Visual disturbance or loss (non-cataract)
North South North West Statewide
The following condition is not routinely seen at the RHH Eye Clinic and may be appropriately managed by the general practitioner, local ophthalmologist or optometrist:
- Asymptomatic Epiretinal Membrane (ERM – stable non-sight threatening retinal disease).
All referrals should comply to the Standard Referral guidelines and include in particular:
- History of visual loss: unilateral/bilateral, sudden/subacute/chronic
- History of associated headache
- History of any field loss or change
- History of red or painful eye or pain on eye movement
- Any history diplopia, ptosis or pupil changes
- Retinal detachment symptoms: flashes/floaters/visual field loss
- Neuro-ophthalmic disorders
- Comorbidities: hypertension, diabetes, heart disease, vascular disease, etc
- Family history of visual loss
- History of trauma
- Visual acuity with current distance glasses
- Confrontation visual fields:
- Red reflex: any white pupil reflex in children, asymmetric red reflex
- Pupil changes: any relative afferent pupil defect, anisocoria or pupillary light reflex abnormality
- Where available:
- Slit lamp examination
- Dilated exam: any significant retinal, vitreous or optic nerve pathology
- Slit lamp examination
To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.
For more information please see the Tasmanian Health Pathways website.
Emergency - ring on call Ophthalmic Registrar to discuss.
Sudden loss of or reduction in vision
Suspected optic neuritis
Suspected retinal detachment
Painful red eye . Ring on call Ophthalmic Registrar to discuss
Amarosis fugax. Ring on call Ophthalmic Registrar to discuss
Giant cell arteritis or other vascular disease
Sudden onset diplopia
Sudden onset ptosis
Suspected papilloedema or raised intracranial pressure
Sudden field loss associated with ocular signs or symptoms
Central retinal artery or vein occlusion
White pupil reflex in children
Urgent / category 1
Children with amblyogenic conditions under the age of 12
Full thickness macular hole
Branch retinal vein or artery occlusion.
Central serous retinopathy with Amsler grid changes
Suspected intraocular melanoma
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