When to Refer to the Ophthalmology Department

WHEN TO REFER TO THE OPHTHALMOLOGY DEPARTMENT TEL Acute 01234 792643 OR routine 01234 792290. FAX 01234 795914

IMMEDIATE WITHIN 24 HOURS WITHIN ONE-TWO WEEKS NOT EMERGENCIES Between 9-5 contact Eye Clinic. Contact Eye Clinic Fax referral letter with patient Refer routinely or if not From 5 pm – Ophthalmologist on 01234 792643 contact details to 01234 795914 responding to treatment call, L&D Hospital

 Possible acute glaucoma Lid lacerations  Severe conjunctivitis  Ectropion/entropion  Chemical burn* (check PH & Orbital fractures – (Consider A/E unresponsive to treatment  Blepharitis irrigate 1st) first)  Acute contact lens problem  Chalazion  Corneal laceration/ocular Acute dacryocystitis  Episcleritis/Scleritis  Watery eye perforation (obtain X-ray) Corneal abrasion/ocular surface  Herpes simplex  Allergic conjunctivitis  Intra ocular FB (obtain x-ray) foreign body  Herpes zoster ophthalmicus with  Mild – moderate conjunctivitis  Severe blunt trauma Neonatal conjunctivitis eye involvement  Pterygium  Hypopyon (pus in anterior Acute corneal graft problems  Non-severe iritis  Chronic red eye chamber ) Corneal ulcer  Bells palsy with painful red eye  Dry eyes  Orbital Cellulitis  Hyphaema (blood in AC)  Acute distortion in  Non-proliferative diabetic  Central retinal artery occlusion Severe iritis vision/scotoma – possible wet retinopathy (less than 4 hours onset) Retinal detachment/tear AMD  Retinal vein occlusions  Giant cell arteritis with visual Non-diabetic vitreous  Diabetic vitreous haemorrhage  Floaters with good disturbance haemorrhage  Proliferative diabetic retinopathy vision/normal retina  Sudden explained severe visual Acute III nerve palsy with  New floaters & flashes with mild  Non-acute glaucoma loss of < 12 hours pain/acute painful double vision reduction vision  Non-acute eye conditions  Painful eye/sudden drop in vision  Severe eye pain  Papilloedema <2 months post intra-ocular surgery  Endophthalmitis