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Free OET Writing Sample Test with Answer Subtest Optometry #2


Today's date is 20 October 2028. You are an optometrist at a local clinic. A patient has presented with a complaint of eye discomfort and blurred vision in both eyes.


NAME: Mrs. Emily Parker

DOB: 28 February 1972 (56 y.o.)

Social background: Married, two children

Occupation: Office manager

General health: History of seasonal allergies, no other medical conditions

Family history: Mother had glaucoma

Patient history: 2015 – Diagnosed with mild myopia, prescribed glasses for occasional use 2010 – Seasonal allergy diagnosis, managed with antihistamines

20 October 2028 Presenting problem: Eye discomfort and blurred vision in both eyes for the past week

Both eyes:

  • Gritty sensation

  • Itching and redness

  • Blurred vision, especially in the evenings

  • No pain, discharge, or photophobia

  • Seasonal allergy symptoms concurrently

Visual acuity (VA): Both eyes 6/9

Colour vision (D-15): Normal

External examination:

  • Mild conjunctival injection in both eyes

  • No obvious corneal abnormalities

  • No discharge or follicles

Slit-lamp examination:

  • Mild bilateral conjunctival chemosis

  • Bilateral papillary hypertrophy

  • Clear cornea, no staining

Intraocular pressure (IOP) (Non-contact tonometry):

  • Both eyes 15mmHg


  • Normal optic disc appearance

  • No evidence of diabetic retinopathy or other retinal abnormalities

Diagnosis: Allergic conjunctivitis with papillary hypertrophy

Initial treatment: Prescribed antihistamine eye drops and advised on allergen avoidance measures.

Writing Task:

Using the information given in the case notes, write a letter to Mrs. Emily Parker, explaining her diagnosis of allergic conjunctivitis with papillary hypertrophy and providing instructions on the use of prescribed antihistamine eye drops. In your answer:

  • Expand the relevant notes into complete sentences.

  • Do not use note form.

  • Use letter format. The body of the letter should be approximately 180–200 words.

Mrs. Emily Parker 

[Address Line] 

[City, State, ZIP Code]


20 October 2028


Dear Mrs. Parker,

Re: Diagnosis and Treatment for Allergic Conjunctivitis

I hope this letter finds you well. I wanted to provide you with an update on your recent visit to our clinic and discuss the diagnosis and treatment plan we discussed.

Based on your reported symptoms of eye discomfort, itching, redness, and blurred vision in both eyes, as well as the concurrent presentation of seasonal allergy symptoms, our clinical assessment indicates that you are experiencing allergic conjunctivitis with papillary hypertrophy. This condition is consistent with your history of seasonal allergies.

During the examination, we observed mild conjunctival injection and bilateral papillary hypertrophy, along with clear corneas and no staining. Your visual acuity is 6/9 in both eyes, and there is no evidence of diabetic retinopathy or other retinal abnormalities.

To address your allergic conjunctivitis, we have prescribed antihistamine eye drops, which should help alleviate your symptoms. Additionally, I recommend implementing allergen avoidance measures to reduce exposure to environmental triggers.

Please follow the instructions provided with the eye drops carefully, and use them as directed. If you experience any adverse reactions or if your symptoms persist or worsen, do not hesitate to contact our clinic for further guidance or to schedule a follow-up appointment.

I hope this treatment plan brings relief from your discomfort and improves your overall eye health. If you have any questions or concerns, please feel free to reach out to us at any time. Your eye health is our priority, and we are here to assist you on your path to recovery.

Wishing you good health and comfort.




TIP : OET focuses on specific healthcare communication scenarios, such as patient consultations and medical notes.