Core Generalist#



Describe the normal anatomy, physiology and ocular function of the eye


Identify presenting signs, symptoms and management of common eye presentations


Distinguish between the conditions of the eye and describe the treatment and referral criteria


Identify the role of other health care professionals, including ophthalmologists, optometrists in diagnosing and treating conditions of the eye



Test and evaluate visual function, including:

  • visual acuity
  • colour vision
  • visual fields
  • ocular motility


Diagnose and interpret abnormalities of the optic nerve and fundus


Independently perform the following assessments:

  • Test and evaluate visual function including eye movements and position, visual acuity, visual fields, colour vision, ocular motility and pupillary function
  • Test and evaluate abnormal eye movements and positions
  • Perform an examination of the external eye including the conjunctivae, sclera, cornea and eyelids and be able to evert the upper lid
  • Perform examinations using an ophthalmoscope, including fundoscopy
  • Measure intraocular pressure using applanation tonometry techniques and be familiar with other techniques for measuring intraocular pressure
  • Assess for strabismus including the cover test and differentiate from pseudostrabismus
  • Perform slit lamp examinations to diagnose and remove corneal foreign bodies diagnose iritis, assess corneal ulcers and assess eye trauma


Undertake initial assessment and triage patients with injuries to the eye


Recognise causes of preventable blindness and minimise deterioration of function through appropriate initial treatment and referral


Undertake initial assessment and triage patients with acute loss of vision


Independently perform the following procedures:

  • instill eye drops and ointment
  • tape lids to prevent corneal and conjunctival exposure
  • fluorescein staining of the cornea and sclera
  • dilatation of the pupils
  • pressure patch an eye
  • eyelid eversion
  • irrigate an eye
  • remove contact lenses
  • shield eye
  • removal of corneal foreign bodies
  • removal of subtarsal foreign bodies


Prescribe topical and systemic medications for eye, including:

  • antibiotics, antivirals
  • topical steroids
  • anti-glaucoma
  • mydriatics and cycloplegics
  • diagnostic agents
  • local anaesthetics








Eye presentations and conditions#

  • cataracts
  • glaucoma
  • macular degeneration
  • strabismus and abnormal eye movements
  • contact lens complications
  • blocked tear duct
  • amaurosis fugax
  • hemianopia
  • conjunctivitis viral, herpetic eye disease, bacterial, allergic, trachoma, trichiasis, conjunctival tumours
  • corneal diseases keratitis, corneal ulcers, conjunctival nevus, pterygium, pinguecula
  • uveitis
  • drug allergy
  • episcleritis/scleritis
  • neonatal sticky eyes
  • dry eyes
  • red lids
  • blepharitis
  • entropion
  • ectropion
  • stye
  • chalazion
  • diabetic retinopathy, hypertensive retinopathy
  • optic nerve and fundus conditions optic disc abnormalities in glaucoma, optic disc swelling, optic atrophy
  • eye injuries; chemical, blunt and penetrating trauma to eye and surrounding tissues, subtarsal and corneal foreign bodies, scratches and abrasions, hyphema, blowout fracture, signs of child abuse, ultra violet trauma, welders’ flash burns, snow blindness
  • acute loss of vision; vascular occlusion, giant cell arteritis, acute glaucoma, vitreous haemorrhage, retinal detachment, optic neuritis, papilloedema, proptosis
Last updated on by acrrmbot