FRCOphth Part 2 Written Oculoplastics & Orbit

For the lids, cover the lamellar anatomy, the classification and assessment of ptosis including levator function, entropion and ectropion, the benign and malignant lid lesions with basal cell, squamous cell and sebaceous gland carcinoma and melanoma among them, the principles of excision and reconstruction, and blepharospasm. For the lacrimal system, cover the anatomy and physiology of tear drainage, the assessment of the watering eye, congenital nasolacrimal duct obstruction, dacryocystitis and the indications for surgical drainage. For the orbit, cover orbital anatomy, preseptal against orbital cellulitis, thyroid eye disease in enough depth to separate activity from severity, idiopathic orbital inflammation and IgG4 related disease, the paediatric and adult orbital tumours, orbital fractures, and the anophthalmic socket.

Lid questions often start from a measurement or a lesion description and ask for the classification or the correct operation. Orbital questions read like medical stems, giving you a proptosis, a set of systemic features and a scan description, and asking for the diagnosis or the next investigation. Thyroid eye disease appears repeatedly and is worth extra attention, because the questions consistently turn on whether the disease is active rather than on how severe it looks.

Split your practice the way the domain splits. Drill the lid and lacrimal material as anatomy and classification, working questions until the assessment sequence for ptosis and for the watering eye is automatic. Then work the orbital material as differential diagnosis, using the referenced explanations to check which feature in the stem moved you toward the answer. Keep thyroid eye disease as a recurring block rather than a single session, because activity and severity are easy to conflate and hard to unlearn once conflated.