BOCP case studies
BOCP · Put your knowledge to work in context.
The Board Certified Optometric Physician (BOCP) credential is a professional certification intended for optometrists who want to demonstrate, beyond state licensure, that their clinical knowledge meets a board-level standard. It signals to patients, employers, and referral partners that the holder has been assessed independently across the full scope of optometric practice, from disease detection and pharmaceutical management to optics, contact lenses, and vision rehabilitation. Candidates are typically practicing ODs, recent residency graduates, or optometrists preparing for expanded clinical responsibilities. The examination is multiple-choice and samples broadly rather than deeply, drawing on ocular disease and pathology, refraction and ophthalmic dispensing, contact lens management, ocular pharmacology, systemic disease with ocular manifestations, neuro-optometry and binocular vision, glaucoma, pediatric and geriatric care, low vision rehabilitation, and practice management and ethics. The BOCP case studies are 5 cases and about 2,688 words.
1Tight Lens in a High Myope with New Red Eye
A 27-year-old software engineer wears monthly silicone hydrogel soft lenses on a daily-wear basis (about 14 hours/day, 6 days/week) for a -9.50 D myopic correction. He presents with 2 days of left eye redness, tearing, and photophobia.
562 words, about 3 min2Glaucoma Suspect with Discordant Pressure and Field
A 61-year-old woman is referred for glaucoma evaluation. She is asymptomatic.
557 words, about 3 min3Small Esophoria That Decompensates at the Computer
A 34-year-old accountant reports 3 months of eye strain, intermittent diplopia, and end-of-day headaches, worst after 6 hours of spreadsheet work. Distance acuity is 20/20 each eye with her current spectacles (-2.00 DS OU).
527 words, about 3 min4Diabetic Patient with Sudden Vision Loss and a Normal-Looking Fundus
A 58-year-old man with type 2 diabetes (HbA1c 9.1%, on metformin and glipizide) presents with sudden painless loss of vision in the right eye, described as a curtain across the inferior field, starting 6 hours ago. Acuity is 20/200 OD and 20/25 OS.
534 words, about 3 min5Nonverbal Preschooler with a Failed Screening
A 4-year-old boy is brought by his mother after a preschool vision screening flagged the right eye. He is shy, speaks few words, and will not cooperate with a Snellen chart.
508 words, about 3 min