Independently assess and manage moderate complexity patients, demonstrating an understanding of ocular motility procedures and selecting the most appropriate treatment according to current accepted practice.

Domain of Clinical Practice Patient Management
Level Level 3
Special Interest Area Ocular Motility
Code OM3.1
Descriptors
  • Understand and apply knowledge of medicine and surgery relevant to ocular motility and strabismus, to make diagnoses and recommend a management plan, including selecting the muscle to operate on and type of surgery.   
  • Be informed by the patient’s unique medical, psychological and social circumstances. 
  • Perform a comprehensive ocular motility assessment and record findings diagrammatically.  
  • Select and perform additional orthoptic tests determined by own ocular motility findings. 
  • Interpret with accuracy and efficiency results from instruments available to assess the patient.
  • Implement a detailed management plan to include care from triage to discharge from own care. 
  • Acknowledge and follow relevant guidelines or protocols. 
  • Practise in line with the latest evidence. 
  • Understand the indications, risks and limitations of botulinum toxin therapy and ocular muscle surgery and identify patients for whom these treatments would be appropriate. 
  • Involve the patient and, where appropriate, their carer, partner or relatives, in the choices about their care and enable them to express their informed consent. 
  • Share decision-making by providing patients with appropriate and comprehensible information, prioritising the patient’s wishes and respecting the patient’s beliefs, concerns and expectations. 
  • Communicate the uncertainty of options in a manner that patients will understand. 
  • Manage difficult or challenging conversations. 
  • Develop situational awareness and an understanding of the impact of cultural and social issues. 
  • Enable patient self-management where possible. 
  • Understand and apply knowledge of clinical genetics relevant to ocular motility and strabismus. 
  • Advise patients about patterns of inheritance and recognise when it is appropriate to refer a patient for genetic counselling. 
  • Recognise when it is important to offer a consultation with family members. 
  • Recognise when a patient has had or is developing a complication or side effect from treatment and be able to manage this in an appropriate and timely manner. 
  • Maintain an understanding of new developments in relevant technologies.
Method of Assessment
Other information