Informed consent
In this section you can download informed consent forms to be filled in and submitted to Centro Vista staff
- 1- INFORMATION SHEET AND INFORMED CONSENT FORM FOR AMD GENETIC TEST 6
- 2- CORRECTION OF KERATOCONUS WITH CORNEAL INSERTION OF INTRASTROMAL RINGS
- 3- INFORMATION SHEET EXAMINATION OF THE CHILD UNDER GENERAL ANAESTHESIA
- 4- RETINAL ANGIOGRAPHY EXAMINATION INFORMATION SHEET
- 5- INFORMATION SHEET FOR THE USE OF ANTIFIBROTIC DRUGS IN INTRA- AND POST-OPERATIVE GLAUCOMA THERAPY
- 6- INFORMATION SHEET FOR INTRA- OR PERI-OCULAR ADMINISTRATION OF ANTI-VEGF DRUGS
- 7- INFORMATION SHEET FOR INTRA- OR PERI-OCULAR ADMINISTRATION OF ANTI-VEGF DRUGS
- 8- APPENDIX - CATARACT SURGERY IN BOTH EYES IN THE SAME SURGICAL SESSION
- 9- PTERYGIUM REMOVAL SURGERY INFORMATION SHEET
- 10- ACT OF GENERIC CONSENT
- 11- ACT OF CONSENT FOR REPEATED INTRAVITREAL INJECTIONS
- 12- BLEPHAROPLASTY SURGERY INFORMATION SHEET
- 13- CHALAZION REMOVAL SURGERY INFORMATION SHEET
- 14- LASER CAPSULOTOMY SURGERY INFORMATION SHEET
- 15- INFORMATION SHEET COMBINED CATARACT AND GLAUCOMA SURGERY
- 16- INFORMATION FOR CATARACT EXTRACTION AND PSEUDOACCOMODATIVE ARTIFICIAL LENS IMPLANTATION (IOL) SURGERY
- 17- INFORMATION SHEET ON CONJUNCTIVODACRYOCYSTORHINOSTOMY SURGERY
- 18- LAMELLAR KERATOPLASTY SURGERY INFORMATION SHEET
- 19- INFORMATION SHEET PERFORATING KERATOPLASTY (OR CORNEAL TRANSPLANTATION) SURGERY
- 20- CYCLOABLATION INTERVENTION INFORMATION SHEET
- 21- INFORMATION AND INFORMED CONSENT FOR TREATMENT WITH ATROPINE 0.01% IN MYOPIA
- 22- CATARACT SURGERY INFORMATION SHEET
- 23- INFORMATION SHEET FOR CORNEAL UV-A CROSS-LINKING (CXL) SURGERY
- 24- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF BEVACIZUMAB (AVASTIN, ROCHE)
- 25- INFORMATION SHEET AND INFORMED CONSENT FORM FOR REFRACTIVE SURGERY
- 26- INFORMED CONSENT FOR LIFTING THE FLAP
- 27- INFORMED CONSENT FOR LIFTING THE FLAP
- 28- INFORMED CONSENT FOR AMD TREATMENT WITH THE 2RT LASER
- 29- INFORMED CONSENT TO XANTHELASMAS REMOVAL SURGERY
- 30- INFORMED CONSENT CATARACT SURGERY
- 31- INFORMATION SHEET ON DACRYOCYSTORHINOSTOMY SURGERY FROM OUTSIDE
- 32- CRYOTHERAPY INFORMATION SHEET
- 33- DALK SURGERY INFORMATION SHEET (DEEP ANTERIOR LAMELLAR KERATOPLASTY)
- 34- INFORMATION SHEET RETINAL DETACHMENT SURGERY AND CHOROID MELANOMA RESECTION
- 35- RETINAL DETACHMENT SURGERY INFORMATION SHEET
- 36- INFORMATION SHEET LASER-ASSISTED ENDOCANALICULAR DACRYOCYSTORHINOSTOMY SURGERY
- 37- INFORMATION SHEET AND INFORMED CONSENT FOR ECTROPION CORRECTION SURGERY
- 38- INFORMATION AND CONSENT TO PERFORM A TEAR DUCT ENDOSCOPY
- 39- INFORMATION SHEET AND INFORMED CONSENT TO ENTROPION CORRECTION SURGERY
- 40- INTRAOCULAR LENS EXPLANT SURGERY INFORMATION SHEET
- 41- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF AFLIBERCEPT (EYLEA, BAYER)
- 42- PATIENT INFORMATION SHEET GENETIC RESEARCH
- 43- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES AND NEOVASCULAR GLAUCOMA BY INTRAVITREAL INJECTION OF ANTI-VEGF DRUGS
- 44- GLAUCOMA SURGERY INFORMATION
- 45- INFORMATION SHEET INTRAOCULAR LENS IMPLANTATION SURGERY IN APHAKIC EYE
- 46- INFORMATION SHEET POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION SURGERY IN PHAKIC EYE (LIOF-CP)
- 47- CONTACT LENS IMPLANT INFORMATION SHEET
- 48- INFORMATIVE SECONDARY INTRAOCULAR LENS IMPLANTATION SURGERY
- 49- AMNIOTIC MEMBRANE GRAFT CONSENT FORM
- 50- INFORMED CONSENT EYE -LIGHT
- 51- INFORMATIVE LASER IRIDECTOMY SURGERY
- 52- INFORMATION SHEET IRIDOTOMY / LASER IRIDOPLASTY SURGERY
- 53- LASER PATIENT INFORMED CONSENT FOR PRESBYOPIA CORRECTION
- 54- RETINAL LASER SURGERY INFORMATION SHEET
- 55- LASER TRABECULOPLASTY INFORMATION SHEET
- 56- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF RANIBIZUMAB (LUCENTIS, NOVARTIS)
- 57- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF PEGAPTANIB (MACUGEN, PFIZER)
- 58- INFORMATION SHEET FOR NEEDLING
- 59- EYELID NEOFORMATION REMOVAL SURGERY INFORMATION SHEET (INCISIONAL OR EXCISIONAL BIOPSY)
- 60- INFORMED CONSENT RADIAL OPTIC NEUROTOMY SURGERY IN CENTRAL RETINAL VEIN THROMBOSIS
- 61- INFORMATION SHEET SILICONE OIL REMOVAL SURGERY FROM THE VITREOUS CHAMBER
- 62- PNEUMOTRABECULOPLASTY TREATMENT INFORMATION SHEET (PNT)
- 63- INFORMATION SHEET PTK OR EXCIMER LASER PHOTOTHERAPEUTIC KERATECTOMY SURGERY
- 64- INFORMATION SHEET ON EYELID PTOSIS CORRECTION SURGERY
- 65- INFORMED CONSENT SURGICAL TREATMENT PUNCTUM PLUGS GENTILE
- 66- INFORMATION SHEET FOR TREATMENT WITH RESTASIS® 0.05%
- 67- ON EYELID RETRACTION CORRECTION SURGERY
- 68- LASER CORNEAL REFRACTIVE SURGERY INFORMATION SHEET
- 69- INFORMATION SHEET REFRACTIVE EXAMINATION IN CHILDREN
- 70- INFORMATION SHEET REFRACTIVE EXAMINATION IN CHILDREN
- 71- REMOVAL AND/OR SEALING SECTION INFORMATION SHEET
- 72- REMOVAL AND/OR SEALING SECTION INFORMATION SHEET
- 73- INFORMATION SHEET FOR PERIOCULAR INJECTION OF TRIAMCINOLONE ACETONIDE (TAIOFTAL®, SOOFT S.P.A.)
- 74- ON TEAR DUCT PROBING SURGERY
- 75- GLAUCOMA SURGERY: TRABECULECTOMY
- 76- INFORMATION SHEET FOR THE TREATMENT OF INFLAMMATORY EYE DISEASES THAT DO NOT RESPOND TO STEROIDS FOR LOCAL USE BY ADMINISTERING TRIAMCINOLONE ACETONIDE (TAIOFTAL®, SOOFT S.P.A.) INTRAVITREALLY
- 77- ENDOTHELIUM TRANSPLANTATION (EK) INFORMATION SHEET
- 78- INFORMATION SHEET FOR THE TREATMENT OF NON-INFECTIOUS INTERMEDIATE, POSTERIOR AND PANUVEITIS UVEITIS BY SUBCUTANEOUS ADMINISTRATION OF ADALIMUMAB
- 79- INFORMATION SHEET VITRECTOMY SURGERY FOR DISLOCATION IN THE VITREOUS CHAMBER OF NUCLEAR FRAGMENTS OF THE CRYSTALLINE LENS/IOL
- 80- VITRECTOMY INFORMATION SHEET FOR PERHEMOVITREOUS VITREOUS SURGERY/ASTEROID HYALOSIS/SYNCHOSIS SCINTILLATING/PERSISTENT PRIMARY HYPERPLASTIC VITREOUS
- 80- SCHEDA INFORMATIVA INTERVENTO DI VITRECTOMIA PER MEMBRANA PREMACULARE
- 82- VITRECTOMY INFORMATION SHEET FOR REMOVAL OF SUBRETINAL NEOVASCULAR MEMBRANES
- 83- VITRECTOMY INFORMATION SHEET FOR ABLATION OF SUBRETINAL NEOVASES
- 84- INFORMED CONSENT VITRECTOMY SURGERY FOR ENDOPHTHALMITIS
- 85- MACULAR HOLE VITRECTOMY INFORMATION SHEET
- 86- INFORMATION SHEET VITRECTOMY SURGERY FOR DIABETIC RETINOPATHY
- 87- INFORMATION SHEET VITRECTOMY SURGERY FOR PROLIFERATING VITREORETINOPATHY
- 88- INFORMATION SHEET FOR THE ADMINISTRATION OF ANTI-VEGF DRUGS INTRA- OR PERI-OCULARLY IN THE TREATMENT OF GLAUCOMA
- 89- DALK SURGERY INFORMATION SHEET (DEEP ANTERIOR LAMELLAR KERATOPLASTY)
- 90- INFORMATION SHEET LASER IRIDOTOMY / IRIDOPLASTY SURGERY
- 91- INFORMATION SHEET LASER TRABECULOPLASTY SURGERY
- 92- INFORMED CONSENT FOR LASERVITREOLYSIS OF VITREOUS MOVABLE BODIES
- 93- EYELID RETRACTION CORRECTION SURGERY INFORMATION SHEET
- 94- TEAR DUCT PROBING SURGERY INFORMATION SHEET
- 95- STRABISMUS TREATMENT INFORMATION SHEET
- 96- INFORMATION SHEET ENDOTHELIUM TRANSPLANTATION (EK) SURGERY
- 97- INFORMATION SHEET AND INFORMED CONSENT FORM FOR FEMTOSECOND LASER-ASSISTED LASIK REFRACTIVE SURGERY (FEMTOLASIK)
- 98- INFORMATION SHEET AND INFORMED CONSENT FORM FOR FEMTOSECOND LASER-ASSISTED LASIK REFRACTIVE SURGERY (FEMTOLASIK)
- 99- INFORMATION SHEET FOR THE TREATMENT OF MACULOPATHIES BY INTRAVITREAL ADMINISTRATION OF BEVACIZUMAB (AVASTIN, ROCHE)
- 100- INFORMATION SHEET FOR THE TREATMENT OF DIABETIC MACULAR OEDEMA BY INTRAVITREAL IMPLANTATION OF SLOW-RELEASE FLUOCINOLONE ACETONIDE 0.19 MG (ILUVIEN®)
- 101- INFORMATION SHEET FOR THE ADMINISTRATION OF (JETREA) INTRAVITREALLY
- 102- INFORMATION SHEET TANTALUM CLIP IMPLANTATION SURGERY IN OCULAR MELANOMA
- 103- INFORMED CONSENT FOR MINIMALLY INVASIVE GLAUCOMA SURGERY MIGS - MICROSHUNT - PRESEL FLO
- 104- INFORMATION SHEET FOR TREATMENT WITH INTRAVITREAL BROLUCIZUMAB (BEOVU, NOVARTIS)
- 105- INFORMED CONSENT TO TRANS-SCLERAL IONTOPHORESIS TREATMENT
