Ophthalmology Community Care

From April – August 2022, the Department will contact patients waiting for an outpatient clinic appointment via SMS, with a link to an electronic form. This forms part of a routine audit to ensure patient details are up to date. If you receive this SMS, please update your details.

The following conditions are not routinely seen at the Royal Hobart Hospital Eye Clinic and may be appropriately managed by the general practitioner or a local ophthalmologist or optometrist until they reach the clinical thresholds identified in these the Ophthalmology referral guidelines.

Age Related Macular Degeneration (AMD)

  • asymptomatic but at risk of familial AMD
  • retinal pigment epithelial changes (previously called dry AMD) and or drusen with no change in Amsler grid

Cataracts

  • Early or mild
  • Best corrected visual acuity ≥ 6/9 that is asymptomatic
  • Best corrected visual acuity of 6/9 or worse accepted if patient a professional driver

Diabetes

  • Asymptomatic patients
  • Diabetic retinopathy screening in newly diagnosed patients
  • Minimal non-proliferative (background) diabetic retinopathy

Eye Infections/Inflammations

  • Chronic, not severe blepharitis with no corneal or structural lid changes
  • Itchy or burning eyes
  • Recent occurrence of chalazion – should trial heat and gentle massage for three months
  • Conjunctivitis with no other signs or symptoms and no reduction in visual acuity
  • Asymptomatic pterygium
  • Long standing dry eyes with no corneal changes

Glaucoma

  • Asymptomatic patient with family history and no other risk factors

Excess upper eyelid skin

  • Not obscuring line of sight

Refraction

  • Glasses check
  • Refractive laser surgery

Headaches

  • Headache when reading
  • Migraine with no ophthalmic symptoms
  • Tension headache with no ophthalmic symptoms

Retinal

  • Asymptomatic epiretinal membrane (ERM): stable, asymptomatic non-vision threatening retinal disease
  • Floaters: longstanding with no other symptoms