Pterygium Referral Access Criteria

Referrers should use this page when referring patients to public adult ophthalmology outpatient services for pterygium.
Emergency referral
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region.
  • Nil
Immediate referral
Orange exclamation mark in triangle: orange alertImmediately contact on-call registrar or service to arrange immediate ophthalmology assessment (seen within 7 days):
  • Nil
To contact the relevant service, see HealthPathways: Acute Ophthalmology Assessment (external site)
Presenting issues
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
  • Symptomatic and/or rapidly growing pterygium (if extension onto cornea of ≥ 3mm roughly halfway across from limbus to apex of pterygium, and visual axis is threatened)        
Mandatory information
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test due to financial reasons or geographical location).

This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.

History
  • Details of previous treatment and outcome
Examination
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
Investigations
  • Nil
Highly desirable
History
  • Nil
Examination
  • Size of pterygium from limbus to apex
Investigations
  • Most recent optometrist or private ophthalmologist report
Indicative triage category

Category 1

Appointment within 30 days

  • Suspected ocular surface squamous neoplasia 

Category 2

Appointment within 90 days

  • Suspected dysplasia 

Category 3

Appointment within 365 days

  • Symptomatic pterygium
Exclusions
  • Nil
Useful information