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Oxford University Hospitals NHS Foundation Trust

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Ophthalmology referrals

Referral guidelines

Referral Guideline Ophthalmology Overview (pdf, 451 KB)

All referral and management guidance for community eye care professionals and GPs in Oxfordshire can be found here:

Please see also:

Age-related Macular Degeneration: assessment, referral and treatment (Word, 6,315 KB)


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

Directly Bookable Service for Ophthalmology

The GP surgery will generate an appointment referral request with appropriate priority (urgent or routine) for the service on e-Referral and UBRN in the usual way.

To select a directly booked appointment, please see the guide at the link below, which shows how to use the system.

An electronic proforma or appropriate letter needs to be attached to the e-Referral Service by the surgery within 48 hours for a routine or urgent appointment.

In the case that the Trust cannot provide an immediate appointment, 'Defer to Provider' can be selected and Trust processes will be in place to contact the patient within 48 hours for an urgent or routine appointment.

18WW clock will start on the date the GP or patient makes the appointment booking.

GPs should check their patients have appointments on their e-Referral worklist. This applies to all appointment requests made through e-Referral.

Please note exclusions:

  • 2WW Ophthalmology to remain as existing process.
  • Emergency Eye Department to remain as existing process.

For further information please visit 'e-Referral':