Form

Instructions: Please fill out the form below and see the generated summary at the end


Positioning Requirement:





Select An Option






Steamroller Instructions:



Post Positioning Head Tilt




Post Positioning Head Tilt












Drops And Shield







Follow Up







Special Notes



Summary

A completed summary instructions set will be generated below once information has been entered into the form.
Please use the copy button (found below summary) to copy-to-clipboard and then you can paste the results into an email or word processor.







Healthcare Disclaimer


Use Of PneumaticRetinopexyForm app/website is subject to acceptance of the following disclaimer:

1. No warranties of any kind whatsoever are made as to the results that You will obtain from relying upon the covered code (or any information or content obtained by way of the covered code), including but not limited to compliance with privacy laws or regulations or clinical care industry standards and protocols. Use of the covered code is not a substitute for a health care provider’s standard practice or professional judgment. Any decision with regard to the appropriateness of treatment, or the validity or reliability of information or content made available by the covered code, is the sole responsibility of the health care provider. Consequently, it is incumbent upon each health care provider to verify all medical history and treatment plans with each patient.


2. Under no circumstances and under no legal theory, whether tort (including negligence), contract, or otherwise, shall any Contributor, or anyone who distributes Covered Software as permitted by the license, be liable to You for any indirect, special, incidental, consequential damages of any character including, without limitation, damages for loss of goodwill, work stoppage, computer failure or malfunction, or any and all other damages or losses, of any nature whatsoever (direct or otherwise) on account of or associated with the use or inability to use the covered content (including, without limitation, the use of information or content made available by the covered code, all documentation associated therewith, and the failure of the covered code to comply with privacy laws and regulations or clinical care industry standards and protocols), even if such party shall have been informed of the possibility of such damages.

The creators, contributors and supervisors of PneumaticRetinopexyForm are not responsible for errors omissions or for any consequences from application of the information in the app/website and make no warrantly, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the PneumaticRetinopexyForm app/website.

There are websites and resources linked within this app/website that are operated or created by or for organizations, companies, or individuals not affiliated with PneumaticRetinopexyForm. These links are provided as a convenience and for informational purposes only; they do not constitute an endorsement or an approval by the creators, contributors, and supervisors of PneumaticRetinopexyFormForm. The creators, contributors, and supervisors of PneumaticRetinopexyForm bear no responsibility for the accuracy, security, legality, or content of the external sites linked in the PneumaticRetinopexyForm app/website or for that of subsequent links.


The above disclaimer is adapted in part from OpenMRS, distributed under the terms of the Mozilla Public License, v. 2.0


App Developed By

Affan Uzair

Undergraduate Student

Dalhousie University


About Us

The Pneumatic Retinopexy app was created by the McGill University Department of Ophthalmology & Visual Sciences.

    Team

  • Michael Mak, MD, FRCSC

    Retina Fellow

    McGill University

  • Jeremy Moreau, MD, PhD

    Ophthalmology Resident

    University of Calgary

  • Tony Jin, MD, MSc

    Ophthalmology Resident

    McGill University

  • Affan Uzair

    Undergraduate Student

    Dalhousie University

Staff Supervisor

Michael Kapusta, MDCM, FRCSC

Retina Specialist

McGill University