Triage Rules for Pediatric Eye and Adult Strabismus Clinics

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

• 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

• 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

• 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)

• Child not tracking well
• Eyes bobbing (nystagmus )
• Droopy eye lid
• Chalazion

• 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

• ALL appointment cancelling, and rescheduling calls should go through the ROP coordinator