FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
OPHTHALMOLOGY
PAPER-II
TIME: 3 HOURS OPH/J/18/26/II
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part each part
containing 5 questions.
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. Pathogenesis and sequelae of cotton wool spots and hard
exudates on retina in diabetic retinopathy.
Diagnostic features of HIV retinopathy and relationship to
CD4 counts.
5+5
2. Enumerate causes of iris cysts.
Discuss briefly the management of different types of iris
cysts.
3+7
3. Aetiopathogenesis, clinical features and diagnosis of
pseudoexfoliative glaucoma.
Give specific features of true exfoliation in eye.

4. One and half syndrome its cause and clinical features. 4+6
5. Siderosis bulbi Clinical features
ERG changes on electrophysiology in siderosis.
7+3

6. A 25-year old man complaining of itching and redness of both
eyes since childhood presents with gradually increasing
refractive error and photophobia. Outline the workup and
management.
5+5
7. Etiopathogenesis of lid changes in trachoma.
Management outline of stage 2 trachoma.
6+4
8. Sjogren Syndrome Clinical features, diagnosis and
management

9. Clinical features and diagnostic tests of ocular myasthenia.
Important differential diagnosis and points to differentiate.
6+4
10. Pathogenesis of senile ectropion.
Elucidate tests for assessment and management of senile
ectropion.
5+5