Allergic eye disease Referral Access Criteria

Referrers should use this page when referring patients to public adult ophthalmology outpatient services for allergic eye disease.
Emergency referral
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region.
  • Nil
Immediate referral
Orange exclamation mark in triangle: orange alertImmediately contact on-call registrar or service to arrange immediate ophthalmology assessment (seen within 7 days):
  • Contact lens keratitis, corneal ulcers – H/o contact lens wear with reduced vision or epithelial defect, trauma, pain
To contact the relevant service, see HealthPathways: Acute Ophthalmology Assessment (external site)
Presenting issues
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
  • Associated with reduced vision, pain, significant mucus, and inadequate response to first line treatments (e.g. topical antihistamines and/or mast cell stabilisers)
  • Chronic skin or ocular surface changes
Mandatory information
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test due to financial reasons or geographical location).

This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.

History
  •  Details of previous treatment and outcome
Examination
  • Details of skin or ocular surface
Investigations
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles 
Highly desirable
History
  • Nil            
Examination
  • Nil
Investigations
  • Most recent optometrist or private ophthalmologist report including:
    • Refraction
    • Impact of symptoms
    • Treatment to date
  • Assessment to determine corneal involvement
Indicative triage category

Category 1

Appointment within 30 days

  • Severe allergic eye disease with corneal involvement 

Category 2

Appointment within 90 days

  • Severe allergic eye disease without corneal involvement (thickened eyelids, stringy mucoid discharge, severe itch) 

Category 3

Appointment within 365 days

  • Mild allergic eye disease without corneal involvement that is non-responsive to first line treatments (e.g. topical anti-histamines or mast cell stabilisers) 
Exclusions
  • Nil
Useful information