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Posterior capsular opacity Referral Access Criteria

Posterior capsular opacity Referral Access Criteria

Referrers should use this page when referring patients to public adult ophthalmology outpatient services for posterior capsular opacity.
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).
  • Blurry or hazy vision and glare from lights post cataract surgery
  • Posterior capsular opacity diagnosed by optometrist
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
  • History of cataract surgery, including when and where
  • Relevant history, onset and duration of symptoms
  • Details of previous treatment and outcome
Examination
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
Investigations
  • Nil  
Highly desirable
History
  • Nil            
Examination
  • Nil
Investigations
  • Most recent optometrist or private ophthalmologist report including:
    • Refraction
    • Impact of symptoms
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

  • Documented posterior capsular opacity and significant impact on ADL 
Exclusions
  • Nil
Useful information

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