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Chalazion/meibomian cyst Referral Access Criteria

Chalazion/meibomian cyst Referral Access Criteria

Referrers should use this page when referring patients to public adult ophthalmology outpatient services for chalazions/meibomian cysts.
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):
  • Nil
To contact the relevant service, see Clinician Assist WA: Acute Ophthalmology Assessment (external site)
Clinical indications for outpatient referral
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
  • Refractory symptoms despite primary care management in the first instance (e.g. hot compress and massage)
  • Persistent or recurrent lesion
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 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.
History
  • Details of previous treatment and outcome
  • Relevant history, onset, duration and symptoms of chalazion/meibomian cyst, including:
    • Pain
    • Interference with vision             
Examination
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles 
Investigations
  • Nil
Highly desirable
History
  • Duration of chalazion
  • Details of symptoms, pain, interference with vision
  • Medical management and efficacy
Examination
  • Nil
Investigations
  • Nil
Indicative clinical urgency category

Category 1

Appointment within 30 days

  • No defined category 1 criteria

Category 2

Appointment within 90 days

  • No defined category 2 criteria

Category 3

Appointment within 365 days

  • Failed maximal medical management of inflammatory eyelid mass (chalazion)
Exclusions
  • Nil
Useful information

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