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Nurse review clinics for patients treated for choroidal neovascular membrane (CNV): results from the first 6 months

Session Details

Session Title: Quick Fire Free Paper Session 03

Session Date/Time: Sunday 29/09/2013 | 08:30-09:30

Paper Time: 09:15

Venue: Hall C (Level 1)

First Author: M.Mikhail UK

Co Author(s):    Z. Koshy              

Abstract Details

Purpose:

To present the results and the model of a nurse review clinic for patients being treated for CNV.

Setting:

University Hospital Ayr, NHS Ayrshire and Arran, UK

Methods:

Prospective observational study.

Results:

The model described is a two site service operated by teams of 4 nurses at each site, all of whom have been trained to elicit history, record vision, obtain optical coherence tomography (OCT) images and examine/ photograph the fundus. The recordings along with the case notes are perused by the responsible consultant for decisions on future management. This has been introduced in a phased manner where in phase I nurses record information and in phase II they will decide on which of the cases will not require intervention. In the first 6 months of this pilot, 168 patients were reviewed. There were 14 patients who were flagged up for treatment, of whom 9 patients actually required treatment.The false positive rate was 36% and the false negative rate was 0%.

Conclusions:

Our series has demonstrated this protocol of nurse review of patients being treated for CNV to be safe and effective. It can prove to be an effective option for remodelling of Age-related Macular Degeneration services.

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