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Macular Service Provision
Miss Clara McAvoy Consultant Ophthalmologist
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Wet AMD- rapid decrease in vision and sudden onset
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Treatment Burden Photodynamic therapy:
135 patients per million of population. 3 monthly review. Anti-VEGF: 450 patients per million of the population. monthly review.
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Service Demand 2009/2010 Number of Referrals September 97 October 89
November 83 December 57 January 53 February 90 Total 469
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Management Consultant Ophthalmologist.
Fast track clinic-ophthalmological examination fluorescein angiography OCT Diagnosis established- discharged/macular degeneration clinic or medical retina clinic/ clinical trial.
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Pathway through the Clinic
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Capacity- Potential Solutions
Treatment of Macular degeneration by non-retinal specialists. Intravitreal injections by trained technicians/ nurses. Follow- up clinics in community by optometrists. Clinical assessments by trained optometrists/ nurses under supervision of retinal specialist.
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Other Considerations Newer treatments Newer indications Cost Audit
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Summary Consultant Lead.
Hospital Optometrists and experienced imaging technicians. Audit.
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Thank you for your attention
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