Emergency referral (within 24 hours)


A table of referral guidelines for Optometrists for Emergency ocular conditions (within 24 hours).

Ocular Conditions

Where to refer to?

Estimated Referral time

Retinal Detachment with sudden onset symptoms (flashes/floaters)

HES

Immediate

Central retinal artery occlusion

less than 24 hours from onset

HES

Immediate

Unexplained sudden loss of vision

HES

Immediate

Sudden severe ocular pain/ chemical/penetrating injuries

HES

Immediate

Sight threatening keratitis

HES

Immediate

Suspected temporal arteritis

HES

Immediate

Pappiloedema

HES

Immediate

Orbital Cellulitis

HES

Immediate

IOP above 45mmHg

HES

Immediate

Acute Angle closure glaucoma

HES

Immediate

Endophthalmitis

HES

Immediate

Central retinal artery occlusion over 24 hours from onset /BRVO with no macula involvement

HES

Within 24 hours

Acute Uveitis/Scleritis (especially if first occurence)

HES

Within 24 hours

New age-related macular degeneration with suspected neovascularisation (WET)

HES

Within 24 hours