Appropriate Procedures List - College of Physicians and Surgeons of ...

Appropriate Procedures List

OPHTHALMOLOGY

Physician name:

CPSID:

Facility applying to:

Please indicate only the procedures you wish to perform at the above-mentioned facility. If specified, please provide the

number of procedures performed in the last three years to ensure current experience requirements are met as per the

BCMQI dictionary.

Aspiration needle biopsy

Biopsy ¨C orbital tumour

Blepharoplasty, upper

Blepharoplasty, lower

Cataract extraction ¨C phacoemulsification

Cataract extraction ¨C femtosecond assisted*

Intraocular lens implant ¨C primary

Clear lens extraction with intraocular lens implant

Intraocular lens implant ¨C secondary

Intraocular lens exchange

Intraocular lens repositioning

Cautery of corneal ulcer

Ectropion/entropion

Eyelid reconstruction

Intraocular foreign body ¨C removal

Lacrimal duct probing

Pterygium excision

Ptosis repair

Snip procedure, two or three

Strabismus

Refractive surgery

Automated lamellar keratoplasty

Epi-LASIK

LASEK

LASIK

Limbal relaxing incisions

Phakic intraocular lens implant

Photorefractive keratectomy

Radial keratotomy

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

Number performed in the last three years:

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Appropriate Procedures List ¨C Ophthalmology

College of Physicians and Surgeons of British Columbia

*Facility must be approved for femtosecond laser use.

Immediately sequential bilateral surgery may only be performed at facilities with accreditation for this service.

I hereby certify that the procedures selected in this application are within the scope of my current practice.

Physician signature:

Physician name:

Date:

CPSID:

Facility applying to:

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