Removal of abnormal cells from eye surface
Removal of abnormal cells from surface of eye consent form can be used when treating OSSN (ocular surface squamous neoplasia) and CIN (conjunctival intraepithelial neoplasia). It is written in plain language to make it easier for patients to understand.
We thank OMIC Director Steven I. Rosenfeld, MD, for his assistance in developing this form.
Corneal crosslinking consent form
Use the download button to save this to your computer.
This sample consent form is written in plain language.
For a discussion of the use of FDA-approved and unapproved crosslinking systems, and some risk management recommendations, see http://www.omic.com/policyholder/i-have-patients-with-post-refractive-ectasia-who-might-benefit-from-corneal-collagen-crosslinking-with-riboflavin-c3-rcxl-will-omic-cover-this-treatment/
Kamra inlay
Click “download” to access the consent form for the Kamra inlay. The consent form is for on-label use of the Kamra inlay. It was approved for a very narrow range of indications.
Remove the two sentences in [yellow] if you are using the femtosecond laser to create a pocket.
Cataract Consent Forms in Plain Language
SEE Cataract Surgery Patient Information for detailed information on the types of IOLs and other aspects of cataract surgery.
Use our Cataract Plain Language Consent Form for all patients having cataract surgery (see www.omic.com/riskmanagement/consentforms).
Add an addendum if needed:
- Cataract Presbyopia Correction: use for presbyopia-correcting IOLs and monovision
- Laser-assisted cataract surgery: use for laser-assisted cataract surgery or laser relaxing incisions omic.com/laser-assisted-cataract-surgery
- Cataract.Astigmatism addendum
You may want to create forms for astigmatism, presbyopia, or laser-assisted surgery that contain both the main consent form and the appropriate addendum.
These consent forms are written using “plain language” principles.
The goal is to make the document easy for your patients to understand. Patients facing cataract surgery are asked to make a number of decisions, including whether to have a premium IOL, how to correct astigmatism and presbyopia, and if they want laser-assisted cataract surgery. Many patients are not suitable candidates for these options, or do not have the resources to pay the additional fees for them. We did not want patients to feel confused or overwhelmed by information about procedures they may not have. For that reason, we limited the information in our basic cataract consent form. It is for patients who will have a monofocal IOL and wear glasses to correct astigmatism or presbyopia. We developed “plain language” additions to address other options.
This document does not contain all the information patients needs to know about cataract surgery options.
Instead, it contains brief, basic information about key aspects of cataract surgery. For example, the presbyopia addendum explains presbyopia and lists monovision and premium IOLs as the two options to treat it. It does not describe the difference between the types of presbyopia-correcting IOLs. The astigmatism consent offers a toric IOL or a relaxing incision, but does not distinguish between manual limbal relaxing incisions or arcuate incisions created with the femtosecond laser. You and your staff will, therefore, need to educate your patients before asking them to sign the consent. Provide enough information so that they can make decisions about the various options you offer. Consider providing educational materials, such as the AAO’s pamphlets, as well as brochures from the manufacturer of the premium IOL. Document your educational efforts.
Decide what is best for your patient population.
We field tested these forms. Most patients found them easier to understand than our prior sample cataract forms, and felt less confused about the many options. A few patients preferred detailed forms with more technical information. You know your patients best, and can decide which type of form works best for your practice. You may decide to keep using your current cataract consent form.
Ophthalmologists in Florida should continue to use the cataract consent form approved by the Florida state board of medicine.
Use of the Florida form helps defend eye surgeons from allegations of lack of informed consent. Just as importantly, no report to the Medical Board is required if the patient experiences complications listed in this state-specific form. http://www.omic.com/cataract-consent-form-fl-specific/.
Astigmatism Correction
Astigmatism correction is an addendum to our main cataract consent form intended for patients who want to have their presbyopia corrected during cataract surgery. Use it for patients who choose monovision, a multifocal IOL, or an accomodative IOL.
These cataract consent forms are written using “plain language” principles.
The goal is to make the document easy for your patients to understand. Patients facing cataract surgery are asked to make a number of decisions, including whether to have a premium IOL, how to correct astigmatism and presbyopia, and if they want laser-assisted cataract surgery. Many patients are not suitable candidates for these options, or do not have the resources to pay the additional fees for them. We did not want patients to feel confused or overwhelmed by information about procedures they may not have. For that reason, we limited the information in our basic cataract consent form available at www.omic.com/cataract-plain-language-consent-forms/. It is for patients who will have a monofocal IOL and wear glasses to correct astigmatism or presbyopia.
We developed “plain language” additions to address other options
Add the appropriate addendum if your patient chooses to have a premium IOL, monovision, a relaxing incision, or laser-assisted cataract surgery. You may want to create customized consent forms for these options by moving the information from a particular addendum into the main form.
- Astigmatism correction: use for toric IOL or relaxing incisions omic.com/astigmatism-correction/
- Presbyopia correction: use for presbyopia-correcting IOLs and monovision omic.com/presbyopia-correction/
- Laser-assisted cataract surgery: use for femtosecond laser and laser relaxing incisions omic.com/laser-assisted-cataract-surgery/
This document does not contain all the information patients needs to know about cataract surgery options.
Instead, it contains brief, basic information about key aspects of cataract surgery. For example, the presbyopia addendum explains presbyopia and lists monovision and premium IOLs as the two options to treat it. It does not describe the difference between the types of presbyopia-correcting IOLs. The astigmatism consent offers a toric IOL or a relaxing incision, but does not distinguish between manual limbal relaxing incisions or arcuate incisions created with the femtosecond laser. You and your staff will, therefore, need to educate your patients before asking them to sign the consent. Provide enough information so that they can make decisions about the various options you offer. Consider providing educational materials, such as the AAO’s pamphlets, as well as brochures from the manufacturer of the premium IOL. Document your educational efforts.
Decide what is best for your patient population.
We field tested these forms. Most patients found them easier to understand than our prior sample cataract forms, and felt less confused about the many options. A few patients preferred detailed forms with more technical information. You know your patients best, and can decide which type of form works best for your practice. You may decide to keep using your current cataract consent form.
Ophthalmologists in Florida should continue to use the cataract consent form approved by the Florida state board of medicine.
Use of the Florida form helps defend eye surgeons from allegations of lack of informed consent. Just as importantly, no report to the Medical Board is required if the patient experiences complications listed in this state-specific form. http://www.omic.com/cataract-consent-form-fl-specific/