My name is Tarek Ibrahim Badreldin ,from egypt ,working in
Memorial institute of Ophthalmology in Egypt ,thanks God I passed
final part FRCS examination of Glasgow from first attempt by the help
I Would like to thank all people who supported me especially my wife
and my family.
My advice in this exam is to be confident , never to hesitate even if
you don't know just say confidently ( I can not recall sir ) not to
lose time and to be able to reply more questions and be targetful by
starting your answer with the most commmon or most serious or most
related to the data given to you by examiner….this is what the
examiner wants to hear. Also try to deal ,think and examine the cases
as if you are in your clinic ,deal as a doctor not as a candidate
,give your opinion confidently and insist on it when you are sure as
the examiner may try to hesitate you to test your confidence in your
knowledge. In this examination, they mainly evaluate your performane
in your practice and how you think and they try to make sure that you
will not make a fatal or blinding mistakes ,so please take care of
endophthalmitis , acute glaucome, GCA, ………..
Again the approach to this exam is not the amonunt of knowledge only
but how to explain in a systematic way as an ophthalmologist in his
MY READING SOURCES:
Kanski (main source),Will's eye manual (esp. work up),Oxford for
emergency medicine and other notes for work up and ophthalmic surgery.
Chua web site is extremely useful esp. past candidate experience ,
vivas,pathology (more than enough for pathology).
Other books which I didn't go deely through as Wong.
General medicine & neurology :-
-unilateral disc swelling then discussion about causes , in young
adult what will you think about ? M.S and then deailed discussion
about M.S especially investigations? MRI……what if patient refused to
do MRI ?....i said he should do it…..the examiner smiled..i really
didn't know the exact answer.
-a photo of fundus with dense subretinal hyperpigmentation invoving
the macula…the examiner said it is a difficult case….i gave d.d of
flecked retina…the examiner smiled and said if this in a female with
cancer breast….i said cancer associated retinopathy,he wanted
metastasis ,however the lesion was flat.
-unilateral headache…he wanted migraine..what will you ask in history?
He wanted precipitating factors of migraine and aura…… What if in
female receiving ocp? Hypercoagulability , hypertension and ocp is a
-ptosis ….causes ? then detailed discussion about myasthenia gravis
…especially ice pack test in clinical examination and acetycholine
receptor antibody titre in investigations.
-a photo of PDR with CSME and PRP laser marks…..there was active NVE ,
what will you do ? FFA and OCT …..then GRID laser followed by
additional PRP…….. what else ? systemic work up for DM.
-a photo of eyelid with lost lashes (partial madarosis )…d.d? he
wanted ocular cicatricial pemphegoid…what will you do? Systemic
steroids…..the examiner wasn't satisfied…..he wanted systemic
immunosuppressive after consulting immunologist or dermatologist.
-patient did wonderful phaco…after 6 weeks can't see ? I gave dd and
when said steroid induced glaucoma..he said after 6 weeks…you give
steroids after phaco for 6 weeks???????…I said no only 3-4 weeks so
it's a remote possibility….. he wanted Irvin Gass..then detailed
disscussion about treatment.
-a photo of punctured cornea with a metallic object…..then detailed
discussion about endophthalmitis.
-a photo of infective keratitis….detailed discussion……dose of
fortified eye drops is very important.
-aphoto of lower follicular cojunctivitis….dd….then treatment of
trachoma in a child.
-Lid swelling...dd….then discussion about site and treament of rodent
ulcer and reconstruction of lid ….site of grafts (non hairy areas).
-A photo of choroidal melanoma…..treatment according to COMS
-vitreous loss during ECCE …what will you do?..how to make sure that
all vitreous has been removed….she wanted injection of triamcinolone
-a photo of retionblastoma….detailed disscussion about treatment esp.
-another photo of retinoblastoma after irradiation.
-pterygium….how to excise and prevent recurrence ?
-1st case: a case of NPDR with CSME….ttt? FFA and OCT…then
focal or grid laser treatment ( according to ETDRS).
-2nd case: a child pseudophakic with pale disc and
subretinal hematoma……I said post-traumatic…the examiner was happy.
Oculoplasty and lid disorders:-
-1st case: ptosis in young female…..i did complete
examination for ptosis….there was aberrant 3rd nerve
regeneration ????i'm not quite sure.
-2nd case: blind painful eye in old lady…..dd….discussion
about evisceration and types of implant.
Ocular motility and neuro-ophthalmology:-
-1st case: RAPD in old male with optic atrophy…dd
…discussion about AION.
-2nd case: Duane syndrome in a child with right over left.
-1st case: glaucoma drainage device in a child with failed
trabeculectomy and posterior embryotoxon…..discussion about causes of
congenital glaucoma esp. iridocorneal dysgenesis.
-2nd case: macular dystrophy in one eye and discussion
about options of treatment…then examiner asked me to examine other
eye…there was corneal graft of deep lamellar keratoplasty.
……..Kindly send to me for any help as I will be very happy to help any
candidate going to appear in this exam: firstname.lastname@example.org