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