Presbyopia Correction

Presbyopia 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/riskmanagement/consentforms. 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.

• • • 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/
    • Cataract.Astigmatism addendum

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/

Laser-assisted Cataract Surgery

Laser-assisted cataract surgery is an addendum to our main cataract consent form. Ask patients to sign this form if you use the femtosecond laser for some of the steps of cataract surgery or if you use it to perform a relaxing or arcuate incision to treat astigmatism.

Remove the section on relaxing incisions if you will using the FS laser but not creating a relaxing incision (e.g., for implantation of a premium IOL without a relaxing incision).

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/

Eylea risk to fetus

This  is an addendum to the Eylea consent form Eylea.Possible risk for the fetus. Use it for women of child-bearing age. This consent form was revised on 11/5/15.

The main Eylea consent form is at www.omic.com/eylea/.

Eylea

There are two Eylea consent forms

• Use Eylea form for all adult patients receiving Eylea. This form was revised on 3/13/20.
• Ask women of child-bearing age to sign Eylea.Possible risk for the fetus. This consent form was revised on 11/5/15.

Review our risk management recommendations on the use of anti-VEGF drugs in adults.

AntiVEFG drugs for adults addresses on- and off-label use, preventing endophthalmitis, informed consent issues, and documentation. It incorporates key guidelines on intravitreal injection published by a panel of experts. It also addresses the FDA warning about Avastin in more detail.

Perform a time out before each intravitreal injection.

OMIC has received reports of “wrong” events associated with intravitreal injections. These include wrong patient, wrong eye, wrong condition, wrong drug, and wrong dose.

To ensure that the correct drug and dose are injected into the correct eye every time, the ophthalmologist needs to lead a time out. Time out before intravitreal injections provides the opportunity to confirm that the patient, medical record, and ophthalmologist are in agreement.

Lucentis risk to fetus

Lucentis.Possible risk for the fetus is an addendum to the Lucentis consent form. Use it for women of child-bearing age. This consent form was revised on 11/5/15.

The main Lucentis consent form is at www.omic.com/lucentis/.