​​​​Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergency medical advice via phone to on-call consultant/registrar:

  • sudden onset strabismus (squint) with diplopia
  • suspicion of nerve palsy with other cranial nerve and/or neurological signs
  • abnormal red reflex or lack of visual response.

Criteria to access public outpatient services

CategoryCriteria
Category 1
Recommended to be seen within 30 calendar days.
  • Recent (up to 3 months in duration) or acute onset of strabismus (squint).
  • Aged < 1 year with constant strabismus.
Category 2
Recommended to be seen within 90 calendar days.
  • Strabismus with systemic disease or developmental delay.
  • Aged < 8 years with one or more of the following:
    • strabismus with visual asymmetry
    • reduced or loss of binocular vision
    • asymmetrical visual acuity.
Category 3
Recommended to be seen within 365 calendar days.

Aged > 8 years with strabismus.

Information to include within a referral

Required

  • Acute or longstanding onset (duration).
  • Patient seen or not seen by another eye health professional (optometrist, orthoptist or ophthalmologist).
  • Type of strabismus (constant or intermittent, unilateral or alternating).
  • Interpreter required (if so, preferred language).

If available

  • Patient health summary (including relevant medical history and current medications).
  • Visual acuity or assessment of visual response.
  • Direction of ocular misalignment (vertical or horizontal, convergent or divergent).
  • Corneal reflexes (Hirshberg test).
  • Optometrist, orthoptist or ophthalmologist report performed within last 3 months.
  • Cover test.
  • Ocular motility.
  • Cycloplegic refraction.
  • Head posture.
  • Birth and pregnancy history.
  • Indicated for surgery.
  • If the patient identifies as Aboriginal and/or Torres Strait Islander.
  • If the patient is considered 'at risk' and/or among a vulnerable, disadvantaged or priority population.

Important information for referring health professionals​

If there is a change to a patient’s condition while waiting for their appointment, referring health professionals may further investigate and manage the situation, or send an updated referral to the outpatient service. Where there are significant concerns about a patient's condition, referring health professionals may check HealthPathways for urgent/same day advice or contact the relevant clinical team.​​

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Current as at: Wednesday 14 February 2024
Contact page owner: System Purchasing