Optical coherence tomography scan11/11/2023 ![]() ![]() Low risk maculopathy can be followed up in digital surveillance with an OCT. A consultant diabetologist clinical lead must appoint a consultant or senior specialty ophthalmologist with medical retina experience to provide dedicated support to the service.Ī cost effectiveness study for the use of OCT assessment in screening demonstrated that it is cost effective to use OCT in DS for maculopathy follow-up. The clinical lead is responsible for the clinical governance of the OCT pathway. Providers must implement additional quality assurance ( QA) and failsafe measures to maintain patient safety alongside existing failsafe arrangements. The commissioning of OCT services should involve commissioners, clinical care groups, general practice, HES and local screening providers. Any provision of OCT assessments must be commissioned separately. The use of OCT is not currently included in NHS England commissioned DES services. It also advises that DS clinics may link to OCT for the assessment of maculopathy. The national service specification states that people who need more frequent review but do not require referral to a hospital eye service ( HES) can be referred to DS clinics. This document provides consistent best practice guidance for local diabetic eye screening ( DES) services on the management of diabetic maculopathy in digital surveillance ( DS) clinics using optical coherence tomography ( OCT). ![]()
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