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 2009/2010 Number of Referrals September 97 October 89 November 83 December 57 January 53 February 90 Total 469

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

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

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

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