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Ophthalmology: cataract day surgery pathway – Low volume/ High complex cases

Referral & surgical Patient Booking/ listing Admission Surgery Post-operative Discharge &
review & selection & pre- follow up
assessment op assessment

Suspected One stop List pt for Day of Post-


Surgery Discharge
cataract clinic surgery surgery Operative

Referred from
our hospital 4-5 cases - Pt attend
FCMD - WHO Sign-in - General discharge criteria
per 4-5hr hospital at 7 am
list - Procedure specific
guidance
- F/U in POD 1, POD 7, POD
30
Referred from
MOH or private - Single staff to
meet, admit and - WHO Time-out
section
ophthalmologist follow pt through
surgery

- If fellow eye needs


surgery, pt is - For pt with ocular
Pt do full examination, biometry done by - Pt has cataract co-morbidity; follow
ophthalmology registrar and if diagnosis is scheduled for surgery
surgery within 2wks of the up according to the
confirmed, treatment options including co-existing disease.
surgery are discussed with pt - Nurse confirms uncomplicated 1st
consent surgery
- For pt with only
cataract, who had
uncomplicated
surgery, pt is
- WHO Sign-out discharged to FCMD.
Pt is re-examined by consultant - Operation site
ophthalmologist, OCT- is done, informed marked by
consent is discussed and signed by pt and surgeon
surgery is booked.

- pt meet surgical
team prior to
surgery

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