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)
  • Details and duration of treatment
  • Most recent optometrist or private ophthalmologist report including:
    • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
    • Refraction
    • Impact of symptoms
    • 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
Indicative triage category
Indicative triage category
Cat 1
Appointment within 30 days
  • Fuch’s endothelial dystrophy and corneal decompensation with bullae
  • Keratoconus with hydrops 
Cat 2
Appointment within 90 days
  • Fuch’s endothelial dystrophy and BCVA worse than 6/36
  • Keratoconus with signs of progression  
Cat 3
Appointment within 365 days
  • Fuch’s endothelial dystrophy and BCVA worse than 6/12
  • Keratoconus with stable findings  
Useful Information for referring practitioners

More information

Email: DOHSpecialistRAC@health.wa.gov.au