Patient Management PM3

To assess a patient clinically, in OPD and elsewhere, in particular to:




Learning Outcome

  • Prescribe local and systemic medications safely.
  • Administer a limited number of systemic therapies by subcutaneous, intramuscular and intravenous routes, where appropriate and in accordance with local and national clinical governance arrangements.
  • Be aware of the indications, contra-indications, side-effects, and possible interactions of the drugs you prescribe.


MSF CbD Part 2 FRCOphth 


Target Year of Achievement

Year 7

Related Learning Outcomes



  • It is important to recognise that the majority of medications, regardless of their route of administration, have contra-indications in certain medical conditions or patient groups. Be particularly aware of the implications of medications on pregnancy and breast feeding.
  • Understand the implications of the many off-label uses of medications in Ophthalmology.
  • Understand the maximum doses of medications and the indications for adjusting the dose (e.g. renal failure).
  • When prescribing a course of medication, consider the length of the course, and the type of the medication, to ensure the maximum effect with the least harm.
  • Be aware of the anatomy and appropriate techniques to allow safe administration of injected medications, particularly thinking about the type and size of needle and syringe.
  • Ensure that therapeutic choices are discussed with your patients where appropriate.
  • Be aware of the storage limitations on certain medications and the effect that opening a medication has on the shelf life. Ensure that you always check the expiry date on any drug that you are administering or issuing.
  • Be able to safely and effectively provide therapeutic medications via topical, subconjunctival, subtenons, orbital, intraocular (AC & vitreous), oral and intravenous routes. Pay particular attention when reconstituting drugs to the volume and diluent agent.
  • Ensure concordance with local and national antibiotic stewardship guidelines.


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