Referral Guidelines Flashcards by Michelle Johnston

Q

Diabetes: pre-proliferative DR

A

Routine

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Q

Papilloedema

A

Same day (phone ophthalmology)

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Q

Active thyroid eye disease

A

Urgent (within 1 week)

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Q

Acute angle closure glaucoma

A

Same day (phone ophthalmology)

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Q

Maculopathy with recent VA drop

A

Urgent (within 1 week)

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Q

Basal cell carcinoma

A

Routine

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Q

Uveitis (anterior, intermediate and posterior)

A

Same day (phone ophthalmology)

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Q

Conjunctival cysts / inclusions

A

Routine

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Q

Retinal break / tear / detachment

A

Same day (phone ophthalmology)

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Q

Third nerve palsy

A

Same day (phone ophthalmology)

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Q

Superficial foreign body

A

GP / optom manage

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Q

Diabetes: preretinal haemorrhage / rubeosis

A

Same day (phone ophthalmology)

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Q

Diagnosed Holmes-Adie pupil

A

GP / optom manage

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Q

Unexplained gradual vision loss

A

Urgent (within 1 week)

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Q

Variable / non-specific / repeatable VF defect

A

Routine

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Q

Optic disc pits

A

Routine

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Q

Unilateral proptosis

A

Urgent (within 1 week)

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Q

Hordeolum / chalazion

A

GP / optom manage

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Q

Scleritis

A

Urgent (within 1 week)

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Q

CRAO >24hrs old

A

Urgent (within 1 week)

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Q

Conjunctivitis - ?VA

A

Routine

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Q

Peri-orbital inflammation with pain and swelling (eg cellulitis)

A

Same day (phone ophthalmology)

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Q

New macular hole

A

Urgent (within 1 week)

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Q

Optic disc haemorrhage

A

Routine

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Q

Glaucoma: acute red eye + high IOP

A

Same day (phone ophthalmology)

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Q

Retinitis

A

Urgent (within 1 week)

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Q

Flt (>3 months old, good VA)

A

GP / optom manage

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Q

Glaucoma: IOP >30mmHg

A

Urgent (within 1 week)

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Q

AMD: wet AMD VA >6/60 if recent onset

A

Urgent (within 1 week - refract and fax result to ophthalmology)

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Q

AMD: reduced VA and amsler distortion

A

Routine

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Q

Undiagnosed RP

A

Routine

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Q

AMD: stable VA and amsler

A

GP / optom manage

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Q

Diabetes: loss of vision / new vessels / maculopathy

A

Urgent (within 1 week)

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Q

Diagnosed episcleritis

A

GP / optom manage

Q

Maculopathy with stable VA

A

GP / optom manage

Q

Cataracts: symptomatic and wishing surgery

A

Routine

Q

Posterior vitreous detachment

A

GP / optom manage

Q

Diabetes: background DR

A

GP / optom manage

Q

Blunt ocular trauma

A

Urgent (within 1 week)

Q

Cataracts: symptomatic and not wishing surgery

A

GP / optom manage

Q

Existing macular hole

A

GP / optom manage

Q

Non-refractive strabismus / amblyopia (child)

A

Routine

Q

CRAO

A

Same day (phone ophthalmology)

Q

Episcleritis

A

Routine

Q

Microbial keratitis

A

Same day (phone ophthalmology)

Q

Acute onset diplopia

A

Urgent (within 1 week)

Q

Severe dry eye / blocked tear duct

A

Routine

Q

Conjunctivitis - unresolving

A

Routine

Q

Pterygium with effect on VA

A

Routine

Q

Vitreous haemorrhage

A

Same day (phone ophthalmology)

Q

Severe corneal foreign body / abrasion

A

Same day (phone ophthalmology)

Q

Diabetes: exudate a within 1DD of fovea

A

Urgent (within 1 week)

Q

Diagnosed dystrophy with good/stable VA

A

GP / optom manage

Q

Undiagnosed keratoconus

A

Routine

Q

Rubeosis with no sight

A

Routine

Q

Acute FL/Flt with tobacco dust

A

Urgent (within 1 week)

Q

Herpes zoster with ocular involvement

A

Same day (phone ophthalmology)

Q

Suspect temporal arthritis / GCA

A

Same day (phone ophthalmology)

Q

Melanoma

A

Urgent (within 1 week)

Q

Diabetes: exudates within 2DD of macula

A

Routine

Q

Conjunctivitis - bacterial / viral / allergic

A

GP / optom manage

Q

Chronic blepharitis

A

GP / optom manage

Q

MGD

A

GP / optom manage

Q

Iris melanoma

A

Routine

Q

Subconjunctival haemorrhage

A

GP / optom manage

Q

Herpes zoster with no ocular involvement

A

GP / optom manage

Q

Hyphaema / hypopyon

A

Same day (phone ophthalmology)

Q

Vitritis

A

Urgent (within 1 week)

Q

Horner syndrome

A

Urgent (within 1 week)

Q

Pinguecula / pterygium not affecting vision

A

GP / optom manage

Q

Diagnosed flat choroidal neavus

A

GP / optom manage

Q

Unexplained vision loss

A

Same day (phone ophthalmology)

Q

Amaurosis fugax

A

Urgent (within 1 week)

Q

Retinal haemorrhages (non-specific)

A

Routine

Q

Epiretinal membrane with stable VA

A

GP / optom manage

Q

Glaucoma: OHT with IOP>22mmHg

A

Urgent (within 1 week)

Q

Optic disc pallor (suspected compressive lesion)

A

Urgent (within 1 week)

Q

Corneal dystrophy with reduced VA

A

Routine

Q

New pupil defect

A

Routine

Q

CRVO

A

Urgent (within 1 week)

Q

Entropion/ ectropion/ acquired ptosis

A

Routine

Q

Persistent hordeolum/ chalazion

A

Routine

Q

Cholesterol emboli

A

GP / optom manage

Q

Chemical / penetrating injury

A

Same day (phone ophthalmology)