Age Related Macular Degeneration

Availability

North South North West Statewide

Pre-referral work-up

History

The following conditions are not routinely seen at the RHH Eye Clinic and may be appropriately managed by the general practitioner, local ophthalmologist or optometrist:

  • Family history AMD but asymptomatic
  • Retinal Pigment Epithelial changes (previously called dry AMD) and or drusen with no change in Amsler grid

All referrals should comply to the Standard Referral guidelines and include in particular:

  • Timing and pattern of vision loss or distortion
  • Diagnosis of age-related macular degeneration

Tests

All non-emergency referrals need an ophthalmologist or optometrist report including:

  • Best corrected visual acuity
  • Dilated fundus examination
  • Macular OCT where available

Interim/GP management

To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.

Emergency

Sudden loss of vision. Ring on call Ophthalmic Registrar to discuss.

Urgent / category 1

  Recent reduction in vision or onset of metamorphopsia

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6173 0489

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within ten days, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment