Ophthalmology

Not routinely commissioned procedures

Policy	Last Updated Date	Review Date
Laser Treatment for Myopia	December 2020	November 2023
Oraya Therapy	July 2017	March 2021 (extended to Sept 2021)
Photodynamic Therapy Position Statement	Mar 2019	Feb 2022

Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Prior Approval Required

Primary Care Referral Template

Cataract surgery - first eye

Last updated date

Oct 2019

Review date

Nov 2021

Prior Approval Required

Both Primary and Secondary Care

Prior Approval Form

Cataract surgery - second eye

Last updated date

Oct 2019

Review date

Nov 2021

Prior Approval Required

Both Primary and Secondary Care

Prior Approval Form

Meibomian cyst

Last updated date

Nov 2019

Review date

July 2022

Prior Approval Required

Both Primary and Secondary Care

Derbyshire Medicines Management
and Clinical Policies

Ophthalmology

Not routinely commissioned procedures

Procedures commissioned with restrictions

Policy

Last Updated Date

Review Date

Prior Approval Required

Primary Care Referral Template

Cataract surgery - first eye

Last updated date

Review date

Prior Approval Required

Prior Approval Form

Cataract surgery - second eye

Last updated date

Review date

Prior Approval Required

Prior Approval Form

Meibomian cyst

Last updated date

Review date

Prior Approval Required

Prior Approval Form

Derby and Derbyshire CCG

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