Search MAP & MAP BASIC Provider Handbook by Keyword

Eye (Ophthalmology) Clinic

You are here:
< Back


To provide medical and surgical evaluation and management of patients with visual or ocular disorders.

Appropriate patients for referral:

  • Blurred vision, unexplained (not related to glasses)
  • Persistent red eyes greater than 1 week
  • ALL red eyes with pain or decreased vision
  • Eye pain
  • Glaucoma or at risk patients (Positive family history, race, high myopes)
  • Cataracts – no overbooks allowed per physician
  • Exophthalmos
  • Advancing Pterygia
  • Strabismus or diplopia (double vision)
  • Lid lesions (cancer or Herpes Zoster)
  • Abnormal lid contour (ectropion, entropion)
  • Screening for patients taking Plaquenil
  • Increased intracranial pressure (Pseudotumor)
  • Structural brain abnormalities suspected of impairing visual pathway (e.g. pituitary tumors, A-V malformations, etc.)
  • Macular degeneration
  • Diabetic patients for retinal screening

Please do NOT refer the following patients:

  • Sudden change in vision (refer to ED)
  • Flashing lights and floaters (refer to ED)
  • Patients needing glasses or contact lenses (no refraction is done in the eye clinic)
  • Hypertensive patients without ocular symptoms

Note: Children failing their vision test at school need to be referred to the Lion’s Club (through the school nurse) where free glasses will be provided.

Documentation required for scheduling an appointment:

  • Completed Referral form
  • Past Medical History (PMH)
  • Current medication list
  • Most recent progress note describing condition for which patient is being referred.
  • Blurry vision, cataracts, glaucoma need optometrist note

Revised May 2015

Have questions or comments about the specialty referral guidelines? Submit them here.