Referral Guidelines Flashcards

1
Q

Diabetes: pre-proliferative DR

A

Routine

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2
Q

Papilloedema

A

Same day (phone ophthalmology)

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3
Q

Active thyroid eye disease

A

Urgent (within 1 week)

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4
Q

Acute angle closure glaucoma

A

Same day (phone ophthalmology)

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5
Q

Maculopathy with recent VA drop

A

Urgent (within 1 week)

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6
Q

Basal cell carcinoma

A

Routine

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7
Q

Uveitis (anterior, intermediate and posterior)

A

Same day (phone ophthalmology)

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8
Q

Conjunctival cysts / inclusions

A

Routine

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9
Q

Retinal break / tear / detachment

A

Same day (phone ophthalmology)

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10
Q

Third nerve palsy

A

Same day (phone ophthalmology)

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11
Q

Superficial foreign body

A

GP / optom manage

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12
Q

Diabetes: preretinal haemorrhage / rubeosis

A

Same day (phone ophthalmology)

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13
Q

Diagnosed Holmes-Adie pupil

A

GP / optom manage

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14
Q

Unexplained gradual vision loss

A

Urgent (within 1 week)

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15
Q

Variable / non-specific / repeatable VF defect

A

Routine

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16
Q

Optic disc pits

A

Routine

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17
Q

Unilateral proptosis

A

Urgent (within 1 week)

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18
Q

Hordeolum / chalazion

A

GP / optom manage

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19
Q

Scleritis

A

Urgent (within 1 week)

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20
Q

CRAO >24hrs old

A

Urgent (within 1 week)

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21
Q

Conjunctivitis - ?VA

A

Routine

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22
Q

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

A

Same day (phone ophthalmology)

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23
Q

New macular hole

A

Urgent (within 1 week)

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24
Q

Optic disc haemorrhage

A

Routine

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25
Q

Glaucoma: acute red eye + high IOP

A

Same day (phone ophthalmology)

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26
Q

Retinitis

A

Urgent (within 1 week)

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27
Q

Flt (>3 months old, good VA)

A

GP / optom manage

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28
Q

Glaucoma: IOP >30mmHg

A

Urgent (within 1 week)

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29
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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30
Q

AMD: reduced VA and amsler distortion

A

Routine

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31
Q

Undiagnosed RP

A

Routine

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32
Q

AMD: stable VA and amsler

A

GP / optom manage

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33
Q

Diabetes: loss of vision / new vessels / maculopathy

A

Urgent (within 1 week)

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34
Q

Diagnosed episcleritis

A

GP / optom manage

35
Q

Maculopathy with stable VA

A

GP / optom manage

36
Q

Cataracts: symptomatic and wishing surgery

A

Routine

37
Q

Posterior vitreous detachment

A

GP / optom manage

38
Q

Diabetes: background DR

A

GP / optom manage

39
Q

Blunt ocular trauma

A

Urgent (within 1 week)

40
Q

Cataracts: symptomatic and not wishing surgery

A

GP / optom manage

41
Q

Existing macular hole

A

GP / optom manage

42
Q

Non-refractive strabismus / amblyopia (child)

A

Routine

43
Q

CRAO

A

Same day (phone ophthalmology)

44
Q

Episcleritis

A

Routine

45
Q

Microbial keratitis

A

Same day (phone ophthalmology)

46
Q

Acute onset diplopia

A

Urgent (within 1 week)

47
Q

Severe dry eye / blocked tear duct

A

Routine

48
Q

Conjunctivitis - unresolving

A

Routine

49
Q

Pterygium with effect on VA

A

Routine

50
Q

Vitreous haemorrhage

A

Same day (phone ophthalmology)

51
Q

Severe corneal foreign body / abrasion

A

Same day (phone ophthalmology)

52
Q

Diabetes: exudate a within 1DD of fovea

A

Urgent (within 1 week)

53
Q

Diagnosed dystrophy with good/stable VA

A

GP / optom manage

54
Q

Undiagnosed keratoconus

A

Routine

55
Q

Rubeosis with no sight

A

Routine

56
Q

Acute FL/Flt with tobacco dust

A

Urgent (within 1 week)

57
Q

Herpes zoster with ocular involvement

A

Same day (phone ophthalmology)

58
Q

Suspect temporal arthritis / GCA

A

Same day (phone ophthalmology)

59
Q

Melanoma

A

Urgent (within 1 week)

60
Q

Diabetes: exudates within 2DD of macula

A

Routine

61
Q

Conjunctivitis - bacterial / viral / allergic

A

GP / optom manage

62
Q

Chronic blepharitis

A

GP / optom manage

63
Q

MGD

A

GP / optom manage

64
Q

Iris melanoma

A

Routine

65
Q

Subconjunctival haemorrhage

A

GP / optom manage

66
Q

Herpes zoster with no ocular involvement

A

GP / optom manage

67
Q

Hyphaema / hypopyon

A

Same day (phone ophthalmology)

68
Q

Vitritis

A

Urgent (within 1 week)

69
Q

Horner syndrome

A

Urgent (within 1 week)

70
Q

Pinguecula / pterygium not affecting vision

A

GP / optom manage

71
Q

Diagnosed flat choroidal neavus

A

GP / optom manage

72
Q

Unexplained vision loss

A

Same day (phone ophthalmology)

78
Q

Amaurosis fugax

A

Urgent (within 1 week)

78
Q

Retinal haemorrhages (non-specific)

A

Routine

79
Q

Epiretinal membrane with stable VA

A

GP / optom manage

80
Q

Glaucoma: OHT with IOP>22mmHg

A

Urgent (within 1 week)

81
Q

Optic disc pallor (suspected compressive lesion)

A

Urgent (within 1 week)

81
Q

Corneal dystrophy with reduced VA

A

Routine

81
Q

New pupil defect

A

Routine

82
Q

CRVO

A

Urgent (within 1 week)

82
Q

Entropion/ ectropion/ acquired ptosis

A

Routine

82
Q

Persistent hordeolum/ chalazion

A

Routine

83
Q

Cholesterol emboli

A

GP / optom manage

84
Q

Chemical / penetrating injury

A

Same day (phone ophthalmology)