GP's are
welcome to come and see PRK and LASIK being performed. If you are interested,
then contact me via one of the methods on the enquiries
page. Below is an aid for general ophthalmic
referrals:
OPHTHALMOLOGY IN GENERAL PRACTICE
When to refer and to whom
very urgent = within hours
urgent = within 1-2 days
semi-urgent = within 3-7 days
non-urgent =within weeks
Very urgent
 | Acute angle-closure glaucoma |
| Serious chemical burns |
| penetrating injury or suspected intraocular foreign body |
| Hypopyon |
| (Acute retinal artery occlusion) |
Urgent
| Dendritic ulcer |
| Acute Iritis |
| Suspected retinal detachment |
| Vitreous haemorrhage |
Semi -Urgent
| Herpes Zoster ophthalmicus |
| Proliferative diabetic retinopathy |
Non-urgent
| Most cases of suspected chronic glaucoma |
| Retinal vein occlusion |
| Meibobian cysts |
| Macular degeneration |
| Severe background diabetic retinopathy |
Do not refer
| Asymptomatic patients with early cataracts |
| Patients with cataracts who don’t want surgery |
| Chronic marginal blepharitis |
| Simple conjunctivitis |
| Recurrent subconjunctival haemorrhage |
| Hay fever |
| Simple corneal abrasions |
| Most cases of "recurrent corneal abrasion syndrome" |
| "Arc eye" |
| Marginal cysts |
| Pingueculae |
Refer to neurologist or general physician
| Patients with diplopia |
| Retinal TIA’s |
| Most patients with unequal pupils |
From "Ophthalmology: What shall I do?" by Jack Kanski
and Bev Daily. (Butterworths 1989). £8.95
