Page 74 - NAME OF CONDITION: REFRACTIVE ERRORS

Indications for Fresh new vessels on the Significant macular Significant macular oedema after

retreatment optic disc or elsewhere in the oedema after 3 months 3 months
fundus
Failure of new vessels to
regress

Retreatment Between previous burns, Do not retreat areas lying Treat to within 100m of the edge
avoiding retinal vessels in the macular-papular of the foveal avascular zone
bundle

Standard Operating procedure

a. In Patient – No need
b. Day Care – Not applicable
c. Out Patient Procedure:

 Screening, diagnosis and disease management.
 Providing treatment for diabetic retinopathy with lasers and other
medical treatment.

d) Referral criteria:

If the patients are requiring further investigations/treatment such as vitrectomy, Retinal
detachment surgery is referred to the tertiary level eye care provider.

*Situation 2: At Super Specialty Facility in Metro location where
higher-end technology is available

a) Clinical Diagnosis: Same as situation 1

b) Investigations: Same as situation 1. Some additional investigations help in
explaining prognosis and planning the surgery (example Optical Coherence
Tomography(OCT)

c) Treatment:

General Management Recommendations:
Level of Retinopathy Evaluation Treatment Strategies
Fluorescein PRP Focal Follow-up
Angiography (months)
Mild NPDR

No macular edema No No No 12
Macular edema No No No 4-6

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