Orbital Pain

This condition is treated in the Ophthalmology (Eye) clinic.

Pre-referral work-up

History

All referrals should comply with the Standard Referral guidelines and include in particular:

• Duration of symptoms: exophthalmos / enophthalmos, diplopia
• Clear description of signs
• Inspection of eye for foreign body including under lids
• Exophthalmos: Duration, pain, redness, reduction or loss of vision, diplopia
• Prosthesis: Duration of current prosthesis. History of poor fit and/or discharge
• History thyroid disease, cancer, trauma, foreign body

Tests

• Optometrist or ophthalmologist assessment when available

Interim/GP management

To refer a patient with this condition, please see the Ophthalmology clinic page for the full referral process and templates.

For more information please see the HealthPathways Tasmania website.

Clinic appointments

? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency

Emergency - ring on call Ophthalmic Registrar to discuss.

? Preseptal and orbital cellulitis

? Acute onset exophthalmos

? Exophthalmos with acutely reduced vision, pain or redness

? Acute orbital compartment symptom requires emergency lateral cantholysis - refer suspected cases in a time critical manor

If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.

Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.

Urgent (Category 1)

? Exophthalmos with ocular discomfort or mildly reduced vision

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within ten days, or sooner if clinically indicated.

Availability

North

THS Northern Region does not offer a public eye clinic. See Health Pathways for more information

North West

Unavailable.

South

Wellington Clinics (Level 11)
Phone: 03 6166 0000
Fax: 03 6234 9454