Age related macular degeneration Referral Access Criteria
Age related macular degeneration Referral Access Criteria
Referrers should use this page when referring patients to public adult ophthalmology outpatient services for age-related macular degeneration. |
Emergency referral |
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region. |
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Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
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- New onset of reduced central vision and / or distortion due to neovascular (wet) age-related macular degeneration (AMD)
- Sudden drop in central vision or worsening distortion
- Significant progression of dry AMD
- NB: Dry AMD is not routinely seen unless practitioner is concerned about recent significant progression
- Acute onset distortion
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Mandatory information |
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason).
This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
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History |
- Details of previous treatment and outcome
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Examination |
- Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
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Investigations |
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Highly desirable |
History |
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Examination |
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Investigations |
- Most recent optometrist or private ophthalmologist report including:
- Visual acuity
- Refraction
- Retinal examination
- Impact of symptoms
- Optical coherence tomography (OCT)
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Indicative clinical urgency category |
Category 1
Appointment within 30 days
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- New onset of reduced central vision and/or distortion due to wet AMD
- Referral to continue treatment of wet AMD
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Category 2
Appointment within 90 days
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Significant progression of dry AMD
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Category 3
Appointment within 365 days
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- No defined category 3 criteria
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