Page 85 - NAME OF CONDITION: REFRACTIVE ERRORS
        P. 85
     *Situation 2: At Super Specialty Facility in Metro location where higher-
               end technology is available
                   a)  Clinical Diagnosis:
                       Using slit lamp, 90 D lens and indirect ophthalmoscope.
                   b)  Investigations:
                       FFA
                       OCT
                       ICG angiography
                   c)  Treatment:
                          Laser
                          PDT
                          TTT
                          Anti VEGF therapy: Intra vitreal bevacizumab
                                                           Intravitreal ranibizumab
                                                           Intravitreal pegatanib sodium.
                       Standard Operating procedure
                        a.  In Patient: Not necessary
                        b.  Out  Patient:  This  is  the  standard  operating  procedure  for  diagnosis  and
                            treatment such as laser, PDT.
                        c.  Day  Care:  This  is  required  if  intra  vitreal  injections  are  to  be  the  mode  of
                            treatment.
               V.      WHO DOES WHAT? AND TIMELINES
                       Designation    Role
                       Doctor         Diagnosis of AMD
                                      Interpretation of investigations
                                      Treatment:  Requires  skills  in  Intra  vitreal
                                      injection and laser delivery.
                       Nurse          Vision recording
                                      Counselling for treatment and prevention
                                      Maintaining proper follow up
                       Technician  Fundus photography for documentation
                                      Performing FFA, ICGA,OCT .
               VI.  FURTHER READING / REFERENCES
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