Glaucoma

Availability

North South North West Statewide

Pre-referral work-up

History

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

  • Acute angle closure glaucoma:
    • Painful/ red eye
    • Hard, tender eye
    • Photophobia
    • Partly opaque cornea
    • Reduction in vision
    • Mid-dilated, unresponsive pupil
    • Nausea and vomiting
  • History of glaucoma
  • Significant raised intraocular pressure
  • Visual field changes
  • Cupped discs
  • Known glaucoma with evidence of progression
  • Advanced glaucoma/uncontrolled glaucoma/end stage glaucoma
  • Narrow angles

Tests

  • All non-emergency referrals require an optometrist report including where possible:
    • Visual acuity
    • Refraction
    • Intraocular pressure measurement (IOP)
    • Gonioscopy
    • Visual field and disc assessment
    • OCT of retinal nerve fibre layer
    • Central corneal thickness

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

Acute angle closure glaucoma (severe, acute onset ocular pain with a fixed, mid-dilated pupil and often associated nausea and vomiting). Ring on call Ophthalmic Registrar to discuss.

Urgent / category 1

IOP ≥ 26

Significant visual field defects

Critically narrow angle

Advanced or uncontrolled glaucoma

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