Allergic eye disease Referral Access Criteria
Allergic eye disease Referral Access Criteria
| Referrers should use this page when referring patients to public adult ophthalmology outpatient services for allergic eye disease. |
| 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. |
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| Immediate referral |
 Immediately contact on-call registrar or service to arrange immediate ophthalmology assessment (seen within 7 days):
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- Contact lens keratitis, corneal ulcers – H/o contact lens wear with reduced vision or epithelial defect, trauma, pain
To contact the relevant service, see Clinician Assist WA: Acute Ophthalmology Assessment (external site)
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| Clinical indications for outpatient referral |
| If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS). |
- Associated with reduced vision, pain, significant mucus, and inadequate response to first line treatments (e.g. topical antihistamines and/or mast cell stabilisers)
- Chronic skin or ocular surface changes
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| Mandatory information |
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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 in regional or remote areas or due to financial reason).
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.
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| History |
- Details of previous treatment and outcome
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| Examination |
- Details of skin or ocular surface
- Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
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| Investigations |
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| Highly desirable |
| History |
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| Examination |
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| Investigations |
- Most recent optometrist or private ophthalmologist report including:
- Refraction
- Impact of symptoms
- Treatment to date
- Assessment to determine corneal involvement
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| Indicative clinical urgency category |
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Category 1
Appointment within 30 days
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Severe allergic eye disease with corneal involvement
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Category 2
Appointment within 90 days
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Severe allergic eye disease without corneal involvement (thickened eyelids, stringy mucoid discharge, severe itch)
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Category 3
Appointment within 365 days
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Mild allergic eye disease without corneal involvement that is non-responsive to first line treatments (e.g. topical anti-histamines or mast cell stabilisers)
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