The final station. A child’s photograph and an OCT.
“Differential: Retinoblastoma, Coats’ disease, PHPV, Toxocara. But I note the OCT shows a solid, calcific mass. No exudation. My index of suspicion is Retinoblastoma. My immediate next step is not a biopsy—that risks extraocular spread. It is an EUA (Examination Under Anaesthesia) with B-scan, and referral to the specialist ocular oncology unit within 24 hours.” frcs ophthalmology part 3
Omar sat down. The patient was a nervous-looking man in his 50s. Omar put his fingers on the slit lamp. Focus. Relax. The final station
The examiner looked at his watch. “Your time is up.” frcs ophthalmology part 3
Omar’s mind went blank. The formula... the sine of the angle... He couldn't remember.
“Three-year-old. Leukocoria. Your differential?” the examiner snapped.