Need to exclude giant cell arteritis and atrial fibrillation urgently
Depending on location, may be quicker to contact GP initially, before attending ophthalmology
Urgent referral to ophthalmology
Management Category
Urgent referral to ophthalmology
Possible management by Ophthalmologist
Urgent specialist vascular evaluation by stroke team
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The eyes.nhs.scot website (“Website”) is intended as a reference source for education and clinical
decision support and is intended for use by ophthalmic healthcare professionals.
The Website is not intended for use by the general public and does not replace the advice of a healthcare professional.
Members of the public should seek advice directly from their optometrist.
The guidelines on the Website were originally adapted from The College of Optometrists’ Clinical Management Guidelines
(CMGs), to incorporate pragmatic experience gained from NHS Grampian’s Eye Health Network. However, this content is currently under review.
The most up-to-date versions of The College of Optometrists’ CMGs can be accessed
at https://www.college-optometrists.org/clinical-guidance/clinical-management-guidelines.
The information on the Website provides guidance and related information for the differential diagnosis, possible
management by optometrists (treatment and advice), management category and possible management by ophthalmologists.
Users should note that that the guidance on the Website will not be suitable for every situation and is not intended to be a
substitute for specialist expertise and clinical judgement. Users should also note that this guidance should not be adhered to
in isolation and should be considered in conjunction with other national and locally available guidance/pathways.
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the Website is provided ‘as is’ and NSS does not warrant the accuracy and completeness of the material on the Website. NSS may
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and the use of reasonable care and skill) which, but for this disclaimer, might have effect in relation to the Website.
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