Protocols - Hemorio

The patients who will be submitted to surgery must be conduct to hematologist for pre-surgical procedure.
Hematologist will carry out pre-surgical exams (with surgical risk) and will conducted to Hemotherapy for
transfusional schedule (switch transfusion or Eritracitapherisis –) as per each patient requirement .
ROUTINE:
The complete and basic ophthalmologic exam will be performed: directed anamnesis, inspection and
appendices, ocular motility exam (iintrinsical and extrinsical), refraction, anterior segmental biomicroscopy,
tonometry and fundoscopy. After, in a second consultation, retinal mapping will be conducted in all SS and
SC and other, at ophthalmologic section discretion as follows::
From 0 to 10years: conduct only in case of specific ophthalmologic complain
From 10 to 20yeras: conduct all , even without complaining, once a year for SC and once every two
years the other
From 20 to 40 years: conduct all even without complain and every 6 months the SC patients and once a
year the other.
Above 40 year: patients will be conducted as the 10 to 20 years
All patients must be followed to look for lesions at initial stages. According to retinal mapping, the following
flowchart will be followed:
13. GYNECOLOGICAL AND OBSTETRICAL FOLLOW-UP
First Consultation as
routine
PREGANCY:
PHYISIOPATHOLOGY: In Falciform Disease occurs placenta dysfunctional, in varies grades, leading to
retarded intra-uterus growth and increase of peri-natal mortality.
25
Retinal mapping
NORMAL Non-proliferative Retinopathy
erativa
New vessels Blur / hemor vitreous
Asymptomatic symptomatic
Follow-up as age Individual
conduction
Peripheric Non-
PeriphericaPer
Laser
Photocoagulatio
Follow-up as age