Eye Infections / Inflammations
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:
- Chronic non-severe blepharitis with no corneal or structural lid changes.
- Chronic dry eye controlled with ocular lubricants.
All referrals should comply to the Standard Referrals guidelines and include in particular:
- Duration of condition
- Unilateral or bilateral
- History of allergic/viral/bacterial conjunctivitis with/out discharge
- History of contact lens use especially with ulceration
- History of photophobia or pain
- History of lid swelling or exophthalmos
- History of rash especially vesicular
- History of connective tissue disorders
- History of foreign body or foreign body sensation
- Pupil size and reaction to light
- Bacterial or viral swab where appropriate
- Fluoroscein staining for ulceration
To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.
Suspected sub tarsal foreign body: Evert upper lid and remove with cotton bud and check for corneal damage with fluorescein. Refer if unable to remove or if corneal ulceration.
Allergic conjunctivitis: Cessation of allergen. Commence conservative treatment such as lubricants, mast cell stabilisers and/or topical antihistamine. Refer immediately if reduced vision.
Bacterial conjunctivitis: Commence appropriate broad spectrum topical antibiotic for four days. Refer if unresponsive after 4 days or immediately if reduced vision.
Dry eye: Commence regular ocular lubricants. Refer if painful and unresponsive to treatment after 2 weeks. Refer immediately if corneal ulceration or reduced vision.
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.
Herpes simplex dendritic ulcer: Commence appropriate topical antiviral. Refer immediately.
For more information please see the Tasmanian Health Pathways website.
Emergency - ring on call Ophthalmic Registrar to discuss.
Painful red eye
Red eye or discharging eye with reduced vision
Preseptal and orbital cellulitis
Suspected herpes simplex or herpes zoster ophthalmicus
Ulcerated, hazy or enlarged cornea
Suspected acute angle closure glaucoma.
Painful red eye with non-responsive mid-dilated pupil
Urgent / category 1
Bacterial conjunctivitis unresponsive to 4 days of broad spectrum topical antibiotics
Drug allergy persisting after removal of allergen
Suspected vernal catarrh (a form of allergic conjunctivitis in a younger age group) with severe itch, stringy mucoid discharge and marked conjunctival thickening/cobblestone appearance
Routine / category 3
Allergic eye disease with no loss of vision
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