Allergic eye disease – Adult

Emergency and immediate referrals

Referral to Emergency

  • Nil

Immediate Referral (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, please refer to HealthPathways Acute Ophthalmology Assessment (seen within 7 days).

Presenting symptoms
  • 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 referral information (referral will be returned if this information is not included)
  • Details and duration of treatments
  • Details of skin or ocular surface
  • Most recent optometrist or private ophthalmologist report including:
    • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
    • Refraction
    • Impact of symptoms
    • Treatment to date
  • If unable to attach reports please include relevant information/results in the referral
  • Referrer to state reason if not able to include in referral
Note: This information is required to triage accurately, within a clinically suitable timeframe 
Highly desirable referral information
  • Other relevant optometrist or ophthalmologist reports/results if available and where providing it will not delay care:
  • Assessment to determine corneal involvement
Indicative triage category
Indicative triage category
Cat 1
Appointment within 30 days
  • Severe allergic eye disease with corneal involvement
Cat 2
Appointment within 90 days
  • Severe allergic eye disease without corneal involvement (thickened eyelids, stringy mucoid discharge, severe itch)
Cat 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)
Excluded ophthalmology services

Referral to public ophthalmology outpatient services is not routinely accepted for the following conditions:

Condition Details (where applicable)
Longstanding itchy eyes
Chronic red eye No associated vision loss
Self-limiting and uncomplicated conjunctivitis  
Useful Information for referring practitioners

More information

Email: DOHSpecialistRAC@health.wa.gov.au