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Sense organ diseases·Noncommunicable diseases and mental health

Eye conditions and vision impairment

PartialPrioritas 111 paket UHC · 103 actionNICE ✓PNPK ✓
PNPK · Indonesia

Pedoman Nasional yang relevan

Manual seed (PNPK)
  • Tata Laksana Katarak Pada Anak (2020) Tata Laksana Katarak Pada Dewasa (2018)
  • Tata Laksana Glaukoma (2023)
  • Tata Laksana Tumor Otak (2020) Tata Laksana Kanker Paru (2023) Tata Laksana Karsinoma Sel Hati (2022) Pedoman Nasional Pelayanan Kedokteran Tata Laksana Kanker Prostat (2019)
Manual seed (pedoman lain)
  • Pedoman Teknis Penanggulangan Gangguan Penglihatan dan Kebutaan (2016) Pedoman Monitoring dan Evaluasi Kesehatan Indera Penglihatan dan Pendengaran (2003)
  • Pedoman Monev Pengampuan Pelayanan Kanker, Jantung, Stroke, Uronefrologi, dan KIA (2023) Pedoman Teknis Penanggulangan Gangguan Penglihatan dan Kebutaan (2016)
NICE · UK Benchmark

Guideline NICE yang relevan

NICE guideline
  • CG118 Colorectal cancer prevention: colonoscopic surveillance in adults with ulcerative colitis, Crohn's disease or adenomas (0.38)
  • CG122 Ovarian cancer: recognition and initial management (0.38)
  • CG151 Neutropenic sepsis: prevention and management in people with cancer (0.38)
  • NG81 Glaucoma: diagnosis and management (0.38)
  • NG77 Cataracts in adults: management (0.25)
  • NG82 Age-related macular degeneration (0.25)
  • CG83 Rehabilitation after critical illness in adults (0.25)
  • NG181 Rehabilitation for adults with complex psychosis (0.25)
  • NG211 Rehabilitation after traumatic injury (0.25)
UHC Compendium

Paket UHC dalam kategori ini (11)

General management of visual impairment
WHO #421 · 3 action
Gap: WHO no PNPK

Evisceration | Enucleation | Transpupillary diode laser for the treatment of ROP

Lihat 3 action detail
  • Evisceration
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Enucleation
    Tasks: Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Bupivacaine hydrochloride, Lidocaine hydrochloride
  • Transpupillary diode laser for the treatment of ROP
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
Management of anterior segment and adnexal diseases
WHO #422 · 18 action
Gap: WHO no PNPK

Irrigation of the eye in cases of chemical exposure | Bandage contact lens for the management of corneal abrasions, erosions, and/or small perforations | Corneal glue for the management of corneal abrasions, erosions, and/or small perforations

Lihat 18 action detail
  • Irrigation of the eye in cases of chemical exposure
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct irrigation
  • Bandage contact lens for the management of corneal abrasions, erosions, and/or small perforations
    Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Conduct ophthalmic procedure
  • Corneal glue for the management of corneal abrasions, erosions, and/or small perforations
    Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Administer ophthalmic product
  • Contact lenses for keratoconus
    Tasks: Provide counselling and information and obtain consent, Select assistive products, Fit and train in use of assistive products
    Medicines: Tetracaine hydrochloride
  • Topical steroids for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Prednisolone
  • Topical antimicrobials for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Ofloxacin
  • Topical antivirals for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Aciclovir
  • Topical antifungal for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Natamycin
  • Topical lubricating drops for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Artificial tears
  • Oral antimicrobials for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Amoxicillin + clavulanic acid
  • Oral antivirals for adnexa and ocular surface related disorders
    Tasks: Prescribe medication
    Medicines: Valaciclovir
  • Punctal occlusion for dry eye
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic procedure, Administer topical anaesthesia
    Medicines: Tetracaine hydrochloride
  • Probing for congenital nasolacrimal duct obstruction
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic procedure, Administer topical anaesthesia
  • Pterygium surgery
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Corneal cross-linking for the treatment of keratoconus
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Administer topical anaesthesia, Assist with ophthalmic surgery
    Medicines: Tetracaine hydrochloride
  • Corneal surgery - keratoplasty
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Administer topical anaesthesia, Assist with ophthalmic surgery
  • Eyelid surgery - general
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Bupivacaine hydrochloride, Lidocaine hydrochloride
  • Incision and drainage of hordeolum and chalazion
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic procedure
    Medicines: Bupivacaine hydrochloride, Lidocaine hydrochloride
Management of cataract
WHO #423 · 6 action
Covered by PNPK

Large-incision, manual, extra capsular cataract extraction with IOL (ECCE-IOL) | Small incision cataract surgery (SICS) with IOL Implanatation | Posterior Nd:YAG laser capsulotomy

Lihat 6 action detail
  • Large-incision, manual, extra capsular cataract extraction with IOL (ECCE-IOL)
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Small incision cataract surgery (SICS) with IOL Implanatation
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Assist with ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Posterior Nd:YAG laser capsulotomy
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Assist with ophthalmic surgery
    Medicines: Tetracaine hydrochloride
  • Sutureless, small incision phacoemulsification with IOL implantation
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Eye examination under anaesthesia
    Tasks: Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct targeted physical examination
  • Paediatric cataract surgery
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Assist with ophthalmic surgery
Management of glaucomas
WHO #424 · 12 action
Covered by PNPK

Topical prostaglandin analogs for glaucoma | Topical beta blockers for glaucoma | Topical carbonic anhydrase inhibitors for glaucoma

Lihat 12 action detail
  • Topical prostaglandin analogs for glaucoma
    Tasks: Prescribe medication
    Medicines: Latanoprost
  • Topical beta blockers for glaucoma
    Tasks: Prescribe medication
    Medicines: Timolol
  • Topical carbonic anhydrase inhibitors for glaucoma
    Tasks: Prescribe medication
    Medicines: Dorzolamide
  • Topical cholinergics for glaucoma
    Tasks: Prescribe medication
    Medicines: Pilocarpine
  • Intravenous osmotic diuretic for glaucoma
    Tasks: Prescribe intravenous medication, Administer intravenous medication
    Medicines: Mannitol
  • Filtration surgery (trabeculectomy)
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Iridectomy
    Tasks: Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Laser peripheral iridotomy
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Administer topical anaesthesia
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Cyclophotocoagulation
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct medical procedure
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Selective laser trabeculoplasty
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Administer topical anaesthesia, Assist with ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Angle surgery (i.e. goniotomy or trabeculotomy) for children with congenital glaucoma
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
  • Glaucoma surgery - glaucoma drainage devices
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct ophthalmic surgery
    Medicines: Lidocaine hydrochloride, Bupivacaine hydrochloride
Management of ocular cancer
WHO #425 · 3 action
Covered by PNPK + NICE

Intravenous chemotherapy for retinoblastoma | Focal laser therapy for ocular cancer | Cryotherapy for ocular cancer

Lihat 3 action detail
  • Intravenous chemotherapy for retinoblastoma
    Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Administer intravenous medication with frequent monitoring, Prepare hazardous medicine, Prescribe intravenous chemotherapy
    Medicines: Carboplatin
  • Focal laser therapy for ocular cancer
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic procedure, Administer topical anaesthesia
  • Cryotherapy for ocular cancer
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct ophthalmic procedure
Management of refractive error, amblyopia and strabismus
WHO #426 · 5 action
Gap: WHO no PNPK

Strabismus surgery | Patching for the treatment of amblyopia | Provide spectacles (distance and near)

Lihat 5 action detail
  • Strabismus surgery
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Assist with ophthalmic surgery, Conduct counselling
    Medicines: Bupivacaine hydrochloride, Lidocaine hydrochloride
  • Patching for the treatment of amblyopia
    Tasks: Provide assistive products
  • Provide spectacles (distance and near)
    Tasks: Select assistive products, Fit and train in use of assistive products
  • Provide spectacles (ready-made for near vision)
  • Topical cycloplegic drugs for the treatment of amblyopia
    Tasks: Prescribe medication
Management of uveitis
WHO #427 · 5 action
Gap: WHO no PNPK

Topical steroids for uveitis | Topical mydriatics for uveitis | Topical antimicrobials for uveitis

Lihat 5 action detail
  • Topical steroids for uveitis
    Tasks: Prescribe medication
    Medicines: Prednisolone
  • Topical mydriatics for uveitis
    Tasks: Prescribe medication
    Medicines: Atropine
  • Topical antimicrobials for uveitis
    Tasks: Prescribe medication
    Medicines: Amoxicillin + clavulanic acid
  • Oral antimicrobials for uveitis
    Tasks: Prescribe medication
    Medicines: Amoxicillin + clavulanic acid
  • Topical lubricating drop for uveitis
    Tasks: Prescribe medication
    Medicines: Artificial tears
Management of vitreo-retinal diseases
WHO #428 · 3 action
Gap: WHO no PNPK

Intravitreal anti-vascular endothelial growth factor (VEGF) therapy for vitreoretinal disease | Vitreoretinal surgery | Retinal laser photocoagulation

Lihat 3 action detail
  • Intravitreal anti-vascular endothelial growth factor (VEGF) therapy for vitreoretinal disease
    Tasks: Provide counselling and information and obtain consent, Provide post-procedural care, Administer intravitreal medication
    Medicines: Bevacizumab
  • Vitreoretinal surgery
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Assist with ophthalmic surgery
    Medicines: Bupivacaine hydrochloride, Lidocaine hydrochloride
  • Retinal laser photocoagulation
    Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct ophthalmic surgery, Provide nursing support for ophthalmic surgery, Administer topical anaesthesia, Assist with ophthalmic surgery
Prevention of eye diseases and vision impairment
WHO #429 · 11 action
Gap: WHO/NICE no PNPK

Counselling on how to control key risk factors for diabetic retinopathy | Counselling on the importance of regular comprehensive eye examinations for vulnerable groups | Counselling on adherence to treatment regimen for chronic eye diseases

Lihat 11 action detail
  • Counselling on how to control key risk factors for diabetic retinopathy
    Tasks: Conduct counselling
  • Counselling on the importance of regular comprehensive eye examinations for vulnerable groups
    Tasks: Conduct counselling
  • Counselling on adherence to treatment regimen for chronic eye diseases
    Tasks: Conduct counselling
  • Counselling to promote good eye health practices and prevention strategies
    Tasks: Conduct counselling
  • Counselling and education on importance of spectacle compliance
    Tasks: Conduct counselling
  • Counselling on behavior change to delay the onset and progression of myopia
    Tasks: Conduct counselling
  • Counselling on lifestyle or behavioural risk factors for eye diseases
    Tasks: Conduct counselling
  • Counselling of persons at risk of developing acute angle-closure glaucoma
    Tasks: Conduct counselling
  • Counselling on ocular injury prevention
    Tasks: Conduct counselling
  • Topical erythromycin eye ointment for prophylactic management of infectious conjunctivitis in neonates
    Tasks: Prescribe medication
  • Monitoring of oxygen levels and saturation in preterm infants to prevent ROP
    Tasks: Conduct vital sign monitoring
Rehabilitation for visual impairment
WHO #430 · 6 action
Gap: WHO no PNPK

Vision skills training | Modification of the home environment | Orientation and mobility training

Lihat 6 action detail
  • Vision skills training
    Tasks: Conduct rehabilitative training
  • Modification of the home environment
    Tasks: Provide education
  • Orientation and mobility training
    Tasks: Conduct rehabilitative training
  • Provision and training in the use of assistive products for vision
    Tasks: Select assistive products, Fit and train in use of assistive products
  • Provision and training in the use of assistive products for reading and writing
    Tasks: Select assistive products, Fit and train in use of assistive products
  • Provision and training in the use of assistive products for mobility
    Tasks: Select assistive products, Fit and train in use of assistive products
Screening and diagnosis of eye diseases and vision impairment
WHO #431 · 31 action
Gap: WHO/NICE no PNPK

Test for visual acuity | Preferential looking visual acuity test for preverbal infants and toddlers | Visual field assessment

Lihat 31 action detail
  • Test for visual acuity
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Preferential looking visual acuity test for preverbal infants and toddlers
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Visual field assessment
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Torchlight examination (external eye assessment)
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Ultrasound (A/B scan)
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
    Medicines: Tetracaine hydrochloride
  • Optical biometry
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination, Administer topical anaesthesia
    Medicines: Tetracaine hydrochloride
  • Gonioscopy
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
    Medicines: Tetracaine hydrochloride
  • Tonometry
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
    Medicines: Tetracaine hydrochloride
  • Optical coherence tomography (OCT)
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Automated refraction
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Fundus photography
    Tasks: Document examination findings, Conduct targeted physical examination, Conduct counselling
  • Retinoscopy
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Slit lamp examination
    Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Document examination findings, Conduct targeted physical examination
  • Corneal topography
    Tasks: Document examination findings, Conduct targeted physical examination, Conduct counselling
    Medicines: Tetracaine hydrochloride
  • Contrast sensitivity
    Tasks: Conduct clinical assessment
  • Colour vision
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Keratometry
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
    Medicines: Tetracaine hydrochloride
  • Direct ophthalmoscopy
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Indirect ophthalmoscopy
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Pachymetry
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Stereoacuity test
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Fusion test
    Tasks: Document examination findings, Conduct targeted physical examination, Conduct counselling
  • Prism test
    Tasks: Document examination findings, Conduct targeted physical examination
  • Duochrome
    Tasks: Document examination findings, Conduct targeted physical examination, Conduct counselling
  • Tear meniscus height measurement
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Tear film break-up time assessment
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Ocular surface staining scoring
    Tasks: Document examination findings, Conduct targeted physical examination
  • Schirmer's test
    Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
  • Subjective refraction
    Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct targeted physical examination
  • Medication review
  • Referral to comprehensive vision and eye care