From this section you can download the informed consent forms to be duly filled in and submitted to the staff of Centro Vista
DATA SHEET AND INFORMED CONSENT FORM FOR AMD genetic testing 6
DATA SHEET FOR RETINAL ANGIOGRAPHY TEST
DATA SHEET FOR INTRAOCULAR OR PERIOCULAR ADMINISTRATION OF ANTI-VEGF DRUGS IN THE TREATMENT OF GLAUCOMA
DATA SHEET FOR CHALAZION REMOVAL SURGERY
DATA SHEET FOR TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF BEVACIZUMAB (AVASTIN, Roche)
DATA SHEET FOR BLEPHAROPLASTY SURGERY
DATA SHEET LASER CAPSULOTOMY SURGERY
DATA SHEET CATARACT REMOVAL SURGERY
DATA SHEET LAMELLAR KERATOPLASTY SURGERY
DATA SHEET FOR PERFORATING KERATOPLASTY (OR CORNEAL TRANSPLANTATION)
DATA SHEET FOR CORNEAL REFRACTIVE SURGERY WITH LASER
DATA SHEET FOR COMBINED CATARACT AND GLAUCOMA SURGERY
DATA SHEET FOR CRYOTHERAPY
DATA SHEET FOR UV-A CORNEAL CROSS-LINKING
DATA SHEET FOR EXTERNAL DACRYOCYSTORHINOSTOMY SURGERY
DATA SHEET FOR DALK SURGERY (Deep Anterior Lamellar Keratoplasty)
DATA SHEET FOR RETINAL DETACHMENT SURGERY and CHOROIDAL MELANOMA RESECTION
DATA SHEET RETINAL DETACHMENT SURGERY
DATA SHEET AND INFORMED CONSENT TO ECTROPION REPAIR SURGERY
DATA SHEET AND INFORMED CONSENT TO ENTROPION REPAIR SURGERY
DATA SHEET FOR ENUCLEATION FOR RETINOBLASTOMA
DATA SHEET FOR ENUCLEATION SURGERY
DATA SHEET FOR EXAMINATION OF THE CHILD UNDER GENERAL ANAESTHESIA
DATA SHEET REFRACTION TEST IN THE CHILD
DATA SHEET FOR EVISCERATION SURGERY
DATA SHEET FOR TREATMENT OF MACULOPATIES BY INTRAVITREAL ADMINISTRATION OF AFLIBERCEPT (EYLEA, Bayer)
DATA SHEET FOR MACULAR HOLE REPAIR VITRECTOMY SURGERY
INFORMATION NOTE FOR GLAUCOMA SURGERY
DATA SHEET SURGICAL INTERVENTION OF INTRAOCULAR LENS IMPLANTATION IN PHAKIC EYE
DATA SHEET FOR CONTACT LENS IMPLANTATION
DATA SHEET FOR SECONDARY ORBITAL IMPLANTATION SURGERY
SDATA SHEET CYCLOBLATION SURGERY
DATA SHEET FOR CONJUNCTIVAL DACRYOCYSTORHINOSTOMY SURGERY
DATA SHEET IRIDOTOMY SURGERY / LASER IRIDOPLASTY
DATA SHEET RETINAL LASER SURGERY
DATA SHEET FOR TREATMENT OF MACULOPATIES BY INTRAVITREAL ADMINISTRATION OF RANIBIZUMAB (LUCENTIS, Novartis)
DATA SHEET FOR VITRECTOMY SURGERY FOR DISLOCATION INTO THE VITREOUS CHAMBER OF NUCLEAR FRAGMENTS OF THE CRYSTALLINE LENS/IOL
DATA SHEET FOR TREATMENT OF MACULOPATIES BY INTRAVITREAL ADMINISTRATION OF PEGAPTANIB (MACUGEN, Pfizer)
DATA SHEET FOR NEEDLING
DATA SHEET FOR RADIAL OPTIC NEUROTOMY SURGERY FOR CENTRAL RETINAL VEIN OCCLUSION
DATA SHEET FOR INTRAVITREAL ADMINISTRATION OF OCRIPLASMIN (JETREA)
DATA SHEET FOR TREATMENT OF MACULAR EDEMA BY INTRAVITREAL IMPLANT OF SUSTAINED-RELEASE DEXAMETHASONE 0.7 MG (OZURDEX®, ALLERGAN)
DATA SHEET FOR TREATMENT OF PNEUMO-TRABECULOPLASTY (PNT)
DATA SHEET FOR PTERYGIUM REMOVAL SURGERY
DATA SHEET FOR PTK SURGERY OR PHOTOTHERAPEUTIC KERATECTOMY WITH EXCIMER LASER
DATA SHEET FOR EYELID PTOSIS CORRECTION SURGERY
DATA SHEET FOR PREMACULAR MEMBRANE VITRECTOMY SURGERY
DATA SHEET FOR PATIENT’S GENETIC RESEARCH
DATA SHEET FOR REMOVAL AND/OR SECTION CERCLAGE AND/OR BUCKLING
DATA SHEET FOR TREATMENT OF STRABISMUS
DATA SHEET FOR TREATMENT OF MACULOPATIES BY INTRAVITREAL ADMINISTRATION OF TRIAMCINOLONE ACETONIDE (TAIOFTAL®, SOOFT S.p.A.)
DATA SHEET FOR SURGICAL IMPLANT OF TANTALIUM CLIPS IN OCULAR MELANOMA
DATA SHEET FOR LASER TRABECULOPLASTY SURGERY
DATA SHEET FOR ENDOTHELIUM TRANSPLANT SURGERY (EK)
SDATA SHEET FOR TREATMENT WITH RESTASIS® 0.05%
DATA SHEET FOR USE OF ANTIFIBROTIC DRUGS IN INTRA- AND POST-OPERATIVE TREATMENT OF GLAUCOMA
DATA SHEET FOR VITRECTOMY FOR ABLATION OF NEW SUBRETINAL VESSELS
DATA SHEET FOR VITRECTOMY SURGERY FOR DIABETIC RETINOPATHY
DATA SHEET FOR VITRECTOMY SURGERY FOR REMOVAL OF SUBRETINAL NEOVASCULAR MEMBRANES
DATA SHEET FOR VITRECTOMY SURGERY FOR PROLIFERATIVE VITREORETINOPATHY
DATA SHEET FOR VITRECTOMY SURGERY FOR VITREOUS HAEMORRHAGE/ASTEROID HYALOSIS /SYNCHYSIS SCINTILLANS/ PERSISTENT HYPERPLASTIC PRIMARY VITREOUS
