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Referral Guidelines Referral Guidelines for GP's for the top five conditions causing impaired vision The guidelines below are to assist GPs to streamline their referrals and to help identify which patients to refer and when. Listed is information required in order to assist with triaging the referral and to provide better and more streamlined care for your patients. We have also provided some indications for alternate referral pathways to assist the hospital to address the needs of patients with more complex and acute needs. Age-Related Macular Degeneration (AMD) When To Refer blurred vision Amsler chart in centre of vision NB urgent referral (Within business hours) - (TO ED or local Ophthalmologist) for definite new symptoms of blur/distortion. Wet AMD is an emergency! Referral Pathways Local Optometrist For patients with Family History but no symptoms may be referred to a local optometrist for a macula check. Information To Include On The Referral Letter th pinhole) Amsler result Cataract When To Refer Referral Pathways Refer to: the Eye and Ear Hospital Eye Services, or interfere with working, private driving (night glare), Ophthalmologist reading or hobbies? when ready for surgery. interested in surgery? Information To Include On The Referral Letter vision is worse than 6/12 rfarin? HbA1c, (HbA1c should be <= 10%, if higher surgery may be postponed) Diabetes > eyeandear.org.au When To Refer Referral Pathways diabetes require screening for eye disease Local Optometrists For initial / standard screening for eye disease in patients with diabetes. Information To Include On The Referral Letter pe I or II months & previous 3 if available) diabetes is first diagnosed at least 2 yearly if baseline examination is normal. Triggers for immediate referrals: sudden control of previously high BSL diagnosis of chronic kidney disease other known diabetes complications Glaucoma Information To Include On The Referral Letter When To Refer Referral Pathways ocular pressure (IOP) / optic disc changes / visual field scotoma # Local Optometrist For patients at increased risk of glaucoma (eg Family History of glaucoma, long term users of (IOP), if available corticosteroids), GPs may refer patients to a local optometrist for screening and assessment. private ophthalmologist (FHx) of glaucoma # for any practitioner not confident/skilled at examining for disc changes, visual field changes or IOP please refer nonurgent patients to a local optometrist -Ocular Pressure Refractive error When To Refer Referral Pathways Once vision does not improve after refraction has been performed by local optometrist NB. Referrals for Local Optometrist For glasses check and patients with difficulty reading in the presbyopic age (4050) please refer to a Information To Include On The Referral Letter vision (with pinhole) > eyeandear.org.au refraction or eyeglasses are not accepted at the Eye and Ear local optometrist first. More information Download our referral guidelines and forms. Factsheets on what services optometrists can provide, optometrists scope of practice and how to find a local optometrist. Information on the Victorian College of Optometry and services they provide. Access the Eye and Ear’s Clinical Resources, including a printable version of the Amsler Chart. > eyeandear.org.au