THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

FELLOWSHIP EXAMINATION IN OPHTHALMOLOGY

Name of trainee:___________________________

Personal surgical outcome audits

CATARACT (100 consecutive cases required)
Date

Patient
ID number
(patient
anonymity
must be
preserved)

Operation

Outcome,
Pre-op
complications (BCVA)
& comments

Pre-op
refraction

Hospital stamp
Each page of this record must be verified by your Trainer/Consultant
Name of Trainer ________________________________________________
Signature of Trainer _____________________________________________
Date _________________________________

Post-op
unaided
VA

Post-op
corrected
VA

Post-op
Refraction

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

FELLOWSHIP EXAMINATION IN OPHTHALMOLOGY

Name of trainee:___________________________

Personal surgical outcome audits

Glaucoma (including lasers, but must contain a minimum of 7 surgical drainage procedures such as trabeculectomy, trabeculotomy,
goniotomy, etc) (10 consecutive cases required)
Date

Patient
Diagnosis
ID number
(patient
anonymity
must be
preserved)

Operation

Outcome,
complication
& comments

Pre-op
IOP

Pre-op
Post-op
medication IOP

Hospital stamp
Each page of this record must be verified by your Trainer/Consultant
Name of Trainer ________________________________________________
Signature of Trainer _____________________________________________
Date _________________________________

Post-op
medication

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

FELLOWSHIP EXAMINATION IN OPHTHALMOLOGY

Name of trainee:___________________________

Personal surgical outcome audits

Lid Surgery (excludes Tarsal cysts & very minor procedures. Should contain at least 7 ectropion, entropion, ptosis, or full thickness
procedures) (10 consecutive cases required)

Date

Patient
Diagnosis
ID number
(patient
anonymity
must be
preserved)

Operation

Outcome,
complication
& comments

Post-op
eyelid
anatomy

Hospital stamp
Each page of this record must be verified by your Trainer/Consultant
Name of Trainer ________________________________________________
Signature of Trainer _____________________________________________
Date _________________________________

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

FELLOWSHIP EXAMINATION IN OPHTHALMOLOGY

Name of trainee:___________________________

Personal surgical outcome audits

Penetrating Ocular Trauma (3 consecutive cases required)

Date

Patient
Diagnosis
ID number
(patient
anonymity
must be
preserved)

Operation

Outcome,
complication
& comments

Pre-op
VA

Post-op
VA

Hospital stamp
Each page of this record must be verified by your Trainer/Consultant
Name of Trainer ________________________________________________
Signature of Trainer _____________________________________________
Date _________________________________

Other comments

THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH

FELLOWSHIP EXAMINATION IN OPHTHALMOLOGY

Name of trainee:___________________________

Personal surgical outcome audits

Strabismus (do not count muscle procedures separately e.g. a recess-resect operation is one procedure, not two) (10 consecutive
cases required)

Date

Patient
Diagnosis
ID number
(patient
anonymity
must be
preserved)

Operation

Outcome,
complication
& comments

Pre-op
(measurements

Hospital stamp
Each page of this record must be verified by your Trainer/Consultant
Name of Trainer ________________________________________________
Signature of Trainer _____________________________________________
Date _________________________________

Post-op
Comments
measurements