conservative treatments (including antimuscarinic drugs e.g. oxybutynin) and who are willing and able to self catheterize. NICE notes that there is a gap in treatment between conservative treatment and surgery and Botulinum Toxin has been adopted to fill this position, however, this is in advance of high quality data on efficacy, safety and long term outcomes. An IPFR is required for all other circumstances. Ophthalmology Health Board C40.4 Corneal Implants for Can be undertaken in line with NICE guidance. C44.1>2 the Correction of C46.1 Refractive Error in An IPFR is required for all other circumstances. C46.7 the Absence of other C47.6 Ocular Pathology such as Keratoconus Ophthalmology Health Board C12.1>6 Eyelid Can only be undertaken in line with the WHSSC *also under Plastic C12.8>9 Policy on Facial Surgery. Surgery C13.1>4 C13.8>9 An IPFR is required for all other circumstances. C15.1>5 C15.8>9 Ophthalmology Health Board C13.1>4 Eyelid- Xanthelasma Can only be undertaken in line with the WHSSC *also under Plastic C13.8>9 Palpebrum (Fatty Policy on Plastic Surgery. Surgery deposits on the eyelids) An IPFR is required for all other circumstances. Ophthalmology Health Board C44 Laser Therapy for Should NOT be used EXCEPT if the patient has a C45 Short Sight biometry error following cataract surgery. C46.1 Current evidence suggests that photorefractive (laser) surgery for the correction of refractive errors is safe and efficacious for use in appropriately selected patients. However, the safety and effectiveness of this procedure should be considered against the alternative methods of
conservative treatments (including antimuscarinic drugs e.g. oxybutynin) and who are willing and able to self catheterize. NICE notes that there is a gap in treatment between conservative treatment and surgery and Botulinum Toxin has been adopted to fill this position, however, this is in advance of high quality data on efficacy, safety and long term outcomes. An IPFR is required for all other circumstances. Ophthalmology Health Board C40.4 C44.1>2 C46.1 C46.7 C47.6 Corneal Implants for the Correction of Refractive Error in the Absence of other Ocular Pathology such as Keratoconus Can be undertaken in line with NICE guidance. An IPFR is required for all other circumstances. Ophthalmology *also under Plastic Surgery Health Board C12.1>6 C12.8>9 C13.1>4 C13.8>9 C15.1>5 C15.8>9 Eyelid Can only be undertaken in line with the WHSSC Policy on Facial Surgery. An IPFR is required for all other circumstances. Ophthalmology *also under Plastic Surgery Health Board C13.1>4 C13.8>9 Eyelid- Xanthelasma Palpebrum (Fatty deposits on the eyelids) Can only be undertaken in line with the WHSSC Policy on Plastic Surgery. An IPFR is required for all other circumstances. Ophthalmology Health Board C44 C45 C46.1 Laser Therapy for Short Sight Should NOT be used EXCEPT if the patient has a biometry error following cataract surgery. Current evidence suggests that photorefractive (laser) surgery for the correction of refractive errors is safe and efficacious for use in appropriately selected patients. However, the safety and effectiveness of this procedure should be considered against the alternative methods of
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