Read the following information.

Free OET Writing Sample Test with Answer Subtest Optometry #7

Notes: Today's date is 15 November 2028. You are an optometrist at VisionCare Clinic. A patient, Mr. James Mitchell, has presented with concerning eye symptoms that warrant further assessment by an ophthalmologist.


  • NAME: Mr. James Mitchell

  • DOB: 10 May 1965 (63 y.o.)

  • Social background: Lives alone, retired

  • General health: Hypertension (controlled with medication)

Family history: Nil relevant

Patient history:

  • 2014 – Cataract surgery in the left eye

  • 2011 – Myopia diagnosis, prescription glasses

  • 2005 – Hypertension diagnosis, on medication

  • 1995 – Allergic conjunctivitis

15 November 2028 Presenting problem: Mr. Mitchell reports sudden onset of floaters and flashes of light in the left eye over the past two days.

Left eye:

  • Floaters (increasing in number)

  • Flashing lights (episodic)

  • No pain, redness, or vision loss

  • No previous trauma or surgery

Visual acuity (VA):

  • Right eye 6/6

  • Left eye 6/12

Colour vision (D-15): Normal

External examination:

  • No apparent abnormalities

Eye Movements:

  • Normal

Slit-lamp Examination:

  • Left eye – vitreous floaters; no retinal tears or detachments

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

  • Right eye 18mmHg

  • Left eye 16mmHg


  • Left eye – suspicious for retinal tear

Diagnosis: Suspicious for retinal tear, requiring further evaluation

Initial treatment: None administered; referred to ophthalmologist for urgent assessment and potential intervention

Writing Task:

Using the information provided in the case notes, write a letter of referral to the Ophthalmologist on duty at Parkview Eye and Ear Hospital, requesting urgent assessment and management for Mr. James Mitchell. Address the letter to the Ophthalmologist on duty, Parkview Eye and Ear Hospital, 242 Main Street, Mountain View. In your response:

  • 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.

Ophthalmologist on duty

Parkview Eye and Ear Hospital

242 Main Street

Mountain View


15 November 2028


Dear Ophthalmologist,


Re: Mr. James Mitchell DOB: 10 May 1965


I am writing to request an urgent assessment and management for Mr. James Mitchell, a 63-year-old patient who presented at VisionCare Clinic with concerning eye symptoms indicative of a possible retinal tear.

Mr. Mitchell, who lives alone and is retired, reported experiencing sudden-onset floaters and episodic flashes of light in his left eye over the past two days. There is no history of trauma or prior eye surgery. His visual acuity in the left eye has reduced to 6/12, while the right eye remains at 6/6. Colour vision assessment yielded normal results.

During examination, vitreous floaters were observed in the left eye, and fundoscopy raised suspicion of a retinal tear. Intraocular pressure measurements indicated 16mmHg in the left eye and 18mmHg in the right eye.

Given the clinical findings and the potential seriousness of a retinal tear, I have refrained from administering initial treatment and have referred Mr. Mitchell to your care at Parkview Eye and Ear Hospital for urgent assessment and, if necessary, intervention.

I trust you will provide the necessary expertise to address his condition promptly. Please do not hesitate to contact our clinic if you require any additional information or coordination regarding this referral.


Yours faithfully,


TIP : Employ effective note-taking techniques to capture essential details during the OET listening and reading components.