Bedfordshire Loc



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WHEN TO REFER TO THE OPHTHALMOLOGY DEPARTMENT

TEL Acute 01234 792643 OR routine 01234 792290. FAX 01234 795914

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|IMMEDIATE | |WITHIN 24 HOURS | |WITHIN ONE-TWO WEEKS | |NOT EMERGENCIES |

|Between 9-5 contact Eye Clinic. | |Contact Eye Clinic | |Fax referral letter with patient contact details to | |Refer routinely or if not responding to treatment |

|From 5 pm – Ophthalmologist on call, L&D Hospital | |01234 792643 | |01234 795914 | | |

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|Possible acute glaucoma | |Lid lacerations | |Severe conjunctivitis unresponsive to treatment | |Ectropion/entropion |

|Chemical burn* (check PH & irrigate 1st) | |Orbital fractures – (Consider A/E first) | |Acute contact lens problem | |Blepharitis |

|Corneal laceration/ocular perforation (obtain X-ray) | |Acute dacryocystitis | |Episcleritis/Scleritis | |Chalazion |

|Intra ocular FB (obtain x-ray) | |Corneal abrasion/ocular surface foreign body | |Herpes simplex | |Watery eye |

|Severe blunt trauma | |Neonatal conjunctivitis | |Herpes zoster ophthalmicus with eye involvement | |Allergic conjunctivitis |

|Hypopyon (pus in anterior chamber ) | |Acute corneal graft problems | |Non-severe iritis | |Mild – moderate conjunctivitis |

|Orbital Cellulitis | |Corneal ulcer | |Bells palsy with painful red eye | |Pterygium |

|Central retinal artery occlusion (less than 4 hours | |Hyphaema (blood in AC) | |Acute distortion in vision/scotoma – possible wet AMD | |Chronic red eye |

|onset) | |Severe iritis | |Diabetic vitreous haemorrhage | |Dry eyes |

|Giant cell arteritis with visual disturbance | |Retinal detachment/tear | |Proliferative diabetic retinopathy | |Non-proliferative diabetic retinopathy |

|Sudden explained severe visual loss of < 12 hours | |Non-diabetic vitreous haemorrhage | |New floaters & flashes with mild reduction vision | |Retinal vein occlusions |

|Painful eye/sudden drop in vision ................
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