Subspecialty |
Immediate phone advice |
Urgent email / Advice and guidance within 24h |
Glaucoma |
Symptoms / signs of AACG IOP >38mmHg |
IOP >30mmHg |
Retinal |
Macula-on, or recent (<24h) macula-off retinal detachment (symptomatic – recent shadow, reduced vision +/- floaters photopsia) Sudden loss of vision – presumed CRAO |
Acute loss of central vision / distortion –wet AMD suspected Significant recent onset floaters +/- photopsia Macula-off retinal detachment Vitreous haemorrhage Central retinal vein occlusion |
Adnexal / Lid |
Acute onset proptosis / Rapidly worsening TED Suspected orbital cellulitis |
Suspicious lid lesion – cancer suspected Periocular infection – eye unaffected, vision and eye movements unaffected – patient otherwise well |
General |
Pain and reduced vision within 2 weeks of eye injection / surgery Amaurosis fugax, with or without headache New onset headache with visual loss or diplopia |
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Neuro / Strabismus |
Acute onset of binocular diplopia Acute ptosis Acute Horners or dilated pupil |
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Ocular Oncology |
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Mass lesion, suspicious naevus – (if possible with images to nhs.net address) |
Cornea |
Corneal ulcer – pain, redness, loss of vision, hypopyon (please see separate advice re contact lens wear during pandemic) |
Abrasion – no sign of associated infection / clear cornea Dendritic ulcer |
Paediatrics |
Orbital / preseptal inflammation as above
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Reduced vision in one eye under 7y Reduced vision in both eyes |