| Descriptors |
- Demonstrate competency in advanced clinical diagnosis, investigation and management of medical retinal diseases in outpatients, inpatients and emergency settings.
- Advise on patients undergoing cataract surgery with coexisting medical retinal disease, including:
- diabetic macular oedema (DMO)
- proliferative diabetic retinopathy (PDR)
- wet age-related macular degeneration (ARMD)
- genetic eye disease
- Apply advanced understanding of modern diagnostic techniques (e.g. multimodal imaging), including:
- optical coherence tomography (OCT)
- OCT angiography
- fundus autofluorescence
- microperimetry
- the importance and indications for fluorescein or indocyanine green angiography and electrodiagnostic testing (EDT) in selected cases
- Be competent in deciding when to undertake genetic testing and understand genetic testing results and potential uncertainty in the findings:
- Demonstrate an understanding of patterns of inheritance
- Demonstrate an understanding of genetic lab reports and ways to deliver results to patients
- Demonstrate an understanding of the role of the multidisciplinary team in interpreting significant and insignificant variants
- Perform ultrasound scans in complex patients differentiating between structures and identifying tissue mobility.
- Competently employ available intra-vitreal therapies including anti vascular endothelial growth factor (VEGF) and steroids.
- Demonstrate advanced laser skills, including the application of indirect laser for panretinal photocoagulation (PRP) and sub-threshold laser.
- Understand indications, principles and technique for photodynamic therapy.
- Undertake prospective audit of specialist outcomes in medical retinal disease, against national standards.
- Maintain a record of activities, using the RCOphth electronic logbook.
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