RETINA

STANDARD OPERATING PROCEDURE

CONSULTANT STAFF

• Section Head: Dra. Jocelyn Sy• Dr. Romulo Aguilar• Dr. Dino Ruiz• Dr. Ronaldo Jarin• Dr. Jubaida Mangondato - Aquino• Dr. Rudolfo U. Chuanico

Service Schedule

• Monday: PM : Dr. Romulo Aguilar– B- Scan/FA/OCT Reading– Medical Retina cases

• Tuesday: Dr.Jocelyn Sy• Wednesday: Dr. Dino Ruiz• Thursday :

– AM: OR – PM : Dra. Jubaida Mangondato- Aquino– B-Scan/Clinic

• Friday: Dr. Ronaldo Jarin• Emergency referrals: Dr. Rudolfo Chuanico

EMERGENCY Cases defined as

• Endophthalmitis• Macular On Retinal detachment• CRAO/BRAO• Choroidal detachment/ Expulsive cases• Pediatric Retinal detachment/ROP Stage III

plus stage IV• Acute Retinal Necrosis• Ruptured globe

URGENT cases such as

• Amblyogenic retinal problems• One eye patient with retinal problems• Proliferative Diabetic Retinopathy• Neovascular Glaucoma• Retinal tumors• Any unexplained visual loss• Vascular occlusions• Subfoveal hemorrhage• Active ARMD

• Will not limit number of patients however should at the OPD on or before 10 am for proper dilation prior to examination

• Welcomes sit-in residents if finished with OPD work and is interested to participate

• Will not mind to have patients with no companion dilated with just 1 drop (around 5mm dilation) if there’s urgent need to see posterior pole

Referral patients

• Complete history ( reason for referral , present/past medical and ocular hx)

• Complete ocular exam (BCVA, Jaeger, Amsler, RAPD, anterior segment findings, IOP dilated fundus or retina drawing)

• Initial diagnosis and plan• Been seen by retina residents prior to referral to the

consultant ( in cases of cross referrals from other subspecialty, the patient should be referred by the rotating resident of the subspecialty)

Rotating Residents

• Be present during the referral• Be aware of the history and findings of all

patients for referrals• In case of residents rotating to a new

subspecialty, the assigned RIC is responsible to endorse to the new RIC

Retina Surgery

• All patients for surgery should be referred back to the concerned consultant for reassessment prior to scheduled date of surgery

• All retina pay patients will be given priority• Senior rotator will update post-op cases

immediately the next day• Should refer all complicated cataract cases with

involvement of the posterior pole

• All patients should be aware or has undergone counseling from the assigned resident the benefits, risks and prognosis of the patient

• Post operative patients should be seen by the retina residents first thing in the morning and referred to the surgeon