Lid lesions Referral Access Criteria

Referrers should use this page when referring patients to public adult ophthalmology outpatient services for lid lesions.
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):
  • Proven or suspected melanoma
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).
  • All suspicious or significantly symptomatic lesions             
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
  • Relevant history, onset and duration of symptoms             
Examination
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles 
Investigations
  • Nil
Highly desirable
History
  • Nil             
Examination
  • Clinical diagram including size in mm
Investigations
  • Most recent optometrist or private ophthalmologist report
  • Pathology result of lesion biopsy
Indicative triage category

Category 1

Appointment within 30 days

  • Proven or suspected eyelid squamous cell carcinoma
  • Proven or suspected eyelid basal cell carcinoma             

Category 2

Appointment within 90 days

  • No defined category 2 criteria           

Category 3

Appointment within 365 days

  • Benign eyelid lesions affecting vision or causing functional deficit
    • NB: minor cosmetic eyelid lesions should not be referred
Exclusions
  • Nil
Useful information

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