Maharashtra HSC Ophthalmic Technician (Vocational) study plan
Maharashtra HSC Ophthalmic Technician (Vocational) · Give each week a clear focus.
8 weeks · About 7 hours per week
Basic Ocular Anatomy and Physiology & Ocular Diseases and Disorders
Label a blank diagram of the eye with cornea, sclera, uvea, lens, vitreous, retina, optic nerve and macula, and state one function for each structure
Trace the aqueous humour pathway from ciliary body to canal of Schlemm and explain how blockage raises intraocular pressure
Describe the layers of the cornea and retina in order and link each retinal layer to the cell type that sits in it
List the classic symptoms, risk factors and referral urgency for cataract, glaucoma and diabetic retinopathy
Explain accommodation and the pupillary light reflex in terms of the muscles and nerves involved
Your checkpoint
A two-page hand-drawn eye diagram with labelled functions plus a one-page comparison table of cataract, open-angle glaucoma and diabetic retinopathy covering symptoms, risk factors and referral urgency, self-quizzed to 90 percent recall
Ocular Diseases and Disorders & Diagnostic Procedures and Visual Acuity Testing
Differentiate conjunctivitis, keratitis, uveitis and endophthalmitis by onset, pain, discharge and vision change
Describe the appearance and management priorities of pterygium, pinguecula, stye, chalazion and ectropion
Perform and record distance visual acuity with a Snellen chart, including pin-hole and counting-fingers fallback
Demonstrate near vision testing with a Jaeger chart and record the result in the standard notation used in Indian eye camps
Identify which ocular findings in a child (white reflex, squint, watering) require same-day referral
Your checkpoint
A recorded role-play or peer session in which you test visual acuity on two volunteers, correctly apply the pin-hole test, and submit a completed acuity recording sheet with both eyes, with and without correction
Optics, Refraction and Corrective Lenses & Ophthalmic Instruments and Equipment Handling
Explain emmetropia, myopia, hypermetropia, astigmatism and presbyopia using the concept of where the image falls relative to the retina
Calculate the power of a lens needed for a given focal length and convert between dioptres and focal length
Describe how a retinoscope, ophthalmoscope, slit lamp, tonometer and autorefractor are set up, held and cleaned between patients
Demonstrate safe handling, focusing and light adjustment on a slit lamp and a direct ophthalmoscope in a supervised practical
List the daily and weekly maintenance checks for each major instrument in an ophthalmic OPD
Your checkpoint
A one-page optics cheat sheet of refractive errors with ray diagrams plus a signed practical checklist showing correct setup, focusing and cleaning of the slit lamp and direct ophthalmoscope
Diagnostic Procedures and Visual Acuity Testing & Ophthalmic Assisting and Clinical Procedures
Measure and record intraocular pressure with a non-contact or applanation tonometer under supervision, noting contraindications
Perform a basic confrontation visual field test and record the result in the patient file
Describe the steps and patient instructions for A-scan biometry, keratometry and colour vision testing
Assist with a slit lamp examination by positioning the patient, adjusting magnification and documenting findings
Explain the correct technique for instilling dilating drops and the safety checks before dilation
Your checkpoint
A completed clinical log of five observed or assisted diagnostic procedures, each with the patient instructions you gave, the equipment settings used and the recorded result reviewed by your supervisor
Ophthalmic Assisting and Clinical Procedures & Ocular Pharmacology and Medication Administration
Describe the assistant's role in cataract surgery from pre-op preparation through theatre turnover and post-op instructions
Prepare a sterile trolley and position a patient for an intravitreal injection or minor procedure
Classify common ocular drugs (mydriatics, cycloplegics, antibiotics, steroids, anti-glaucoma agents, lubricants) by action and typical use
Demonstrate the five rights of medication administration and the correct instillation technique for drops and ointment, including punctal occlusion
Identify the ocular and systemic side effects of atropine, tropicamide, timolol and topical steroids that must be reported
Your checkpoint
A drug card set of at least ten ophthalmic medications listing class, action, concentration, side effects and counselling points, plus a peer-observed demonstration of correct drop instillation scored against a checklist
Infection Control, Sterilization and Patient Safety & Professional Ethics, Communication and Record Keeping
Demonstrate hand hygiene to WHO moments standard and correct donning and doffing of gloves in an eye OPD setting
Describe the disinfection and sterilization cycle for tonometer tips, trial lenses and surgical instruments, including high-level disinfection versus autoclave
Explain standard precautions for tear and blood exposure and the correct action after a needlestick injury
Apply the principles of informed consent, confidentiality and accurate record keeping to three realistic OPD scenarios
Write a complete patient record entry covering history, examination, diagnosis and advice in a legible, auditable format
Your checkpoint
A written infection-control protocol for a small eye clinic covering hand hygiene, instrument reprocessing and sharps handling, plus three completed mock patient records audited against a documentation checklist
Community Ophthalmology and Eye Health Awareness & Ocular Diseases and Disorders
Describe the National Programme for Control of Blindness and Visual Impairment structure and the role of a vision centre at district level
Explain the leading causes of preventable blindness in Maharashtra and the screening criteria for diabetic retinopathy and glaucoma referral
Plan a school or village eye screening camp: checklist, staffing, referral pathway and record forms
Counsel a patient on spectacle use, diabetic eye checks and the importance of annual review, using simple language
Identify barriers to eye care access such as cost, distance, fear and gender norms, and propose one practical response to each
Your checkpoint
A written camp plan for a 100-patient rural screening day with a flow diagram, referral criteria and a one-page patient counselling script in Marathi or Hindi with an English version
Basic Ocular Anatomy and Physiology & Optics, Refraction and Corrective Lenses & Ophthalmic Instruments and Equipment Handling & Ocular Diseases and Disorders & Diagnostic Procedures and Visual Acuity Testing & Ophthalmic Assisting and Clinical Procedures & Ocular Pharmacology and Medication Administration & Infection Control, Sterilization and Patient Safety & Community Ophthalmology and Eye Health Awareness & Professional Ethics, Communication and Record Keeping
Complete two full-length timed mock papers under exam conditions and score each domain separately
Re-teach the three weakest domains from memory using a blank sheet and a one-minute verbal summary each
Rehearse the practical skills most likely to be examined: acuity testing, drop instillation, instrument handling and record writing
Review all flagged errors from mock papers and write a corrected fact for each one
Build a final one-page revision sheet of numbers, drug names and referral thresholds
Your checkpoint
Two scored mock papers with a domain-wise error log, a corrected fact for every wrong answer, and a final one-page revision sheet reviewed the day before the exam
Milestones
Week 2: Can label the eye diagram from memory and correctly test and record distance and near visual acuity on a volunteer without prompting
Week 4: Can explain all refractive errors with ray diagrams and has a supervisor-signed checklist for slit lamp and ophthalmoscope handling
Week 6: Scores at least 70 percent on a self-made 40-question mixed paper covering domains 1 to 7, and passes the infection-control protocol audit
Week 8: Both mock papers completed within time, every domain above 60 percent, and no repeated error on the same topic across the two papers