| Descriptors |
- Create prioritised differential diagnoses and reach a potential diagnosis.
- Formulate a management plan based upon clinical assessment and, where appropriate, the results of relevant investigations.
- Demonstrate that decisions are made by applying appropriate and clear clinical reasoning.
- Recognise when a patient’s ocular problem is a manifestation of a systemic disorder and when an ophthalmic diagnosis may indicate an increased risk of a systemic illness.
- Know the likely infective organisms in cases of infection, how they are best isolated and identified.
- Understand the indications and use of systemic and topical antimicrobials.
- Recognise when the management plan involves a level of expertise that is beyond own competence.
- Make appropriate referrals to other specialties, in a timely manner, using local pathways.
- Understand the rationale behind, and perform or organise the ophthalmic examinations required by protocols in other specialties.
- Know when patients should be jointly managed between specialties, and contribute to this management.
- Demonstrate the ability to reflect and learn from professional practice and clinical outcomes.
- Identify the presence of abnormal findings on CT and MR scans of the orbit.
- Assess and recognise sight-threatening orbital emergencies and initiate management e.g. iv antibiotics in orbital cellulitis, lateral canthotomy in orbital haemorrhage.
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