Station - Instructions for candidate
You are a junior doctor working in a general practice in Perth.
Mei Lim, a 76-year-old retired landscaper, has come to see you because the vision in her right eye has become blurry over the past four months and she is finding it hard to read. She has no eye pain. A Snellen chart is on the wall at 6 metres and an Amsler grid, pinhole occluder, near-vision card and pen torch are on the table.
| From the triage note | Right eye blurry for about four months, worse recently. No pain, no redness. Wears reading glasses only. No known diabetes. |
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Your tasks are to:
- Perform a focused examination of her vision, including visual acuity, pupils, visual fields and an Amsler grid. Verbalise each step to the examiner; findings will be provided as you perform them.
- Summarise your findings to the examiner and state your most likely diagnosis and the differential diagnoses.
- Outline your initial management plan to the examiner.
- You do NOT need to take a history; the relevant history is in the triage note and the patient will answer brief clarifying questions.
- Please verbalise your examination to the examiner. You are not required to perform fundoscopy, but you may ask the examiner for the findings if you would look.
- You do not need to write a referral letter in this station.
This is a 10-minute station, with 2 minutes of reading time.