Page 31 - NAME OF CONDITION: REFRACTIVE ERRORS

 Cases needing specialized investigations (e.g USG B-Scan, Electrophysiological tests)

 Cases not manageable by the facilities available .
 Seeking second opinion
 Complications needing specialized intervention.
 Complex cases like torsional deviation, DVD, Duanes retraction syndrome etc.,needs
referral

*Situation 2: At Super Specialty Facility in Metro location where higher-

end technology is available
a) Clinical Diagnosis: Same as situation 1 plus better orthoptic examination.

b) Investigations: Same as situation 1. In addition, USG B Scan and electrophysiological
tests are done if needed. Paediatric and neurological consultation back up and facility
for relevant systemic investigations is required in indicated patients.

c) Treatment:

Same as situation1. In addition, the ophthalmologist should be able to take up
complex surgeries. Interdiscipinary referral between the anterior and posterior
segment specialists is required in certain cases. Low vision aids may be required in
some individuals

Standard Operating procedure

a. In Patient

 Patients preferring hospital stay for surgery because of distance and better care
If decided by the Anaesthesiologist
 Patients needing some adjustment of sutures on the next day
 Patients with post operative complications that need institutional care

b. Out Patient
Non surgical treatment; Pre operative investigations; Follow up
c. Day Care
If patients prefer and are able to reach the clinic easily if required

d) Referral criteria:

Does not apply

VI. WHO DOES WHAT? and TIMELINES

a. Doctor

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