Risk Management



Corneal Surgery (Addendum to General Consent)  (Download)

Complications which could occur weeks, months, or even years later:
1. Poor vision, total loss of vision, or loss of eye
2. Bleeding in eye
3. Loss of corneal clarity
4. Chronic inflammation
5. Infection
6. Temporary or permanent blurring of vision because of retinal swelling
7. Detachment of the retina
8. Glaucoma
9. Double vision

Local complications of anesthesia injections around the eye:
1. Perforation of eyeball
2. Destruction of optic nerve
3. Interference with circulation of retina
4. Possible drooping of eyelid
5. Respiratory depression
6. Hypotension

Additional comments:

Patient (or person authorized to sign for patient) Date

Witness Date

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An ophthalmologist pays nearly half a million dollars in premiums over the course of a career. Premium paid is directly related to a carrier’s claims experience. OMIC has a higher win rate taking tough cases to trial, full consent to settle (no hammer) clause, and access to the best experts. OMIC pays 25% less per claim than other carriers. As a result, OMIC has consistently maintained lower base rates than multispecialty carriers in the U.S.

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