Chronic Eye Disease Pilot ProgrammeARMD课件.pptVIP

Chronic Eye Disease Pilot ProgrammeARMD Brighton Hove PCT Gek Ong Project Manager BSUH What is ARMD? Most common cause of blindness in 65 yrs Mild changes: drusen Severe changes dry AMD wet AMD: Classic/Occult No treatment for most patients until recently: PDT Treatment needs to be delivered quickly Project Aims Increase awareness of patients to check and report loss of vision in one eye Training for optometrists to maximise ability to diagnose ARMD accurately Rapid access for patients to specialist clinics for Fluorescein Angiography and treatment Assess role of telemedicine to improve diagnostic accuracy Faster access to social service/ rehabilitation support Key Step 1 IMPROVING ACCESS by enhancing the role of community based optometrists Key Step 2 ENHANCING HES SERVICES to provide streamline access to investigation/treatment/education clinic for patients with ARMD Key Step 3 IMPROVING EFFICIENCY create stronger links and communication with local voluntary/support groups who provide rehabilitation support and information for people with recent sight loss Current ARMD Pathway Key Step 1 IMPROVING ACCESS by enhancing the role of community based optometrists Community Optometrists Establishing and maintaining essential skills: use of slit lamp… Lecture to optometrists re diagnosis of ARMD Periodical attendance of ARMD clinic Detailed protocol and guidelines for referring ARMD pts Accredited optometrists to refer dry ARMD direct to social services etc But first….. How good are optometrists in detecting ARMD? Key Step 2 ENHANCING HES SERVICES to provide streamline access to investigation/treatment/education clinic for patients with ARMD Diagnosis of “treatable” ARMD Fluorescein Angiography HES Services Key Step 3 IMPROVING EFFICIENCY create stronger links and communication with local voluntary/support groups who provide rehabilitation support and information for people with sight loss Sussex Eye HospitalARMD Support Group Established since 1995