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Cataract and Anterior Segment
 
 
Below are the DOCK Topics for Cataract and Anterior Segment organized by sections. These Topics provide a high-level view of the information that may be assessed in the ABO’s DOCK examination.
 
 
 
Diagnostic Tests (5 topics)
 1. Biometry
 2. Evaluation of glare disability: subjective and objective
 3. Evaluation of visual loss not fully explained by degree of cataract (visual fields, corneal topography, fluorescein angiography)
 4. Refraction
 5. Visual acuity testing
  
Anterior Segment Disorders (9 topics)
 6. Anterior basement membrane dystrophy (ABMD) (Map-Dot-Fingerprint with Cogan microcystic corneal epithelial dystrophy)
 7. Iridodialysis
 8. Neovascularization of the Iris (NVI)
 9. Perforating injuries of the anterior segment
 10. Pinguecula
 11. Pterygium
 12. Traumatic hyphema
 13. Traumatic iritis
 14. Traumatic mydriasis
  
Types of Cataracts (16 topics)
 15. Anterior polar cataracts
 16. Cataract associated with uveitis
 17. Diabetes mellitus and cataract formation
 18. Ectopia lentis
 19. Hypermature cataract
 20. Intumescent cortical cataract
 21. Lens-induced glaucoma - lens particle
 

22. Lens-induced glaucoma - phacolytic

 23. Lens-induced glaucoma - phacomorphic
 24. Morgagnian cataract
 25. Nuclear cataract
 26. Perforating and penetrating injury of the lens
 27. Posterior polar cataracts
 28. Posterior subcapsular cataracts
 29. Pseudoexfoliation (exfoliation syndrome)
 30. Traumatic dislocation and subluxation
  
Anesthesia/Infection Prophylaxis/Visco Surgical Devices (8 topics)
 31. General anesthesia
 32. Infection prophylaxis
 33. Intracameral anesthesia
 34. Ophthalmic viscosurgical devices (OVD)
 35. Peribulbar anesthesia
 36. Retrobulbar anesthesia
 37. Sub-Tenon's anesthesia
 38. Topical anesthesia
  
Surgical Techniques/Instrumentation (10 topics)
 39. Anterior capsulotomy – capsulorrhexis and can opener
 40. Astigmatic Keratotomy – Limbal Corneal Relaxing Incisions
 41. Capsular staining
 42. Clear lens extraction - Refractive lensectomy
 43. Extracapsular cataract extraction
 44. Hydrodissection and Hydrodelineation
 45. Phacoemulsification fluidics
 46. Phacoemulsification techniques – Nuclear removal
 47. Ultrasound - Clinical principles
 48. Wound construction (limbal, scleral pocket, clear corneal)
  
Intraocular Lenses/IOL Implantation (19 topics)
 49. Acrylic foldable intraocular lenses (IOL)
 50. Anterior chamber intraocular lens (IOL) implantation
 51. Collagen/hydroxyethyl methacrylate (HEMA)-copolymer-based foldable intraocular lenses (IOLs) (Collamer)
 52. Instrumentation for intraocular lens (IOL) implantation
 53. Intraocular lens (IOL) material and design (optic size, shape and configuration)
 54. Intraocular lens implantation in children
 55. Intraocular lens (IOL) calculation following refractive surgery
 56. Multifocal intraocular lenses (IOLs)
 57. Plate-style intraocular lenses (IOLs)
 58. Posterior chamber intraocular lens (IOL) implantation
 59. Rigid or nonfoldable polymethylmethacrylate (PMMA) intraocular lenses (IOLs)
 60. Silicone foldable intraocular lenses (IOLs)
 61. Special Cases: Alternative means for lens implantation (capsulorrhexis capture)
 62. Special Cases: Ciliary sulcus fixation of posterior chamber intraocular lenses (IOLs)
 63. Special Cases: Primary Piggy-Back lenses
 64. Special Cases: Secondary Piggy-Back lenses
 65. Special Cases: Secondary intraocular lens (IOL) implantation
 66. Special Cases: Sutured posterior chamber intraocular lens (IOL) implantation
 67. Toric intraocular lenses (IOLs)
  
Intraoperative Complications (15 topics)
 68. Detachment of Descemet's Membrane
 69. Errant continuous curvilinear capsulorrhexis (CCC) rescue and management
 70. Intraoperative management of dropped nucleus
 71. Intraoperative management of iris prolapse
 72. Intraoperative shallowing of the anterior chamber
 73. Intraoperative signs of posterior capsule rupture
 74. Management of intraoperative vitreous loss
 

75. Management of small pupil

 76. Microscope-induced light toxicity
 77. Postoperative elevated intraocular pressure
 78. Retrobulbar hemorrhage
 79. Suprachoroidal hemorrhage or effusion
 80. Surgical trauma – Hyphema
 81. Thermal injury or “phaco burns”
 82. Toxic solution associated with corneal edema
  
Postoperative Complications (20 topics)
 83. Anterior capsule fibrosis and phimosis
 84. Ciliary block glaucoma (malignant glaucoma, aqueous misdirection) (as a complication of cataract surgery)
 85. Complications of neodymium yttrium-aluminum-garnet (Nd: YAG) capsulotomy
 86. Corneal complications of phacoemulsification and intraocular lenses (IOLs)
 87. Corneal melting with ocular surface disease (complication of cataract surgery)
 88. Cystoid macular edema
 89. Dysphotopsia complication (Lens-related visual disturbances)
 90. Endophthalmitis (complication of cataract surgery)
 91. Incorrect intraocular lens (IOL) power
 92. Induced astigmatism (complication of cataract surgery)
 93. Intraocular lens (IOL) decentration and dislocation
 94. Iridodialysis (complication of cataract surgery)
 95. Neodymium yttrium-aluminum-garnet (Nd:YAG) laser posterior capsulotomy
 96. Posterior capsule opacification
 97. Postoperative inflammation (uveitis, retained lens material)
 98. Postoperative shallow or flat anterior chamber
 99. Pupillary capture (complication of cataract surgery)
 100. Retinal Detachment (complication of cataract surgery)
 101. Vitreous incarceration in wound
 102. Wound leak or filtering bleb (complication of cataract surgery)
  
Cataract Surgery in Special Situations (19 topics)
 103. Cataract surgery combined with glaucoma filtering procedure
 104. Cataract surgery following a glaucoma filtering procedure
 105. Cataract surgery following keratoplasty
 106. Cataract surgery following refractive surgery
 107. Cataract surgery in the functionally monocular individual
 108. Endothelial dystrophy and cataract surgery
 109. High hyperopia and cataract surgery
 110. High myopia and cataract surgery
 111. Keratoconus and cataract surgery
 112. Patients with anticoagulation therapy or bleeding diathesis and cataract surgery
 113. Patients with diabetes mellitus and cataract surgery
 114. Patients with retinal comorbidities and cataract surgery (age-related macular degeneration (AMD), retinitis pigmentosa (RP), scleral buckling, diabetic retinopathy (DR))
 115. Patients with silicone oil and cataract surgery
 116. Pseudoexfoliation and cataract surgery
 117. Small eyes and cataract surgery (nanophthalmos, microphthalmos)
 118. Surgery of dense nuclear cataracts
 119. Surgery of white cataracts
 120. Triple procedure (cataract extraction, intraocular lens implantation and penetrating keratoplasty)
 121. Uveitis and cataract surgery

 

 
     
© 2006 American Academy of Ophthalmology