Ophthalmology Community Care

The following conditions are not routinely seen at the Royal Hobart Hospital Eye Clinic and may be appropriately managed by the general practitioner or a local ophthalmologist or optometrist until they reach the clinical thresholds identified in these the Ophthalmology referral guidelines.

Age Related Macular Degeneration (AMD)

  • asymptomatic but at risk of familial AMD
  • retinal pigment epithelial changes (previously called dry AMD) and or drusen with no change in Amsler grid

Cataracts

  • Early or mild
  • Best corrected visual acuity ≥ 6/9 that is asymptomatic
  • Best corrected visual acuity of 6/9 or worse accepted if patient a professional driver

Diabetes

  • Asymptomatic patients
  • Diabetic retinopathy screening in newly diagnosed patients
  • Minimal non-proliferative (background) diabetic retinopathy

Eye Infections/Inflammations

  • Chronic, not severe blepharitis with no corneal or structural lid changes
  • Itchy or burning eyes
  • Recent occurrence of chalazion – should trial heat and gentle massage for three months
  • Conjunctivitis with no other signs or symptoms and no reduction in visual acuity
  • Asymptomatic pterygium
  • Long standing dry eyes with no corneal changes

Glaucoma

  • Asymptomatic patient with family history and no other risk factors

Excess upper eyelid skin

  • Not obscuring line of sight

Refraction

  • Glasses check
  • Refractive laser surgery

Headaches

  • Headache when reading
  • Migraine with no ophthalmic symptoms
  • Tension headache with no ophthalmic symptoms

Retinal

  • Asymptomatic epiretinal membrane (ERM): stable, asymptomatic non-vision threatening retinal disease
  • Floaters: longstanding with no other symptoms