About this site

Hi, I am Sam Tapsell, currently a GP in North Devon, UK. I have a background of working in ophthalmology for 4 years, before heading into General Practice (GP)

I want this site to introduce ophthalmology to GP trainees. It should also be helpful to medical students and doctors starting out in ophthalmology, as well as others undertaking nursing, orthoptic or optometry training.

Teaching plan for VTS

Clinical skills practice for GP trainees.

1. Measurement of Visual Acuity, including pinhole vision.

Common scenarios in which this would be required:

  • HGV medical assessment D4
  • Vision loss (often dictates how urgently the patient should be seen)
  • Diabetes monitoring

2. Examination of Fundi

Common scenarios in which this would be required:

  • Diagnosis of headache (as per BASH guidelines)
  • Part of assessment of hypertension (as per NICE guidelines)

3. External examination of eye, fluoroscein staining of cornea and eversion of upper lid.

Common scenarios in which this would be required:

  • Managing corneal abrasion.
  • Managing chemical injury of eye.
  • Managing foreign body
  • Managing blepharitis

4. Examination of pupil and assessment of red reflex.

Common scenarios in which this would be required:

  • vision loss
  • baby checks
  • head injury
  • unequal pupils (anisocoria)

5. Visual field testing to confrontation

Common scenarios in which this would be required:

  • Vision Loss
  • Stroke or TIA
  • HGV medical¬†assessment D4

6. Assessment of ocular movements and cover testing.

Common scenarios in which this would be required:

  • Diplopia
  • Strabismus (squint)

7. Colour vision testing

Common scenarios in which this would be required:

  • Some workplace medicals, eg pilots, armed forces.
  • Observed colour problems or family history.