Table 1. Referral Numbers by Category National Referral Guidelines 2000 – Number of Examples (Not exhaustive list) Category Criteria Referrals in past month 1. Immediate 52 • • Trauma not able to be treated Surgical trauma to the lids, orbit, conservatively ocular structures. Penetrating eye • injuries Retained intraocular • foreign bodies Hyphaema • • Chemical burns Corneal ulcer Acute glaucoma • • Painful red eye with significant 164 • loss of vision Ischaemic ocular conditions 113 • Sudden severe vision loss • eg.temporal arteritis 18 Third nerve palsy • Painful diplopia • PERCENTAGE TO PUBLIC SYSTEM 65% REFERRED 198 2. Urgent • • Sudden visual loss Retinal detachment /haemorrhage Vitreous Haemorrhage • 95 Neurological conditions Disc Oedema Other cranial • • • threatening permanent damage if nerve palsies Acute field defects • treatment delayed 127 Retinopathy • Diabetic conditions with loss of • vision
Table 1. Referral Numbers by Category – National Referral Guidelines 2000 Category Criteria Examples (Not exhaustive list) Number of Referrals in past month 1. Immediate • Trauma not able to be treated conservatively • Painful red eye with significant loss of vision • Sudden severe vision loss • Painful diplopia • Surgical trauma to the lids, orbit, ocular structures. • Penetrating eye injuries • Retained intraocular foreign bodies • Hyphaema • Chemical burns • Corneal ulcer • Acute glaucoma • Ischaemic ocular conditions eg.temporal arteritis • Third nerve palsy 52 164 113 18 PERCENTAGE REFERRED TO PUBLIC SYSTEM 65% 2. Urgent • Sudden visual loss • Neurological conditions threatening permanent damage if treatment delayed • Diabetic conditions with loss of vision • Retinal detachment /haemorrhage • Vitreous Haemorrhage • Disc Oedema • Other cranial nerve palsies • Acute field defects • Retinopathy 198 95 127
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