Skip links and keyboard navigation

Diabetic retinopathy

Minimum referral criteria

Category 1 - Seen within 30 days

  • Diagnosis of diabetes and any of the following:
    • Proliferative diabetic retinopathy (PDR)
    • Vitreous haemorrhage
    • Severe NPDR
    • Assessment of diabetic retinopathy in pregnancy
    • Centre involving diabetic macular oedema (Definition: thickening within 500 microns of the foveal centre associated with microaneurysms, haemorrhages, or hard exudates)

Category 2 - Seen within 90 days

  • Diagnosis of diabetes and any of the following:
    • moderate NPDR
    • non-centre involving diabetic macular oedema (Definition: thickening within 2-disc diameters (but not within 500 microns) of the foveal centre associated with microanaurysms, haemorrhages or hard exudates).

Category 3 - Seen within 365 days

  • No category 3 criteria
    NB Routine referral for screening without evidence of diabetic retinopathy, or for mild NPDR will not be accepted.

Standard information for all referrals

Reason for request

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

Patient's demographic details

  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Phone contact numbers – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and Torres Strait Islander Ask the patient their ethnicity

Referring practitioner details

  • Full name
  • Full address
  • Contact details – phone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Patient's usual general practitioner (if different from above)

Relevant clinical information about the condition

  • Inclusion of Clinical Prioritisation Criteria (CPC) where relevant
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Investigations carried out and results as indicated in the relevant pathway
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Options already pursued
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use

Clinical modifiers

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and Torres Strait Islander

Other relevant information

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g., DVA, WorkCover, motor vehicle insurance)

Essential information

  • BCVA (vision with most recent distance spectacles)
  • Date diagnosed/duration

Additional information

  • Private ophthalmologist or optometrist report including VA, refraction, and impact of symptoms (highly desirable)
  • Optical coherence tomography (OCT) results
  • Type of diabetes and duration of disease
  • Previous eye treatment e.g. retinal laser
  • HbA1c (most recent within the last six months and previous three if available)
  • Fasting blood glucose results
  • Fasting lipids results
  • Blood pressure

Information for your patient

Expected time frame for appointment notifications

  • Once the request is received, categorisation by the hospital will occur.
  • General practitioners and patients are notified of the assigned category between 14 days to 1 month after completed request is received.
  • Patients are usually notified of the upcoming appointment time and date approximately 4 weeks prior unless short notice appointments become available.

Appointment information

  • Patients will be given an appointment via phone, SMS, or letter.
  • The patient must contact the hospital to reschedule if they are not able to attend.
  • If the patient fails to respond to 2 appointment offers:
    • They will be discharged back to their general practitioner.
    • They can have a new request for assessment sent to the hospital if the need still exists.
  • The patient's first appointment may not always be with a specialist. Where appropriate, the request may be sent to a public allied health or nursing service for initial assessment and management. A specialist assessment may then be arranged or ruled out.

Ask your patient to:

  • take a list of current medications, and all relevant radiology films and reports to appointments.
  • advise of any change in circumstance (e.g., getting worse or becoming pregnant), as this may affect the request for assessment.
  • update their contact details (e.g., phone number and address) with the hospital.
Last updated: 24 January 2020

Send referral

Specialist Outpatient Department

Fax: 1300 017 155

CQ Fracture/urgent referrals
Fax: (07) 4920 7242

Named referrals

If you would like to send a named referral, please address it to a specialist listed below.

Rockhampton

Dr Devaraj Supramaniam

> view all CQ Health specialists

Service advice

Rockhampton
Phone: (07) 4920 6440

HealthPathways

Find assessment and management information on a range of conditions. Access to HealthPathways is free for clinicians in Central Queensland.

Log in

Request access