Guideline for Referral and Consultation Protocols

Question 1

Patient has post-surgical inflammation and pain and you put them on steroids or other meds. What would you do if the condition get’s worse?

Answer 1

Co-manage with surgeon

Question 2

Patient is on Steriods to treat OC Allergies - anterior segment and adnexa for 21 days. What would you do if condition get’s worse at that point?

Answer 2

consult with other doc

Question 3

What would you do if the pt is on steroid to treat idiopathic iritis (over 18yo) and the condition get’s worse by 72 hrs?

Answer 3

consult

Question 4

What would you do if the pt is on steroid to treat idiopathic iritis (over 18yo) and the condition did not resolved in 3 wks?

Answer 4

consult

Question 5

What would you do if the pt is on steroid to treat idiopathic iritis (over 18yo) and the pt is still on meds in 6 wks?

Answer 5

refer

Question 6

What would you do if the pt is on steroid to treat idiopathic iritis (over 18yo) and resolved but it recurred within 1 yr?

Answer 6

refer

Question 7

What would you do if the pt is on steroid to treat episcleritis and the condition get’s worse by 72 hrs?

Answer 7

consult

Question 8

What would you do if the pt is on steroid to treat episcleritis and the condition did not resolve in 3 wks?

Answer 8

consult

Question 9

What would you do if the pt is on steroid to treat episcleritis and the pt is still on med by 6wks?

Answer 9

refer

Question 10

What would you do if the pt is on steroid to treat episcleritis and resolved but it recurred within 1 yr?

Answer 10

consult

Question 11

What would you do if the pt is on steroid to treat peripheral corneal Inflammatory Keratitis (not Moorens and Terriens disease) and the condition get’s worse by 72 hrs?

Answer 11

consult

Question 12

What would you do if the pt is on steroid to treat peripheral corneal Inflammatory Keratitis (not Moorens and Terriens disease) and resolved but condition recurred within 1 yr?

Answer 12

consult

Question 13

What would you do if the pt is on steroid to treat traumatic iritis and the condition get’s worse by 72 hrs?

Answer 13

consult

Question 14

What would you do if the pt is on steroid to treat traumatic iritis but pt is still on med by 1 wk?

Answer 14

refer

Question 15

What would you do if pt is on antibiotics (topical and oral) to treat central corneal ulcer but there’s no improvement by 48hrs?

Answer 15

refer

Question 16

What would you do if pt is on antibiotics (topical and oral) to treat preseptal cellulitis but there’s no improvement by 48hrs?

Answer 16

refer

Question 17

What would you do if pt is on antibiotics (topical and oral) to treat dacyocystitis (over 12yo) but there’s no improvement by 48hrs?

Answer 17

refer

Question 18

What would you do if pt is on anti-viral (topical and oral) to treat HSV and HZV keratitis but there’s no improvement by 7days?

Answer 18

refer

Question 19

What would you do if pt is on anti-viral (topical and oral) to treat HSV and HZV keratitis but the condition did not resolve in 3wks?

Answer 19

refer

Question 20

What would you do if pt is on anti-viral (topical and oral) to treat HSV and HZV conjunctivits/dermatitis but the condition get’s worse in 7days?

Answer 20

consult

Question 21

What would you do if pt is on anti-viral (topical and oral) to treat HSV and HZV conjunctivits/dermatitis but the condition did not resolve in 3wks?

Answer 21

refer

Question 22

What would you do if pt is on Codeine/Hydrocodine to treat ocular pain but the condition did not resolve by 3days?

Answer 22

refer