Since these aspects are all essential components of constructivist educational theory, TBL is solidly grounded in the theory and is a promising method to strengthen healthcare education.

The objective of this descriptive study was to determine the frequency with which patients return for re-examination due to a failure of spectacle lens acceptance and to quantify the reasons for the failure. A random sample of patient records was reviewed to determine the rate of spectacle lens prescription. Spectacles reassessment records, completed after dispensing problems were dealt with were reviewed to determine the primary reason for the failure. Spectacles were prescribed for 58% of the 44 341 patients seen over 6 years. Of the 25 718 prescriptions written, 400 patients (1.6%) returned for reassessment. The most common problem was incorrect refractive error measurement (59%), followed by inability of the patient to adapt to an accurate refractive correction (10.3%), inadequate patient education regarding lens design (9.5%), pathology (9.3%), appliance problem (5.8%), transcription errors (1.6%) and other (4.5%). The frequency of failure to adapt to spectacle prescriptions is quite low and the most common reason for this failure is inaccuracy in the measurement of the refractive error.

Although it is inaccurate to conclude that any testing format is universally reliable or valid, published research supports the use of examinations using KFQs to assess clinical reasoning. The review identifies areas of further study, including all categories of evidence. Investigation into how examinations using KFQs integrate with other methods in a system of assessment is needed.

In the last 100 years, there appears to have been a myopic shift in clinic-based populations and myopia prevalence appears to follow a predictable pattern with age.

This report describes the new optical imaging technique of optical coherence tomography (OCT). OCT is capable of high-resolution, micrometer-scale, cross-sectional imaging of biological tissue. The OCT for ophthalmic application uses 843-nm, near-infrared light, which produces a longitudinal resolution of 10 to 20 microm and a penetration depth of a few millimeters. The scans are displayed in a false color representation scale on which warm colors represent areas of high optical reflectivity and cool colors represent areas of minimal or no reflectivity. A cross-sectional view similar to a histology section is obtained. The cornea, iris, and lens may be visualized as well as the retina and optic nerve. OCT has been used to investigate several ocular diseases. These include macular disease, genetic retinal disease, retinal detachment and retinoschisis, choroidal tumors, optic nerve disorders, and glaucoma.