Ophthalmology  |  Elective Services




Ophthalmology

Elective Services

Ophthalmology referrals are prioritised by Senior Medical Officers based on the information contained within. Additional information should be attached where available. 

For referral guidance, please see Referrals

Tauranga Eye Specialists Clinic and Day Stay Theatre, hold contracts with the Bay of Plenty Health Board to provide Ophthalmic Public Outpatient Appointments and Public Elective Surgery.

All accepted referrals will be seen within a maximum waiting time of 4 months, unless there is a clinical reason for delay.

Referral acceptance is a follows:

Frist Specialist Assessments

 

Waiting priority 1

Accepted

Waiting priority 2

Accepted

Waiting priority 3

Accepted

Waiting priority 4

Accepted

Waiting priority 4C

Declined


At First Specialist Assessment (FSA), patients are assessed by a specialist and if surgery is required, patients are then prioritised using the National Ophthalmology CPAC tool.  A 0-100 score is allocated to each patient.

Prior to acceptance for surgery, patients are assessed in Anaesthetic preassessment clinic to ensure they are fit for surgery.

All patients accepted for surgery will be treated within a maximum waiting time of 4 months, unless there is a clinical reason for delay.

Surgery acceptance is as follows:

Treatment List - new CPAC form for Cataracts only

 

CPAC 60+

Accepted

Treatment List - other Surgery

 

Waiting Priority 1            91 - 100 points

Accepted

Waiting priority 2            71 -   90 points

Accepted

Waiting priority 3            51 -   70 points

Accepted

Waiting priority 4            12 -   50 points

Accepted

Waiting priority               <   12 points

Declined

 

National Access Criteria for First Specialist Assessment (ACA)
Bay of Plenty Variation - November 2016 

Category

Criteria

Examples (not an exhaustive list)

1. Immediate

 

The referring practitioner will need
to phone the duty registrar or
Ophthalmologist to discuss the case
so that an appropriate appointment
can be made

  • Trauma not able to be treated conservatively
  • Surgical trauma to the lids, orbit, ocular structures
  • Penetrating eye injuries
  • Retained intraocular foreign bodies
  • Hyphaema
  • Chemical burns
  • Painful red eye with significant loss of vision
  • Corneal ulcer
  • Acute glaucoma
 
  • Sudden severe vision loss
  • Ischaemic ocular conditions
  • Eg temporal arteritis
 
  • Painful diplopia
 
  • Third nerve palsy

2. Urgent

 

 

As above – the referring practitioner
will need to discuss the case by phone
before an appropriate appointment
can be made

  • Sudden visual loss
  • Retinal detachment / haemorrhage
  • Vitreous Haemorrhage
  • Neurological conditions threatening permanent
    damage if treatment delayed
  • Disc Oedema
  • Other cranial nerve palsies
  • Acute field defects
  • Painful red eye with loss of vision
  • Iritis
  • Herpes Zoster/simplex
  • Traumatic conditions
  • Corneal foreign bodies
  • Orbital blowout fracture
  • Corneal abrasions
  • Blunt trauma
  • Infective conditions
  • Acute dacryocystitis
  • Unresponsive conjunctivitis
  • Paediatric conditions
  • Watering eye with cloudy cornea
  • White pupil

3. Semi Urgent

 

Diabetic conditions with loss of vision

Retinopathy

Neoplasms

Intraocular malignancy

Chronic impairment of visual function

Bilateral “hand movement” cataracts

Infective disease

Chronic dacrocystitis

4. Routine

 

4

  • Chronic impairment of visual function
  • Glaucoma suspects – high risk
  • Amblyogenic conditions
  • Strabismus
  • Refractive conditions in children
  • Lid Tumours
  • BCC’s and SCC’s
  • Moderately progressive diabetic conditions
  • Vision threatening retinopathy
  • Retinopathy in pregnancy
  • Misc conditions threatening permanent
    damage if treatment delayed
  • Entropion
  • Infective disease
  • Chronic dacrocystitis
  • Orbital disease
  • Proptosis – displacement of globe
  • Tyroid eye disease
  • Chronic impairment of vision
  • Cataracts and media opacities
  • ARM
  • Glaucoma suspects – low risk
  • Dry AMD
  • Significant pterygia and ptosis
  • Childhood cosmetic squint
  • Congenital epiphora
  • Refractive error with co-morbidity
  • Keratoconus
  • High Myopia

4C

  • Chronic non sight threatening conditions
  • Adult epiphora
  • Ectropian
  • Cosmetic abnormalities without other pathology
  • Adult refractive conditions without other pathology

 



Last updated : Friday, September 15, 2017
Next review date : Saturday, September 15,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.