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Cornea and External Disease
 
 
Below are the DOCK Topics for Cornea and External Disease 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 (8 topics)
 1. Corneal pachymetry
 2. Detection of altered structure and differentiation of signs of inflammation affecting the eyelid margin, conjunctiva, cornea, sclera, and iris
 3. Diagnostic techniques for infectious diseases of the cornea and conjunctiva, including specimen collection methods for microbiologic testing and diagnostic assessment of the normal ocular flora
 4. Diagnostic techniques for neoplasia of the cornea, conjunctiva, and eyelid margin, including specimen collection methods for histopathological testing
 5. Measurement of corneal topography- keratometry, keratoscopy, computerized corneal topography, retinoscopy, wavefront analysis, scanning slit topography
 6. Slit-lamp biomicroscopy: performance and record-keeping
 7. Tear film evaluation: static and dynamic assessments; tear break-up time, Schirmer
 8. Universal precautions for minimizing transmission of bloodborne pathogens and surface infectious agents
 
Ocular Surface Disorders (10 topics)
 9. Aqueous tear deficiency and Sjögren syndrome
 10. Exposure keratopathy
 11. Filamentary keratopathy
 12. Hordeolum and chalazion
 13. Meibomian gland dysfunction, rosacea, and seborrheic blepharitis
 14. Neurotrophic keratopathy
 15. Ocular surface problems related to contact lens wear
 16. Persistent corneal epithelial defect
 17. Recurrent erosion
 18. Trichiasis and distichiasis
 
Infectious Diseases (18 topics)
 19. Acanthamoeba keratitis
 20. Acute conjunctivitis
 21. Adenoviral conjunctivitis and keratoconjunctivitis
 22. Adult chlamydial keratoconjunctivitis
 23. Bacterial conjunctivitis in children and adults
 24. Bacterial conjunctivitis of neonates
 25. Bacterial keratitis
 26. Chronic blepharitis
 27. Chronic conjunctivitis
 28. Fungal keratitis
 29. Herpes simplex virus blepharitis, conjunctivitis, and blepharoconjunctivitis
 30. Herpes simplex virus epithelial keratitis
 31. Herpes simplex virus stromal keratitis and endotheliitis
 32. Microbial scleritis and sclerokeratitis
 33. Staphylococcal blepharitis
 34. Varicella-zoster virus dermatoblepharitis and conjunctivitis
 35. Varicella-zoster virus epithelial keratitis
 36. Varicella-zoster virus stromal keratitis
 
Immune-Mediated Disorders (16 topics)
 37. Allergic conjunctivitis
 38. Atopic keratoconjunctivitis
 39. Conjunctival inflammation with scarring
 40. Contact lens-induced conjunctivitis
 41. Episcleritis
 42. Marginal corneal infiltrates associated with blepharoconjunctivitis
 43. Mooren ulcer
 44. Nonulcerative keratitis
 45. Ocular mucous membrane pemphigoid
 46. Peripheral keratitis
 47. Peripheral ulcerative keratitis associated with systemic immune-mediated diseases, including rheumatoid arthritis, Wegener granulomatosis, systemic lupus erythematosus, and inflammatory bowel disease
 48. Scleritis
 49. Stevens-Johnson syndrome (erythema multiforme major)
 50. Thygeson superficial punctate keratitis
 51. Ulcerative keratitis
 52. Vernal keratoconjunctivitis
 
Neoplastic Disorders (4 topics)
 53. Melanoma of the conjunctiva
 54. Ocular surface squamous neoplasia: corneal intraepithelial neoplasia, conjunctival intraepithelial neoplasia, and squamous cell carcinoma
 55. Primary acquired melanosis of the conjunctiva
 56. Sebaceous gland carcinoma of the eyelid - margin and conjunctiva
 
Corneal Dystrophies (7 topics)
 57. Corneal epithelial basement membrane dystrophy / degeneration
 58. Fuchs endothelial dystrophy
 59. Granular and lattice corneal dystrophies
 60. Keratoconus
 61. Keratoglobus
 62. Macular corneal dystrophy
 63. Pellucid marginal corneal degeneration
 
Degenerative Disorders (5 topics)
 64. Band keratopathy
 65. Pigmentation of the conjunctiva and cornea
 66. Postinflammatory, posttraumatic, and postsurgical corneal opacity
 67. Pterygium
 68. Salzmann nodular degeneration
 
Toxic and Traumatic Injuries (13 topics)
 69. Chemical (alkali and acid) injury of the conjunctiva and cornea
 70. Conjunctival foreign body
 71. Conjunctival laceration
 72. Corneal and corneoscleral laceration
 73. Corneal edema
 74. Corneal foreign body
 75. Corneal perforation
 76. Postsurgical corneal edema
 77. Subconjunctival hemorrhage
 78. Surgical injury of Descemet's membrane and corneal endothelium
 79. Toxic medication injury of the conjunctiva
 80. Toxic medication injury of the cornea
 81. Traumatic corneal abrasion
 
Corneal Transplantation (5 topics)
 82. Allograft rejection
 83. Bandage contact lens
 84. Donor selection criteria contraindicating donor cornea use for corneal transplantation
 85. Management of descemetocele and corneal perforation (including bandage contact lens, cyanoacrylate adhesive and reconstructive lamellar and patch grafts)
 86. Penetrating keratoplasty
 
Surgery (11 topics)
 87. Amniotic membrane transplantation
 88. Anterior stromal puncture
 89. Application of corneal tissue adhesive
 90. Conjunctival biopsy
 91. Corneal biopsy
 92. Corneal epithelial debridement
 93. Pterygium excision
 94. Punctal occlusion
 95. Repair of corneal laceration and suture closure of corneal wound
 96. Superficial keratectomy
 97. Tarsorrhaphy
 
     
© 2006 American Academy of Ophthalmology