Network of Referrals

Question 1

What are the 5 referral procedures?

Answer 1

1) Make an appt
2) Soon as possible
3) Semi-Urgent Situations
4) Urgent Situations
5) Immediate attention

Question 2

What does ‘Make an appt’ mean?

Answer 2

The px should make an appt with an optometrist or get a referral from MD to be seen by ophthalmologist for further evaluation.

Question 3

What does ‘soon as possible’ mean?

Answer 3

The px should make an appt with an optometrist

Question 4

What does ‘Semi-Urgent situations’ mean?

Answer 4

The px should make an appt with an optometrist in the next few days

Question 5

What does ‘Urgent situations’ mean?

Answer 5

The px needs to be seen on the same day by the optometrist

Question 6

What does ‘immediate attention’ mean?

Answer 6

The patient should be referred to the nearest optometrist if not go to ER to see the ophthalmologist on call.

Question 7

A px is presenting with a Gritty eye.
What referral procedure would you advise?
What could be the potential problem? (3)

Answer 7

Make an Appt
-Dry Eye
-Conjunctivitis
-Ocular Irritation

Question 8

A px is presenting with Blurred Distance Vision.
What referral procedure would you advise?
What could be the potential problem? (3)

Answer 8

Make an Appt
-Diabetes
-Cataracts
-Macular Edema

Question 9

A px is presenting with increasing spots before eyes.
What referral procedure would you advise?
What could be the potential problem? (1)

Answer 9

Soon as possible
-Retinal tear

Question 10

A px is presenting with Swelling of lids.
What referral procedure would you advise?

Answer 10

Semi - Urgent (within days)

Question 11

A px is presenting with persistent tearing and irritation in one eye.
What referral procedure would you advise?
What could be the potential problem? (3)

Answer 11

Semi - Urgent (within days)
-Blocked tear duct
-Trichiasis
-Chalazion

Question 12

A px is presenting with halos around lights.
What referral procedure would you advise?
What could be the potential problem? (2)

Answer 12

Semi-Urgent (within days)
-Glaucoma
-Cataracts

Question 13

A px is presenting with Macular degeneration.
What referral procedure would you advise?
What could be the potential problem?(1)

Answer 13

Semi-Urgent (within days)
-Cataracts

Question 14

A px is presenting with Ocular pigmentation or growth.
What referral procedure would you advise?

Answer 14

Semi-Urgent (within days)

Question 15

A px is presenting with Protrusion of the eye.
What referral procedure would you advise?

Answer 15

Semi-Urgent (within days)

Question 16

A px is presenting with an increased risk of glaucoma/ previously undiagnosed glaucoma.
What referral procedure would you advise?

Answer 16

Semi-Urgent (within days)

Question 17

A px is presenting with an old retinal detachment.
What referral procedure would you advise?

Answer 17

Semi-Urgent (within days)

Question 18

A px is presenting with an Blurry Vision.
What referral procedure would you advise?

Answer 18

Semi-Urgent (within days)

Question 19

A px is presenting with a Optic Neuritis.
What referral procedure would you advise?

Answer 19

Semi-Urgent (within days)

Question 20

A px is presenting with Ocular tumors.
What referral procedure would you advise?

Answer 20

Semi-Urgent (within days)

Question 21

A px is presenting with Headaches. What referral procedure would you advise?

Answer 21

Semi-Urgent (within days)

Question 22

A px is presenting with Lost or broken spectacles.
What referral procedure would you advise?

Answer 22

Semi-Urgent (within days)

Question 23

A px is presenting with Gradual loss of sight in quiet eyes.
What referral procedure would you advise?

Answer 23

Semi-Urgent (within days)

Question 24

A px’s Fluorescein pattern shows:
Corneal Ulcer
Corneal Foreign Body
Corneal Abrasion
What referral procedure would you advise?

Answer 24

Urgent Situation (same day)

Question 25

A px is presenting with red blood cells in the Anterior chamber What referral procedure would you advise? What could be the potential problem? (1)

Answer 25

Urgent Situation (same day) -Hyphema (collection of blood)

Question 26

A px is presenting with Itchy red eye. What referral procedure would you advise? What could be the potential problem? (2)

Answer 26

Urgent Situation (same day) -Conjunctivitis -CLARE - Contact lens Acute Red Eye

Question 27

A px is presenting with a Lid laceration. What referral procedure would you advise?

Answer 27

Urgent Situation (same day)

Question 28

A px is presenting with Blow-out fracture of the Orbit? What referral procedure would you advise?

Answer 28

Urgent Situation (same day)

Question 29

A px is presenting with Temporal Arteritis? What referral procedure would you advise?

Answer 29

Urgent Situation (same day)

Question 30

A px has pain in the eye What referral procedure would you advise? What could be the potential problem? (6)

Answer 30

Immediate Situation (within hours/minutes) -Chemical burn -Penetrating injuries of the eye -Flash burn to the cornea (welding) -Keratitis -Acute narrow-angle glaucoma -Iritis

Question 31

A px has sudden loss of vision What referral procedure would you advise? What could be the potential problem? (3)

Answer 31

Immediate Situation (within hours/minutes -Macular degeneration -Retinal detachment -Central retinal artery occlusion (blockage of blood in retina)

Question 32

A px has Double Vision What referral procedure would you advise? What could be the potential problem? (2)

Answer 32

Immediate Situation (within hours/minutes -Diabetes -Nerve Palsy

Question 33

A px has Ptosis (drooping) What referral procedure would you advise? What could be the potential problem? (2)

Answer 33

Immediate Situation (within hours/minutes -Nerve Palsy -Diabetes (ischemic third nerve palsies)

Question 34

When is a referral procedure NOT needed? (4)

Answer 34

-Change in rx (low vision) -Children frames -Specialist contact lenses -Local optometrist