Management

Question 1

Next steps after eye exam:

Answer 1

• Routine recall (e.g 2yrs)
• Return for additional investigations
• Treatment and follow up appointment
• Referral

Question 2

5 steps when addressing px in management for ocular disease:

Answer 2

1. Relation to history and symptoms
   - Recap to rfv, symptoms -> examinations to investigate symptoms
2. Describe findings
   - results of key investigations
3. Describe diagnosis
   - Explain disease, cause, prognosis
4. Explain management options
   - Describe all options, and advise plan
5. Explain next steps
   - Follow up appointment
   - Pharmacological treatment
   - Referral

Question 3

Management options:

Answer 3

1. Follow-up Appointment
2. Refractive Correction
3. Advice
4. Non-Pharmacological Treatment
5. Pharmacological Treatment
6. Referral

Question 4

Follow up appointment:

Answer 4

• Supplementary eye exam

• New symptoms
• Repeat procedures

• Follow-up appointment
- Assess if disease is resolving, or responding to treatment
- usually done at clinical appropriate interval:

Question 5

Types of referral:

Answer 5

• Routine: 3-9month waiting list
- Ocular disease unlikely to significantly or irreversibly progress in this time
• Urgent: Next few days, up to one week
• Emergency

Question 6

Electronic referral:

Answer 6

• Routine referral through online system

• Avoids delayed/lost referrals
• Clearly legible
• Enables file attachment (e.g. fundus photograph)

• Referrals not read immediately:
Emergency/Urgent Referrals: Telephone call still required