Retinal vein occlusion Referral Access Criteria
Retinal vein occlusion Referral Access Criteria
| Referrers should use this page when referring patients to public adult ophthalmology outpatient services for retinal vein occlusion. |
| 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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- All central retinal vein occlusions
- Branch retinal vein occlusion with recent decrease in vision
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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- Painless blurring or loss of vision in eye progressively worsening
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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 |
- Relevant history, onset and duration of symptoms
- Details of previous treatment and outcome
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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 |
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| Investigations |
- Most recent optometrist or private ophthalmologist report including:
- Refraction
- Impact of symptoms
- Intraocular pressure (IOP)
- Cholesterol
- FBC
- LFTs
- Lipids
- BGL
- Thrombophilia screen in <55 or known thrombotic disorders
- BP
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| Indicative clinical urgency category |
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Category 1
Appointment within 30 days
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- No defined category 1 criteria
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Category 2
Appointment within 90 days
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Branch retinal vein occlusion without recent decrease in vision
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Category 3
Appointment within 365 days
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- No defined category 3 criteria
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