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Verteporfin photodynamic therapy for neovascular age-related ...

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DOI: 10.3310/hta16060Health Technology Assessment 2012; Vol. 16: No. 6137Appendix 4:Patient in<strong>for</strong>mation sheet and consent <strong>for</strong>mPlease note: A revised (shorter) patient in<strong>for</strong>mation sheet has recently been submitted tothe MREC <strong>for</strong> approval. The patient in<strong>for</strong>mation sheet and consent <strong>for</strong>m shown below havebeen approved by the MREC and should be used until the revised version is approved anddistributed to DPs.Hospital /Institution Headed paperVERTEPORFIN PHOTO DYNAMIC THERAPY INSUBFOVEAL CHOROIDAL NEOVASCULARISATION: THEUK COHORT STUDYLay title: A study to monitor the effect of <strong>photodynamic</strong><strong>therapy</strong> in choroidal <strong>neovascular</strong>isationPATIENT INFORMATION LEAFLET AND ANSWERS TOFREQUENTLY ASKED QUESTIONSYou are being invited to take part in a study which aims tocollect in<strong>for</strong>mation on the impact of eyesight deterioration onability to function and the results of other tests which areundertaken as part of the treatment you are receiving <strong>for</strong> youreye condition. If you wish to have this document read to youplease ask one of the clinical staff involved in your care. Weare also happy to answer any questions which you may have.WHY HAVE I BEEN ASKED TO TAKE PART IN THISSTUDY?The recent changes that you have noticed in your eyesight aredue to the development of new abnormal blood vessels in theeye, behind the retina. These abnormal blood vessels areleaking fluid and blood into the central area of the retina calledthe macula causing it to malfunction. These abnormal bloodvessels <strong>for</strong>m a lesion called a choroidal <strong>neovascular</strong> membrane,or CNV <strong>for</strong> short. Without treatment, most people with thisproblem will lose central vision over a period of weeks ormonths. The development of CNV is a feature of wet Age<strong>related</strong>Macular Degeneration (called AMD <strong>for</strong> short) and, lessoften, some other eye conditions.© Queen’s Printer and Controller of HMSO 2012. This work was produced by Reeves et al. under the terms of a commissioning contract issued by theSecretary of State <strong>for</strong> Health.

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