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(Kindly fill in the relevant information or tick, as appropriate.)
A. 1-5
B. 6-10
C. 11-30
D. 31-50
E. More than 50
A. Neovascular (wet) age-related macular degeneration (AMD)
B. Diabetic Macular Edema
C. Myopic Choroidal Neovascularization
D. Macular Edema Following Retinal Vein Occlusion (RVO)
Total
A. Every month
B. Every 3-6 months
C. Every yearly
D. Once every 2 years
E. Any other- please specify
A. Strongly recommended
B. Recommended
C. Neutral
D. Not recommended
A. Well tolerated
B. Neutral
C. Not recommended