Progressive corneal disease (including Fuch’s dystrophy and keratoconus) Referral Access Criteria
Progressive corneal disease (including Fuch’s dystrophy and keratoconus) Referral Access Criteria
Referrers should use this page when referring patients to public adult ophthalmology services for progressive corneal disease (including Fuch's dystrophy and keratoconus). |
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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- Blurred vision, discomfort
- Previously diagnosed Fuch’s dystrophy
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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:
- Refraction
- Impact of symptoms
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Indicative clinical urgency category |
Category 1
Appointment within 30 days
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Fuch’s Endothelial dystrophy and corneal decompensation with bullae
- Keratoconus with hydrops
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Category 2
Appointment within 90 days
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Fuch’s Endothelial dystrophy and BCVA worse than 6/36
- Keratoconus with signs of progression
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Category 3
Appointment within 365 days
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- Fuch’s Endothelial dystrophy and BCVA worse than 6/12
- Keratoconus with stable findings
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