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Macular Service Provision Miss Clara McAvoy Consultant Ophthalmologist.

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Presentation on theme: "Macular Service Provision Miss Clara McAvoy Consultant Ophthalmologist."— Presentation transcript:

1 Macular Service Provision Miss Clara McAvoy Consultant Ophthalmologist

2 Wet AMD- rapid decrease in vision and sudden onset

3 Treatment Burden Photodynamic therapy: 135 patients per million of population. 3 monthly review. Anti-VEGF: 450 patients per million of the population. monthly review.

4 Service Demand 2009/2010Number of Referrals September97 October89 November83 December57 January53 February90 Total469

5 Management Consultant Ophthalmologist. Fast track clinic-ophthalmological examination fluorescein angiography OCT Diagnosis established- discharged/macular degeneration clinic or medical retina clinic/ clinical trial.

6 Pathway through the Clinic Patients Clerical StaffNurseOptometristPhotographerDoctorECLOSecretaryCoding

7

8 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.

9 Other Considerations Newer treatments Newer indications Cost Audit

10 Summary Consultant Lead. Hospital Optometrists and experienced imaging technicians. Audit.

11 Thank you for your attention


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