Diabetic retinopathy / diabetic eye disease – Adult
Diabetic retinopathy / diabetic eye disease – Adult
Presenting symptoms |
- Proliferative diabetic retinopathy (PDR)
- Assessment of severe non-proliferative diabetic retinopathy threatening vision
- Macular oedema
- Vitreous haemorrhage in a person with diabetes
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Mandatory referral information (referral will be returned if this information is not included) |
- Date diagnosed/duration (or estimated if unknown)
- Diabetes type, duration and HbA1c
- Details and duration of treatments
- Most recent optometrist or private ophthalmologist report including:
- Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
- Refraction
- Retinal assessment
- 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:
- Optical coherence tomography (OCT) results
- Blood pressure
- Fasting blood glucose results
- Previous eye treatment e.g. retinal laser
- Fasting lipids results
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Indicative triage category
Indicative triage category |
Cat 1
Appointment within 30 days |
Diagnosis of diabetes and any of the following:
- proliferative diabetic retinopathy (PDR)
- vitreous haemorrhage
- severe nonproliferative diabetic retinopathy (NPDR)
- assessment of diabetic retinopathy in pregnancy
- centre involving diabetic macular oedema (Definition: thickening within 500 microns of the foveal centre associated with microaneurysms, haemorrhages or hard exudates)
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Cat 2
Appointment within 90 days |
Diagnosis of diabetes and any of the following:
- moderate NPDR
- non-centre involving diabetic macular oedema (Definition: thickening within 2-disc diameters (but not within 500 microns) of the foveal centre associated with microaneurysms, haemorrhages or hard exudates).
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Cat 3
Appointment within 365 days |
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Excluded ophthalmology services
Referral to public ophthalmology outpatient services is not routinely accepted for the following conditions:
Condition |
Details (where applicable) |
Routine screening or mild non-proliferative diabetic retinopathy |
- Except those without a primary photo screening or local optometrist service
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Useful Information for referring practitioners
More information
Email: DOHSpecialistRAC@health.wa.gov.au