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It is not recommended to send samples to the laboratory or to treat with antibiotics if conjunctivitis is thought to be viral.
Choosing Wisely UK
Royal College of Ophthalmologists
The proposed evidence/guidance site (The NICE Clinical Knowledge Summaries (CKS)) is only available to users in the UK, Crown Dependencies and British Overseas Territories.
ver más ... 2016It is not recommended to carry out laser retinopexy for asymptomatic lattice degeneration/atrophic retinal holes.
Choosing Wisely UK
Royal College of Ophthalmologists
Asymptomatic retinal breaks and lattice degeneration are visible lesions that are risk factors for later retinal detachment. Retinal detachments occur when fluid in the vitreous cavity passes through tears or holes in the retina and separates the retina from the underlying retinal pigment epithelium. Creation of an adhesion surrounding retinal breaks and lattice degeneration, with laser photocoagulation or cryotherapy, has been recommended as an effective means of preventing retinal detachment. ...
ver más ... 2016It is not recommended to try to unblock a blocked nasolacrimal duct in children under 12 months old.
Choosing Wisely UK
Royal College of Ophthalmologists
No link is available as a source of evidence for this recommendation.
ver más ... 2016It is not recommended to review uncomplicated cataract cases on day one post-op.
Choosing Wisely UK
Royal College of Ophthalmologists
Phacoemulsification is now the preferred method for cataract surgery because rapid postoperative visual rehabilitation is permitted by a small self-sealing incision. Cataract surgery is also increasingly being performed as a day-case procedure and studies have demonstrated that day-case surgery does not adversely affect the outcome of cataract surgery and patients report a high level of satisfaction. Routine review has traditionally been conducted on the first post-operative day following ...
ver más ... 2016It is recommended to transfuse O Rh D negative red cells to O Rh D negative patients, and in emergencies for females of childbearing potential with unknown blood group.
Choosing Wisely UK
Royal College of Pathologists
The surface of red blood cells contains markers that the immune system can recognize. One of these markers is the Rh factor (Rh [D] antigen). A person whose blood contains the Rh factor is Rh positive (D). A person whose blood does not contain the Rh factor is Rh negative (d). This recommendation was not based on any studies or does not have strong evidence to support it.
ver más ... 2016