Page 64 - NAME OF CONDITION: REFRACTIVE ERRORS

c) Treatment: Same as situation 1. Difficult cases should get individualized attention
according to the merit of the case. Correction of pre-existing astigmatism can be taken
either with selection of the incision sites, using toric intraocular lenses or by limbal relaxing
incision. Patients desiring multifocal lenses should be counseled appropriately and then
taken for surgery. Paediatric cataracts should be appropriately managed by trained
surgeons.

Standard Operating procedure

a. In Patient
Patients preferring hospital stay for surgery because of distance and better care
Children undergoing cataract surgery

Patients with post operative complications that need institutional care
g. Out Patient

Pre operative investigations
Follow up
h. Day Care
Ideal for cataract surgery.

d) Referral criteria: Does not apply

VI. WHO DOES WHAT? AND TIMELINES

a. Doctor

Patient History is taken and a Clinical Examination performed
Documenting the medical record
Plan treatment guidelines and counsel patients
Advise and Perform surgery. Explain and assure patients if complications occur.
Follow up
Referral in needed.

Monitoring the infection control process
Monitoring outcome and share the results with the team
b. Nurse / Technician

Receive the patients and assist in clinical examination
Prepare the patients for surgery
Counseling whenever necessary
To monitor the patients who are admitted regarding application of eye drops and ensure
compliance
To maintain separate inpatient and outpatient record

To maintain lab reports
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