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RETINA 
STANDARD OPERATING PROCEDURE
CONSULTANT STAFF 
• Section Head: Dra. Jocelyn Sy 
• Dr. Romulo Aguilar 
• Dr. Dino Ruiz 
• Dr. Ronaldo Jarin 
• Dr. Jubaida Mangondato - Aquino 
• Dr. Rudolfo U. Chuanico
Service Schedule 
• Monday: PM : Dr. Romulo Aguilar 
– B- Scan/FA/OCT Reading 
– Medical Retina cases 
• Tuesday: Dr.Jocelyn Sy 
• Wednesday: Dr. Dino Ruiz 
• Thursday : 
– AM: OR 
– PM : Dra. Jubaida Mangondato- Aquino 
– B-Scan/Clinic 
• Friday: Dr. Ronaldo Jarin 
• Emergency referrals: Dr. Rudolfo Chuanico
EMERGENCY Cases defined as 
• Endophthalmitis 
• Macular On Retinal detachment 
• CRAO/BRAO 
• Choroidal detachment/ Expulsive cases 
• Pediatric Retinal detachment/ROP Stage III 
plus stage IV 
• Acute Retinal Necrosis 
• Ruptured globe
URGENT cases such as 
• Amblyogenic retinal problems 
• One eye patient with retinal problems 
• Proliferative Diabetic Retinopathy 
• Neovascular Glaucoma 
• Retinal tumors 
• Any unexplained visual loss 
• Vascular occlusions 
• Subfoveal hemorrhage 
• Active ARMD
• Will not limit number of patients however 
should at the OPD on or before 10 am for 
proper dilation prior to examination 
• Welcomes sit-in residents if finished with OPD 
work and is interested to participate 
• Will not mind to have patients with no 
companion dilated with just 1 drop (around 
5mm dilation) if there’s urgent need to see 
posterior pole
Referral patients 
• Complete history ( reason for referral , 
present/past medical and ocular hx) 
• Complete ocular exam (BCVA, Jaeger, Amsler, 
RAPD, anterior segment findings, IOP dilated 
fundus or retina drawing) 
• Initial diagnosis and plan 
• Been seen by retina residents prior to referral to 
the consultant ( in cases of cross referrals from 
other subspecialty, the patient should be referred 
by the rotating resident of the subspecialty)
Rotating Residents 
• Be present during the referral 
• Be aware of the history and findings of all 
patients for referrals 
• In case of residents rotating to a new 
subspecialty, the assigned RIC is responsible to 
endorse to the new RIC
Retina Surgery 
• All patients for surgery should be referred 
back to the concerned consultant for 
reassessment prior to scheduled date of 
surgery 
• All retina pay patients will be given priority 
• Senior rotator will update post-op cases 
immediately the next day 
• Should refer all complicated cataract cases 
with involvement of the posterior pole
• All patients should be aware or has undergone 
counseling from the assigned resident the 
benefits, risks and prognosis of the patient 
• Post operative patients should be seen by the 
retina residents first thing in the morning and 
referred to the surgeon

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Retina sop

  • 2. CONSULTANT STAFF • Section Head: Dra. Jocelyn Sy • Dr. Romulo Aguilar • Dr. Dino Ruiz • Dr. Ronaldo Jarin • Dr. Jubaida Mangondato - Aquino • Dr. Rudolfo U. Chuanico
  • 3. Service Schedule • Monday: PM : Dr. Romulo Aguilar – B- Scan/FA/OCT Reading – Medical Retina cases • Tuesday: Dr.Jocelyn Sy • Wednesday: Dr. Dino Ruiz • Thursday : – AM: OR – PM : Dra. Jubaida Mangondato- Aquino – B-Scan/Clinic • Friday: Dr. Ronaldo Jarin • Emergency referrals: Dr. Rudolfo Chuanico
  • 4. EMERGENCY Cases defined as • Endophthalmitis • Macular On Retinal detachment • CRAO/BRAO • Choroidal detachment/ Expulsive cases • Pediatric Retinal detachment/ROP Stage III plus stage IV • Acute Retinal Necrosis • Ruptured globe
  • 5. URGENT cases such as • Amblyogenic retinal problems • One eye patient with retinal problems • Proliferative Diabetic Retinopathy • Neovascular Glaucoma • Retinal tumors • Any unexplained visual loss • Vascular occlusions • Subfoveal hemorrhage • Active ARMD
  • 6. • Will not limit number of patients however should at the OPD on or before 10 am for proper dilation prior to examination • Welcomes sit-in residents if finished with OPD work and is interested to participate • Will not mind to have patients with no companion dilated with just 1 drop (around 5mm dilation) if there’s urgent need to see posterior pole
  • 7. Referral patients • Complete history ( reason for referral , present/past medical and ocular hx) • Complete ocular exam (BCVA, Jaeger, Amsler, RAPD, anterior segment findings, IOP dilated fundus or retina drawing) • Initial diagnosis and plan • Been seen by retina residents prior to referral to the consultant ( in cases of cross referrals from other subspecialty, the patient should be referred by the rotating resident of the subspecialty)
  • 8. Rotating Residents • Be present during the referral • Be aware of the history and findings of all patients for referrals • In case of residents rotating to a new subspecialty, the assigned RIC is responsible to endorse to the new RIC
  • 9. Retina Surgery • All patients for surgery should be referred back to the concerned consultant for reassessment prior to scheduled date of surgery • All retina pay patients will be given priority • Senior rotator will update post-op cases immediately the next day • Should refer all complicated cataract cases with involvement of the posterior pole
  • 10. • All patients should be aware or has undergone counseling from the assigned resident the benefits, risks and prognosis of the patient • Post operative patients should be seen by the retina residents first thing in the morning and referred to the surgeon