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Standards & Guidance

The Royal College of Ophthalmologists develops high quality resources including clinical guidelines, commissioning guidance and recommendations to maintain standards of patient care.

Quality Standards for Vitreoretinal Services

Disorders of the retina requiring a surgical approach are common (retinal detachment, macular hole, epiretinal membrane, severe diabetic retinopathy etc.) and care is largely delivered in the secondary care setting although cases may be identified in primary care, primary care ophthalmology, and general ophthalmic services. Vitreoretinal (VR) service standards in this document apply to the care of these conditions which are most appropriately managed in a dedicated VR service.in the hospital setting.

Quality Standards for Neuro-ophthlamology Services

Neuro-ophthalmic disease standards in this document apply to care of the common conditions at the severe or acute end of the spectrum, those requiring invasive procedures and more serious or unusual conditions such as posterior uveitis or unusual retinal vasculopathies, which are more appropriately managed in a dedicated neuro MR service. Some conditions are appropriately managed within the neuro-ophthalmic eye clinics such as ocular motility disorders, eyelid disorders, chronic optic neuropathies including selected genetic disorders, posterior uveitis or retinal vasculopathies. Others require targeted co-management with neurology, neurosurgery, diagnostic and interventional radiology, clinical neurophysiology, and neuro-rehabilitation: these services are located within a Clinical Neurosciences Centre where ready access and consultant-led cross –specialty liaison is required.