarise the pathology of ischaemia, necrosis and apoptosis with one ocular example of each process
Your checkpoint
A hand-written or typed pharmacology and pathology summary sheet of no more than two pages that you can reproduce blank from memory in a 20-minute self-test
Clinical Ophthalmology & Retina and Vitreous
Construct a differential-diagnosis framework for sudden painless vision loss and rank causes by likelihood and urgency
List the key history and examination steps that distinguish macular from optic nerve disease in a patient with reduced acuity
Describe the classification, risk factors and management principles of diabetic retinopathy and retinal vein occlusion
Explain the indications, findings and limitations of fluorescein angiography and optical coherence tomography in macular disease
Practise interpreting five written clinical vignettes and commit to a single most likely diagnosis for each
Your checkpoint
A written portfolio of five clinical vignettes with your diagnosis, reasoning and next investigation for each, plus a one-page sudden vision loss algorithm
Clinical Ophthalmology & Glaucoma
Compare open-angle and angle-closure glaucoma in terms of mechanism, presentation, examination findings and first-line management
Explain the role and interpretation of gonioscopy, optic disc assessment and visual field testing in glaucoma diagnosis and monitoring
Describe the mechanism of action and major adverse effects of at least five classes of glaucoma medication
Outline the principles and complications of trabeculectomy and minimally invasive glaucoma surgery
Summarise the red flags in a painful red eye that separate sight-threatening from benign causes
Your checkpoint
A completed 40-question self-written quiz spanning clinical ophthalmology and glaucoma, scored and reviewed, with every wrong answer rewritten as a corrected one-line fact
Neuro-ophthalmology & Ocular Motility and Strabismus
Trace the afferent visual pathway from retina to occipital cortex and predict the field defect produced by a lesion at each point
Distinguish the clinical features of optic neuritis, ischaemic optic neuropathy, papilloedema and compressive optic neuropathy
Describe the pupil light reflex pathway and explain the anatomy behind a relative afferent pupillary defect and Horner syndrome
Classify strabismus by onset, comitance and deviation direction, and outline the principles of amblyopia management
Interpret a described cover test, ocular motility pattern and Hess chart to localise a cranial nerve palsy
Your checkpoint
A one-page visual pathway diagram with at least eight lesion sites, each paired with its predicted field defect and a named clinical clue
Cornea and External Eye Disease & Oculoplastics and Orbit
Classify microbial keratitis by organism group and match each to expected clinical features and first-line treatment principles
Describe the pathogenesis and staging of corneal ulceration, melting and perforation, and the rationale for each surgical option
Explain the assessment and initial management principles of a patient with a suspected orbital cellulitis versus preseptal cellulitis
Outline the anatomy relevant to ptosis, entropion and ectropion repair, and the complications of each procedure
Summarise the workup of a watering eye and a proptotic eye as structured diagnostic pathways
Your checkpoint
Two comparative tables, one contrasting bacterial, fungal, acanthamoeba and viral keratitis, and one contrasting preseptal with orbital cellulitis, each with at least five discriminating features
Paediatric Ophthalmology & Clinical Ophthalmology
Describe the stages of visual development and the critical periods relevant to amblyopia and congenital cataract
Outline the approach to a child with leukocoria, listing at least six causes with one distinguishing feature each
Explain the principles of screening for retinopathy of prematurity and the indications for treatment
Summarise the genetics and systemic associations of the common congenital ocular anomalies
Integrate paediatric and adult clinical reasoning by working through three mixed-age case scenarios
Your checkpoint
A written leukocoria and childhood squint workup pathway with at least six causes, distinguishing features and the first investigation for each
Ophthalmic Basic Sciences (anatomy, physiology, optics, pathology, pharmacology, genetics) & Clinical Ophthalmology & Neuro-ophthalmology & Ocular Motility and Strabismus & Cornea and External Eye Disease & Glaucoma & Retina and Vitreous & Oculoplastics and Orbit & Paediatric Ophthalmology
Revisit and clear every item still marked shaky or unknown on the week 1 concept grid
Sit two timed 60-question mixed mock examinations under exam conditions and record your score by domain
Rewrite your ten weakest facts as question-and-answer flashcards and test yourself to full recall
Rehearse a structured approach to data-interpretation items such as visual fields, disc photos described in text and motility findings
Finalise a one-page pre-exam checklist of high-yield numbers, formulae and classifications
Your checkpoint
Two completed timed mock exams with a domain-by-domain score breakdown and a final one-page high-yield checklist
Milestones
Week 2: Reproduce the basic-science concept grid from blank memory and correctly restate at least 80 percent of the pharmacology and pathology summary sheet in a 20-minute self-test
Week 4: Score at least 70 percent on the 40-question clinical and glaucoma quiz, with no more than two errors in the glaucoma section
Week 6: Name at least five discriminating features for each of the two comparative tables without referring to notes
Week 8: Achieve at least 65 percent on both timed mixed mock exams, with no domain scoring below 50 percent, and confirm the concept grid has no remaining unknown items