Emergency management in the operating theatre
Cataract
Emergency management in the operating theatre
Intraoperative emergencies in cataract surgery at a glance: positive vitreous pressure and Infusion Misdirection, suprachoroidal haemorrhage, retrobulbar haemorrhage with canthotomy and cantholysis, and globe perforation by the block needle, including medicines and supplies per operating theatre.
Templates for efficient, accurate medical records
Femto-LASIK at ONO: requirements according to KRC, contraindications, preparation, equipment, surgical procedure, post-operative care and management of DLK and infiltrates.
Practice tool for preparing the refractive consultation: questionnaire, Pentacam® and MS-39® data and clinical findings give a traffic-light rating per eye for laser, phakic lens and lens exchange, plus lens selection by optical principle.
Diabetic retinopathy – Management
Diabetic retinopathy: history, examination, ETDRS classification with risk of progression and ONO follow-up intervals, high-risk PDR, diabetic macular oedema and complications; for anti-VEGF agents and Ozurdex see the IVT guideline.
Corneal cross-linking (CXL) – Guideline
Corneal cross-linking (CXL) for progressive corneal ectasia: indications, contraindications, preparation, equipment, protocols, follow-up and frequently asked questions.
Age-related macular degeneration: brief classification, subtypes of neovascular AMD, risk factors, diagnosis, urgency, treatment of dry AMD with AREDS2, current status of GA treatment, low vision, fitness to drive and follow-up; wet AMD is covered in the IVT guideline.
Intravitreal therapy within the ONO Group: patient information, contraindications, anti-VEGF agents and intravitreal steroids, treat-and-extend and PRN regimens, follow-up, injection technique and billing under TARDOC.
Secondary glaucoma – Management
Secondary glaucoma at a glance: identify the cause, treat it specifically. The correct diagnosis determines the success of treatment.
Pterygium excision – Guideline
Pterygium excision with conjunctival autograft (sutures or fibrin glue): indications, preparation, surgical procedure, post-operative care and complications.
Primary open-angle glaucoma – Management
Primary open-angle glaucoma: diagnosis, differentiation from ocular hypertension, setting the target pressure, medical, laser and surgical treatment, and follow-up.
Anterior ischaemic optic neuropathy (AION) – Management
When in doubt, suspected AION should be treated as arteritic AION: start steroids immediately and refer to a tertiary hospital for inpatient admission. There is no proven treatment for naAION; the focus is on risk factors.
Cataract surgery – Guideline
Indications, preparation, surgical equipment, surgical procedure (standard and FLACS), post-operative care
PRK / transPRK – Guideline
Surface ablation with PRK or transPRK: indications, contraindications, preparation, equipment, surgical procedure, post-operative care and planning of the optical zone.
Pre-operative assessment for cataract surgery – Guideline
Cataract surgery is a planned procedure with a major impact on quality of life. Precise pre-operative planning is crucial for an optimal outcome. The front office, optician/optometrist and ophthalmologist work together across disciplines to optimise it.
Endophthalmitis – Management
Endophthalmitis is a rare but sight-threatening complication of intraocular surgery. Prompt recognition, differentiation from TASS and urgent referral to a tertiary hospital are crucial.
Retinal artery occlusion – Management
Central and branch retinal artery occlusion as an ophthalmic emergency: aetiology, history, examination, time window for thrombolysis, referral to the stroke unit, work-up for giant cell arteritis, prognosis and follow-up.
Irvine-Gass syndrome – Management
Cystoid macular oedema is not uncommon after intraocular surgery. In most cases the course is self-limiting and does not require urgent action. Reassurance, information and, where necessary, management are important for the patient and the outcome of the procedure.
Patient presentation – Guideline
A structured patient presentation gives the senior physician or consultant a complete overview in a short time, speeds up clinical workflows and makes it easier to write the report.
Central serous chorioretinopathy (CSCR) – Management
CSCR is self-limiting in most cases. Key points are stopping steroids, excluding differential diagnoses such as VKH, and half-dose PDT in chronic disease.
Medical reports – Guideline
Reports are our calling card and an important part of interdisciplinary medical collaboration. Every referral receives a timely report, approved by a specialist.
Pigmented retinal lesions – Management
In pigmented fundus lesions, malignant melanoma must always be considered. The MOLES score determines management and referral; TFSOM-DIM is used to inform the patient about the risk.
Clear standards – fewer risks, greater efficiency
