OCANZ ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ What are the SYMPTOMS that commonly indicate pupil dilation.
Answer: Flashes and floaters
New Distortion
Unexplained reduction in or loss of visual field
Recent blunt trauma
◉ What else could require pupil dilation? Answer: Relevant FOH
Smal pupils
Unsteady Fixation
Nystagmus
Essential Stereo Viewing
Systemic medications
Good digital imaging
◉ What is deemed a significant rise in IOP following dilation, for which
the Optometrist should consider referring for further investigations?
Answer: 3mmhg
, ◉ What is the risk of inducing angle closure with a dilating agent?
Answer: 1 in 5000
◉ What clinical presentations are considered contraindications for pupil
dilation? Answer: Iris Fixated IOL's
Narrow Angles
Active Corneal Disease
Subluxed posterior chamber IOL
Hyphaema
When pupil reactions need to be preserved
Px under miotic therapy for angle closure glaucoma
Pentrating ocular injry
Known hypersensitivity to mydriatic drug
◉ How long during pregnancy should dilation be avoided? Answer:
First trimester and use Tropicamide
◉ How long after the instillation of Tropicamide should patient be told
there vision will be blurry? Answer: 4-6 hours
◉ Other than pregnancy what sort of patient should caution be taken
before dilating? Answer: Tachycardia as it may accelerate heart rate
QUESTIONS WITH SOLUTIONS GRADED A+
◉ What are the SYMPTOMS that commonly indicate pupil dilation.
Answer: Flashes and floaters
New Distortion
Unexplained reduction in or loss of visual field
Recent blunt trauma
◉ What else could require pupil dilation? Answer: Relevant FOH
Smal pupils
Unsteady Fixation
Nystagmus
Essential Stereo Viewing
Systemic medications
Good digital imaging
◉ What is deemed a significant rise in IOP following dilation, for which
the Optometrist should consider referring for further investigations?
Answer: 3mmhg
, ◉ What is the risk of inducing angle closure with a dilating agent?
Answer: 1 in 5000
◉ What clinical presentations are considered contraindications for pupil
dilation? Answer: Iris Fixated IOL's
Narrow Angles
Active Corneal Disease
Subluxed posterior chamber IOL
Hyphaema
When pupil reactions need to be preserved
Px under miotic therapy for angle closure glaucoma
Pentrating ocular injry
Known hypersensitivity to mydriatic drug
◉ How long during pregnancy should dilation be avoided? Answer:
First trimester and use Tropicamide
◉ How long after the instillation of Tropicamide should patient be told
there vision will be blurry? Answer: 4-6 hours
◉ Other than pregnancy what sort of patient should caution be taken
before dilating? Answer: Tachycardia as it may accelerate heart rate
