{"id":4212,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ophthalmology\/"},"modified":"2026-01-28T11:09:16","modified_gmt":"2026-01-28T11:09:16","slug":"ophthalmology","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ophthalmology\/","title":{"rendered":"Ophthalmology"},"content":{"rendered":"\n<p>Referring to Ophthalmology<\/p>\n\n\n\n<p>The processes for referring remains unchanged.<\/p>\n\n\n\n<p>&#8211; \u200bSCI Gateway referrals as at present.<\/p>\n\n\n\n<p>&#8211; The Emergency triage phone-line for patients who need to be seen within 72 hours will remain 0131 536 3751 (Edinburgh) and 01506 524 286 (SJH, West Lothian).<\/p>\n\n\n\n<p><strong>Patient enquiries<\/strong><\/p>\n\n\n\n<p>Patients with any queries such as enquiring about their appointment should contact the waiting list office on 0300 7900 615<\/p>\n\n\n\n<p><strong>JC &amp;  BC 28\/1\/26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-Lothian-GP-and-Optometry-Ophthalmology-Referral-Pathway.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-Lothian-GP-and-Optometry-Ophthalmology-Referral-Pathway.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Please see Lothian GP and optometry ophthalmology referral pathway<\/a>.<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Urgency-of-the-condition.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Urgency-of-the-condition.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Urgency of the condition<\/a>&nbsp;for details on how soon patients should receive an appointment.<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-information-for-GPs.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Information for GPs<\/a><\/p>\n\n\n\n<p>Please see condition specific information for descriptions and management of many common ophthalmological conditions.<\/p>\n\n\n\n<p>Patients who present with a problem with their only seeing eye should be advised to see an optician\/ophthalmologist for review.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p>Amaurosis fugax \u2013 please refer to the neurovascular clinic. Please assess vascular risk factors including blood pressure, cholesterol and diabetes.&nbsp;<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rheumatology\/giant-cell-arteritis\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rheumatology\/giant-cell-arteritis\/\">Giant cell arteritis (GCA)<\/a>&nbsp;&#8211; if there are no visual symptoms please discuss with the rheumatology department.<\/p>\n\n\n\n<p>Some routine conditions can be managed in primary care (GP and optometrists) e.g.&nbsp;<a href=\"\/refhelp\/guidelines\/Conjunctivitis\" target=\"_blank\" rel=\"noreferrer noopener\">conjunctivitis<\/a>, abrasions, allergy and&nbsp;<a href=\"\/refhelp\/guidelines\/DryEyes\" target=\"_blank\" rel=\"noreferrer noopener\">dry eyes<\/a>. Additionally,&nbsp;<a href=\"\/refhelp\/guidelines\/HerpesZosterOphthalmicus\" target=\"_blank\" rel=\"noreferrer noopener\">herpes zoster ophthalmicus<\/a>&nbsp;without eye involvement can often be managed in primary care.&nbsp; Consider getting an assessment by an experienced optometrist. Optometrists can provide appointments for patients as part of the General Ophthalmic Services Contract and are required to see emergency patients in a timely manner.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p><strong>We require a referral letter for EVERY patient<\/strong>.<\/p>\n\n\n\n<p>The preferred referral process is via SCI Gateway. If sending\/forwarding a referral via SCI gateway please include past medical history, allergies and medications<\/p>\n\n\n\n<p>If you do not have access to fax or SCI Gateway e.g. if you have arranged an appointment out of hours please send a written referral letter with the patient to bring to their appointment.<\/p>\n\n\n\n<p>Only if SCI Gateway is unavailable should a letter be typed or handwritten. Please write legibly and include your examination findings.<\/p>\n\n\n\n<p>If you have arranged an appointment in the acute referral clinic and you are referring from within another hospital in Lothian please use TRAK to type the referral letter.<\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-How-to-refer-a-patient.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-How-to-refer-a-patient.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">How to refer a patient<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Ophthalmology-\u2013-What-to-include-in-the-referral.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">What to include in the referral<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/visibilityscotland.org.uk\/\" target=\"_blank\">https:\/\/visibilityscotland.org.uk\/<\/a><\/p>\n\n\n\n<p>RNIB website \u2013 patient information leaflets&nbsp;<a rel=\"noreferrer noopener\" href=\"http:\/\/www.rnib.org.uk\/\" target=\"_blank\">http:\/\/www.rnib.org.uk\/<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Low-Visual-Aid-Clinic-2021-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Low-Visual-Aid-Clinic-2021-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Low-Visual-Aid-Clinic-2021-1.pdf<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometry-LEHN-GP-Reply-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometry-LEHN-GP-Reply-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Optometry-LEHN-GP-Reply-1.pdf<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometrist-General-Referral-Form-OPT001-Electronic.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometrist-General-Referral-Form-OPT001-Electronic.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Optometrist-General-Referral-Form-OPT001-Electronic.pdf<\/a><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometrist-General-Referral-Form-OPT001-Printable.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometrist-General-Referral-Form-OPT001-Printable.pdf\" target=\"_blank\">Optometrist-General-Referral-Form-OPT001-Printable.pdf<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometry-IT-support-info-1.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Optometry-IT-support-info-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Optometry-IT-support-info-1.pdf<\/a><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Referring to Ophthalmology The processes for referring remains unchanged. &ndash; &#8203;SCI Gateway referrals as at present. &ndash; The Emergency triage phone-line for patients who need to be seen within 72 hours will remain 0131 536 3751 (Edinburgh) and 01506 524 286 (SJH, West Lothian). Patient enquiries Patients with any queries such as enquiring about their<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[459],"class_list":["post-4212","page","type-page","status-publish","hentry","category-ophthalmology"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/ophthalmology\/\" rel=\"tag\">Ophthalmology<\/a>","rttpg_excerpt":"Referring to Ophthalmology The processes for referring remains unchanged. &ndash; &#8203;SCI Gateway referrals as at present. &ndash; The Emergency triage phone-line for patients who need to be seen within 72 hours will remain 0131 536 3751 (Edinburgh) and 01506 524 286 (SJH, West Lothian). Patient enquiries Patients with any queries such as enquiring about their","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4212"}],"version-history":[{"count":23,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4212\/revisions"}],"predecessor-version":[{"id":26335,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4212\/revisions\/26335"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3664"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}