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Referral Guidance for GP’s: Minor Eye Condition Service (MECS) 

Please continue to assess and treat common eye conditions as able.

Condition/Reason for referral

When to refer to MECS

(If unsure of diagnosis or unable to treat)

Referral to other Community Ophthalmology Service or Secondary Care (depending on clinical triage)

Sudden loss of vision

 

Urgent referral

Injuries: chemical, penetrating or

post-op infection

 

Urgent referral

Lids, lashes, tears:

Entropion, ectropion, ingrowing eye lash

 

Suitable for  MECS

If surgery needed, refer

(COS triage to determine whether suitable for treatment within Minor Surgery Service)

Mild blepharitis

Suitable for  MECS

 

Watery eyes

Suitable for  MECS

If persistent or  if needs syringing

(COS triage to determine whether suitable for treatment within Minor Surgery Service)

Dry eyes

Suitable for  MECS

 

Chalazion/ cysts

Suitable for  MECS                          

If surgery required, refer

(COS triage to determine whether suitable for treatment within Minor Surgery Service)

Squints and / or amblyopia and other orthoptic conditions

vision problems should be seen under the GOS in the first instance

 

Red Eyes: such as conjunctivitis: viral, bacterial, allergic

Episcleritis, Iritis, iridocyclitis, uveitis

Sub conjunctival hemorrhage

Suitable for MECS for differential diagnosis and treatment as indicated.

Urgent referral for iridocyclitis or uveitis may be required

Glaucoma

Assessed through GOS or privately if patient is not eligible for GOS. Please note – a new Repeat IOP pressures service has also been set up with local optometrists to reduce referrals into HES.

Emergency referral if acute glaucoma

Corneal Conditions: such as small corneal foreign bodies or superficial abrasions

Suitable for  MECS

 

Lens: cataract

Not MECS

Refer via current pathways according to Referral and Treatment Criteria

Vitreous and retina:

Flashers and floaters

 

Suitable for  MECS

Emergency referral if retinal tear

Macular Degeneration: Wet/Dry

If dry or unsure

Urgent referral if wet

Loss of vision

 

Urgent referral if ruled out cardiovascular cause and is an acute change

Further Information

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