Watery Eye

Availability

North South North West Statewide

Pre-referral work-up

History

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:

  • Uncomplicated paediatric nasolacrimal duct obstruction where infant less than one year of age as most spontaneously resolve

All referrals should comply to the Standard Referral guidelines and include in particular:

  • Duration, severity and triggers
  • History dacryocystitis
  • History of trauma or previous surgery
  • History of recent or current illness in adults
  • Lid malpositions
  • Paediatric:
    • Duration
    • Associated episodes of conjunctivitis or dacrocystitis
    • History allergies

Tests

Optometrist or ophthalmologist assessment if not emergency. Should include where possible:

  • Visual acuity and refraction
  • Slit-lamp examination findings
  • Schirmers tear test
  • Syringing of tear duct for an adult

Interim/GP management

To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.

Observe infant with uncomplicated early-onset nasolacrimal duct obstruction where infant less than one year of age as most spontaneously resolve.

For more information please see the Tasmanian Health Pathways website.

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

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.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment