Back Module: S-OV-S4

Ophthalmic Imaging

Module information

Module details

Title
Ophthalmic Imaging
Type
Specialist
Module code
S-OV-S4
Credits
15
Phase
3
Requirement
Compulsory

Aim of this module

This module will provide trainees with opportunities to triage referrals requiring ophthalmic imaging, to create imaging plans and to interpret the images, combining this with electrophysiology, psychophysiological findings to inform a diagnosis. They will be exposed to opportunities to contribute to patient centered care.

Work-based content

Training activities

# Learning outcome Training activity Type Action
# 1 Learning outcome 1,2,4,7,8 Training activities

Select appropriate ophthalmic imaging equipment and set it up

 Type ETA Action View
# 2 Learning outcome 1,3,6,8 Training activities

Review referrals and plan the appropriate ophthalmic imaging testing strategy

 Type ETA Action View
# 3 Learning outcome 1,4,6,7,8 Training activities

Select the appropriate ophthalmic imaging for patients presenting with:

  • Retinal disease
  • Post-retinal disease
 Type ETA Action View
# 4 Learning outcome 1,2,4,6,7,8 Training activities

Prepare patients presenting with the following additional needs for ophthalmic imaging:

  • Communication barriers
  • Physical barriers
 Type ETA Action View
# 5 Learning outcome 3,4 Training activities

Analyse and interpret the results of both imaging and electrophysiology to determine/refine a potential diagnosis and make recommendations for further testing

 Type DTA Action View
# 6 Learning outcome 2,3,4,6,7 Training activities

Perform and interpret optical coherence tomography (OCT) imaging for patients

 Type ETA Action View
# 7 Learning outcome 3,4,6,7 Training activities

Review and interpret ultrasound and biometry result for patients

 Type DTA Action View
# 8 Learning outcome 2,3,4,6,7 Training activities

Assist in performing and interpreting a series of angiographic tests on patients

 Type DTA Action View
# 9 Learning outcome 2,3,4,6,7 Training activities

Perform and interpret colour fundus imaging including red free analysis for patients

 Type ETA Action View
# 10 Learning outcome 2,3,4,6,7 Training activities

Perform and interpret autofluorescence images for  patients

 Type ETA Action View
# 11 Learning outcome 2,4,7,8 Training activities

Use a slit lamp to visualise patients eyes

 Type ETA Action View
# 12 Learning outcome 2,4,7,8 Training activities

Use an ophthalmoscope to visualise a patient’s eye

 Type ETA Action View
# 13 Learning outcome 1,3,6 Training activities

Review an MRI and/or CT neuroimaging results to plan electrophysiological tests for patients

 Type DTA Action View
# 14 Learning outcome 3,4 Training activities

Review a patient’s imaging and electrophysiology results and present to colleagues and make recommendations for further testing

 Type DTA Action View
# 15 Learning outcome 4,5,7,8 Training activities

Train another healthcare professional to perform an ophthalmic imaging technique and provide constructive feedback on the image quality

 Type DTA Action View

Assessments

Complete 3 Case-Based Discussions

Complete 3 DOPS or OCEs

Direct Observation of Practical Skills Titles

  • Set up a patient and perform an OCT.
  • Set up a patient and perform colour fundus imaging.
  • Set up a patient and perform a biometry.
  • Assess an image for artefacts.

Observed Clinical Event Titles

  • Explain and discuss risks of an angiography imaging procedure to a patient under supervision.
  • Discuss with a supervisor a testing plan based on a patient referral.
  • Present a clinical case with findings from imaging and electrophysiology to colleagues.

Learning outcomes

# Learning outcome
1

Create imaging plans based on referral information.
2

Perform and interpret a range of ophthalmic imaging modalities.
3

Combine information from electrophysiological and imaging findings to inform a diagnosis.
4

Employ effective communication with a range of individuals including the patient and the multidisciplinary team.
5

Prepare and deliver teaching.
6

Modify and adapt protocols dependent on patients’ needs.
7

Assess and manage risks in the testing environment.
8

Select and operate ophthalmic imaging equipment.

Clinical experiences

Clinical experiences help you to develop insight into your practice and a greater understanding of your specialty's impact on patient care. Clinical experiences should be included in your training plan and you may be asked to help organise your experiences. Reflections and observations from your experiences may help you to advance your practice and can be used to develop evidence to demonstrate your awareness and appreciation of your specialty.

Activities

  1. Observe different types of clinics involving ophthalmic imaging, e.g. general photography, diabetic screening, cataract clinics, oncology clinics or paediatrics.
  2. Shadow ophthalmologists or other healthcare professionals of different specialties to observe how different types of imaging are used in diagnosis.
  3. Attend ophthalmic surgery involving ophthalmic imaging.
  4. Attend a multidisciplinary team meeting where ophthalmic images are discussed.
  5. Observe slit lamp procedures.

Academic content (MSc in Clinical Science)

Important information

The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.

Learning outcomes

On successful completion of this module the trainee will be able to:

  1. Critically evaluate and analyse the range of ophthalmic imaging techniques, how the technology works, the image characteristics (such as resolution and distortions) and their limitations.
  2. Critically evaluate ophthalmic images.
  3. Synthesise the information from different images to inform the diagnosis and monitoring of ocular pathology.

Indicative content

  • Anterior and posterior eye anatomy and physiology
  • Principles of different imaging technologies (physics, alignment, penetration, resolution and calibration) and their relative strengths and weaknesses
    • Slit lamp biomicroscopy
      • Tear film evaluation
      • Corneal layers
      • Anterior chamber angle
      • Crystalline lens
    • Ophthalmoscopy (direct and indirect)
    • Retinal photography
      • Autofluorescence
      • Angiography
    • Ultrasound
    • Optical Coherence Tomography
      • Time domain
      • Fourier domain
      • Swept source
    • Ocular biometry
      • Partial coherence interferometry
      • Optical low coherence reflectometry
      • Ultrasound
    • Magnetic Resonance Imaging
  • Testing techniques
    • Monocular
    • Binocular
    • Repetitions to reduce noise
    • Test invasiveness
    • Lighting considerations

Module assigned to

Specialties

Specialty code Specialty title Action
Specialty code SPS2-2-22 Specialty title Ophthalmic & Vision Science [2022] Action View
Specialty code SPS2-2-23 Specialty title Ophthalmic & Vision Science [2023] Action View
Specialty code SPS2-2-24 Specialty title Ophthalmic & Vision Science [2024] Action View
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