Manage the complexity and uncertainty of cornea and ocular surface disease cases.

Domain of Clinical Practice Patient Management
Level Level 4
Special Interest Area Cornea and Ocular Surface
Code COS4.2
Descriptors
  • Understand and apply advanced knowledge of corneal and ocular surface conditions and practice.  
  • Independently manage corneal and ocular surface disease clinics and theatre lists. 
  • Diagnose and manage complex conditions including, but not limited to: 
    • atypical infectious keratitis (e.g. acanthamoebic, fungal, neurotrophic, viral) 
    • autoimmune and immunological disease 
    • neoplasia 
    • non-infectious (e.g. conjunctivitis medicamentosa, non-accidental injury) 
  • Manage refractive surgery complications; advise on lens calculations following laser refractive surgery and management of astigmatism. 
  • Knowledge of new generations of intraocular lens formulae and implications to corneal practice. 
  • Apply knowledge and skills in a flexible manner. 
  • Utilise existing skills to novel situations. 
  • Adapt management strategies to take account of patients’ informed preferences, particular circumstances, age and co-morbidities, respecting patient autonomy. 
  • Manage the uncertainty of treatment success or failure and communicate effectively with patients were there is uncertainty. 
  • Manage the personal challenge of coping with uncertainty. 
  • Evaluate published developments in cornea and ocular surface knowledge and practice and modify own practice appropriately. 
  • Recognise and refer patients who will benefit from more specialist input. 

 

Method of Assessment
Other information