Circle Reading Hospital exclusion criteria for NHS e-Referral (Choose & Book) patients

• BMI greater than 50
• Patient under the age of 18
• MI/CVA/Recurrent TIA within the last 6 months
• Cardiac related disorders
• Life threatening respiratory disorders (COPD, Bronchiectasis etc.)
• Severe & life threatening blood disorders
• Unstable psychiatric disorder
• Visual acuities under 6/12 for cataract surgery
• Glaucoma
• Lid cyst removal

Ophthalmology primary care exclusion criteria for NHS e-Referral (Choose & Book) patients

• Glaucoma, including visual field defects, optic disc problems and raised IOP
• Uveitis/Iritis
• Retinal problems – except flashing lights/floaters and choroidal naevi
• Macula problems- including wet and dry age related macula degeneration
• Diplopia/Orthoptic service/Squints
• Headaches/ papilloedema
• Keratoconus
• Lid Cyst/chalazion/any condition requiring lid surgery

Cataract exclusion criteria for NHS e-Referral (Choose & Book) patients

• Visual Acuities under 6/12 for cataract surgery OR there are
  considerations if it is negatively affecting the patients lifestyle. E.g. significant glare in daylight
• Patients under the age of 18
• Patients with BMI greater than 50
• Any new cardiac problems within the last 6 months, including but not
  restricted to pacemaker fitting, MI, diagnosis of Atrial Fibrillation.
• History of CVA,TIA within the last 6 months
• Any respiratory condition that means that the patient is unable to lie flat for up to 40 minutes
• Mobile, and if a wheelchair is used they should be able to transfer from chair to trolley easily with minimal help
• Any patients already in the care of Ophthalmology in another hospital
• Unstable psychiatric disorder
• Any patients that do not have capacity to give informed consent
• Uncontrolled diabetes. Random blood sugar should be 12mmol or less and HbA1c less than 69mmols
• Previous or current complicated ophthalmic history

If you have any queries, please contact the Circle Reading bookings team:
Call 0118 922 6925 or email Circle.bookings@nhs.net