The macular clinic is based in Eye Outpatients in the Eye, Ear, Nose and Throat Centre on B-Floor at QMC.
The NUH Macular Service is one of the leading centres for macular treatment and research. The clinic deals with patients with wet macular degeneration and, if appropriate, patients are treated in a dedicated theatre with injections into the eye.
The department has a full range of diagnostic imaging equipment and technology which enables comprehensive investigation.
We aim to see anyone with suspected wet macular degeneration within two weeks of receipt of the referral and to give treatment within three weeks.
Patients are referred directly to the macular clinic via their optometrist (optician), GP, ophthalmologist or other hospitals. If a patient has been seen previously in the macular clinic, then they can self-refer.
What to expect at your first visit
On arrival, you will have investigations to diagnose and monitor your condition. You will then be seen by an ophthalmologist, who will discuss with you what has been found and the types of treatment available. If appropriate, treatment will be given on the day or on a subsequent visit.
We will carry out some or all of the following investigations:
- Vision test: You will be asked to read letters from an illuminated chart to record your vision. Most new patients will have a refraction test to check their spectacle prescription.
- Pupil dilation: The pupils are dilated with eye drops to allow a clear view of the back of the eye. These will blur the vision for several hours.
- Ocular coherence tomography (OCT): This is a scan of the back of the eye using a special light.
- Fluorescein angiography: Fluorescein dye is injected into the bloodstream via a plastic tube which is inserted into a vein in the arm or hand. Photographs of the back of the eye are then taken at timed intervals as the dye travels through the vessels in the back of the eye. The photographs will show any areas of leakage in the vessels. Two of the treatment options are:
- Photodynamic therapy (PDT): A treatment where a drug that is sensitive to light is administered into the bloodstream and a laser light is directed into the eye. This aims to stop vessels leaking and to stabilise vision.
- Intravitreal injection: Anaesthetic drops are instilled into the eye and an injection is given. This aims to stop vessels leaking and to stabilise vision.
Important information
Eye drops that blur your vision may be used, so do not drive to the hospital. The effects of the drops may last up to a day.
The appointment may take up to three hours or more, so please bear this in mind when making transport arrangements.
If you need an interpreter for this appointment, please let us know before you attend.
Please bring the following with you:
- All your current medicines, including eye drops, inhalers and tablets.
- Current spectacles (glasses)
- If you usually wear a hearing aid, please wear this on the day.
Research and development
The department is continually trying to improve the care that it offers for macular degeneration.
We try to link routine care to participation in clinical trials designed to answer important questions on the best way to deliver treatment with the fewest side effects. Participation in these trials ensures we remain at the cutting edge of current thinking about the management of this condition.
At your appointment, we may discuss whether you would like to take part in a clinical trial. We will explain exactly what this would involve, and give you time to decide whether or not to join. All trials are inspected and tightly audited, which provides independent quality control.
Low vision clinic
Our optometry unit has a low vision clinic which specialises in assessing people with macular degeneration and can advise on low visual aids. An appointment can be arranged in the low vision clinic on a separate occasion if required.
Eye clinic liaison officers
We have an eye clinic liaison officer (ECLO) who is available to speak with any person with sight problems, and their families/carers. He can offer advice and support and provide information on local and national visual impairment organisations. He also has direct links with local authorities and can arrange home visits from the visual impairment team.
The ECLO is based at The Link office in the Eye Clinic on A Floor. He is available Monday to Wednesday from 8.30am to 4.20pm and Friday from 8.30am to 1.30pm. Tel: 0115 924 9924 Ext: 85632.