The Ophthalmology Service of Créteil offers patients several types of consultations: General Ophthalmology, Age-Related Macular Degeneration (ARMD), Hereditary retinal dystrophies, retinal venous occlusive disease, Diabetic Retinopathy, Retinal Inflammatory Disease, myopic maculopathy, Pediatric Ophthalmology, Retinal Surgery, Cataract Surgery, Glaucoma and eyelid pathology consultations.
These different consultations (with the exception of Age Related Macular Degeneration consultations and rare diseases consultations) are organized using the same process.
After the patient is registered at the front desk, he or she is directed to the waiting room and then is greeted by a doctor who performs an ophthalmologic examination: visual acuity is assessed, ocular pressure is measured, the anterior segment is examined, and the fundus is examined following dilatation of the pupil.
Following this examination, the doctor will often prescribe complementary exams such as a visual field exam, fluorescein angiography, optical coherence tomography (OCT), which facilitate accurate diagnosis and the choice of appropriate therapy. Some of these exams are performed the same day. Others require a follow up visit.
Medical Retina Consultation (AMD)
Consultations dedicated to Age-Related Macular Degeneration (AMD) and “Angiogenesis Consultations” have their own particular process.
After registration with the front desk, the first step is the measurement of visual acuity which is performed with the help of a special scale called ETDRS, which is more precise in the setting of patients with retinal impairment. Initial consultations also include a full ophthalmologic exam including ocular pressure and evaluation of the anterior segment (cornea, lens in particular).
Once the pupils are dilated, additional complementary exams are performed selected based upon the particular elements of a patient’s dossier. Exams may include retinography, fluorescein angiography, Green Infracyanine Angiography (ICG), optical coherence tomography (OCT).
Following these procedures, the final step is fundoscopic examination followed by a discussion with the patient to select a treatment plan if necessary. Some therapeutic efforts can be implemented the same day such as laser therapy or photodynamic therapy (PDT) with Visudyne. Other interventions, such as intraocular injection (IVT) require a follow up appointment.
IVT follow up appointment
For patients with exudative AMD (Wet AMD) for whom intraocular injection therapy is ongoing, a specific process is in place to reduce wait time and complete a follow up appointment and injection on the same day.
These consultations occur on the first floor of Building B and resemble traditional AMD consultations: Visual acuity is measured followed by optical coherence tomography (OCT). These exams are typically sufficient to decide whether to continue or halt treatment, however additional exams (in particular, retinal angiography) are available if needed.
Once the follow up consultation has been conducted, the intraocular injection can be immediately performed. In some cases, the examination permits the delay of a scheduled injection.