NZ Optometry Registration study plan

Map the full ocular anatomy syllabus into a labelled diagram set you draw from memory (cornea, angle, lens, vitreous, retina, optic nerve, adnexa) and annotate each structure with its clinical significance.

Explain the physiology of aqueous production, outflow and tear film dynamics in writing, linking each mechanism to a named pathological failure.

Build a differential diagnosis table for the classic red eye presentations (conjunctivitis, keratitis, uveitis, acute angle closure, scleritis) covering symptoms, signs, and urgency of referral.

Classify the top 15 sight-threatening conditions by referral timeframe (emergency, urgent, routine) and justify each classification against New Zealand referral norms.

Complete 40 mixed anatomy and pathology multiple-choice questions and log every error with the underlying concept missed.

Describe the pathophysiology, staging and management pathway for diabetic retinopathy, glaucoma and age-related macular degeneration, including when each requires ophthalmology referral versus optometric monitoring.

Interpret 10 written clinical vignettes (no images) and state the most likely diagnosis, the confirmatory test, and the management or referral decision.

Compare anterior and posterior segment disease presentations and distinguish those needing same-day referral from those safe to review in 2-4 weeks.

Draft a referral letter template for a suspected sight-threatening condition that includes the required clinical detail an ophthalmologist needs.

Summarise the red flags in a patient history that mandate urgent investigation.

Work through the full refraction sequence (objective retinoscopy, subjective refinement, binocular balance, near add) and write out the decision rules at each step.

Solve 20 calculation problems covering spherical equivalent, induced prism, vertex distance conversion, and accommodative demand.

Explain the AC/A ratio, its clinical measurement, and how it guides the choice between single vision lenses, bifocals and vision therapy.

Differentiate the core binocular vision anomalies (convergence insufficiency, divergence excess, accommodative insufficiency, intermittent exotropia) by cover test, near point of convergence and accommodative amplitude findings.

Design a recording template that captures all refraction and binocular vision findings in a form you could use in practice.

Match each item of clinical instrumentation (slit lamp, ophthalmoscope, retinoscope, tonometer, perimeter, topographer, OCT, fundus camera) to its principle of operation, what it measures, and its limitations.

Describe the correct procedure and normal findings for tonometry, gonioscopy, visual field testing and fundus examination, and list common artefacts that mimic disease.

Interpret 10 sets of written investigation results (IOP, visual fields, pachymetry, fundus description) and state the clinical conclusion.

Explain calibration, infection control and patient safety requirements for each instrument you would use in a New Zealand consulting room.

Practise explaining three common tests to a layperson in plain language and record your scripts.

Select appropriate lens material, modality, replacement schedule and care system for 10 written patient profiles covering keratoconus, high myopia, presbyopia, dry eye and paediatric wear.

Diagnose and manage the common contact lens complications (corneal infiltrates, microbial keratitis, giant papillary conjunctivitis, solution hypersensitivity) and state when to cease wear and refer.

Explain the legal classification of ocular therapeutic agents in New Zealand and which medicines an optometrist may prescribe, supply or must refer for.

Describe the mechanism, indications, contraindications and key side effects of the main diagnostic and therapeutic agents used in optometric practice (anaesthetics, mydriatics, anti-infectives, anti-inflammatories, glaucoma drops).

Identify the ocular adverse effects of commonly prescribed systemic medicines and the action to take.

Describe normal visual development and the evidence base for amblyopia screening and treatment, including critical periods and the rationale for early intervention.

Outline the paediatric examination sequence, including how to modify acuity testing, refraction and fundus examination by age.

Match systemic conditions (diabetes, hypertension, thyroid disease, autoimmune disease, sickle cell, HIV, sarcoidosis) to their characteristic ocular manifestations and required monitoring interval.

Explain the principles of low vision assessment and the selection of magnification, lighting and non-optical aids for defined functional goals.

Apply cultural safety principles when discussing vision loss and rehabilitation options with patients and whanau.

Summarise the New Zealand regulatory framework for optometrists: registration and annual practising certificate requirements, scope of practice, continuing professional development obligations, and the role of the Optometrists and Dispensing Opticians Board.

Explain the requirements of the Health and Disability Commissioner Code of Health and Disability Services Consumers' Rights and apply them to consent, privacy, complaints and record-keeping scenarios.

Apply the Privacy Act 2020 and the Health Information Privacy Code to the storage, sharing and disclosure of patient records, including referrals and requests from third parties.

Demonstrate culturally safe practice with Maori patients and whanau, referencing the principles of Te Tiriti o Waitangi and how they translate into communication and shared decision-making.

Analyse 8 written ethical scenarios (conflict of interest, commercial pressure, impaired colleague, refusal of treatment, telehealth limits) and justify the correct professional response.

Complete two full-length timed mock examinations under exam conditions and record your score by domain.

Revisit every weak domain identified by the mock results and rewrite the underlying concept in your own words.

Consolidate your error log from weeks 1-7 into a single revision sheet of no more than two pages.

Rehearse explaining three complex clinical concepts aloud in under two minutes each, as practice for viva-style questioning.

Confirm your understanding of the registration and examination logistics, including identification and conduct requirements.