ICO Clinical Ophthalmology (Advanced) study plan
ICO Clinical Ophthalmology (Advanced) · Give each week a clear focus.
8 weeks · About 7 hours per week
Clinical Ophthalmology (Advanced)
Map the full ICO Clinical Ophthalmology (Advanced) syllabus into a personal topic checklist, tagging each item by confidence level so weak areas are visible from day one
Build a spaced-repetition deck covering optics, refraction, and basic optical principles, writing each card from your own notes rather than copying text
Complete a timed 20-question baseline set on optics and refraction and log every wrong answer with the underlying concept it tested
Draft a one-page optics formula sheet (vergence, lens power, accommodation, refractive error correction) from memory, then correct it against references
Your checkpoint
A confidence-tagged syllabus checklist plus a baseline optics/refraction score log with error analysis
Clinical Ophthalmology (Advanced)
Explain the anatomy and physiology of the cornea, conjunctiva, and ocular surface in your own words, linking each structure to its clinical failure modes
Work through dry eye disease and ocular surface inflammation: classify causes, describe diagnostic tests, and outline stepped management
Compare corneal dystrophies, degenerations, and ectatic disorders by inheritance, signs, and management, producing a comparison table
Review corneal ulcer and keratitis management, including when to culture, when to refer, and which antimicrobial choices fit which presentation
Your checkpoint
A completed cornea and ocular surface comparison table covering at least 12 conditions with signs, workup, and first-line management
Clinical Ophthalmology (Advanced)
Outline lens anatomy, the classification of cataract, and the indications and timing for surgery
Describe biometry, intraocular lens power calculation, and the sources of refractive surprise after cataract surgery
Summarize phacoemulsification steps, common intraoperative complications, and their immediate management
Explain paediatric cataract and lens subluxation causes, including systemic associations worth screening for
Your checkpoint
A written cataract and lens case workbook of 5 short vignettes, each with a diagnosis, workup, and management plan
Clinical Ophthalmology (Advanced)
Describe glaucoma pathophysiology, optic nerve head assessment, and the interpretation of visual field testing patterns
Compare open-angle and angle-closure glaucoma in presentation, investigation, and treatment escalation
List the mechanisms and management of secondary glaucomas, including neovascular, pigmentary, pseudoexfoliative, and steroid-induced
Rehearse acute angle-closure management as a stepwise emergency sequence and identify the errors that worsen outcomes
Your checkpoint
A glaucoma decision-tree document covering diagnosis, monitoring intervals, and treatment escalation for open-angle, angle-closure, and secondary glaucomas
Clinical Ophthalmology (Advanced)
Explain retinal anatomy, the retinal vasculature, and the interpretation of fluorescein angiography and OCT findings
Describe diabetic retinopathy and diabetic macular oedema staging, screening intervals, and treatment thresholds
Compare retinal vascular occlusions, including risk factors, presentation, and evidence-based management
Summarize retinal detachment types, vitreoretinal interface disease, and the principles and complications of vitrectomy
Your checkpoint
An imaging interpretation log of 10 described OCT or angiography scenarios, each with findings, diagnosis, and management
Clinical Ophthalmology (Advanced)
Review uveitis classification by anatomy, onset, and granulomatous features, and match each pattern to likely systemic associations
Outline the workup of a first episode of uveitis and the indications for systemic immunosuppression
Describe common infectious uveitides and their treatment principles, distinguishing them from autoimmune causes
Summarize scleritis and episcleritis differentiation and the urgency of necrotizing disease
Your checkpoint
A uveitis pattern-recognition matrix linking 10 clinical patterns to differential diagnosis, workup, and treatment
Clinical Ophthalmology (Advanced)
Cover neuro-ophthalmology essentials: optic neuritis, ischaemic optic neuropathy, papilloedema, and pupil abnormalities
Explain strabismus and amblyopia assessment, including cover testing, sensory testing, and paediatric management principles
Summarize oculoplastic and orbital topics: eyelid lesions, ptosis, orbital cellulitis, and thyroid eye disease
Review ocular trauma and emergency ophthalmology as prioritised action sequences for chemical injury, open globe, and retinal artery occlusion
Your checkpoint
A one-page emergency action card for the six highest-acuity presentations, written from memory and then verified
Clinical Ophthalmology (Advanced)
Consolidate all weak-flagged topics from weeks 1 to 7 into a final revision list and close each gap with targeted reading
Complete two full-length timed mock exams under exam conditions and record scores by subtopic
Re-derive key formulas, classifications, and management algorithms from blank paper without notes
Finalise a one-page pre-exam summary sheet containing only the facts you repeatedly missed
Your checkpoint
Two completed mock exam score reports with a subtopic breakdown and a final one-page pre-exam summary sheet
Milestones
Week 2: Score at least 70 percent on a self-made 25-question cornea and ocular surface quiz, and be able to explain every missed item aloud without notes
Week 4: Score at least 70 percent on a 30-question mixed optics, cornea, lens, and glaucoma quiz, with no more than two errors traceable to the same concept
Week 6: Complete the retina and uveitis imaging and pattern logs in full and pass a 30-question quiz on those topics at 75 percent or higher
Week 8: Achieve at least 75 percent on both full-length timed mock exams, with no subtopic scoring below 60 percent