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Lid lesions

Find assessment and management information at SpotOnHealth HealthPathways under:

Useful management information

  • No useful management information available

Minimum referral criteria (Does your patient meet the minimum criteria?)

Does your patient meet the minimum referral criteria?

Category 1
(appointment within 30 calendar days)

  • Proven or suspected eyelid squamous cell carcinoma or melanoma.
Category 2
(appointment within 90 calendar days)
  • Proven or suspected eyelid basal cell carcinoma.
Category 3
(appointment within 365 calendar days)
  • Benign eyelid lesions affecting vision or causing functional deficit

NB: minor cosmetic eyelid lesions should not be referred.

If your patient does not meet the minimum referral criteria

  • Find assessment and management information at SpotOnHealth HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
    • Please note that your referral may not be accepted or may be redirected to another service

Standard referral information (To be included in 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 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

Relevant clinical information about the condition

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • All conservative options that have been pursued unsuccessfully prior to referral
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
  • Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • A comprehensive capture of information in relation to MSH Referral Criteria

Clinical modifiers

  • The presence of clinical modifiers may impact the categorisation of the patient.
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living functioning – low/medium/high
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

Patient's Demographic Details

  • Full name (including aliases)
  • Date and country of birth
  • Residential and postal address including whether patient resides at an aged care facility
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Name of delegate and contact details (Department of Corrective Services)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

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, Work Cover, Motor Vehicle Insurance, etc.)

 

Essential referral information for Lid lesions referrals (Referral will be returned without this)

  • General Referral Information 
  • Please see 'additional referral information' below

NB: Patients are expected to be able to sit in an examination chair for Slit Lamp inspection of their eyes. It will be assumed that this is possible unless clearly stated on the referral. While all other options will be considered, it should be noted that in some cases it is not always possible.

If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.
 

Additional referral information for Lid lesions referrals

  • Pathology result of lesion biopsy
  • Private ophthalmologist or optometrist report including VA, refraction and impact of symptoms (highly desirable)
  • Clinical diagram including size in mm

Emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • Sudden severe visual loss e.g. macular or vitreous haemorrhage, retinal detachment or retinal artery occlusion
  • Rubeosis iridis (iris new vessels)
  • Corneal graft rejection
  • Contact lens keratitis, corneal ulcers
  • Uveitis/scleritis
  • Intra ocular pressure (IOP) > 35 mmHg
  • Signs and/or symptoms of retinal detachment
  • Acute injury e.g. trauma, burns, chemical exposure, foreign body
  • Acutely inflamed eye
  • Preseptal/orbital cellulitis - worsening eyelid oedema, erythema and proptosis
  • Ocular signs or symptoms of temporal arteritis
  • Ophthalmology conditions associated with sudden onset neurological signs and/or symptoms e.g. third cranial nerve palsy or optic disc swelling

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 7 April 2022