ICO Clinical Ophthalmology (Advanced) case studies
ICO Clinical Ophthalmology (Advanced) · Put your knowledge to work in context.
The ICO Clinical Ophthalmology (Advanced) page on this platform supports candidates preparing for advanced-level clinical ophthalmology examinations offered within the International Council of Ophthalmology (ICO) examination programme. The ICO describes its examinations under a dedicated section of its website, listing an overview, the types of ICO examinations, the FICO – Fellow of the ICO pathway, the FRCS (Ophth)(Glasg) – Fellow of the RCPSG pathway, examination centres, and a contact route for examination enquiries. The ICO Clinical Ophthalmology (Advanced) case studies are 5 cases and about 4,526 words.
1Day 2 after uneventful phacoemulsification: pain, hypopyon and four asymptomatic co-patients
A 68-year-old man with well-controlled type 2 diabetes (HbA1c 7.1%) undergoes uncomplicated phacoemulsification with in-the-bag acrylic IOL implantation in the right eye. The posterior capsule is intact, the wound is sutureless, and on the first postoperative morning his acuity is 6/7.5 with a quiet anterior chamber and a comfortable eye.
919 words, about 5 min2Sudden visual loss in a 74-year-old with jaw claudication: steroids, biopsy timing and the second eye
A 74-year-old woman presents to the emergency department with sudden painless loss of vision in the left eye on waking 36 hours earlier. Acuity is counting fingers OS and 6/7.5 OD.
855 words, about 4 min3Traumatic hyphema with sickle cell trait: a rebleed, a rising pressure and a drug to avoid
A 9-year-old boy is brought to eye casualty after being struck in the right eye by a cricket ball four hours earlier. Acuity is 6/12 OD and 6/6 OS.
868 words, about 4 min4Dysthyroid optic neuropathy in a smoker with active Graves disease
A 54-year-old woman with Graves disease diagnosed 14 months ago, treated with carbimazole and biochemically borderline (TSH 0.02 mIU/L, free T4 21 pmol/L), attends with three weeks of worsening double vision and a grey veil over her vision. She smokes 20 cigarettes a day.
922 words, about 5 min5Leukocoria in a 14-month-old with a bilateral finding on examination under anaesthesia
A 14-month-old boy is referred because his mother has noticed a white pupillary reflex in his right eye in flash photographs over the past six weeks. He is otherwise well, has no family history of eye tumours or enucleation, and was born at term.
962 words, about 5 min