Thyroid associated orbitopathy – Adult
Thyroid associated orbitopathy – Adult
Emergency and immediate referrals
Referral to Emergency Department:
- Ophthalmology conditions associated with sudden onset neurological signs and/or symptoms – diplopia or vision loss with other neurology signs or symptoms, cranial nerve palsies, optic neuropathies, papilledema
To contact the relevant service, please refer to HealthPathways Ophthalmology Advice (external site). Otherwise, please refer the patient to the emergency department (via ambulance if necessary) or seek urgent medical advice if in a remote region.
Immediately 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 |
- Proptosis, irritation, conjunctival irritation, swelling eyelids, double vision
|
| Mandatory referral information (referral will be returned if this information is not included) |
Detail of patient’s thyroid disorder
- Duration of symptoms
- Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
- Details, duration and response to treatment/s to date
|
| Highly desirable referral information |
-
Any relevant/previous investigations or imaging
|
Indicative triage category
| Indicative triage category |
Cat 1
Appointment within 30 days |
- Suspected compressive optic neuropathy
- Failing vision
|
Cat 2
Appointment within 90 days |
-
Recent onset double vision
|
Cat 3
Appointment within 365 days |
- Any patient with suspected thyroid eye disease
|
More information
Email: DOHSpecialistRAC@health.wa.gov.au