Presentation on theme: "Macular Service Provision Miss Clara McAvoy Consultant Ophthalmologist."— Presentation transcript:
Macular Service Provision Miss Clara McAvoy Consultant Ophthalmologist
Wet AMD- rapid decrease in vision and sudden onset
Treatment Burden Photodynamic therapy: 135 patients per million of population. 3 monthly review. Anti-VEGF: 450 patients per million of the population. monthly review.
Service Demand 2009/2010Number of Referrals September97 October89 November83 December57 January53 February90 Total469
Management Consultant Ophthalmologist. Fast track clinic-ophthalmological examination fluorescein angiography OCT Diagnosis established- discharged/macular degeneration clinic or medical retina clinic/ clinical trial.
Pathway through the Clinic Patients Clerical StaffNurseOptometristPhotographerDoctorECLOSecretaryCoding
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.
Other Considerations Newer treatments Newer indications Cost Audit