13 modules · 52 items · ~325 min · v1.0.0
OD year 3–4 students, recent graduates, international optometry program enrollees
Physics-accurate simulation of the human eye as an optical system. Adjust refractive error parameters (sphere, cylinder, axis) and corrective lens powers to visualize retinal image quality with real-time blur rendering. Covers vertex distance effectivity, transposition, and spectacle vs. contact lens equivalence.
Simulated retinoscope with realistic reflex dynamics. Sweep the beam across the pupil, observe with/against/neutral motion in each principal meridian, select neutralizing lenses from a virtual trial lens set, and compensate for working distance. Covers streak and spot retinoscopy techniques across 10 clinical cases including high myopia, astigmatism, and media opacities.
The complete "best vision sphere → duochrome → JCC cylinder → axis → binocular balance" protocol. Refine sphere power using the duochrome (red-green) test, determine cylinder power and axis with Jackson cross-cylinder, and verify binocular balance with prism dissociation and polarized targets. Includes 8 cases from simple myopia to compound hyperopic astigmatism.
Full binocular vision evaluation including cover/uncover test, alternate cover test with prism neutralization, near point of convergence measurement, stereopsis testing (Randot/TNO), and ±2.00D accommodative facility. Eight clinical cases span intermittent exotropia, convergence insufficiency, accommodative esotropia, and superior oblique palsy.
Adjustable slit lamp simulator with all beam configurations: diffuse illumination, direct focal, indirect, specular reflection, and sclerotic scatter. Identify anterior segment findings across cornea, anterior chamber, iris, and crystalline lens in 12 pre-loaded clinical cases including corneal ulcer, acute angle closure, cataract grading, and traumatic hyphema.
Direct and indirect ophthalmoscopy simulation with SVG-rendered, clinically accurate fundus views. Examine optic disc, macula, and retinal vasculature across 12 clinical cases: NPDR, PPDR, PDR, glaucomatous cupping, AMD (dry and wet), retinal detachment, CRVO, BRVO, hypertensive retinopathy, and normal fundus variants.
Extended slit lamp examination covering 8 advanced pathological entities: keratoconus (Munson's sign, Vogt's striae, Fleischer ring), Fuchs' endothelial dystrophy, dry eye disease (TBUT, staining patterns), gonioscopy for angle assessment, iris melanoma, anterior uveitis (flare, cells, KPs), band keratopathy, and map-dot-fingerprint dystrophy.
Fluorescein pattern interpretation for soft spherical, toric, multifocal, and rigid gas-permeable lenses. Identify flat, steep, and optimal fits and modify parameters (base curve, diameter, power) to achieve the target fit. Includes LARS rule for toric misalignment, RGP troubleshooting, and extended wear complication identification across 8 fitting cases.
Age-stratified vision assessment techniques: Teller acuity cards (preferential looking) for pre-verbal infants, Bruckner test and red reflex screening, cover test for accommodative esotropia detection, cycloplegic refraction interpretation, and formal amblyopia risk screening. Eight cases span ages 6 months to 8 years.
Clinical scenario-based drug selection covering all major therapeutic categories: mydriatics, cycloplegics, prostaglandin analogs, beta-blockers, carbonic anhydrase inhibitors, alpha-2 agonists, miotics, mast cell stabilizers/antihistamines, fluoroquinolones, aminoglycosides, fortified antibiotics, antivirals, and topical NSAIDs. Eight clinical cases with mechanism-of-action diagrams.
Ten pre-loaded 24-2 and 30-2 Humphrey visual field printouts spanning the full spectrum of glaucomatous, neurological, and retinal field loss. Interpret total/pattern deviation plots, reliability indices (fixation loss, false positive/negative rates), mean deviation, pattern standard deviation, and GHT classification. Includes localization of lesions from retina to visual cortex.
Goldmann applanation tonometer simulator with realistic fluorescein mire alignment, requiring correct semicircle contact and endpoint recognition. Applies pachymetry-based correction (Ehlers formula) for central corneal thickness and interprets IOP in clinical context across 8 cases including ocular hypertension, low-pressure glaucoma, and post-LASIK thin corneas.
Six complete clinical workups requiring synthesis of refraction, anterior segment, fundoscopy, tonometry, and visual field data into a full diagnosis and evidence-based management plan. Cases: progressive myopia management, primary open-angle glaucoma with VF change, diabetic eye disease requiring urgent referral, pediatric accommodative esotropia, contact lens-related microbial keratitis, and superior temporal retinal detachment with macula-on status.