Retinal vein occlusion – Adult

Emergency and immediate referrals

Referral to Emergency:

  • Nil

Immediately contact on-call registrar to arrange an urgent (within 7 days) ophthalmology assessment for:

  • All central retinal vein occlusions
  • Branch retinal vein occlusion with recent decrease in vision

To contact the relevant service, please refer to HealthPathways Acute Ophthalmology Assessment (seen within 7 days).

Presenting symptoms
  • Painless blurring or loss of vision in eye progressively worsening
Mandatory referral information (referral will be returned if this information is not included)
  • Best corrected visual acuity (BCVA) - vision with most recent distance spectacles
  • Relevant history, onset and duration of symptoms
  • Details and duration of previous treatments

If unable to attach reports, please include relevant information/results in the referral

Referrer to state reason if not able to include mandatory referral information in referral (e.g. patient unable to access test due to geographical location or financial cost)

Highly desirable referral information
  • Most recent optometrist or private ophthalmologist reporting including:
    • Refraction
    • Impact of symptoms:
    • Intraocular pressure (IOP)
  • Cholesterol
  • FBC
  • LFT
  • Lipids
  • BSL
  • Thrombothelial screen in <55 or known thrombotic disorders
  • Blood pressure 
Indicative triage category
Indicative triage category
Category 1
Appointment within 30 days
  • No defined category 1 criteria
Category 2
Appointment within 90 days
  • Branch retinal vein occlusion without recent decrease in vision
Category 3
Appointment within 365 days
  • No defined category 3 criteria
Useful information for referring practitioners