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Epiretinal membrane


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • Epiretinal membrane with BCVA worse than 6/12
  • Category 3
    (appointment within 365 calendar days)
    • Symptomatic epiretinal membrane with BCVA 6/12 or better

    NB: asymptomatic epiretinal membranes with good BCVA should not be referred

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Private ophthalmologist or optometrist report including VA, refraction and impact of symptoms

3. Additional referral information Useful for processing the referral

  • Optical coherence tomography report

4. Request

Last updated: 13 June 2023