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

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

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