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triage_guidelines [2021/07/13 21:07] – created Scott Larsontriage_guidelines [2026/09/20 09:30] (current) – Scott Larson
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-====== Triage Guidelines ======+====== Triage Rules for Pediatric Eye and Adult Strabismus Clinics ======
  
-  * {{ ::triage_rules_for_peds_eye_clinic_2021.pdf |Triage Peds Eye Clinic Guidelines}}+==== Same Day Emergent Referrals ==== 
 +Trauma: 
 +  * Penetrating/perforating 
 +    * Metal on metal 
 +    * Severe blunt trauma 
 +    * Mild blunt trauma with ocular symptoms
  
 +  * If the patient has multiple injuries or is not being referred by a physician, they should report to the nearest Emergency Room
 +
 +==== Schedule within 24 hours ====
 +  * Red Swollen Eye
 +  * Blood IN eye associated with vision symptoms
 +  * Chemical burn or cleaner splashed in eye - If the patient has multiple injuries or is not being referred, they should report to the nearest Emergency Room, chemical burns need copious irrigation with water immediately.
 +  * Postoperative patient with increased redness, pain or swelling
 +  * Sudden loss of vision
 +
 +==== Schedule within 2-5 days ====
 +  * White pupil
 +  * Absent red reflex
 +  * Cataract in a baby
 +  * Red eye
 +  * Eye pain with tearing, and/or photophobia, eye surface swelling, lid swelling
 +  * Headache associated with pain and double vision
 +  * Cloudy cornea
 +
 +==== Schedule within 2 Weeks ====
 +  * Sudden onset of strabismus or diplopia in a child
 +  * Eyes that are constantly misaligned
 +  * One pupil larger than the other– new onset.
 +  * Blood on the eye (subconjunctival hemorrhage)
 +
 +==== Schedule within 1 month ====
 +  * Child not tracking well
 +  * Eyes bobbing (nystagmus )
 +  * Droopy eye lid
 +  * Chalazion
 +
 +==== Schedule Next Available ====
 +  * Longstanding Strabismus, Adults
 +  * Headaches without visual symptoms
 +  * Eyestrain when reading
 +  * Sits to close to TV
 +  * Excessive blinking
 +  * Difficulty when reading
 +  * Abnormal head position/Head Tilt
 +  * Failed vision screening unless more urgent problem above
 +
 +==== Retinopathy of Prematurity (ROP) ====
 +  * ALL appointment cancelling, and rescheduling calls should go through the ROP coordinator
 +
 +{{tag>guidelines}}