Ophthalmic photographer-led age-related macular degeneration review clinics: a pilot study

Abstract

At Aintree Hospitals NHS Foundation Trust, an innovative model of care for the management and surveillance of patients with treatable age-related macular degeneration of the eye (ARMD) has been achieved through introducing ophthalmic photographer-led diagnostic assessment review clinics. The main objective of this initiative was to create additional capacity, thus reducing the risk of delayed follow-up that can lead to a loss in vision. The ophthalmic photographer relies on diagnostic imaging and makes a decision as to whether the patient requires more treatment or should be seen back in clinic. A robust diagnostic informatics network is essential in the assessment of patients but also for clinical documentation, as we move towards a paperless environment. This new patient pathway has proven to be robust, safe, cost effective and innovative, and it has increased clinic capacity while increasing patient satisfaction. This article will provide the reader with an overview of how the new patient pathway for ARMD diagnostic assessment at, implemented through a pilot study, and will discuss audit findings and the effect of the new care pathway on patient outcomes.