We have had to update the ophthalmology guidelines as there are increasing referral numbers being received beyond easy capability of the service that we are obliged to provide. We would appreciate it if you would consider whether optometry services would be able to solve the clinical problem you have in each case. With thanks.
1. Cataracts - only if:
a) Binocular best corrected visual acuity is 6/12 or worse. OR
b) Best corrected visual acuity in worse eye is less than 6/36.
2. Children up to 8:
If vision is 6/12 or worse in WORSE eye (corrected or uncorrected).
3. Hydroxychloroquine monitoring
Review in five years and yearly thereafter.
1. Pterygia unless there is significant corneal encroachment - to more than 3mm from edge of cornea OR atypical.
2. Childhood epiphora without infection in first nine months.
3. Children older than 5 years with poor vision - refer to optometrist first.
4. Meibomian (tarsal) cysts in the first 2 months UNLESS atypical.
5. Adult refractions.
6. Glaucoma screening.
7. ACC cases - these are seen privately at Park Eye Clinic.
8. Uncomplicated Ectropion / Ptosis / Eye lid Malposition.
Mike O'Rourke - Mark Saunders - Sam Kain
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