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Oxford University Hospitals NHS Foundation Trust

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Ophthalmology referrals

Please see also:

Glaucoma

Patients should be referred up when the one of the following is identified:

  • the repeated mean IOP in either eye exceeds
    • 21mmHg for patients younger than 65 years
    • 24mmHg for patients age 65 - 80 years
    • 25mmHg for patients over 80 years
  • there is optic disc change consistent with glaucoma in either eye
  • visual field defect is found consistent with glaucoma in either eye
  • narrow drainage angle on van Herrick with significant risk of closure
  • signs often associated with glaucoma e.g. pigment dispersion or pseudoexfoliation.

In the absence of other suspicious findings (i.e. patient has normal discs and fields):

  • do not refer patients >80 years with IOP <26 mmHg
  • do not refer patients >65 years with IOP <25mmHg

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