North South North West Statewide
The following conditions are not routinely seen at the RHH Eye Clinic and may be appropriately managed by the general practitioner, local ophthalmologist or optometrist:
- Chalazion: trial of 3 months of conservative treatment (gentle heat and massage) prior to referral
- Chronic, non-severe blepharitis with no corneal or structural lid changes.
- Excessive upper eye lid skin not obscuring the line of sight
All referrals should comply to the Standard Referral guidelines and include in particular:
- Lid lesion: description including size, colour, stability, effect on vision and diagnosis if known
- Ectropian/entropian: associated ocular signs and symptoms such as pain, epiphora
- Excessive upper eye lid skin: obscuring the line of sight
- Ptosis: Unilateral or bilateral. Does it obscure the line of sight?
- Blepharitis: severe with corneal or structural lid changes
- Blepharospasm: Intermittent or constant. Bilateral or unilateral. Duration.
- Blepharitis: Referral if severe with corneal or structural lid changes.
- Optometrist or ophthalmologist report required if referral not urgent.
To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.
Chalazion: Trial of three months of conservative treatment (gentle heat and massage) prior to referral.
Ocular surface exposure or dry eye: Commence ocular lubricants.
Blepharitis: Commence lid care and lubricants. Consider course of oral doxycycline if unresponsive. Referral if severe with corneal or structural lid changes. Optometrist or ophthalmologist report required if referral not urgent.
For more information please see the Tasmanian Health Pathways website.
Emergency - ring on call Ophthalmic Registrar to discuss.
Sudden onset ptosis
Sudden inability to close eyelids/facial nerve palsy
Corneal ulceration associated with lid malpositions
Urgent / category 1
Lid lesions if increasing in size or changing colour
Corneal changes and/or ocular pain associated with lid malpositions
Ptosis in a child
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within ten days, or sooner if clinically indicated.
We will endeavour to see these patients within 12 weeks
Next available appointment