Referral Guidelines Flashcards
Diabetes: pre-proliferative DR
Routine
Papilloedema
Same day (phone ophthalmology)
Active thyroid eye disease
Urgent (within 1 week)
Acute angle closure glaucoma
Same day (phone ophthalmology)
Maculopathy with recent VA drop
Urgent (within 1 week)
Basal cell carcinoma
Routine
Uveitis (anterior, intermediate and posterior)
Same day (phone ophthalmology)
Conjunctival cysts / inclusions
Routine
Retinal break / tear / detachment
Same day (phone ophthalmology)
Third nerve palsy
Same day (phone ophthalmology)
Superficial foreign body
GP / optom manage
Diabetes: preretinal haemorrhage / rubeosis
Same day (phone ophthalmology)
Diagnosed Holmes-Adie pupil
GP / optom manage
Unexplained gradual vision loss
Urgent (within 1 week)
Variable / non-specific / repeatable VF defect
Routine
Optic disc pits
Routine
Unilateral proptosis
Urgent (within 1 week)
Hordeolum / chalazion
GP / optom manage
Scleritis
Urgent (within 1 week)
CRAO >24hrs old
Urgent (within 1 week)
Conjunctivitis - ?VA
Routine
Peri-orbital inflammation with pain and swelling (eg cellulitis)
Same day (phone ophthalmology)
New macular hole
Urgent (within 1 week)
Optic disc haemorrhage
Routine
Glaucoma: acute red eye + high IOP
Same day (phone ophthalmology)
Retinitis
Urgent (within 1 week)
Flt (>3 months old, good VA)
GP / optom manage
Glaucoma: IOP >30mmHg
Urgent (within 1 week)
AMD: wet AMD VA >6/60 if recent onset
Urgent (within 1 week - refract and fax result to ophthalmology)
AMD: reduced VA and amsler distortion
Routine
Undiagnosed RP
Routine
AMD: stable VA and amsler
GP / optom manage
Diabetes: loss of vision / new vessels / maculopathy
Urgent (within 1 week)