Progressive corneal disease (including Fuch’s dystrophy and keratoconus) – Adult

Emergency and immediate referrals

Referral to Emergency:

  • Nil

Immediate referral:

  • Nil
Presenting symptoms
  • Blurred vision, discomfort
  • Previously diagnosed Fuch’s dystrophy 
Mandatory referral information (referral will be returned if this information is not included)
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
  • Details and duration of treatment

If unable to attach reports, please include relevant information/results in the referral

Referrer to state reason if not able to include mandatory referral information in referral (e.g. patient unable to access test due to geographical location or financial cost)

Highly desirable referral information
  • Most recent optometrist or private ophthalmologist report including:
    • Refraction
    • Impact of symptoms
Indicative triage category
Indicative triage category
Category 1
Appointment within 30 days
  • Fuch’s endothelial dystrophy and corneal decompensation with bullae
  • Keratoconus with hydrops 
Category 2
Appointment within 90 days
  • Fuch’s endothelial dystrophy and BCVA worse than 6/36
  • Keratoconus with signs of progression  
Category 3
Appointment within 365 days
  • Fuch’s endothelial dystrophy and BCVA worse than 6/12
  • Keratoconus with stable findings  
Useful Information for referring practitioners