North South North West Statewide
All referrals should comply with the Standard Referral guidelines and include in particular:
- Acute angle closure glaucoma:
- Painful/ red eye
- Hard, tender eye
- Partly opaque cornea
- Reduction in vision
- Mid-dilated, unresponsive pupil
- Nausea and vomiting
- History of glaucoma
- Significant raised intraocular pressure
- Visual field changes
- Cupped discs
- Known glaucoma with evidence of progression
- Advanced glaucoma/uncontrolled glaucoma/end stage glaucoma
- Narrow angles
- All non-emergency referrals require an optometrist report including where possible:
- Visual acuity
- Intraocular pressure measurement (IOP)
- Visual field and disc assessment
- OCT of retinal nerve fibre layer
- Central corneal thickness
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.
Acute angle closure glaucoma (severe, acute onset ocular pain with a fixed, mid-dilated pupil and often associated nausea and vomiting). Ring on call Ophthalmic Registrar to discuss.
Urgent / category 1
IOP ≥ 26
Significant visual field defects
Critically narrow angle
Advanced or uncontrolled glaucoma
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