Referrals Flashcards
1
Q
What needs URGENT referral?
A
- Wet ARMD or suspect wet ARMD
- Vascular causes with sudden loss of vision (RAO/RVO/hypertensive retinopathy)
- Any secondary CNV
2
Q
What needs ROUTINE referral?
A
- Dry ARMD – if vision is affected
- Diabetic retinopathy/maculopathy that fit the Diabetic Retinal Screening referral criteria – if px is attending the screening service already, don’t need to refer them again
- Central Serous Retinopathy – non-resolving
- ERM only if vision affected
- Hereditary dystrophies
- Drug toxicities
3
Q
What should you NOT refer?
A
- Asymptomatic ERM/VMT/Dry ARMD – monitor
o If develop any symptoms px should come back and then can refer - Diabetic maculopathy (M2 from DRS) with VA >6/7.5 – make sure px is attending the screening service, may need to write to GP to ensure px is in service
- Pxs already in system/active treatment – if px comes in with new issue then can send letter/phone call to hospital to give update – highlight that it is just for information and not a new referral
- Pxs already registered blind & discharged – unless really significant change in ocular status – consider Low Visual Aid clinic referral if necessary – not much more hospital can do
- Pxs who don’t want to come – can write letter to GP – “this px has ‘x’, we have suggested referral to hospital but px is not willing to go” <– highlighted issue but not wasted a referral
