Lid lesions Referral Access Criteria
Lid lesions Referral Access Criteria
| Referrers should use this page when referring patients to public adult ophthalmology outpatient services for lid lesions. |
| 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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- Proven or suspected melanoma
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).
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- All suspicious or significantly symptomatic lesions
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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
- Relevant history, onset and duration of symptoms
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| Examination |
- 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 |
- Clinical diagram including size in mm
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| Investigations |
- Most recent optometrist or private ophthalmologist report
- Pathology result of lesion biopsy
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| Indicative clinical urgency category |
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Category 1
Appointment within 30 days
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Proven or suspected eyelid squamous cell carcinoma
- Proven or suspected eyelid basal cell carcinoma
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Category 2
Appointment within 90 days
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- No defined category 2 criteria
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Category 3
Appointment within 365 days
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Benign eyelid lesions affecting vision or causing functional deficit
- NB: minor cosmetic eyelid lesions should not be referred
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